[Knowledge and common sense of nurses on the health's inequities: an exploratory study.] / La conoscenza e la percezione degli infermieri in tema di disuguaglianze nella salute: uno studio esplorativo.

INTRODUCTION: The data for 2015 show of a general deterioration of living conditions and health of the population in Italy. The possible effects call the nurse to become involved in the subject of health inequalities. The study was designed with the goal of assessing how much the nurses know and perceive the correlation between the state of health of the population and system inequities. METHOD: An exploratory study was conducted through a bibliographic update compared to previous work and questionnaires in convenience samples of professionals and students of nursing and evaluation of results according to the mixed method perspective. RESULTS: The nursing literature on the quantity is very limited plan. The questionnaire provides useful answers to the evaluation of the perception of inequalities in health in terms of horizontal and vertical equity. CONCLUSION: Knowledge of health inequalities cannot be on the edge scientific work and the same professional literature. E 'need to reduce the gap between the aspects of values of their profession, which reverberate in the perception of existing inequities, and the full assumption of knowledge related to the socio-economic determinants of health and disease.

[Communication denied: a pilot study on critical relationship in nursing]. / La comunicazione negata: studio pilota sulle criticità relazionali della professione infermieristica.

INTRODUCTION: In literature there are few studies on denied nursing communication/relationship and why this communication/relationship is avoided. GOALS: Evaluate criticism in communication/relationship in nursing in order to build an analytical basis for further study. MATERIAL AND METHODS: Participant observation during internship placements, diary and notes taken during the observation, furthermore the whole work context as well as the relationship in a internal medicine department were taken into consideration. RESULTS: In the majority of cases communication is avoided, reducing the time of contact with patients, in others it is sought even when not expressly required by the patient. CONCLUSIONS: Escape relationship may be an indicator of professional insecurity. The denied relationship is a mirror in which the practitioner finds its weaknesses. Considering these elements promotes the therapeutic path. The study gave interesting and relevant insights which can be considered as starting point for further research on the field with a wider sample.

Socio-economic determinants and self-reported depressive symptoms during postpartum period.

The researchers' aims were to estimate the prevalence of postpartum depressive symptoms in Italy. Cross-sectional data from the survey, "Health and use of health care in Italy" were analyzed. The authors focused on 5,812 women, pregnant some time during five years before the survey. Multiple logistic regression was used to evaluate risk factors independently associated with postpartum depressive symptoms. Evaluation of seasonal trends was also performed.In the total sample, 23.5% (n = 1,365) reported having suffered postpartum depressive symptoms: 20.7% experienced baby blues, and 2.8% postpartum depression. Factors significantly associated with baby blues were, among others, living in northern or central areas (adjusted odds ratio [aOR] 1.88; 95%CI 1.57-2.15 and 1.40; 95%CI 1.20-1.63, respectively), history of depression (aOR 1.34; 95%CI 1.15-1.56), and attendance at antenatal classes (aOR 1.13; 95%CI 1.04-1.22). Factors significantly associated with postpartum depression were: anamnesis of depression (aOR 3.32; 95%CI 2.69-4.09), gaining more than 16 kg of weight during pregnancy (aOR 1.48; 95%CI 1.03-2.12), and undergoing a cesarean section (planned: aOR 1.56; 95%CI 1.05-2.29; unplanned: aOR 1.78; 95%CI 1.16-2.73). Multiparity was a protective factor both for baby blues (aOR 0.80; 95%CI 0.70-0.91), and postpartum depression (aOR 0.71; 95%CI 0.51-0.98). No clear seasonality was observed for postpartum depression, while for baby blues a certain aggregation of events was registered during the central months of the year. The authors' study highlighted variables associated with baby blues and postpartum depression to target screening for women for postpartum depressive symptoms.

[The impact of the computerized unique therapeutic card (Computer Assisted Drug Therapy) in a cardiac care setting]. / Scheda Terapeutica Unica (STU) informatizzata: introduzione in un setting assistenziale cardiologico.

BACKGROUND: The introduction of a unique therapeutic card represents a valid tool for the containment of adverse events during the treatment process, from prescribing a drug to its administration. AIMS: This article aims to illustrate the development and implementation (through the application of the Deming Cycle) of a computerized STU in a cardiac care setting referring to a Department of Cardiology. MATERIALS AND METHODS: A multi-professional team was formed and carried out the following steps: a) analysis of existing clinical documentation highlighting the most critical points with respect to the therapeutic-pharmacological process; b) construction of a computerized STU c) sharing information with every member of the professional group involved, d) implementation of the STU in order to assess the areas of improvement. RESULTS: At the end of this procedure, the critical areas evidenced were shown to be markedly improved due to the elimination of errors relating to lack of legibility of handwriting (improvement of 71%, χ2 = 102.589, p <5%), dose and drug which should be administered (improvement of 29%; χ2 = 42.832, p <5%). Furthermore, there is an alignment between the data contained in both medical and nursing records (improvement of 26%, χ2 = 110.589, p <5%) and a complete identification of the subjects / actors in all stages of the process (improvement of 38%, χ2 = 32.284, p <5%). CONCLUSIONS: The survey has documented the significant benefits of the computerized STU in accordance with prior experience and in line with the continuous improvement process of quality of care which is still ongoing.