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Enrolment for the study ended concurrently with the development of the CoViD-19 pandemic. This decision was made by the Steering Committee in consideration of the transformation of some wards participating in the study into CoVID-19 units.
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| Name | Class |
|---|---|
| ANìMO (Associazione Nazionale Infermieri Medicina) | UNKNOWN |
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Each investigator will have to collect data for 50 hospitalized patients in the Internal Medicine wards. If the center is randomized to Intentional Rounding, the staff of nurses and OSS will have to implement the new care strategy.
The centers participating in the study are randomized to the Intentional Roundig group and the Control group, in a 1: 1 ratio. In the randomized centers for experimental intervention, a training intervention lasting about 4 hours was conducted by a nurse expert in Intentional Rounding.
At the end of the study, training is also scheduled for the Control Centers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intentional Rounding | Experimental | In the centers randomized to Intentional Rounding the ward nurses will have to adopt a new proactive care method towards hospitalized patients |
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| Control | No Intervention | In randomized controlled centers, nurses guarantee the standard care provided by the ward |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intentional Rounding | Other | A new method of nursing care named Intentional Rounding. The "intentional roundings" are planned rounds, conducted at regular intervals by nursing staff to anticipate care, comfort, hospitality and psychological needs of hospitalized users. |
| Measure | Description | Time Frame |
|---|---|---|
| Falls and new bedsores | Cumulative assessment of the incidence of falls and the appearance of new pressure sores in hospitalized patients in the Internal Medicine wards | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Call lights | Analysis of the impact of the implementation of Intentional Rounding on the call lights by hospitalized patients. The total number of calls to the emergency bell is evaluated. A call light log will be used on which the nurses will report the reason for each call by the patient. | 3 months |
| Measurement of patient satisfaction with the nursing care received and hospitalization |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dino Stefano Di Massimo | ANìMO | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ospedale Civile Santi Antonio e Biagio e Cesare Arrigo | Alessandria | Italy | ||||
| Ospedale San Donato |
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Cluster randomized
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Assessment of the relationship between implementation of the Intentional Rounding and level of patient satisfaction, defined on the basis of how patients consider the way care is provided useful, effective and advantageous (for patients able to perform this evaluation). The information will be collected through a questionnaire consisting of two questions. The patient will have to evaluate the nursing care and hospitalization, assigning a score from 1 to 7 (where 1 = bad; 7 = excellent). |
| 3 months |
| Critical thinking of nurses | Evaluation of the critical thinking of nurses following the implementation of Intentional Rounding in clinical practice, defined as the process that is used by nurses when they have to make a clinical decision and manage daily problems (on a voluntary basis between the participating Centers). Clinical decision making in nursing scale (CDMNS) will be used to evaluate the critical thinking of nurses. For each of the 40 statements, the nurse must think about how she would behave during patient care. There are no "right" or "wrong" answers. What matters is his evaluation of how he usually acts in making decisions in clinical reality. The answers can be:
| 3 months |
| Arezzo |
| Italy |
| Ospedale degli Infermi | Biella | Italy |
| Ospedale "Bernardino Ramazzini" | Carpi | Italy |
| Ospedale di Castelfranco Veneto | Castelfranco Veneto | Italy |
| Ospedale Poveri Infermi | Cuneo | Italy |
| Presidio Ospedaliero Pubblico " Santa Croce " | Fano | Italy |
| AOU Careggi | Florence | Italy |
| Policlinico San Martino | Genova | Italy |
| Ospedale S. Andrea | Massa Marittima | Italy |
| Fondazione Don Gnocchi | Milan | Italy |
| Ospedale Civile di Montebelluna | Montebelluna | Italy |
| Ospedale Buonconsiglio Fatebenfratelli | Naples | Italy |
| Ospedale di Noventa Vicentina | Noventa Vicentina | Italy |
| Ospedale Buccheri La Ferla FBF | Palermo | Italy |
| Ospedali Riuniti Villa Sofia | Palermo | Italy |
| Ospedale di Rho | Rho | Italy |
| Ospedale FBF Isola Tiberina | Roma | Italy |
| Ospedale Civile SS. Annunziata | Savigliano | Italy |
| Ospedale San Paolo | Savona | Italy |
| AOUS | Siena | Italy |
| Ospedale Dell'Alta Val D'Elsa | Siena | Italy |
| Ospedale San Bortolo | Vicenza | Italy |