La complessità assistenziale: indagine conoscitiva all’interno di un corso di laurea in Infermieristica

Journal title SALUTE E SOCIETÀ
Author/s Carlo Talucci, Maria Luisa Rega, Raffaella Gualandi, Rosaria Alvaro, Daniela Tartaglini
Publishing Year 2017 Issue 2017/1 Language Italian
Pages 16 P. 137-152 File size 851 KB
DOI 10.3280/SES2017-001011
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Introduction: Health care organizations are projecting toward nursing models for complex care. This concept has been much debated in literature and it is difficult to find a single definition. Objective: To evaluate the perception/knowledge of nursing students about the concept of complex care as projected to the world of work. Materials and methods: A qualitative approach with the fundamental description method has been used. The sampling took place within a degree curse in nursing. To conduct the study, a questionnaire based on literature, constructed by the research group, has been used. Results: the investigation has shown that students, even thought being aware of a lack of training on the subject, gave a potential definition of complexity of care by indentifying four main elements that characterize the subject: work; nurse; assisted person and the available resources. The main purpose of the complexity of care is mostly qualitative and is likely to improve care. Conclusion: further studies should be conducted to test student’s perception / Knowledge on the subject in order to implement their training on the subject if needed.

Keywords: Complexity of care; nursing students; nurses; concept analysis; nursing; nursing workload.

  1. Aalto P., Karhe L., Koivisto A.M., Valimaki M. (2009). The connection between personnel resources with work loading and patient satisfaction on in-patient wards. Journal of Nursing Management, Jan,17(1): 135-42.
  2. Aschan H., Junttila K., Fagerstrom L., Kanerva A., Rauhala A. (2009). RAFAELA Patient Classification System as a tool for management. Stud Health Technol Inform, 146: 478-482. DOI: 10.3233/978-1-60750-024-7-47
  3. Brennan C.W., Daly B.J. (2009). Patient acuity: a concept analysis. Journal of Advanced Nursing, 65(5):1114-1126.
  4. Bulechek G., Butcher H., Dochterman J., Wagner C., eds. (2013). Nursing interventions classification (NIC) (6th ed.). St. Louis, MO: Elsevier.
  5. Caers R., Du Bois C.R., Jegers M., De Gieter S., De Cooman R., Pepermans R. (2008). Measuring community nurses’ job satisfaction: literature review. Journal of Advanced Nursing, 62(5): 521–529.
  6. Carter N., Bryant-Lukosius D., Di Censo A., Blythe J., Neville A.J. (2014). The use of triangulation in qualitative research. Oncology Nursing Forum, Sep; 41(5): 545-7. DOI: 10.1188/14.ONF.545-547
  7. Cavaliere B. (2009). Misurare la complessità assistenziale. Strumenti operativi per le professioni sanitarie. Rimini: Maggioli Editore.
  8. Chaffee M.W., McNeill M.M. (2007). A model of nursing as a complex adaptive system. Nurs Outlook, 55(5): 232-241.
  9. Cologna M., Zanolli D., Saiani L. (2010). Complexity of care: meanings and interpretation. Assist Inferm Ric, 29(4): 184-191.
  10. Dalpezzo N.K. (2009). Nursing care: a concept analysis. Nurs Forum, 44(4): 256-264.
  11. Galimberti S., Rebora P., Di Mauro S., D’Ilio I., Vigano R., Moiset C., Valsecchi M.G. (2012). The SIPI for measuring complexity in nursing care: evaluation study. Int J Nurs Stud, 49(3): 320-326.
  12. Glouberman S., Gemar M., Campsie P., Miller G., Armstrong J., Newman C., Siotis A., Groff P. (2006). A framework for improving health in cities: a discussion paper. J Urban Health, 83(2): 325-338.
  13. Kakushi L.E., Evora Y.D. (2014). Direct and Indirect nursing care time in an intensive care unit. Revista Latino-Americana de Enfermagem, 22(1): 150-157. DOI: 10.1590/0104-1169.3032.238
  14. Khademian Z., Vizeshfar F. (2008). Nursing students’ perceptions of the importance of caring behaviors. Journal of Advanced Nursing, 61(4): 456-462.
  15. Khamisa N., Peltzer K., Oldenburg B. (2013). Burnout in relation to specific contributing factors and health outcomes among nurses: a systematic review. International Journal of Environmental Research and Public Health, 10(6): 2214-2240.
  16. Lu H., Barriball K.L., Zhang X., While A.E. (2012). Job satisfaction among hospital nurses revisited: a systematic review. International Journal of Nursing Studies, 49(8): 1017-1038.
  17. Maioli S., Mostarda M.P. (2008). La formazione continua nelle organizzazioni sanitarie. Milano: McGraw-Hill.
  18. McCloskey Dochterman J., Bulechek G. (2007). Classificazione NIC degli interventi infermieristici. Rozzano: CEA.
  19. Meehan T.C. (2012). Spirituality and spiritual care from a Careful Nursing perspective. Journal of Nursing Management, 20(8): 990-1001.
  20. Moiset C., Vanzetta M. (2009). Misurare l’assistenza. Il SIPI: dalla progettazione all’applicazione, 2nd ed. Milano: McGraw-Hill.
  21. Polverini F., Di Giulio P., Gregari D. (2009). Esperienza di validazione dell’indice di complessità assistenziale (ICA) presso un’Azienda Sanitaria Ospedaliera della Regione Liguria. L’infermiere, 1(24): 26-33.
  22. Prescott P.A., Ryan J.W., Soeken K.L., Castorr A.H., Thompson K.O., Phillips C.Y. (1991). The Patient Intensity for Nursing Index: a validity assessment. Res Nurs Health, 14(3): 213-221.
  23. Ripa P., Bergomi P., Frisone E., Loi D. (2013). I principi dell’organizzazione professionale dell’infermiere. Viaggio nella professione infermieristica. Santarcangelo di Romagna(RN): Maggioli Editore.
  24. Ritter D. (2011). The relationship between healthy work environments and retention of nurses in a hospital setting. Journal of Nursing Management, 19(1): 27-32.
  25. Rolfe G. (2009). Complexity and uniqueness in nursing practice: commentary on Richards and Hamers (2009). International Journal of Nursing Studies, 46(8): 1156-1158; author reply 1159-1160.
  26. Salerno S., Livigni L., Magrini A., Talamanca I.F. (2012). Gender and ergonomics: a case study on the “non formal” work of women nurses. Ergonimics, 55(2): 140-146. DOI: 10.1080/00140139.2011.63713
  27. Sandelowski M. (2000). Whatever Happened to Qualitative Descriptions?. Res Nurs Health, 23: 334-40.
  28. Silvestro A., Maricchio R., Montanaro A., Molinar Min M., Rossetto P. (2009). La complessità assistenziale. Concettualizzazione, modello di analisi e metodologia applicativa. Milano: McGraw-Hill.
  29. Skar R. (2010). The meaning of autonomy in nursing practice. J Clin Nurs, 19(15-16): 2226-2234.
  30. Tassielli C., Vitale E. (2012). Analisi comparativa dei metodi finalizzati alla definizione del fabbisogno di personale infermieristico. Rilevazione dei carichi di lavoro. Professioni Infermieristiche, 65(1): 25-38.
  31. Thompson D.R., Clark A.M. (2012). Addressing the complexity conundrum in and of nursing. International Journal of Nursing Studies, 49(3): 247-248.
  32. Van den Heede K., Diya L., Lesaffre E., Vleugels A., Sermeus W. (2008). Benchmarking nurse staffing levels: the development of a nationwide feedback tool. J Adv Nurs, 63(6): 607-618.

Carlo Talucci, Maria Luisa Rega, Raffaella Gualandi, Rosaria Alvaro, Daniela Tartaglini, La complessità assistenziale: indagine conoscitiva all’interno di un corso di laurea in Infermieristica in "SALUTE E SOCIETÀ" 1/2017, pp 137-152, DOI: 10.3280/SES2017-001011