Continuing Education through the Campus Game: A Sustainable Gamification Project to Improve Doctors' and Nurses' Knowledge of Quality and Clinical Risk Management.

The COVID-19 disease has dramatically changed lives worldwide, including education. This is a challenge for traditional learning. In fact, the European Higher Education Area poses the challenge of boosting the quality of teaching through active methodologies supported by digital pedagogy. Gamification is one of these tools and it has considerable attention in the healthcare literature. We aimed to create a game in the Campus Bio-Medico University Hospital Foundation in order to offer continuing education on Quality and Clinical Risk procedures to our staff. The 2021 "Campus Game" (178 players) introduced the "Badge Challenge" (Team Building, Procedures, and Security) and 73 questions. The leaderboard of every single match was posted in some of the hospital's strategic areas and also published online on the company intranet to ensure engagement and competitiveness. Gamification has spontaneously promoted teamworking and a virtuous process of multiprofessional education. We found that, during the Campus Game, there was a 4.9% increase in access to the intranet page containing information on Quality and Patient Safety and an 8% increase in access to the Hospital Policies and Procedures. In the near future, we wish to expand this game, involving hospitals with similar types of activity and levels of attention to quality and safety issues, and also to enhance the network of partners and the principles of Q&S management itself.

Back to the Roots of Nursing: Qualitative Study on the Experience of Nurses in the Front Line During the COVID-19 Pandemic.

The COVID-19 emergency has led many health facilities to reorganize themselves in a very short time to meet the urgent needs for intensive, semi-intensive or ordinary care of SARS-CoV-2 patients. In this pandemic, characterized by speed of transmission and severity of respiratory symptoms, care has been affected by the increase in volume and clinical complexity of patients, the sudden and unpredictable staff decrease and the lack of support from family members / caregivers. At the same time, experience in the field has shown how "informal" resources have been activated, which enabled to treat the highest possible number of patients above the real availability of resources. The purpose of this study was to explore the experiences of nurses involved in frontline care (COVID Centers) during the pandemic with a particular focus on professional motivation and on the development of technical-professional and personal skills. A study with a qualitative research design using focus group technique was conducted. Two focus groups were held with nine nurses. Data were analyzed with inductive content analysis. The findings can be summarized in five main categories: professional identity; motivation and sense of mission; development of professional and personal skills; spirituality; person-centered care; uniqueness of the lived experience. These findings shed new light on the correlation between motivation, professional identity and value, sense of duty and sense of belonging to the professional group. Moreover, the experience in the COVID Centers represented a valuable opportunity for participants to rediscover some specific issues related to nursing professional identity and to develop new personal and technical-professional skills in a very short time. Finally, nurses experienced once again how the nurse-patient relationship and basic care are essential to provide effective and excellent care, even and especially for patients in critical conditions. Nurses re-discovered, in a careful body care and basic care, irreplaceable elements to give back to patients, often dying, their own dignity, and all the needed closeness and attention necessary also to compensate the absence of the loved ones. These elements represent a way to concretely and deeply express the ethics of a job well done in nursing.

Compliance with the Surgical Safety Checklist Results of an Audit in a Teaching Hospital in Italy.

AIM: We carried out an audit to verify compliance to Surgical Safety Checklist (SSC), as we have become aware that compliance across different teams and by individual surgeons has not been optimal. MATERIAL OF STUDY: 100 SSC records from October-December 2014 and 100 from March-June 2015 were inspected to verify correct . 44 surgeons and 34 scrub nurses were asked to complete a questionnaire to know surgeons' compliance to the different stages of the Checklist and the compliance of each surgical team. 100% of scrub nurse and 73.7% of surgeons completed the questionnaire. RESULTS: All Checklist records were correctly filled out but we could verify that while nurses have a strong commitment to the SSC, the Checklist's implementation is not being actively supported by all surgical team members. DISCUSSION: Many surgeons showed limited awareness of not collaborating during SSC procedure and admitted delegating the responsibility for answering questions to other members of their team. A number of them fell into contradiction answering to various parts of the questionnaire. Consistent with the literature, at our hospital there is a gap between quality of Checklist paper records and correct use of this safety tool. CONCLUSIONS: Thanks to the data we have collected we will improve the way the SSC is used and promote change in the behavior of surgeons. Eighteen surgeons (40.9%) expressed willingness to be involved in a work group to revise the SSC and we hope that their commitment to safety and quality will increase. KEY WORDS: Surgical Safety Checklist, Surgeons commitment.

Posthumanist's values in worlwide movies / Valores posthumanitas en la cinematografía internacional

Pop-Philosophy can broadcast lots of important messages, because of its popular way to communicate with people. We can say that one of the most important media used from pop philosophy to achieve its objectives is Cinema. In 2011, 818 films were produced. In 2012, cinema admissions in the USA were 1,360 million while in Europe they were 1,190 million. For this reason we decided to test a new methodology in order to investigate the Campus Bio-Medico University’s students' "perception" of Values conveyed by films. In the first phase, we asked 296 students to tell us the titles of the films they have seen that dealt with the disclosure of posthumanist values. From this first phase, we identified the 5 most popular and cited films. In the second phase, we interviewed 175 students on the relationship that each of the 5 selected films had to convey the Idea of God, the Idea of Man and the Idea of Nature. The survey we carried out, allows us to simply see the gap between the message that according to the posthumanist experts should be transmitted in a certain direction with respect to the message received by a selected portion of cinematographic audience

La Pop-Filosofía puede transmitir muchos mensajes importantes, debido a su forma popular de comunicarse con la gente. Podemos decir que uno de los medios más importantes que se utilizan en la pop-filosofía para alcanzar sus objetivos es el cine. De hecho en 2011 se produjeron 818 películas. En USA los ingresos del cine en el 2012 fueron 1.360 millones, mientras que en Europa fueron 1.190 millones. Por esta razón hemos querido experimentar una nueva metodología para estudiar la "percepción" de valores transmitidos por el cine entre los estudiantes de la Universidad Campus Bio-Médico. En la primera fase, hemos pedido a 296 estudiantes cual fueron los títulos de las películas que han visto, que tratan sobre la divulgación de los valores posthumanistas. A partir de esta primera fase identificamos las 5 películas más populares y citadas. En la segunda fase entrevistamos 175 estudiantes sobre cual idea de Dios, Hombre y Naturaleza, en su opinión, transmitían las 5 películas. Nuestro estudio indica que existe una real diferencia entre el contenido teórico posthumanista de las mas importantes películas y lo que el estudiante de nuestramuestra percibe

Posthumanist's values in worldwide movies.

Pop-Philosophy can broadcast lots of important messages, because of its popular way to communicate with people. We can say that one of the most important media used from pop philosophy to achieve its objectives is Cinema. In 2011, 818 films were produced. In 2012, cinema admissions in the USA were 1,360 million while in Europe they were 1,190 million. For this reason we decided to test a new methodology in order to investigate the Campus Bio-Medico University's students' "perception" of Values conveyed by films. In the first phase, we asked 296 students to tell us the titles of the films they have seen that dealt with the disclosure of posthumanist values. From this first phase, we identified the 5 most popular and cited films. In the second phase, we interviewed 175 students on the relationship that each of the 5 selected films had to convey the Idea of God, the Idea of Man and the Idea of Nature. The survey we carried out, allows us to simply see the gap between the message that according to the posthumanist experts should be transmitted in a certain direction with respect to the message received by a selected portion of cinematographic audience.