[A three-months follow up of a randomized controlled trial of Assisted Walking Program for in-hospital geriatric patients].

Unlabelled: . A three-months follow up of a randomized controlled trial of Assisted Walking Program for in-hospital geriatric patients.

Introduction: Functional decline is common among older hospitalized patients.

Effectiveness of a multi-layer silicone-adhesive polyurethane foam dressing as prevention for sacral pressure ulcers in at-risk in-patients: Randomized controlled trial.

Background: There is need for improvement in effective pressure ulcers preventive strategies.

Objective: To study whether a multi-layer silicone-adhesive polyurethane foam dressing shaped for the sacrum prevents PUs development in addition to standard PU preventive care for at-risk hospitalized patients.

Design: Open-label, parallel group, multi-center randomized controlled trial.

Post-hospital care pathway for individuals with hip fracture: what is the optimal setting and rehabilitation intensity? An observational study.

Purpose: Health systems are using ever-increasing resources on treating hip fractures. Optimal post-hospital care needs to be defined to design an effective care pathway. The aim of the present study was to describe the post-hospital care pathway of individuals with hip fracture and to assess its association with the degree of recovery of independence achieved four months after surgery.

Effectiveness of Multilayered Polyurethane Foam Dressings to Prevent Hospital-Acquired Sacral Pressure Injuries in Patients With Hip Fracture: A Randomized Controlled Trial.

Purpose: The purpose of this study was to determine the effectiveness of a multilayered polyurethane foam dressing applied within 24 hours of hospital admission compared with standard preventive pressure injury (PI) care in reducing sacral PI occurrence in older patients with hip fractures.

Design: Open-label, parallel-group, 2-arm, superiority trial.

Subjects And Setting: The sample comprised older patients aged 69 to 97 years admitted to a 1500-bed university hospital in Bologna, Italy, for hip fracture surgery.

Assisted Walking Program on Walking Ability in In-Hospital Geriatric Patients: A Randomized Trial.

Objectives: The main aim of this study was to evaluate if an individualized assisted walking program (IAWP) for hospitalized older patients could improve walking ability compared with usual geriatric care and rehabilitation.

Design: A randomized controlled trial with an active control group, open labeled with parallel assignment was conducted between October 2018 and January 2020.

Setting: Geriatric ward.

[Nursing outcomes in medical wards (ESAMED Study): the results of a multicenter longitudinal study].

Unlabelled: . Factors associated to patients' outcomes in medical units: lessons learnt from an Italian multicentric longitudinal study design (ESAMED study).

Introduction: Research on nursing outcomes attempted to identify the associated factors, however, with mainly retrospective or descriptive studies.

One-year mortality after hip fracture surgery and prognostic factors: a prospective cohort study.

Older adult patients with hip fractures are 3-4 times more likely to die within one-year after surgery than general population. The study aimed to identify independent predictive factors associated with one-year mortality after hip fracture surgery. A prospective prognostic cohort study was performed.

Predictive factors for category II pressure ulcers in older patients with hip fractures: a prospective study.

Objective: To identify the incidence of category II or higher hospital-acquired pressure ulcers (HAPU) and significantly associated factors in older patients with hip fractures. PUs are a frequent complication in hip fracture patients, negatively impacting patients' quality of life, the health-care system and society.

Method: A prospective cohort study was conducted.

Predictive factors for the formation of tape blisters: An observational, prognostic prospective study.

Background: Tape blisters are common complications in the peri-lesional area of the surgical incision, forming below the layer of dressing adhesive applied and causing numerous complications for patients.

Objectives: The purpose of this study was to investigate the incidence of the phenomenon, and to identify and quantify the main prognostic factors associated.

Design: Multicentric, prognostic prospective cohort study.

Predictive factors for thirty day mortality in geriatric patients with hip fractures: a prospective study.

Purpose: The study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors.

Methods: A prospective multicentric study was performed. All patients aged ≥ 65 years, with fragility hip fractures, consecutively admitted in two Italian hospitals were included.

What Factors Are Associated With the Recovery of Autonomy After a Hip Fracture? A Prospective, Multicentric Cohort Study.

Objective: To identify the factors associated with recovering autonomy in activities of daily living (ADL) in patients who have had a hip fracture.

Design: A prospective cohort study.

Setting: The orthopedic and orthogeriatric departments of 2 regional hospitals.

The degree of satisfaction of in-hospital medical patients with nursing care and predictors of dissatisfaction: findings from a secondary analysis.

Background: Patient satisfaction with nursing care (NC) is an important predictor of overall satisfaction with the hospital experience. However, the concept of patient satisfaction has been criticised both at the theoretical and at the methodological levels, and more attention on patient dissatisfaction has been called for with the aim of identifying strategies to improve the quality of care.

Aims: To describe dissatisfaction with NC as perceived by acute medical patients and identify predictors.

Prevalence and incidence density of unavoidable pressure ulcers in elderly patients admitted to medical units.

To describe the prevalence and incidence density of hospital-acquired unavoidable pressure sores among patients aged ≥65 years admitted to acute medical units. A secondary analysis of longitudinal study data collected in 2012 and 2013 from 12 acute medical units located in 12 Italian hospitals was performed. Unavoidable pressure ulcers were defined as those that occurred in haemodynamically unstable patients, suffering from cachexia and/or terminally ill and were acquired after hospital admission.

Predictive Factors for Pressure Ulcers in an Older Adult Population Hospitalized for Hip Fractures: A Prognostic Cohort Study.

Background: Older adult patients with fragility hip fractures constitute a population at high risk for complications, in particular pressure ulcers. The aim was to evaluate the incidence of pressure ulcers and potential predictive factors.

Methods And Findings: A prospective multicentric prognostic cohort study in orthopedic wards in three Italian public hospitals.

[The debate on the development of advanced competences].

. The debate on the development of advanced nursing competences. The dossier aims to describe and disentagle the present Italian and international debate on the development and recognition of advanced nursing competences.

[Medicine wards of Local Health Authority 18 of Rovigo - Prospective Survey].

Aim: The primary objective of the study is to measure the phenomenon of the difficult discharge through the implementation and use of a validated instrument that can support later the nurse in planning the discharge of patients hospitalized in the departments of Medi- cine and Geriatrics.

Secondary Objectives: - Experience using the index of BRASS - To study the characteristics of the population at risk of difficult discharge

Method: prospective observational study to measure the phenomenon of the difficult discharge through the implementation of the index of BRASS in the Medicine and Geriatrics wards of Hospital of Rovigo Ulss 18, in order to study the characteristics of the population at risk of discharge difficult.

Results: In a sample of 165 patients, 42.

Factors affecting in-hospital informal caregiving as decided by families: findings from a longitudinal study conducted in acute medical units.

Background: Informal caregiving offered by family members has been widely studied in the community setting, but little attention to date has been dedicated to that offered at the hospital level.

Aims: To describe the proportion of patients admitted to acute medical units receiving care from informal caregivers as decided by the family and to identify the factors affecting the numbers of care shifts performed by informal caregivers.

Design And Methods: A longitudinal study was performed involving 12 acute medical units located in 12 northern Italian hospitals.

In-hospital elderly mortality and associated factors in 12 Italian acute medical units: findings from an exploratory longitudinal study.

Background: Given the progressive demographic ageing of the population and the National Health System reforms affecting care at the bedside, a periodic re-evaluation of in-hospital mortality rates and associated factors is recommended.

Aims: To describe the occurrence of in-hospital mortality among patients admitted to acute medical units and associated factors. Two hypotheses (H) were set as the basis of the study: patients have an increased likelihood to die H: at the weekend when less nursing care is offered; H: when they receive nursing care with a skill-mix in favour of Nursing Aides instead of Registered Nurses.

Overcoming redundancies in bedside nursing assessments by validating a parsimonious meta-tool: findings from a methodological exercise study.

Rationale: There is growing interest in validating tools aimed at supporting the clinical decision-making process and research. However, an increased bureaucratization of clinical practice and redundancies in the measures collected have been reported by clinicians. Redundancies in clinical assessments affect negatively both patients and nurses.

Evaluation of the impact of support for nursing research on scientific productivity in seven Italian hospitals: A multiple interrupted time series study.

Background: Nursing research is not well-developed in Italy, and knowledge of the methodologies for conducting research is lacking. In several hospitals, including those in which this study was conducted, a research center has been established to support and educate nurses on how to conduct clinical research.

Aims And Objectives: In this observational study, we sought to assess whether establishing a support center for nursing research has resulted in an increase in scientific production in terms of the numbers of protocols approved (primary outcome), articles published and nurse authors involved in the publications (secondary outcomes).

Hospital-acquired functional decline in older patients cared for in acute medical wards and predictors: Findings from a multicentre longitudinal study.

Describing the trajectories of hospital-associated functional decline in older patients admitted to acute medical units and identifying predictors at the individual, nursing, and hospital levels, were the aims of the study. A longitudinal survey among 12 acute medical units in which 1464 patients were consecutively enrolled and evaluated using the Barthel Index (BI), was performed. Functional decline was defined as a decrease in the BI of at least 5 points from admission to discharge.

Post-hoc validation of the Conley Scale in predicting the risk of falling with older in-hospital medical patients: findings from a multicentre longitudinal study.

Background: The Conley Scale is one of the most widespread fall-risk screening tools in medical unit settings, despite the lack of data regarding its validity in patients currently admitted to these units.

Aims: Establishing the validity of the Conley Scale in identifying patients at risk of falling in an acute medical setting.

Methods: A 6-months longitudinal study in 12 acute medical units from September 2012 to March 2013, a total of 1464 patients with ≥65 years of age were consecutively enrolled and evaluated with the Conley Scale within 24 h of admission.

Missed nursing care and predicting factors in the Italian medical care setting.

Missed nursing care (MNC), such as nursing care omitted or delayed, has not been measured in the Italian context where several cost containment interventions affect the care offered in medical units. The aim of the study is to identify the amount, type, and reasons for MNC in the Italian medical care setting and to explore the factors that affect the occurrence of MNC. A 3-month longitudinal survey was carried out followed by a cross-sectional study design in 12 north eastern acute medical units.

SHARP VERSUS BLUNT DIALYSIS NEEDLE USE WITH BUTTONHOLE METHOD: OPEN RANDOMISED TRIAL.

Background: Current protocols recommend the use of a blunt needle to access the arteriovenous fistula via a buttonhole. This study aims to demonstrate whether a sharp needle can be used at the same buttonhole site without causing complications.

Goal: To measure and compare fistula cannulation failures between the use of blunt and sharp needles.