[Evaluation of self-perceived competence among Family and Community Nurses who attained the Master's Degree at the University of Eastern Piedmont (2013-2019):an exploratory survey]. / Valutazione del grado di competenza percepita dagli Infermieri di Famiglia e di Comunità che hanno acquisito il titolo di Master presso l'Università del Piemonte Orientale(2013-2019): uno studio esplorativo.

. Evaluation of self-perceived competence among Family and Community Nurses who attained the Master's Degree at the University of Eastern Piedmont (2013-2019): an exploratory survey. BACKGROUND: The family and community nurse (fcn) is a recent profession identified by the World Health Organization with the role of coordinating district health and social care. University training courses have been launched to prepare future FCNs. AIMS: To evaluate self-perceived competences to be implemented at individual, family and community care among levels, of FCNs who attained the Master Degree at the University of Eastern Piedmont between 2013 and 2019. METHODS: All the 73 FCNs were sent an online questionnaire, with questions exploring the self-perceived competence levels in each item of FCNs' domain. Possible differences due to educational level and place of employment were analysed using Fisher's exact test; the Mantel-Haenszel test was used to control for confounding. RESULTS: A total of 49 FCNs, aged 25-57 years, completed in the questionnaire. Overall, FCNs reported high skills in individual care, but much lower skills at the community level, especially in setting short-term and long-term goals (high-level responses: 79.6-83.7% for individual vs 34.7-42.9% in the community) and in acting as an agents of change (91.8% vs 38.8%, respectively). Further significant differences emerged by education and place of work. DISCUSSION: FCN education programmes are crucial for complexity training: while courses seem to provide a sound theoretical basis, perceived competence is lower in the field, especially at community level. Further studies could provide more suggestions for tailoring future courses for FCNs.

[The ubiquitous use of the mobile phone in operating rooms: what we know about the risks and what can be done]. / Il diffuso uso del cellulare in sala operatoria:cosa sappiamo dei rischi e cosa possiamo fare.

. The ubiquitous use of the mobile phone in operating room: what we know about the risks and what can be done. INTRODUCTION: Mobile phones are often used in the operating theatres, with possible health risks for patients. Phone surfaces can be contaminated with pathogens causing infections (infectious risk). In addition, mobile phones can interfere with attention by becoming a possible cause of error (risk of error). Finally, electromagnetic waves can interfere with equipment (risk of interference). METHODS: This paper consists of two parts, the first dedicated to the review of the literature regarding the three risks associated with the use of mobile phones in the operating room. The second presents the results of a field observation carried out during surgery in 4 hospital facilities with the aim of describing the use of the mobile phone by health professionals. RESULTS: The literature review highlights that a. several resistant Methicillin bacteria and negative Grams survive on phone surfaces, but effective disinfection protocols are available; b. the presence of the mobile phone is a source of distraction during the performance of a task. However, mobile phone communication can improve care and reduce communication errors. Field observations have confirmed both the tendency to bring mobile phones into the operating room and the habit of using them (especially by anesthetists and nurses). Ninety per cent of interviewed personnel admitted to take with them mobile phones. CONCLUSIONS: The presence of the mobile phone exposes to risks that can be controlled through appropriate procedures. It is essential to regulate the entry of the mobile phone into the operating room and provide for treatment protocols, as well as to plan training activities on their correct use.