[Assessment of the perceived quality of nursing care in internship departments: an observational study in a Spanish reality]. / Valutazione della qualità percepita dell'assistenza infermieristica nei reparti sedi di tirocinio: uno studio osservazionale in una realtà spagnola.

BACKGROUND: Nursing students represent an important resource both for the patients and for the company organization; however, the impact of their presence on the quality of care is still underestimated. OBJECTIVE: To provide an objective assessment of the quality of care perceived by the patient admitted to hospital departments where internships are held for nursing students. METHOD: A descriptive observational study was conducted, recruiting a convenience sample made up of patients hospitalized in clinical departments where internships for nursing students of La Fe Hospital in Valencia (ES) are located. RESULTS: 75 patients out of 160 hospitalized partecipated to the survey, with a response rate equal to 46.87%. Most patients believe that nurses have careless attitudes towards them (42.9%) even though there is a noticeable emotional support from nurses perceived by patients (90.1%). The degree of relationship and information perceived by patients (96%) suggests that nurses in most cases guaranteed confidentiality and the assistance time employed (70.5%) was perceived as longer than usual, defining a high opinion of patients about the treatment received. CONCLUSIONS: The data showed that patients were very keen to be taken into consideration from a social and human point of view and not only from a clinical point of view, so much so that they claimed to perceive a careless attitude from nurses. Despite this, however, the perceived quality of nursing care by the patient was not affected. Regarding the presence of the trainee student, being the latter in the Spanish reality totally flanked by that of the nurse, almost in symbiosis, the degree of attention perceived by the patient in relation to the assistance provided does not vary.

[Assessment and Management of the Risk of Exposure to COVID-19 of Healthcare professionals in Italian Prisons]. / Valutazione e Gestione del Rischio di esposizione al COVID19 degli Operatori sanitari che operano nei penitenziari italiani: uno studio osservazionale.

BACKGROUND: The COVID-19 pandemic had a relevant health impact in a large part of the planet and there are several studies aimed at understanding its diffusion; however, to date, the problem has not been explored in the correctional setting, with particular concern for the Italian context. AIM: To assess and investigate the risk of exposure to COVID-19 in nurses working in the Italian prison system. METHODS: A multicenter observational descriptive study was conducted, enrolling a convenience sample composed of nurses registered with SIMSPE onlus (Italian Society of Penitentiary Medicine and Health), working in any Italian prison facility at the time of the survey. RESULTS: 204 nurses participating in the survey (response rate 49.27%). Most nurses working in prisons (92.65%) were exposed to the risk of Covid-19 virus infection, since they came directly into contact with positive patients (90.69%) and in situations where they were exposed during care procedures in which aerosol was produced by the patient (56.21%). The number of nurses who "always" complied with safety rules for prevention of infection did not differ significantly (p >0.05 for each comparison) in situations involving or not involving aerosol exposure. CONCLUSIONS: The results highlight the relevance of these issues in the Italian prison context and the need for further investigation. The knowledge of the dimension of this phenomenon, unexplored before this study in this context, represents the first step to be able to identify organizational strategies to manage it effectively or, if possible, to prevent it.