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Abstract

INTRODUCTION:"ˆBedside nursing handover may be an efficient way to achieve quality nursing outcomes, supporting the personalization of care. Recent literature attests to how bedside nursing handover is perceived by cardiac patents, but the experience of nurses participating in these handovers is largely unknown. The aim of this study is to explore nurses' experiences after the implementation of bedside nursing handover in an Italian cardiac surgical ward.

METHOD:"ˆA qualitative descriptive research approach was used to respond to the study aim, and the data was collected using two focus groups.

RESULTS: The main themes that were identified revolved around improving nursing care, greater professionalism, effective relationships, consequences for the patient, and obstacles to change. Moreover, we found that nurses perceive bedside nursing handover to be effective in promoting patient-centred care. The nurses in our study also felt that any difficulties with the implementation of a bedside nursing handover protocol (e.g. confidentiality) should be addressed through continued nursing education.

CONCLUSIONS: This study provides a valuable insight into nurses' perceptions of bedside nursing handover in a single cardiac surgery setting in Italy and is the first qualitative investigation from this perspective. Further research may help to elucidate the impact of bedside nursing handover on clinical and organisational outcomes.

Keywords: Care; Cardiac Surgery; Focus Group; Handover; Nursing; Qualitative Research; Personalization

Consegne infermieristiche al letto del paziente e volontí  organizzativa di personalizzare l'erogazione dell'assistenza in UO di cardiochirurgia: la prospettiva infermieristica

INTRODUZIONE: Le consegne infermieristiche al letto del paziente potrebbero essere una strategia per raggiungere risultati assistenziali di qualití , a sostegno di un'assistenza personalizzata. La letteratura recente mostra la percezione dei pazienti in ambito cardiovascolare di questo tipo di consegna, mentre la prospettiva infermieristica rimane poco esplorata. Pertanto, l'obiettivo di questo studio è esplorare l'esperienza degli infermieri coinvolti in un progetto di implementazione di consegne infermieristiche a letto del pazienze, presso una struttura del nord Italia. METODI: Questo studio segue un approccio qualitativo descrittivo, dove i dati sono stati raccolti tramite Focus Group.

RISULTATI:"ˆ I principali temi identificati dall'analisi tematica sono stati: il miglioramento dell'erogazione assistenziale, miglioramento del professionismo, relazioni efficaci, effetti sul paziente, ostacoli al cambiamento. Nel complesso, la consegna a letto del paziente sembra essere percepita come utile nel promuovere l'approccio centrato sul paziente. Emerge come alcune difficoltí  relative all'implementazione delle consegne a letto, come la confidenzialití  di alcuni dati sensibili, dovrebbero essere indirizzate dalla formazione continua.

CONCLUSIONI: Questo studio fornisce un approfondimento nella comprensione delle percezioni degli infermieri sul tema delle consegne a letto in un contesto italiano di degenza cardiochirurgica. In tal senso è la prima esplorazione qualitativa su questa tematica. Ulteriori ricerche possono contribuire a chiarire l'impatto del passaggio da infermiere a base di soccorso a risultati clinici e organizzativi.

Parole chiave: Care; Cardiochirurgia; Consegne infermieristiche; Focus Group; Personalizzazione; Ricerca qualitativa.

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Dellafiore, F., Arrigoni, C., Grugnetti, A. M., Zaffino, G., Calorenne, V., Pittella, F., Rosa, D., & Caruso, R. (2019). Bedside nursing handover and organisational will to achieve personalisation within an Italian Cardiac Surgery Unit: the nurses’ viewpoint through a qualitative study - Consegne infermieristiche al letto del paziente e volontí  organizzativa di personalizzare l’erogazione dell’assistenza in UO di cardiochirurgia: la prospettiva infermieristica. PROFESSIONI INFERMIERISTICHE, 72(1). Recuperato da https://profinf.net/pro3/index.php/IN/article/view/590
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