Second Victim Symptoms and Desired Support Strategies Among Italian Health Care Workers in Friuli-Venezia Giulia: Cross-Sectional Survey and Latent Profile Analysis.

Background And Objective: The second victim (SV) phenomenon concerns health care workers (HCWs) whose involvement in a medical error, as well as non-error patient safety events, has affected their well-being. Its prevalence ranges from 10% to 75% and can predispose HCWs to burnout, increasing the probability of committing errors. The primary aim of our study was to determine the prevalence of HCWs involved in an adverse patient safety event in Friuli Venezia Giulia Region (Italy).

General Surgery Training and One Year of COVID-19. What Has Been the Impact on Residents' Operating Room Surgical Activity? A Report From an Italian Academic Hospital.

Background: In the last year and a half, the COVID-19 pandemic has put great pressure on the healthcare systems of many countries, Italy included, leading to a reorganization of hospital activities and a dramatic reduction in surgical activity. Our study aimed to evaluate, from a quantitative and qualitative perspective, the impact of this reduction on the formation of surgery residents at the Academic Hospital of Udine.

Methods: We compared the resident's surgical activity during the pandemic year (March 2020-2021) with the one during the pre-pandemic year, declining the surgical procedures by timing, type, and complexity and categorizing the residents by postgraduate year (PGY) and surgical role.

Cholecystectomy in the elderly: clinical outcomes and risk factors.

Aim Of The Study: Recent decades have seen a steady increase in the number of elderly patients undergoing cholecystectomy surgery. The objective of this study is to evaluate clinical outcomes in this cohort of patients and to identify any predictive factors correlative with adverse outcomes arising in the postoperative period.

Method: A retrospective study was conducted regarding patients aged ≥65 years who underwent cholecystectomy surgery.

Predictive Factors for Drain Placement After Laparoscopic Cholecystectomy.

Purpose: Currently, surgical drainage during a laparoscopic cholecystectomy (LC) is still placed in selected patients. Evidence of the non-beneficial effect of the surgical drain comes from studies with a heterogeneous population. This preliminary study aims to identify any clinical, demographic, or intraoperative predictive factors for a surgical drain placement during LC as the first step to identify population for a prospective randomized study.

The Second Victim Experience and Support Tool: A Cross-Cultural Adaptation and Psychometric Evaluation in Italy (IT-SVEST).

Objective: Second victims are defined as healthcare workers involved in an unanticipated adverse patient event, who experienced professional and psychological distress. The Second Victim Experience and Support Tool (SVEST) is a survey developed and validated in the United States, which describes the experience of second victims. This study aims to perform the cross-cultural adaptation of the SVEST and to evaluate its psychometric characteristics in the Italian context.

The tracheotomy tube weaning in patients with severe acquired brain injury: comparison of two operative procedures in a postacute rehabilitation hospital.

Background: Despite the high frequency of tracheotomy in severe acquired brain injury (sABI) patients, available literature about the weaning procedure is mainly represented by expert opinions with no standardized and evidence-based criteria.

Aim: The Institute of Physical and Rehabilitation Medicine "Gervasutta" adopted a new decannulation procedure, recommended by the Italian Society of Physical Medicine and Rehabilitation (SIMFER). This study evaluates whether the new procedure helps to improve the decannulation process of sABI patients.

Factors predicting influenza vaccination adherence among patients in dialysis: an Italian survey.

: The aim of this study was to investigate knowledge and practices about influenza among patients on dialysis services of Italian hospitals at risk of severe influenza infection and vaccine and to identify predictive factors to vaccination adherence. : A cross-sectional observational study was carried out from January 2017 to July 2017 after the 2016/2017 influenza vaccination campaign. The questionnaire was administered to all patients treated in seven large Italian dialysis services.

An easy, prompt and reproducible methodology to manage an unexpected increase of incident reports in surgery theatres.

Objectives: Surgery is a high-risk hospital area for adverse events (AEs) occurrence. This study aims to develop an effectiveness and reactive methodology to manage an unexpected increase of AEs in the operating rooms (ORs) of a large Academic Hospital providing about 30 000 surgeries per year.

Methods: The study included three phases: 1.

Promotion of flu vaccination among healthcare workers in an Italian academic hospital: An experience with tailored web tools.

Background: Influenza causes significant mortality particularly among the elderly and high-risk groups. Healthcare workers (HCWs) are at risk of occupational exposure due to contact with patients. Aims of this study was to promote flu shot among HCWs through a multimedia campaign in a large North-Eastern Italian Hospital.

70% Alcohol Versus Dry Cord Care in the Umbilical Cord Care: A Case-Control Study in Italy.

Recently the use of antibacterial agents to clean and dry the stump of the newborns' umbilical cord (UC) after birth has been abandoned by many neonatal units in favor of dry cord care. Aim of this study was to compare the occurrence of adverse events (AEs) and time to cord separation among newborns treated with dry cord care versus 70% alcohol in an Italian Academic Hospital (AH).From December 2014 to March 2015, 239 infants were born at the AH.

Paediatric emergency department utilisation: is it necessary an educational intervention?

Over the past ten years there has been a progressive increase in accesses to services for paediatric emergency room, documented in Italy and abroad. The aim of the study is describe the sociodemographic, cultural, subjective and objective factors for non-urgent access to paediatric emergency service in an Italian region. It was adopted a descriptive survey of a sample of non-urgent accesses to two paediatric emergency room services in an Italian region during the period from February-March 2009, through the administration of questionnaires and the consultation of facilities databases.

Valuing dignity in patients in a vegetative state on an intensive rehabilitation ward: improvement project.

Aim: To identify the causes that could hinder the provision of dignified care to patients in a vegetative state.

Background: In Italy, the incidence and prevalence of people in a vegetative state are increasing. The team members have a clear understanding of the meaning of being mortal and the value of human dignity.

A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres.

To explore the incidence of intraoperative pressure sores, the associated risk factors and the preventive strategies adopted by nurses, we adopted a longitudinal study in a 900-bed teaching hospital with multiple operating theatres, located in the North of Italy. Patients who underwent major surgery were evaluated four times: at the moment of operating theatre admission, at operating theatre discharge, and on their third and sixth postoperative day. Of the patients included (n = 102) who had an average age of 62.

Avoidable interruptions during drug administration in an intensive rehabilitation ward: improvement project.

Aims: To record the frequency of interruptions and their causes, to identify 'avoidable' interruptions and to build an improvement project to reduce 'avoidable' interruptions.

Background: In Italy each year 30,000-35,000 deaths per year are attributed to health-care system errors, of which 19% are caused by medication errors. The factors that contribute to drug management error also include interruptions and carelessness during treatment administration.

Predictors of nursing student success in an Italian school of Nursing.

Aims of the study was To define predictor factors of academic success of student in an Italian Nursing School. The recent introduction of the first level nursing education at university in Italy primed many changes processes and required to think new methods and contents. The study was descriptive and retrospective.

Italian nurse students' and clinical preceptors' perceptions about clinical practice experiences: a questionnaire survey.

Aims of the study was to compare perception of both clinical preceptors and nursing students in relation to clinical nursing practice in Italy. The recent introduction of primary level nursing education to Italian University primed many changes in processes and required to think new methods and contents. Special attention was adopted on revaluation of clinical practice.

Italian clinical guides' perceptions of their role in student nurses' clinical practicum.

The focus of this article is an examination of the clinical guides' views and their role in student nurses' learning. The descriptive survey was conducted in July-September 2006. The sample was composed of 120 clinical guides who answered a questionnaire regarding the last student nurses' clinical practice experience during 2006.

Effectiveness of music therapy for anxiety reduction in women with breast cancer in chemotherapy treatment.

In the last decade, the public use of complementary and alternative therapies for the solution of various health problems has increased dramatically. Listening to music can be considered a support to the traditional medical practice for the reduction of anxiety and stress related to chemotherapy.

Italian public school: a survey to estimate teachers' knowledge and perception on prevention and management of nutrition related pathologies.

Aims: This study aims to estimate the current knowledge of nursery and primary school reference teachers about nutrition related pathologies, their prevention and control.

Methods: The study was conducted during April-June 2006 sending a questionnaire to 24 School Directions of nursery and primary schools in a Northern Italian region (Friuli Venezia Giulia).

Results: Considering all the schools we obtained a global response rate of 82.

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Background: The frequency of drug prescription errors is high. Excluding errors in decision making, the remaining are mainly due to order ambiguity, non standard nomenclature and writing illegibility. The aim of this study is to analyse, as a part of a continuous quality improvement program, the quality of prescriptions writing for antibiotics, in an Italian University Hospital as a risk factor for prescription errors.

Study on the impact of caregivers in an Italian high specialization hospital: presence, costs and nurse's perception.

The study analysed two key questions: (i) the prevalence of informal caregiving in medical and surgical wards of a high specialization hospital; (ii) the reasonable cost for the structure that would have to pay to replace informal caregiving? The study was conducted in June 2006 as a prevalence survey, using a questionnaire administered to informal caregivers and nurses working in medical and surgical wards of a high specialization hospital by ad hoc trained personnel. Questionnaire consisted in three sections: the first focused on patient's characteristics, the second on caregivers and the third on nurses' perception on caregiving phenomenon. One hundred and twenty-four eligible caregivers were identified.

Factors influencing student nurses' perception of their clinical guides: a questionnaire survey.

Supporting student nurses whilst undertaking clinical training is an important activity for both educators and students, yet there is little consensus in the literature as to what constitutes support. Also, it is difficult to find a robust instrument that provides a valid measure of the quality of the clinical learning environment in different contexts. The aim of this study was to identify factors that influence student nurses' perception of their clinical tutors.

[Problem solving abilities of nursing students: the experience of the bachelor degree course in nursing at the University of Udine].

The process nurses adopt to solve the patients' problems is known as "Problem Solving" in the literature. Problem Solving Abilities include Diagnostic Reasoning, Prognostic Judgment and Decision Making. Nursing students apply the Problem Solving to the Nursing Process that is the mental and operative approach that nurses use to plan the nursing care.

Appropriate laboratory utilization in diagnosing pulmonary embolism.

Background: The appropriateness of clinical laboratory use in hospital clinical practice is a very debated question. In fact diagnostic tests are essential tools for disease screening or diagnosis but at the same time they represent an important expenditure.

Methods: A quantitative study was conducted in an Italian general hospital with 535 beds and about 27,000 admissions per year.

[Clinical learning in a university undergraduate nursing program in Italy: a descriptive study].

Objective: This study aims to describe how undergraduate nursing students learn clinical skills.

Materials And Methods: This study is part of a larger study and was performed in January-March 2005 as a prevalence survey. A semi-structured questionnaire was administered to all nursing students (n.