[Back to units for nursing students' education? The Dedicated Education Units (DEU)]. / Un ritorno ai "reparti scuola"? Le unità dedicate alla formazione (DEU).

. Back to units for nursing students' education? The Dedicated Education Units (DEU). INTRODUCTION: The reorganization and rationalization of resources and cost containment in health care put a strain on the sustainability of practical training of student nurses. The Dedicated Education Units (DEU), where ward staff, in collaboration with university teachers, receive large numbers of students, integrating the caring and teaching missions, are a possible answer. AIM: To describe the main characteristics of DEUs. METHODS: A literature search was conducted in Pubmed with the following key-words Dedicated Education Unit, Education Unit and Nursing Education, up to January 30, 2017. RESULTS: Several models of DEU were identified with differences in contexts, professional roles involved, type of organizations (number of students, length of practical training). The students perceive a welcoming climate that promotes learning and allows time and space for reflection; they develop a professional group identity and learn to recognize and implement the presponsibilities related to the professional role. The students express satisfaction for the relationship with professionals involved in their education due to the clear definition of roles and responsibilities, of their learning needs and feel supported in the connections of theory and practice. The DEU, receiving large number of students optimize the use of resources. CONCLUSIONS: The DEU represent one of the possible models of organization of the practical training, able to ensure a high quality learning environment. The practical implications of its implementation in the italian context on skills acquisition and sustainability need a thorough assessment.

[Medicine wards of Local Health Authority 18 of Rovigo - Prospective Survey]. / Score (BRASS) nei reparti di Geriatria e Medicina dell'Azienda Ulss 18 di Rovigo - Studio prospettico.

AIM: The primary objective of the study is to measure the phenomenon of the difficult discharge through the implementation and use of a validated instrument that can support later the nurse in planning the discharge of patients hospitalized in the departments of Medi- cine and Geriatrics. SECONDARY OBJECTIVES: - Experience using the index of BRASS - To study the characteristics of the population at risk of difficult discharge METHOD: prospective observational study to measure the phenomenon of the difficult discharge through the implementation of the index of BRASS in the Medicine and Geriatrics wards of Hospital of Rovigo Ulss 18, in order to study the characteristics of the population at risk of discharge difficult. RESULTS: In a sample of 165 patients, 42.4% (70) respectively at risk was high and medium discharge difficult, while 15.2% (25) were at low risk. The average score was 18.76 BRASS. 37.6% of high-risk patients were hospitalized in Geriatrics, while in Medicine patients are more concentrated in the middle class risk. CONCLUSIONS: The study made it possible to measure the phenomenon of the difficult discharge classifying patients into risk groups. The analysis of the resignation protected revealed the congruence between score BRASS and sample characteristics. The instrument does not require long compile times, is to support decision-making because of the nurse notes the need to create a structured on the discharge of the patient, in a systematic and planned, avoi- ding the dispersion of important information to the right to ensure continuity welfare.