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13. Sleep Quality and Its Relationship to Anxiety and Hardiness in a Cohort of Frontline Italian Nurses during the First Wave of the COVID-19 Pandemic.

Author

Baldassini Rodriguez, Samuele, Bardacci, Yari, El Aoufy, Khadija, Bazzini, Marco, Caruso, Christian, Giusti, Gian Domenico, Mezzetti, Andrea, Lucchini, Alberto, Iozzo, Pasquale, Guazzini, Andrea, Magi, Camilla Elena, Iovino, Paolo, Longobucco, Yari, Rasero, Laura, Bambi, Stefano, and Gray, Richard

Subjects
MENTAL illness prevention, PSYCHOLOGICAL resilience, MENTAL health, QUESTIONNAIRES, ANXIETY, MULTIVARIATE analysis, DESCRIPTIVE statistics, SURVEYS, LONGITUDINAL method, STATE-Trait Anxiety Inventory, RESEARCH methodology, RESEARCH, SLEEP quality, CONFIDENCE intervals, DATA analysis software, COVID-19 pandemic
Abstract

Introduction: The COVID-19 pandemic has had a considerable impact on the psychological and psychopathological status of the population and health care workers in terms of insomnia, anxiety, depression, and post-traumatic stress disorder. The primary aim of this study was to describe and evaluate the impact of the pandemic on insomnia levels of a cohort of Italian nurses, particularly those involved in the care of COVID-19 patients. The secondary aim was to identify the interaction between insomnia and hardiness, anxiety, and sleep disturbances. Materials and Methods: A descriptive–exploratory study was conducted using an online survey during the first wave of the COVID-19 pandemic (March to July 2020). The questionnaire consisted of multiple-choice, open-ended, closed, and semi-closed questions. The psychometric tools administered were the Dispositional Resilience Scale (DRS-15), the State–Trait Anxiety Inventory (STAI-Y), and the Insomnia Severity Index (ISI). Results: a cohort of 1167 nurses fully completed the questionnaire (86.2% of total respondents). The insomnia scale survey showed an increase in post-pandemic scores compared to those before the pandemic, implying that insomnia levels increased after the first pandemic wave. Insomnia scores were directly correlated with anxiety levels (r = 0.571; p ≤ 0.05) and inversely correlated with hardiness levels (r = −0.324; p < 0.001). Multivariate analysis revealed the following protective factors: not having worked in COVID-19 wards, high levels of hardiness (commitment), and the presence of high pre-pandemic insomnia disorder. The main risk factor for insomnia reported in the analysis was a high anxiety score. Discussion and Conclusion: Anxiety represented the main risk factor for insomnia severity in our sample, while hardiness was confirmed as a protective factor. Thus, it is necessary to design further studies to identify additional risk factors for poor sleep quality and to develop educational courses and strategies aimed at enhancing rest and sleep quality, especially for frontline nurses. [ABSTRACT FROM AUTHOR]

Published
2023
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18. Gli infermieri di area critica tra ripresa e resilienza: si può andare oltre i numeri?

Author

Scelsi, Silvia, primary, Imbriaco, Guglielmo, additional, Bambi, Stefano, additional, Moggia, Fabrizio, additional, Romigi, Gaetano, additional, Favero, Valter, additional, Saddi, Simona, additional, D'Ambrosio, Francesco, additional, Iozzo, Pasquale, additional, Lucchini, Alberto, additional, Marano, Tiziana, additional, Madeo, Mario, additional, Zanardo, Davide, additional, Di Risio, Alessandro, additional, Casesi, Vita Grazia, additional, and Giusti, Gian Domenico, additional

Published
2022
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25. L'esperienza in terapia intensiva durante la pandemia Covid-19 da parte degli infermieri di terapia intensiva. Uno studio fenomenologico.

Author

MAGGESI, ANNALISA, GIUSTI, GIAN DOMENICO, BAMBI, STEFANO, CALAMASSI, DILETTA, and RAMACCIATI, NICOLA

Subjects
INTENSIVE care units, NURSES' attitudes, RESEARCH methodology, INTERVIEWING, CRITICAL care nurses, EXPERIENCE, GRADUATES, PHENOMENOLOGY, QUALITATIVE research, EMPLOYMENT, SOUND recordings, DESCRIPTIVE statistics, EMOTIONS, STATISTICAL sampling, DATA analysis software, COVID-19 pandemic
Abstract

Copyright of SCENARIO: Official Italian Journal of ANIARTI is the property of ANIARTI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022

29. Pressure Injuries Due to Personal Protective Equipment in COVID-19 Critical Care Units

Author

Bambi, S, Giusti, G, Galazzi, A, Mattiussi, E, Comisso, I, Manici, M, Rosati, M, Lucchini, A, Bambi, Stefano, Giusti, Gian Domenico, Galazzi, Alessandro, Mattiussi, Elisa, Comisso, Irene, Manici, Matteo, Rosati, Moris, Lucchini, Alberto, Bambi, S, Giusti, G, Galazzi, A, Mattiussi, E, Comisso, I, Manici, M, Rosati, M, Lucchini, A, Bambi, Stefano, Giusti, Gian Domenico, Galazzi, Alessandro, Mattiussi, Elisa, Comisso, Irene, Manici, Matteo, Rosati, Moris, and Lucchini, Alberto

Abstract

Background: Caring for patients with COVID-19 requires wearing a full set of personal protective equipment (PPE) to avoid contamination. Personal discomfort has been associated with use of PPE, and anecdotal reports describe pressure injuries related to wearing PPE. Objectives: To investigate the occurrence of device-related pressure injuries due to wearing PPE among Italian nurses caring for patients with COVID-19 in critical care settings. Methods: This descriptive study used an online survey investigating both the demographic characteristics of respondents and complications related to wearing PPE, including the development of pressure injuries. Results: A total of 266 nurses throughout Italy completed the survey; 32% of respondents were men. Nurses' median age was 36 years (range 22-59 years), and the median time spent working in their current clinical setting (an intensive care or high-dependency unit) was 3 years (range 0-32 years). Personal protective equipment was worn for a median duration of 5 hours (range 2-12 hours). While wearing PPE, 92.8% of nurses experienced pain and 77.1% developed device-related pressure injuries, mainly on the nose and forehead. Pain was more frequent among nurses with such injuries. Transparent dressings, emollient cream, and no dressing were associated with development of device-related pressure injury. Conclusions: Pressure injuries related to PPE represent an important adverse effect for nurses caring for patients with COVID-19. This topic deserves study to determine adequate solutions for preventing and treating such injuries and their potential influence on nurses' work tolerance.

Published
2021

32. Insertion of four different types of supraglottic airway devices by emergency nurses. A mannequin-based simulation study

Author

Liti, Alessandro, Giusti, Gian Domenico, Gili, Alessio, Giontella, Mirella, Dell’Omo, Sara, Camerlingo, Vincenzo, Fronteddu, Alessandra, Galazzi, Alessandro, and Bambi, Stefano

Subjects
Italy, Manikin study, Original Article: The Importance of Professional Training: Educational Needs, Assessment Instruments and Intervention Tools, Intubation, Intratracheal, Nurses, Humans, Airway management, Supraglottic airway devices, Emergencies, Manikins, Nurse education, Laryngeal Masks
Abstract

Background: During medical emergencies, one of the main steps to improve patient outcomes is to achieve airway management. Orotracheal intubation is highly effective for advanced airway management, but it requires experienced health professionals. The use of a supraglottic airway device (SAD) is an acceptable alternative. Aim: To assess which of the four considered SADs takes the shortest time and the lowest number of attempts to be correctly placed. The secondary aim was to evaluate the influence of some characteristics of the study population on time taken and number of attempts required. Methods: A crossover trial was conducted at the Advanced Medical Simulation Center of the University of Perugia (Italy) between June and September 2017. Eighty-three nurses were enrolled in the study. Each participant was asked to place four different SADs in a manikin: Laryngeal Tube Suction-D (LTS-D), i-gel™, Ambu® Laryngeal Mask AuraGain™ and LMA® Protector™ Cuff Pilot™. Results: The median insertion time for the different devices was: 8.0 seconds (s) for LTS-D, 6.0 s for i-gel, 5.4 s for AuraGain, 5.8 s for LMA Protector (p

Published
2020

35. How to communicate with families living in complete isolation

Author

Mistraletti, Giovanni, primary, Gristina, Giuseppe, additional, Mascarin, Sara, additional, Iacobone, Emanuele, additional, Giubbilo, Ilaria, additional, Bonfanti, Silvia, additional, Fiocca, Federico, additional, Fullin, Giorgio, additional, Fuselli, Ennio, additional, Bocci, Maria Grazia, additional, Mazzon, Davide, additional, Giusti, Gian Domenico, additional, Galazzi, Alessandro, additional, Negro, Alessandra, additional, De Iaco, Fabio, additional, Gandolfo, Enrico, additional, Lamiani, Giulia, additional, Del Negro, Silvia, additional, Monti, Laura, additional, Salvago, Fabrizia, additional, Di Leo, Silvia, additional, Gribaudi, Maria Nefeli, additional, Piccinni, Mariassunta, additional, Riccioni, Luigi, additional, Giannini, Alberto, additional, Livigni, Sergio, additional, Maglione, Carla, additional, Vergano, Marco, additional, Marinangeli, Franco, additional, Lovato, Luisa, additional, Mezzetti, Andrea, additional, Drigo, Elio, additional, Vegni, Elena, additional, Calva, Sally, additional, Aprile, Anna, additional, Losi, Gianfranco, additional, Fontanella, Lucia, additional, Calegari, Giulio, additional, Ansaloni, Cristina, additional, Pugliese, Francesco Rocco, additional, Manca, Salvatore, additional, Orsi, Luciano, additional, Moggia, Fabrizio, additional, Scelsi, Silvia, additional, Corcione, Antonio, additional, and Petrini, Flavia, additional

Published
2020
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38. Parametri clinici, strumentali e indici per l’ingresso del paziente adulto nel trial di svezzamento da ventilazione meccanica: revisione di letteratura

Author

Ciuffi, Sara, primary, Iozzo, Pasquale, additional, Lucchini, Alberto, additional, Trevisan, Monica, additional, Piemonte, Guya, additional, Manici, Matteo, additional, Comisso, Irene, additional, Giusti, Gian Domenico, additional, Marchese, Filippo, additional, Mattiussi, Elisa, additional, Elli, Stefano, additional, Fusi, Cristian, additional, Bulleri, Enrico, additional, Imbriacco, Guglielmo, additional, Negro, Alessandra, additional, Rasero, Laura, additional, and Bambi, Stefano, additional

Published
2020
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40. Le raccomandazioni degli infermieri di Area Critica italiani sull’ emergenza Coronavirus

Author

Scelsi, Silvia, primary, Giusti, Gian Domenico, additional, Romigi, Gaetano, additional, Favero, Valter, additional, Saddi, Simona, additional, D'ambrosio, Francesco, additional, Imbriaco, Guglielmo, additional, Iozzo, Pasquale, additional, Marano, Tiziana, additional, Zanardo, Davide, additional, Madeo, Mario, additional, Di Risio, Alessandro, additional, Casesi, Vita Grazia, additional, Bambi, Stefano, additional, and Lucchini, Alberto, additional

Published
2020
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41. 2222 non solo un numero

Author

Galazzi, Alessandro, primary, Reitano, Bianca, additional, Rasero, Laura, additional, and Giusti, Gian Domenico, additional

Published
2020
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42. Improving communication toward ICU families to facilitate understanding and reduce stress. Protocol for a multicenter randomized and controlled Italian study

Author

Mistraletti, Giovanni, primary, Mezzetti, Andrea, additional, Anania, Stefania, additional, Ionescu Maddalena, Alessandra, additional, Del Negro, Silvia, additional, Giusti, Gian Domenico, additional, Gili, Alessio, additional, Iacobone, Emanuele, additional, Pulitanò, Silvia Maria, additional, Conti, Giorgio, additional, and Bocci, Maria Grazia, additional

Published
2019
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50. L'affidabilità dei video sulla Rianimazione Cardiopolmonare Pediatrica (P-BLSD) caricati su YouTube. Uno studio retrospettivo.

Author

ROGARI, CECILIA, MAIANDI, STEFANO, RAMACCIATI, NICOLA, and GIUSTI, GIAN DOMENICO

Subjects
RELIABILITY (Personality trait), CARDIOPULMONARY resuscitation, LIFE support systems in critical care, SOCIAL media, CHILDREN'S hospitals, RESEARCH methodology, RETROSPECTIVE studies, DESCRIPTIVE statistics, VENTILATION
Abstract

Copyright of SCENARIO: Official Italian Journal of ANIARTI is the property of ANIARTI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2021
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