[Open ICU in pandemic phase Sars-CoV-2: the partial reopening of family visits in an ICU in Northern Italy]. / Terapia intensiva 'aperta' in fase pandemica Sars-CoV-2: esperienza di riapertura parziale delle visite dei familiari in una Terapia Intensiva del Nord Italia.

. Open ICU in pandemic phase Sars-CoV-2: the partial reopening of family visits in an ICU in Northern Italy. INTRODUCTION: During the Covid-19 pandemic, policies restricting family visits to health care facilities were commonly adopted, negatively impacting on patients, families and on the care team. AIM: To describe the reorganisation of a 23-bed Intensive Care Unit in Northern Italy for partial reopening to visits during the pandemic. METHODS: The reorganisation involved several phases: I) feasibility analysis, II) thawing out resistances; III) identifying behavioural, IV) organisational and structural indications for family access in the Covid area; V) fostering communication to guarantee information and emotional support for family members and VI) assessing, through an anonymous questionnaire, the degree of agreement on the impact of the presence of family members on health care team, patient and perception of safety. RESULTS: The majority of the relatives felt that the visit at the patient's bedside had a beneficial effect and reduced their anxiety. Almost all family members felt protected from the Covid-19 infectious risk. Healthcare staff also felt that the presence of family members contributed positively to the relationship with the patient. No family members contracted the Covid-19 infection during the evaluation period. CONCLUSIONS: Reopening access to family members during the Covid-19 period is possible, sustainable and beneficial. The use of flexible and motivational management principles by the coordinator were crucial in ensuring a family-centred approach during the pandemic.

[The bedside handover: the experience of the heart and vascular surgery of Trento hospital]. / La consegna al letto del paziente: l'esperienza dei reparti di Cardiochirurgia e Chirurgia Vascolare di Trento.

. The bedside handover: the experience of the heart and vascular surgery of Trento hospital. INTRODUCTION: The bedside handover (BH) increases the patients and nurses' satisfaction. AIMS: To describe the implementation of the BH in two wards of a large hospital in Trento. METHODS: The BH was initially implemented in the morning shift, and then extended to the other shifts. Patients' satisfaction was measured by interviewing 13 patients after one and 6 months; nurses satisfaction and opinions were collected with focus groups. The BHs were monitored by the head nurse and in a sample of BHs the contents and nurses behaviors were observed. RESULTS: The patients appreciated the BH and feel more involved in their care; the nurses did not report major problems in introducing the BH, however, some aspects need improvement such as nurses' introduction to the patient and the identification of potential patients problems. Nurses' skill in organizing the information increased. The duration of the handover time did not increase, however, the two teams need to overlap for 30 minutes. CONCLUSIONS: BH can be implemented if an organizational support is guaranteed.