Attraverso una ricerca innovativa, interdisciplinare, interprofessionale, interconnessa e (inter)nazionale, centrata sul sistema e sulla persona, contribuiamo all’acquisizione di evidenze scientifiche. L’obiettivo è acquisire nuove conoscenze “dalla pratica clinica” e “per la pratica clinica”. I risultati della nostra ricerca hanno lo scopo di supportare i professionisti sanitari, i dirigenti e i decisori politici nel garantire e migliorare la qualità dell'assistenza sanitaria in Alto Adige.
1. Qual è la nostra visione?
2. Quali sono i principali ambiti di ricerca?
L’attività scientifica di Claudiana Research si concentra attualmente sul settore Nursing and Health Services Research e sulle seguenti tematiche:
Sicurezza del paziente e qualità dell’assistenza: contribuire all’erogazione di un’assistenza sanitaria sicura, efficace, tempestiva, efficiente, equa e orientata alle esigenze della persona attraverso la raccolta e l’analisi di dati.
Modelli di assistenza innovativi: analisi, sviluppo e valutazione di nuovi modelli.
Assistenza basata sull’evidenza: promuovere il trasferimento di conoscenze che partono da quesiti della pratica clinica.
3. Kontakt
Chiara Muzzana
chiara.muzzana@claudiana.bz.it
Tel. +39 0471 067291
Dietmar Ausserhofer
dietmar.ausserhofer@claudiana.bz.it
Tel. +39 0471 067290
Waltraud Tappeiner
waltraud.tappeiner@claudiana.bz.it
Tel. +39 0471 067324
Heike Wieser
Tel. +39 0471 067322
1/4
Chiara Muzzana
2/4
Dietmar Ausserhofer
3/4
Waltraud Tappeiner
4/4
Heike Wieser
4. Progetti di ricerca in corso
Familienzentrierte Pflege
Ein Innovationsprojekt zum Ausbau der Pflegequalität mit Evaluationsstudie zur Implementierung der Familienzentrierten Pflege in die Pflegepraxis der Gesundheitssprengel
Projektname
Familienzentrierte Pflege. Ein Innovationsprojekt zum Ausbau der Pflegequalität mit Evaluationsstudie zur Implementierung der Familienzentrierten Pflege in die Pflegepraxis der Gesundheitssprengel
Projektleitung
M. Luisa Cavada
Projektteam
M. Luisa Cavada, Barbara Preusse-Bleuler, Renate Klotz, Caterina Grandi Messerschmidt, Chiara Muzzana, Dietmar Ausserhofer, Waltraud Mair, Fabio Vittadello
Projektpartner
Claudiana, Azienda Sanitaria dell'Alto Adige
Laufzeit
01/12/2017 – 30/11/2019
Projektbeschreibung
Hintergrund
Familienzentrierte Pflege – Bedeutung
Aus der Forschung (Kaakinen, Harmon Hanson, Gedaly-Duff, & Shirley, 2014), wie auch aus der praktischen Erfahrung ist bekannt, dass die Arbeit des Fachpersonals effektiver wird, wenn sie sich nicht nur an den Betreuten alleine richtet, sondern die Familie mit ins Zentrum ihrer Arbeit stellt. Familienzentriertes Pflegen, Betreuen und Behandeln auf der Basis eines systemischen Ansatzes führt zu besseren Outcomes bezüglich des Symptommanagements beim Betreuten und reduziert unnötige Rehospitalisationen (Kaakinen, Harmon Hanson, Gedaly-Duff, & Shirley, 2014; Wright, & Leahey, 2014; Weihs, Fisher, & Baird, 2002). Im gleichen Zug werden auch die Belastungen der pflegenden Angehörigen gemindert. Damit wird die Gesundheit der Familie als Ganzes gefördert und die Morbiditäts- und Mortalitätsrate gesenkt.
Diese Erkenntnisse haben Eingang gefunden in formulierten Strategien der WHO, insbesondere in Europa werden mit der WHO Deklaration von München 2000 die Regierungen und Gesundheitsdienstleister aufgefordert Rahmenbedingungen zu schaffen für eine gemeinde- bzw. wohnortnahe Familiengesundheitspflege (WHO, 2000).
Mit dem Internationalen Council of Nurses (ICN) haben Schober und Affara (2001) ein Rahmenkonzept für die Praxis der Family Nurse ausgearbeitet. Verschiedene europäische Länder oder Regionen haben in der Folge Ausbildungs- und Praxisprojekte lanciert.
In Südtirol ist mit dem Spezialisierungslehrgang für Familien- und Gemeinschaftskrankenpfleger/innen an der Landesfachhochschule für Gesundheitsberufe „Claudiana“ eine umfassende Spezialisierung für Krankenpflegerinnen und Krankenpfleger in den Gesundheitssprengeln geschaffen worden, welche dem Rahmenkonzept des ICN und der WHO entspricht.
Dieser Spezialisierungslehrgang bewirkt eine dringend notwendige Aufwertung und Anerkennung dieser relevanten Arbeit in der wohnortnahen Versorgung und erweitert die Kompetenzen der Krankenpflegerinnen und Krankenpfleger von einer personen- hin zu einer familienzentrierten Pflege.
Was ist Familienzentrierte- Pflege?
Die Familienzentrierte Pflege versteht den Betreuten mit seiner Familie als System und arbeitet entsprechend dem systemischen, lösungsorientierten Ansatz. Die familienzentrierte Pflege beinhaltet das von Wright und Leahey entwickelte Calgary Familien Assessment und Interventionsmodell. Seit nun mehr als 30 Jahren ist das Calgary Familien Modell in Lehre, Forschung und Praxis erprobt und in sieben Sprachen übersetzt.
Die Erfahrungen der Studierenden der ersten Kohorte (2014 – 2017) des Spezialisierungslehrgangs an der Landesfachhochschule für Gesundheitsberufe „Claudiana“ sprechen eine eindeutige Sprache.
Die Studierenden haben die Erfahrung gemacht, dass sie mit dem Rüstzeug des Lehrganges der Komplexität in der Zusammenarbeit mit den Betreuten und Familien in herausfordernden Situationen besser gewachsen sind. Sie fühlen sich nicht mehr hilflos oder überfordert, denn potentielle Schwierigkeiten und Krisen werden auf der Basis eines vertrauensvollen Beziehungsaufbaus mit der Familie früher erfasst. Auch werden mit Fachkompetenz, Geduld und Ausdauer nachhaltige Lösungen gefunden. In dieser Art und Weise bereitet die Arbeit den Krankenpflegerinnen und Krankenpflegern Bereicherung, Genugtuung und Freude: die beste Prophylaxe gegen Burn-out und Fluktuation bei Fachpersonal.
Woher kommt das Calgary Assessment- und Interventionsmodell?
Das Modell wurde von Wright und Leahey im Rahmen ihrer über 30jährigen Praxis- und Forschungserfahrung erarbeitet und kontinuierlich weiterentwickelt. Lorraine Wright gründete und führte die Family Nursing Unit an der Universität von Calgary, Kanada. Die erste englischsprachige Auflage erschien 1984 und ist unterdessen 2014 bereits in der sechsten Auflage erschienen. 2009 und 2014 erschien dann das Lehrbuch in erster und zweiter deutschsprachiger Auflage. In ihrem Lehrbuch beschreiben die renommierten, kanadischen Expertinnen wie die Bedürfnisse von Familien und Familiensystemen erhoben, wann welche Interventionen in der Familienzentrierten Pflege erforderlich sind und wie sie durchgeführt werden. Sie veranschaulichen konkret mit welcher Haltung, mit welchen Leitlinien und mit welchen Instrumenten Familien kompetent und nachhaltig begleitet werden können.
Das Calgary Assessment und Interventionsmodell verknüpft theoretische Grundlagen, Forschungsergebnisse und Expertenwissen. Die theoretischen Grundlagen beinhalten die Systemtheorie, die systemische Therapie, die Kybernetik, die Kognitionsbiologie, die Kommunikationstheorie und die Change Theory. Mit jeder neuen Auflage wurden nach und nach die aktuellen Forschungsergebnisse zum Verständnis von Erkrankung und Familie einbezogen. Zudem floss das sich ständig weiter entwickelnde Know-how der familienzentrierten Pflegepraxis mit ein. Es bildet somit eines der theoretisch, wie auch forschungsbezogen fundiertesten Wissensgrundlagen, das die Bedeutung der Zusammenarbeit von Krankenpflegerinnen und Krankenpflegern und Familien erörtert und darlegt, wie in der Interaktion krankheitsbedingtes Leiden verringert oder gelindert werden kann (Preusse-Bleuler, & Métrailler, 2012).
Zielsetzung
Das Innovationsprojekt zur Implementierung der systemischen Familienzentrierten Pflege verfolgt das Ziel die Kompetenzen der in der wohnortnahen Versorgung tätigen Krankenpflegerinnen und Krankenpfleger zu erweitern und das bestehende Versorgungsnetz, insbesondere für ältere Menschen über 65 Jahren auszubauen.
Die Familienzentrierte Pflege wird vorerst in einem der zwanzig Gesundheitssprengel des Südtiroler Sanitätsbetriebes pilotiert. Im Zuge der Implementierung wird eine Evaluationsstudie durchgeführt, um folgende Fragestellungen beantworten zu können:
- Wie unterstützt die gewählte Wissenstransfer Strategie die Translation des Wissens zur systemischen Familienzentrierten Pflege in die klinische Pflegepraxis des Pilotsprengels und wie beeinflusst er die interprofessionelle Praxis?
- Wie nehmen die über 65jährigen Einwohnerinnen und Einwohner der Pilotgemeinde den systemischen Familienzentrierten Ansatz war, welchen Nutzen des Organisationsmodells nehmen sie wahr und welche Wirkung hat der Ansatz auf die Lebensqualität der Zielgruppe?
Die spezifischen Ziele der Evaluationsstudie liegen darin:
- den Implementierungsprozess zu beschreiben, der die Translation des Wissens zur familienzentrierten Pflege in die klinische Praxis erleichtert und die Krankenpflegerinnen und Krankenpfleger darin unterstützt die Schlüsselelemente der Familienzentrierten Pflege zu übernehmen und sie nachhaltig umzusetzen;
- die Kontextfaktoren zu benennen und zu verstehen, die die Translation des Wissens zur Familienzentrierten Pflege in die klinische Praxis erleichtern oder erschweren;
- zu beschreiben, wie die Familienzentrierte Pflege die interprofessionelle Praxis beeinflusst;
- zu beschreiben, wie die Familienzentrierte Pflege von den über 65jährigen und deren Familien wahrgenommen wird und welchen subjektiven Nutzen und Wirkung sie erachten;
- zu beschreiben, wie sich die Familienzentrierte Pflege auf die Lebensqualität der über 65jährigen Einwohnerinnen und Einwohner und deren Familien auswirkt.
Aufbauend auf den Ergebnissen der Evaluationsstudie wird ein praxistaugliches Konzept zur Implementierung der Familienzentrierten Pflege in den restlichen Gesundheitssprengeln des Südtiroler Sanitätsbetriebes definiert.
Design/Methode
Zur Evaluation werden in beiden Forschungsarmen qualitative und quantitative Datenerhebungen- und Analysen durchgeführt.
Interventionen Forschungsarm 1. Translation der Familienzentrierten Pflege in den Praxisalltag des Krankenpflegeteams des Sprengels Unterland.
Teilnehmende: 15 Krankenpflegerinnen, inklusive Koordinatorin und ihre Stellvertreterin des Sprengelteams Unterland.
Intervention: das Konzept zur Translation der Familienzentrierten Pflege in den Praxisalltag des Sprengelteams besteht aus 6 Schulungstagen, dem individuellen Arbeiten mit dem Selbstlern- und Evaluationsinstrument, individuellem Coaching im Praxisalltag während eines Jahres durch eine Family Systems Study Nurse und Fallbesprechungen im Team (zweimal pro Monat).
Datenerhebung: 4 Fokusgruppeninterviews mit den Krankenpflegerinnen und Leitungspersonen zum Start des Translationsprojektes; am ersten und am letzten Schulungstag ein Plenumgespräch zu Erwartungen und Befürchtungen (Fragen im Sinne einer SWOT-Analyse); Fragebogen zur Grundhaltung mit dem Instrument Families Importance in Nursing Care–Nurses’ Attitudes FINC-NA
(Saveman, Benzein, Engström, & Årestedt, 2011) zum Start und nach einem Jahr; Selbstlern- und Evaluationsinstrument; Analyse der Pflegedokumentation bezüglich familienzentrierten Elementen vor der Schulung und nach einem Jahr.
Forschungsarm 2. Familienzentrierte präventive Hausbesuche bei der über 65-jährigen Bevölkerung der Gemeinde Aldein/Radein durch Family Systems Study Nurses.
Teilnemende: 298 Einwohner.
Intervention: die drei Family Systems Study Nurses übernehmen in diesem Forschungsarm eine doppelte Aufgabe, sie erheben Forschungsdaten und führen auch die Intervention durch.
Der jeweils erste Hausbesuch gliedert sich in zwei Teile. Im ersten Teil werden mittels des Older People’s Quality of Life Questionnaire OPQOL-35 (Bilotta, Bowling, Nicolini, Casè, Pina, Rossi, & Vergani, 2011) die Forschungsdaten erhoben und im zweiten Teil wird die eigentliche Intervention durchgeführt, nämlich das familienzentrierte gesundheitsfördernde Assessment- und Beratungsgespräch.
Datenerhebung: der OPQOL-35 Fragebogen wurde ergänzt mit spezifischen soziodemografischen Fragen. Mit Hilfe dieser soziodemografischen Daten wird die statistische Analyse präzisiert werden können. Für die Datenerhebung war entschieden worden, dass die Family Systems Study Nurse den OPQOL-35 Fragebogen mit den Teilnehmenden zusammen ausfüllt. Dies trug sicher dazu bei, dass von allen besuchten Einwohnern über 65 Jahre auch tatsächlich ein ausgefüllter OPQOL-35 Fragebogen für die Forschung vorhanden ist.
Erwarteter Nutzen/Relevanz
Der Nutzen der Familienzentrierten Pflege und des damit verbundenen Innovationsprojektes und der Evaluationsstudie kann wie folgt beschrieben werden.
Die Betreuten und deren Familienmitglieder bzw. deren von ihnen definierte Familienmitglieder fühlen sich in ihren Betreuungsprozess professionell unterstützt und begleitet. Die Familienmitglieder sind aktiv an der Planung der Pflege des Betreuten beteiligt und integriert. Durch die von Seiten der Familien- und Gemeinschaftskrankenpflegerin gegebene Wertschätzung gegenüber den pflegenden Angehörigen und dem Erkennen der Bedürfnisse durch den systemischen Ansatz der Familienzentrierten Pflege fühlen sie sich in ihrer Rolle gestärkt und anerkannt. Die vorhandenen Ressourcen des Betreuten und deren Familie können besser erkannt werden und somit angemessen in der täglichen Pflege integriert werden, dadurch kann die Belastung der pflegenden Angehörigen reduziert und vermindert werden.
Durch die Erhebung der empfundenen Lebensqualität der über 65jährigen Bürger und Bürgerinnen, ob krank oder gesund, können gezielte Maßnahmen zur weiteren Versorgung geplant werden.
Bibliografia
Bilotta, C., Bowling, A., Nicolini, P., Casè, A., Pina, G., Rossi, S. V., & Vergani, C. (2011). Older People's Quality of Life (OPQOL) scores and adverse health outcomes at a one-year follow-up. A prospective cohort study on older outpatients living in the community in Italy. Health and Quality of Life Outcomes, 5; 9:72. doi. 10.1186/1477-7525-9-72
Kaakinen, J. R., Harmon Hanson, S., M., Gedaly-Duff, V., & Shirley, M. H. (2014). Family Health Care Nursing: Theory, Practice, and Research, 5th Edition. Philadelphia, F.A. Davis Company
Preusse-Bleuler, B., & Métrailler, M. (2012). Familienzentrierte Pflege. Handbuch zum Film. Arbeitsinstrument für Familienzentrierte Pflege. Das Calgary Familien Assessment und Interventionsmodell in der Pflegepraxis in Lindenhofspital und Schule, (2nd Aufl.). Bern, Lindenhof Schule
Saveman, B. I., Benzein, E. G., Engström,. Å H., & Årestedt, K. (2011). Refinement and psychometric re-evaluation of the instrument: Families’ Importance in Nursing Care – Nurses’ Attitudes. Journal of Family Nursing, 17(3), 312-329. doi:10.1177/1074840711415074
Schober, M., & Affara, F. (2001). The family nurse: Frameworks for practice. Geneva, Switzerland: International Council of Nurses
Weihs, K., Fisher, L., & Baird, M. (2002). Families, health, and behavior: A section of the commissioned report by the Committee on Health and Behavior: Research, Practice, and Policy Division of Neuroscience and Behavioral Health and Division of Health Promotion and Disease Prevention Institute of Medicine, National Academy of Sciences. Families, Systems, & Health, 20(1), 7-46. doi.org/10.1037/h0089481
WHO. (2000). The family health nurse: context, conceptual framework and curriculum. http://www.euro.who.int/__data/assets/pdf_file/0004/53860/E92341.pdf
Wright, L. M., & Leahey, M. (2014). Familienzentrierte Pflege. Lehrbuch für Familien-Assessment und Interventionen. 2. vollständig überarbeitete und ergänzte Auflage. Hg. von Barbara Preusse-Bleuler. Bern, Switzerland: Huber.
ACTIVATE - Stadi di cambiamento nelle abitudini alimentari e di attività fisica in persone con diabete di tipo 2 di nuova diagnosi
Studio longitudinale Multi-Method presso il servizio di diabetologia presso l'ospedale di Bolzano
Responsabile del progetto
Heike Wieser
Team
Waltraud Tappeiner, Fabio Vittadello, Roberta Endrighi, Bruno Fattor
Partner
Claudiana Research - Polo Universitario delle Professioni Sanitarie
Servizio di diabetologia, Ospedale di Bolzano, Azienda Sanitaria dell’Alto Adige
Centro Explora–Ricerca e analisi statistiche, Padova
Durata
Febbraio 2023 – Dicembre 2024
Descrizione del progetto
Background
Il diabete mellito di tipo 2 è una delle cinque malattie croniche più importanti e comuni. Dalla letteratura si evince che una dieta equilibrata e una sufficiente attività fisica (stile di vita sano) sono efficaci nella prevenzione e nella gestione del diabete di tipo 2 già diagnosticato e nella prevenzione delle complicanze a lungo termine. L'assistenza si concentra sul controllo dei sintomi e sul trattamento farmacologico. C'è poco incoraggiamento e sostegno verso l'autogestione relativa ai cambiamenti nella dieta e nell'attività fisica nella vita quotidiana. Il cambiamento delle abitudini dipende anche dalla disponibilità dell'individuo di volerle cambiare. Il modello transteorico (stadi) fornisce una valida teoria del cambiamento comportamentale che può essere applicata nella pratica clinica. L'urgenza di sviluppare nuove forme e modelli di assistenza deriva dalla scarsità di risorse umane, da servizi di supporto offerti nel momento sbagliato e dalla convinzione degli operatori sanitari che la sola informazione e l'indicazione delle conseguenze negative incoraggino i pazienti a modificare le loro abitudini.
Obiettivi
Nelle persone con una nuova diagnosi di diabete di tipo 2, si esamineranno:
- le abitudini alimentari e di attività fisica
- la disponibilità al cambiamento (stadi)
- l'effetto su parametri clinici e antropometrici
- le esperienze personali e i fattori legati al cambiamento percepiti come facilitanti e/o ostacolanti
Disegno/Metodo
Lo studio multi-metodo si compone di due parti.
Parte 1 - Studio di coorte prospettico con quattro momenti di misurazione; raccolta dei dati mediante un questionario online, analisi dei dati mediante statistiche descrittive e inferenziali
All’inizio dello studio dopo 4 mesi dopo 8 mesi dopo 12 mesi
Parte 2 - Studio qualitativo, raccolta dei dati attraverso interviste semi-strutturate, analizzate mediante qualitative content analysis.
Risultati attesi/rilevanza
Lo studio fornirà nuove conoscenze per capire se la disponibilità di modificare le abitudini alimentari e di attività fisica è correlata alle abitudini effettive e in che misura influisce sullo stato di salute. Tenere in considerazione la diversa disponibilità al cambiamento delle persone target, può aiutare, in futuro, gli operatori sanitari ad integrare servizi di assistenza mirati e allineati tra loro.
BLISTER - uno studio qualitativo di valutazione sull'implementazione di un sistema automatizzato di confezionamento in blister dei farmaci per la terapia orale
Un progetto pilota in cinque case di riposo dell'Alto Adige
Responsabile del progetto
Dietmar Ausserhofer
Team
Heike Wieser, Waltraud Tappeiner, Jessica Pigneter, Rita Obkircher
Partner
Claudiana Research
Associazione delle case di riposo dell'Alto Adige (VdS)
Durata
Gennaio 2023 - Giugno 2024
Descrizione del progetto
Premessa
Studi internazionali dimostrano che dal 16 al 27% dei residenti nelle residenze per anziani subiscono errori legati alla terapia a farmacologica (ad es. somministrazione di farmaci sbagliati o dosaggi errati), che possono comportare conseguenze negative come reazioni avverse a farmaci, cadute con lesioni, ricoveri in ospedale e/o decessi. A causa della mancanza di personale infermieristico sufficientemente qualificato nelle case di cura, la somministrazione di farmaci per via orale rappresenta una grande sfida. In Alto Adige, nell'ambito di un progetto pilota dell'Associazione delle Residenze per Anziani dell'Alto Adige (VdS), in cinque case di riposo viene sperimentato un sistema centralizzato e automatizzato di confezionamento in blister dei farmaci, che ha il potenziale di aumentare la sicurezza per i residenti e di sgravare il personale infermieristico dalla preparazione dei farmaci.
Obiettivo
L’obiettivo di questo studio è valutare il progetto pilota rispondendo alle seguenti domande di ricerca:
- Quali sono le aspettative (positive e negative) del personale (direzione, personale infermieristico e medici di base) delle cinque case di cura in merito all'introduzione di un sistema centralizzato e automatizzato di confezionamento in blister dei farmaci?
- Quali sono i fattori che facilitano e inibiscono l'implementazione di un sistema centralizzato e automatizzato di confezionamento in blister dei farmaci nelle cinque case di cura percepiti dal personale?
- Quali sono gli effetti sulla "pratica clinica" (ad es. assistenza, organizzazione del lavoro e processi) e sulle risorse di tempo che il personale infermieristico descrive come conseguenza all'introduzione di un sistema centralizzato e automatizzato di confezionamento in blister dei farmaci?
Disegno/metodo
Nell'ambito di uno studio di valutazione qualitativa verranno condotte interviste individuali semi-strutturate e focus group . Il campione (purposive sample) include un totale di circa 30 persone (5 direttori, 5 responsabili dei servizi infermieristici, 2-3 medici di base e 15-20 infermieri) provenienti dalle cinque residenze per anziani partecipanti. Le interviste saranno registrate (audio), trascritte e analizzate utilizzando il metodo di analisi qualitativa dei contenuti. L'analisi dei dati sarà effettuata con MAXQDA.
Benefici attesi/rilevanza
I risultati e le esperienze acquisite nelle cinque residenze- pilota forniranno informazioni rilevanti per l'implementazione di un sistema centralizzato e automatizzato di confezionamento in blister in altre residenze per anziani altoatesine. Lo studio fornirà un contributo scientifico, soprattutto per quanto riguarda le aspettative e gli effetti che sistema automatizzato di confezionamento in blister dei farmaci ha sulla pratica clinica degli infermieri.
GeDePa - Studio sullo sviluppo e la valutazione di una scheda di delirio geriatrico (Delir-pass geriatrico)
Uno studio multi-metodo di attuabilità per la valutazione di un "Delir-pass geriatrico (GeDePa)" dalla prospettiva degli operatori coinvolti
Responsabile del progetto
Dietmar Ausserhofer (PI), Patrick Kutschar (Co-PI)
Team
Chiara Muzzana, Waltraud Tappeiner, Ingrid Ruffini, Bernhard Iglseder, Maria Flamm, Angelika Mahlknecht, Giuliano Piccoliori
Partner
Claudiana Research, Bolzano
Azienda Sanitaria dell'Alto Adige (ASDAA)
Ospedale universitario di Salisburgo (SALK), Clinica universitaria di geriatria
Istituto per la scienza e la pratica infermieristica, PMU Salisburgo
Istituto di medicina generale, familiare e preventiva, PMU Salisburgo
Istituto di Medicina Generale e Public Health, Claudiana, Bolzano
Durata
2023-2024
Descrizione del progetto
Background
Il delirio è una sindrome neuropsichiatrica complessa che si presenta come una risposta cerebrale a disturbi interni o esterni, talvolta attraverso alterazioni cognitive della coscienza, dell'attenzione o della percezione. Il delirio si manifesta comunemente nei pazienti anziani dopo un intervento chirurgico e può causare prolungata durata della degenza e aumento della mortalità. Nonostante le evidenze prodotte dalla letteratura internazionale, l'identificazione sistematica dei fattori di rischio, prima della degenza, per prevenire il delirio postoperatorio rimane una sfida.
La mappatura dei fattori di rischio e del profilo di rischio individuale, delineata in fase di assistenza primaria presso gli ambulatori dei medici di medicina generale e/o negli ambulatori infermieristici prima dell´ ospedalizzazione e integrata nell'assistenza medica e infermieristica perioperatoria, può ottimizzare in modo significativo la prevenzione e la gestione del delirio nei pazienti anziani sottoposti ad un intervento chirurgico elettivo.
Obiettivo
Gli obiettivi di questo studio sequenziale multi-metodo sono: (1) lo sviluppo di un “Delir-pass geriatrico" (GeDePa), cioè un profilo analogico, cartaceo, dei fattori di rischio, basato sulle evidenze scientifiche e sull’esperienza di tutti i professionisti sanitari (medici di medicina generale, geriatri, anestesisti, infermieri) coinvolti in modo centrale nella pratica clinica e (2) la valutazione da parte di esperti della rilevanza, dell’attuabilità e della praticabilità del GeDePa e la sua implementazione nella pratica clinica.
Disegno/metodo
L’attuabilità, la praticabilità e i possibili contenuti del GeDePa dal punto di vista dei professionisti sanitari saranno indagati attraverso interviste semi-strutturate con esperti (almeno 4 medici di base, 2 geriatri, anestesisti, infermieri per ogni sede di studio); e analizzati qualitativamente in termini di contenuti. I risultati delle interviste con gli esperti insieme alla sintesi della letteratura scientifica (precedentemente effettuata), verranno riassunti/convogliati nella stesura di una cosiddetta "Item-long-List", cioè un insieme di componenti o possibili elementi o voci del GeDePa. Questa " Item-long-List " verrà valutata dagli stessi esperti in base alla rilevanza e alla attuabilità dei componenti, attraverso una procedura di rating con un sondaggio online. Il sondaggio verrà realizzato con LimeSurvey, l’analisi si baserà sul metodo di appropriatezza RAND/UCLA (RAM) e porterà a una "short list" di voci valutate come "attuabili" e "rilevanti". La "short list" basata sul consenso verrà utilizzata per la stesura finale, l'impaginazione e la traduzione (tedesco/italiano) di un GeDePa analogico su carta.
Benefici attesi/rilevanza
Si tratta di un progetto di cooperazione tra Claudiana Research (Alto Adige) e PMU (Università privata di medicina, Salisburgo), finanziato dal Fondo altoatesino per la promozione della ricerca scientifica (SFPR). Ci aspettiamo che un Delir-pass geriatrico sviluppato sistematicamente contribuisca a ottimizzare la prevenzione e la gestione del delirio postoperatorio nei pazienti geriatrici. Questo progetto sarà la base per uno studio di follow-up in cui verrà sviluppato, validato e implementato Delir-pass digitale, che verrà testato nell'assistenza primaria e ospedaliera.
5. Progetti di ricerca conclusi
A qualitative study of the intrinsic motivation of physicians and other health professionals to teach
Projektname
A qualitative study of the intrinsic motivation of physicians and other health professionals to teach.
Projektleitung
Lukas Lochner
Projektteam
Lukas Lochner, Claudiana – College of Healthcare Professions
Heike Wieser, Claudiana – College of Healthcare Professions
Maria Mischo-Kelling, Claudiana – College of Healthcare Professions
Projektpartner
keine
Laufzeit
2011-2012
Projektbeschreibung
Hintergrund
Although there is evidence that the ‚motivation to teach’ has a direct impact on student motivation and achievement, research in this area is scarce. In educational psychology literature, two sources of intrinsic motivation for the activity of teaching in higher education are proposed. One is the interest in the subject matter, and the second is the interest in the educational process. Studies in medical education have looked at motives, incentives and barriers for teaching of community-based preceptors. Overall, these studies reveal that physicians and other healthcare professionals regard internal factors, described as ‘enjoyment of teaching’, ‘feeling intrinsic satisfaction’, ‘intellectual satisfaction’, `self-expression’, ‘helping others’, or ‘personal satisfaction’, as much more relevant for engaging in teaching than financial compensations or other external rewards. These internal factors have not been further examined. Consequently, the motivation of healthcare faculty to teach remains an obscure territory.
Zielsetzung
To explore the intrinsic motivation of physicians and other health professionals to teach.
Design/Methode
Semi-structured interviews will be conducted with physicians and other healthcare professionals teaching at Claudiana. Participants will be selected from a presumably highly motivated group of teachers who participated in one of Claudiana’s voluntary pedagogical workshops. Interviews will be transcribed and thematically analyzed.
Erwarteter Nutzen/Relevanz
A better understanding of the factors enhancing teacher motivation may provide information on how to optimize Claudiana’s educational environment and may be helpful in designing new staff development initiatives.
Helping Children I
Projektname
Helpig Children I
Projektleitung
Dr. Maria Mischo-Kelling
Projektteam
Prof Philip Darbyshire
Dr Maria Mischo-Kelling
Dr med. Lukas Lochner
Dr Caterina Masserschmidt-Grandi
Projektpartner
Scuola Superiore di Sanitá Claudiana, Azienda Sanitaria dell’Alto Adige
Laufzeit
Aprile 2012- Aprile 2013
Projektbeschreibung
Hintergrund
Nella vita di un genitore nulla può essere più devastante che apprendere che il proprio bambino è affetto da una malattia grave limitante della vita, come una malattia genetica, tumorale o rari disturbi neuromuscolari. A livello internazionale si stanno sviluppando dei servizi integrati di cure palliative pediatriche per sostenere genitori, giovani pazienti e tutta la famiglia garantendo un massimo livello della qualitá della vita e diversi tipi di supporto durante le varie fasi della malattia.
Zielsetzung
Rilevare l’esperienza dei genitori riguardo al percorso di cura affrontato e la loro soddisfazione dei supporti ricevuti. Rilevare il punto di vista dei professionisti riguardo all’attuale erogazione dei servizi di cure palliative pediatriche. Elaborare delle raccomandazioni e azioni chiave volte a migliorare le cure palliative pediatriche.
Design/Methode
Ricerca qualitativa. Da giugno a dicembre 2012 sono state raccolte le esperienze di diversi gruppi (genitori, giovani pazienti, professionisti sanitari) tramite sondaggi online e interviste personali.
Erwarteter Nutzen/Relevanz
Hanno aderito alla ricerca un totale di 59 persone tra genitori, operatori sanitari e un giovane paziente. L’indagine ha rilevato che le attuali cure palliative pediatriche erogate in Alto Adige spesso vengono percepite come un ulteriore impatto negativo sulle vite delle famiglie colpite e come frustrazione per i professionisti sanitari. Questi risultati hanno messo in luce il bisogno di creare un servizio di cure palliative pediatriche coordinato e condiviso e hanno permesso di delineare delle raccomandazioni evidence-based finalizzate all’implementazione di un centro dedicato.
Helping Children II
Projektname
Progetto Helping Children II
Projektleitung
Maria Mischo-Kelling
Projektteam
Prof Philip Darbyshire,
Maria Mischo-Kelling, Floretta Giorgia, Claudiana
Marianne Siller, Azienda sanitaria dell’Alto Adige
Projektpartner
Azienda Sanitaria dell’Alto Adige
Laufzeit
Maggio 2014-Maggio 2015
Projektbeschreibung
Hintergrund
Il progetto di ricerca “Helping Children I” ha rilevato che le attuali cure palliative pediatriche erogate in Alto Adige spesso vengono percepite come un ulteriore impatto negativo sulle vite delle famiglie colpite e come frustrazione per i professionisti sanitari. Questi risultati hanno messo in luce il bisogno di creare un servizio di cure palliative pediatriche coordinato e condiviso e hanno permesso di delineare delle raccomandazioni evidence-based finalizzate all’implementazione di un centro dedicato.
Zielsetzung
Il progetto “Helping Children II” si propone di impiegare l’esperienza professionale del professor Darbyshire per guidare all’implementazione di un servizio dedicato alle cure palliative pediatriche in Alto Adige, in linea con le raccomandazioni evidence-based.
Design/Methode
Action Research, Participatory Research, Future Search
Erwarteter Nutzen/Relevanz
In seguito alla ricerca, l’Azienda Sanitaria dell’Alto Adige ha istituito un gruppo di lavoro volto a elaborare un documento per l’erogazione di una buona pratica condivisa di cure palliative pediatriche “La Rete Provinciale di Cure Palliative per adulti, neonati, bambini ed adolescenti, 2014” .
Inoltre le raccomandazioni evidence-based elaborate dalla ricerca, sono state presentate e accettate positivamente da familiari, professionisti, associazioni e istituzioni (assessorato, servizi sanitari e sociali) i quali hanno espresso disponibilitá nel sostenere, in vari termini, l’implementazione di un servizio dedicato alle cure palliative pediatriche per l’Alto Adige.
Grazie anche ai risultati della ricerca, la Scuola Superiore di Sanitá Claudiana ha deciso di dedicare un master di specializzazione in “Cure palliative” volto a sensibilizzare e formare il personale sanitario per operare in questo delicato contesto, in fase di partenza.
Improving lecture skills
Entwicklung einer zeiteffizienten und wirksamen Beratungsmethodik zur Vorlesungsdidaktik an der Landesfachhochschule für Gesundheitsberufe in Bozen, Italien.
Projektname
Improving lecture skills - Entwicklung einer zeiteffizienten und wirksamen Beratungsmethodik zur Vorlesungsdidaktik an der Landesfachhochschule für Gesundheitsberufe in Bozen, Italien.
Projektleitung
Lukas Lochner, Claudiana – College of Healthcare Professions
Projektteam
Lukas Lochner, Claudiana – College of Healthcare Professions
Wim Gijselaers, Maastricht University
Projektpartner
Institut für Medizinische Lehre, Universität Bern
Laufzeit
2008-2011
Projektbeschreibung
Hintergrund
Um die Fakultätsentwicklung voranzutreiben wurden in der Vergangenheit meist umfangreiche Workshops, Kurse und Seminare entwickelt. Für die meisten Professionellen im Gesundheitswesen stellt der Unterricht jedoch nur eine Nebentätigkeit dar und die Vollzeitbeschäftigung im Sanitätswesen macht die Teilnahme an zeitaufwendigen Fortbildungen im didaktischen Bereich schwierig.
Zielsetzung
Es soll eine flexible, zeiteffiziente und wirksame pädagogische Beratungsmethodik entwickelt werden, mit dem Ziel, die Vorlesungsdidaktik von Professionellen der Gesundheitsberufe, die einen Lehrauftrag haben, zu verbessern.
Design/Methode
Die Literatur wird zum einen auf Kriterien hin untersucht, die Unterricht lerneffizient machen und beobachtbar sind, zum anderen auf Faktoren, die erfolgreiche Beratungen ausmachen. Aus den Ergebnissen wird ein Modell für eine pädagogische Beratungsmethodik entwickelt. In fünf Testläufen in realen Unterrichtssituationen mit Lehrpersonen der Claudiana wird die Wirksamkeit des entwickelten Modells mittels einer retrospektiven Selbstbewertung bewertet.
Erwarteter Nutzen/Relevanz
Aufbau des Angebots einer individuellen didaktischen Beratung für Lehrpersonen der Claudiana. Durch die Beratung soll die Vorlesungsdidaktik verbessert werden und somit das auch Lernen der Studierenden mit positiven Auswirkungen auf die Versorgung ihrer zukünftigen Patienten.
Applying interprofessional Team-Based Learning in Anatomy
Projektname
Applying interprofessional Team-Based Learning in Anatomy.
Projektleitung
Lukas Lochner
Projektteam
Lukas Lochner, Claudiana - College of Healthcare Professions
Heike Wieser, Claudiana - College of Healthcare Professions
Gabi Oberhöller, Laimburg Research Centre
Dietmar Ausserhofer, Institute of Nursing Science, University of Basel, Switzerland
Projektpartner
keine
Laufzeit
2017–2019
Projektbeschreibung
Hintergrund
In today’s healthcare system, the various health care professionals are expected to collaborate effectively to increase the quality of care. As students’ attitudes start to be formed from the beginning of their education on, there are benefits to be gained from the introduction of interprofessional education (IPE) in the early years. Anatomy is key to many health care professions and can provide a common content vehicle for IPE. Team-based learning (TBL) is a pedagogical method that gives students the opportunity to learn about working within teams and to develop communication skills.
Zielsetzung
A TBL strategy will be applied to an interprofessional course of general anatomy of human organs for students from the occupational therapy and orthoptics programs at Claudiana with the goal to promote outcomes related to ‘communication and teamwork’ and to enhance students attitudes towards interprofessional education.
Design/Methode
A sequential explanatory mixed methods design will be adopted. A quantitative questionnaire will be distributed before and after the anatomy course exploring possible changes in students’ self-assessment regarding ‘communication and teamwork’ and changes in their attitude towards ‘interprofessional learning’. Qualitative data from group interviews will serve to refine and explain the quantitative results in more depth.
Erwarteter Nutzen/Relevanz
The findings are expected to clarify if and how this course could contribute to the more general learning outcomes, i.e., interprofessional learning objectives. Recognizing the need for competency in interprofessional collaboration, the results will serve to develop further IPE initiatives at Claudiana to order prepare students better for a collaborative working environment.
IPC - The state of interprofessional collaboration in Northern Italy: a mixed methods study
Projektname
The state of interprofessional collaboration in Northern Italy: a mixed methods study.
Projektleitung
Maria Mischo-Kelling and Scott Reeves
Projektteam
Maria Mischo-Kelling, Claudiana
Heike Wieser, Luisa Cavada, Lukas Lochner Claudiana
Fabio Vittadello, Centro Explora, Statistical Analysis, Padova
Verena Fink, Department of Physiotherapy, Hospital of Bolzano
Scott Reeves, Kingston University and St George’s University of London
Projektpartner
South Tyrolean Health Trust
Laufzeit
11/2013- 06/2016
Projektbeschreibung
Hintergrund
Health care systems are facing continual reorganizations in response to scientific and technological innovations as well as financial constraints. Simultaneously the rising prevalence of chronic diseases call for a kind of health care organization in which interprofessional collaboration (IPC) functions on a high level.
Zielsetzung
This research project aims to generate an empirical account of the current state of IPC in the South Tyrolean Health Trust, located in this bilingual region in northern Italy.
An innovative aspect of the study is that it includes participants from six different health professions: dieticians, nurses, occupational therapists, physicians, physiotherapists, speech therapists and psychologists.
Design/Methode
Sequential Mixed Methods Design.
A survey is followed by individual and focus group interviews. Qualitative data analysis draw on the negotiated order/structural ordering approach and on the social world/arena perspective.
Erwarteter Nutzen/Relevanz
The results are expected to generate specific recommendations to improve IPC in the South Tyrolean Health Trust and inform further research.
iPEPS - Applying interprofessional Team-Based Learning in patient safety: a pilot evaluation study
Projektname
iPEPS - Applying interprofessional Team-Based Learning in patient safety: a pilot evaluation study.
Projektleitung
Dietmar Ausserhofer
Lukas Lochner
Projektteam
Lukas Lochner, Claudiana - College of Healthcare Professions
Sandra Girardi, South Tyrolean Health Trust, Bolzano/Bozen, Italy
Alessandra Pavcovich, South Tyrolean Health Trust, Bolzano, Italy
Horand Meier, Ministry of Health, Clinical Governance, Bolzano/Bozen, Italy
Franco Mantovan, Claudiana - College of Healthcare Professions
Dietmar Ausserhofer, Institute of Nursing Science, University of Basel, Switzerland
Projektpartner
keine
Laufzeit
2014–2017
Projektbeschreibung
Hintergrund
Interprofessional education (IPE) interventions are not always successful in achieving learning outcomes. Team-Based Learning (TBL) would appear to be a suitable pedagogical method for IPE, as it focuses on team performance; however, little is known about interprofessional TBL as an instructional framework for patient safety.
Zielsetzung
A three-day course for Claudiana-students to give instruction on non-technical skills related to 'learning from errors' will be developed at Claudiana (iPEPS course). The evaluation will (1) describe participants’ reactions to TBL, (2) observe their achievement with respect to interprofessional education learning objectives, and (3) document their attitudinal shifts with regard to patient safety behaviours.
Design/Methode
The evaluation will take place within a quasi-experimental pre-test-post-test study design. Participants complete self-assessments through valid and reliable instruments. Data will be analysed using descriptive (i.e. mean, standard deviation), parametric (i.e. paired t-test), and non-parametric (i.e. Wilcoxon signed-rank test) methods.
Erwarteter Nutzen/Relevanz
The findings are expected to indicate whether interprofessional TBL constitutes a promising pedagogical method to achieve patient safety learning objectives. The gained empirical knowledge can be used to develop other interprofessional TBL initiatives at Claudiana.
PUSH - Patient safety and qUality of nursing care in South Tyrolean Hospitals (PUSH)
A mixed-methods research project on the levels, patterns, predictors, consequences and the ethical dimension of rationed nursing care
Projektname
Patient safety and qUality of nursing care in South Tyrolean Hospitals (PUSH) – A mixed-methods research project on the levels, patterns, predictors, consequences and the ethical dimension of rationed nursing care
Projektleitung
Dietmar Ausserhofer
Projektteam
Dietmar Ausserhofer, Franco Mantovan, Eduard Egarter-Vigl, Claudiana
Waltraud Tappeiner, Robert Peer, South Tyrolean Health Trust Claudiana
Michael Simon, Sandra Engberg, Sabina DeGeest, Institute of Nursing Science (University of Basel)
Projektpartner
South Tyrolean Health Trust, Institute of Nursing Science (University of Basel)
Laufzeit
12/2014 – 11/2017
Projektbeschreibung
Hintergrund
Sufficient staffing of nurses, along with favorable hospital work environments (e.g., collaboration between physicians and nurses) are crucial for patient (e.g., lower hospital mortality, lower healthcare-associated infection rates) and nurse outcomes (e.g. higher job satisfaction, lower intention to leave the nursing profession). Faced with escalating patient care needs and dwindling resources in staffing, skill mix, and time, nurses are forced to ration their attention across their patients, minimizing or omitting nursing care. Previous studies did not comprehensively investigate the dynamic interplay of key organizational factors, implicit rationing of nursing care and patient and nurse outcomes. Moreover, little is known about the ethical dimension of implicit rationing and potential consequences (e.g. moral dilemma and role conflict) for nurses. It is crucial to deepen our understanding of how nurses make clinical decision and the criteria they use to set priorities in order to ration necessary nursing care activities given their limited resources. The purpose of the proposed PatientSafety and Quality of Nursing Care in South Tyrolean Hospitals (PUSH) project is to gain a comprehensive understanding on levels, patterns, predictors, consequences and the ethical dimension of rationed nursing care.
Zielsetzung
To describe hospital and unit characteristics (e.g. staffing, skill mix levels, turnover), work environment (e.g. teamwork, leadership), safety climate, workload and rationing of care, selected nurse-reported patient outcomes (e.g. falls, pressure ulcers, healthcare-associated infections, patients’ experiences with hospital and nursing care) and nurse outcomes (e.g. job satisfaction, emotional exhaustion, turnover intention);
To explore the interrelationships between hospital and unit characteristics, work environment, safety climate, workload and rationing of nursing care and the mediating effect of implicit rationing of nursing care between these factors and patient and nurse outcomes;
To describe the extent and the types of care nurses in South Tyrolean hospital implicitly ration and to explain the criteria andmental models they use to make clinical decisions and to set priorities determining the extent and types of care rationing;
To explore the ethical dimension (e.g. negative emotions, moral dilemma and role conflict) related to rationing of nursing care from the perspective of nurses;
To explore the extent to which hospital administrators, physicians and patients are aware of rationing of nursing care and to the gain understanding to which nursing care activities they give high priority and for which they would accept rationing.
Design/Methode
PUSH is a 3-year research project (2015—2017) and will use a mixed-method sequential explanatory research design, consisting of one quantitative and one qualitative study. First, a multicenter cross-sectional study building on internationally approved research methodologies will be conducted in the seven South Tyrolean public hospitals. We will include and survey approximately 1’500 clinicians (physicians, registered, licensed and other nurses) and 1’000 patients from all inhospital wards to collect data on patient- and nurse-related outcomes, as well as key organizational factors. Patient saftey and inpatient quality indicators (e.g. hospital mortality and readmission within 30 days) will be assessed using routinely collected patient discharge data. Information on hospital und unit characteristics (e.g. hospital size, staffing and grade-/skill-mix levels, nurse turnover) will be collected from hospital administrators. The different data sources will be linked at the unit and hospital level and analyzed with appropriate descriptive and inferential analysis methods (e.g. multilevel regression analyses, structural equation modeling). Second, we will perform a qualitative study using interpretive description research methodology and conduct focus groups and/or individual interviews with samples of chief nursing officers, unit managers and frontline nurses, physicians, and patients (approximately with 100 persons) from the seven hospitals to gain knowledge on the ethical dimension and potential consequences associated with rationing of nursing care. Ethical issues such as protection of data and confidentiality will be guaranteed.
Erwarteter Nutzen/Relevanz
The study results will contribute to a comprehensive understanding of the underlying mechanisms that produce safe and high-quality nursing care. In light of financial constraints in South Tyorlean healthcare system and the planned healthcare reform in acute-care hospitals this research project is timely and will provide vital information on the safety and quality of nursing care to healthcare policy makers, hospitals’ nursing and quality management, nurse educators and patients. It will help to identify priority areas for improving the safety and quality of nursing care in further research and quality improvement projects.
Technology-enhanced learning
Combining traditional anatomy lectures with e-learning activities: How do students perceive their learning experience?
Projektname
Technology-enhanced learning - Combining traditional anatomy lectures with e-learning activities: How do students perceive their learning experience?
Projektleitung
Lukas Lochner, Claudiana - College of Healthcare Professions
Projektteam
Lukas Lochner, Claudiana - College of Healthcare Professions
Heike Wieser, Claudiana - College of Healthcare Professions
Simone Waldboth, Claudiana - College of Healthcare Professions
Maria Mischo-Kelling, Claudiana - College of Healthcare Professions
Projektpartner
keine
Laufzeit
2013–2014
Projektbeschreibung
Hintergrund
The didactic lecture continues to be a commonly used instructional method despite the criticism of allowing students to assume a passive role. With new technology, the traditional approach to the lecture can be redefined by combining it with online learning. Online learning has been found to be effective, especially when linked to face-to-face instruction in a blended learning format. The literature suggests that low-cost and low-tech, but instructionally-sound online learning represents a feasible strategy to follow. The question to be addressed is, therefore, how can online components be integrated effectively into existing approaches to teaching and learning within established curricula.
Zielsetzung
To investigate how Claudiana-students perceived their learning experience when combining anatomy lectures with preparatory e-learning activities.
Design/Methode
A novel anatomy course will be developed at Claudiana by allocating 25% of the original lecture time to preparatory online learning, including fill-in-the-blank assignments, videos, and mc-quizzes. To explore changes in study behaviour and perception of learning, three group interviews with students will be conducted and thematically analyzed.
Erwarteter Nutzen/Relevanz
This project addresses an important issue in medical education, namely, the enhancement of the widely criticized lecture style of teaching by combining it with online learning. Students’ reported changes in their studying behaviour and the perception of their learning outcome will serve to further develop the quality of teaching and learning at Claudiana.
TRANS SENIOR - Transitional Care Innovation in Senior Citizens
Projektname
Transitional Care Innovation in Senior Citizens
Projektleitung
Theo van Achterberg (KU Leuven)
Projektteam
Dietmar Ausserhofer
Projektpartner
Ben-Gurion University of the Negev, Federatie van Wit-Gele Kruisverenigingen van Vlaanderen, KU Leuven, Maastricht University, Martin-Luther-Universität Halle-Wittenberg, Universität Basel, Uniwersytet Jagiellonski, AGE Platform Europe, CURAVIVA Schweiz, Landsbond der Christelijke Mutualiteiten, MeanderGroep Zuid Limburg, Volkssolidarität Landesverband Sachsen-Anhalt, World Health Organisation
Laufzeit
2019 - 2022
Projektbeschreibung
Hintergrund
TRANS-SENIOR builds capacity for tackling a major challenge facing European long-term care systems: the need to improve care for an increasing number of care-dependent senior citizens. Its specific focus is on avoiding care transitions (hospitalisations, nursing home admissions etc.) that are not necessary and on optimising care transitions that are really needed. This is important as research and practice show that unnecessary or poorly managed care transitions in senior citizens lead to negative health and well-being consequences and high costs for society.
Zielsetzung
RESEARCH objectives of TRANS-SENIOR are to generate evidence on: 1) when and where avoiding care transitions is possible; 2) the benefits of innovative transitional care models; 3) methods for involving senior citizens and informal caregivers; and 4) sustainable implementation of new care models.
Design/Methode
TRANS-SENIOR PRODUCTS are:
tools to support senior citizens and informal care givers in decision making and preparing for transitions
guidance for professionals’ triage, citizen empowerment and decision making; protocols for the effective delivery of transitional care models
a toolbox for the implementation of these care models
an assessment tool for evaluating the financing of long-term care
policy briefs to inform future long-term care policy and processesa training syllabus to inform future doctoral training in Europe
Erwarteter Nutzen/Relevanz
TRANS-SENIOR will train Early Stage Researchers (ESRs) to become HEALTH CARE INNOVATORS. Our multi-disciplinary, multi-sectoral team will give the ESRs the knowledge, research expertise and transferable skills needed to lead improvements in real-world care settings. TRANS-SENIOR’s health care innovators will be able to operate on the cutting edges of practice, science, policy and innovation.
6. Pubblicazioni
Desidero visionare
Aukstikalnyte, A. E., Cibien, E., De Demo, P., & Eisendle, K. (2021).
Combination of a triple wavelength (650 nm, 810 nm, and 915 nm) class IV laser system and local mechanical abrasion in the treatment of chronic toenail onychomycosis: an uncontrolled prospective pilot study. Int J Dermatol.
Comploj, E., Hanspeter, E., Bonatti, M., Palermo, S., Mazzucato, G., Pycha, A., & Trenti, E. (2021).
[From an enterovesical fistula to mammary carcinoma]. Aktuelle Urol. (Von einer enterovesikalen Fistel zum Mammakarzinom.)
Comploj, E., Pycha, A., Trenti, E., Palermo, S., Bonatti, M., Krause, P., Folchini, D. M., & Pycha, A. (2021).
Transarterial Embolization in the Management of Intractable Haemorrhage. Urol Int, 105(1-2), 95-99.
Cortazzo, V., D'Inzeo, T., Giordano, L., Menchinelli, G., Liotti, F. M., Fiori, B., De Maio, F., Luzzaro, F., Sanguinetti, M., Posteraro, B., & Spanu, T. (2021).
Comparing BioFire FilmArray BCID2 and BCID Panels for Direct Detection of Bacterial Pathogens and Antimicrobial Resistance Genes from Positive Blood Cultures. J Clin Microbiol, 59(4).
Cortazzo, V., Giordano, L., D'Inzeo, T., Fiori, B., Brigante, G., Luzzaro, F., Liotti, F. M., Menchinelli, G., Sanguinetti, M., Spanu, T., & Posteraro, B. (2021).
EUCAST rapid antimicrobial susceptibility testing of blood cultures positive for Escherichia coli or Klebsiella pneumoniae: experience of three laboratories in Italy. J Antimicrob Chemother, 76(4), 1110-1112.
Comploj E, Hanspeter E, Bonatti M, Palermo S, Mazzucato G, Pycha A, Trenti E.
From an enterovesical fistula to mammary carcinoma. Aktuelle Urol. 2021 Mar 23. doi: 10.1055/a-1329-3855. Online ahead of print. PMID: 33757143
Haider, M., Comploj, E., Hofmann, A., & Rösch, W. H. (2021).
[Juvenile granulosa cell tumor-Testicular tumor of the very young : Report of three cases and contemporary recommendations]. Urologe A, 60(2), 222-225. (Der juvenile Granulosazelltumor – der Hodentumor der Kleinsten : Aktuelle Handlungsempfehlungen anhand von drei Kasuistiken.)
Nothegger, B., Reider, N., Covaciu, C. E., Cova, V., Ahammer, L., Eidelpes, R., Unterhauser, J., Platzgummer, S., Raffeiner, E., Tollinger, M., Letschka, T., & Eisendle, K. (2021).
Oral birch pollen immunotherapy with apples: Results of a phase II clinical pilot study. Immun Inflamm Dis, 9(2), 503-511.
Pichler, M., Thuile, T., Kluge, R., Puviani, M., Benedicenti, F., & Eisendle, K. (2021a).
Metastatic cylindrocarcinoma in Brooke-Spiegler Syndrome - Report of a case and review of the literature. J Dtsch Dermatol Ges, 19(1), 125-128.
Pichler, M., Thuile, T., Kluge, R., Puviani, M., Benedicenti, F., & Eisendle, K. (2021b).
[Not Available]. J Dtsch Dermatol Ges, 19(1), 125-128. (Metastasierendes Zylindrokarzinom beim Brooke-Spiegler-Syndrom - Fallbericht und Literaturübersicht.)
Riscassi, S., Kalapurackal, M. A., Battisti, L., Eisendle, K., Raffeiner, B., & Mercolini, F. (2021).
Vasculitis in a Child with COVID-19: A Novel Presentation of Henoch-Schönlein Purpura. Klin Padiatr. (Vaskulitis bei einem Kind mit COVID-19: neue Präsentation der Purpura Schönlein-Henoch.)
Taverna, L., Bellavere, M., Tremolada, M., Santinelli, L., Rudelli, N., Mainardi, M., Onder, G., Putti, M. C., Biffi, A., & Tosetto, B. (2021).
Oncological Children and Well-Being: Occupational Performance and HRQOL Change after Fine Motor Skills Stimulation Activities. Pediatr Rep, 13(3), 383-400.
Tischler, T., Trenti, E., Basciu, M., Hanspeter, E., Pycha, A., Kafka, M., & Comploj, E. (2021).
[Penile metastasis of a carcinoma of the salivary glands at the tongue base: a case report]. Aktuelle Urol, 52(6), 592-594. (Penismetastase eines Speicheldrüsenkarzinoms der Zungenbasis: Ein Fallbeispiel.)
Trenti, E., Palermo, S., Huqi, D., Ladurner, C., Krause, P., Pycha, A., & Comploj, E. (2021a).
[Bladder hernia: report of a case series and review of the literature]. Aktuelle Urol, 52(1), 76-81. (Die Blasenhernie: eine Fallserie und Review der Literatur.)
Trenti, E., Palermo, S., Huqi, D., Ladurner, C., Krause, P., Pycha, A., & Comploj, E. (2021b).
[Bladder hernia: report of a case series and review of the literature]. Aktuelle Urol, 52(1), e3. (Die Blasenhernie: eine Fallserie und Review der Literatur.)
Ines Adornetti, Alessandra Chiera, Valentina Deriu, Daniela Altavilla, Giovanni Valeri, Andrea Marini, Rita Magni, Francesco Ferretti
L’Elaborazione delle Storie nel Disturbo dello Spettro Autistico: il Caso delle Narrazioni Visive. Il Mulino - Rivisteweb (doi: 10.1422/99079); Sistemi intelligenti (ISSN 1120-9550) Fascicolo 3, Dicembre 2020
Klaus Eisendle, Mario Puviani , Andrea Pagani, Tobias Thuile
Unterlidrekonstruktion mit modifizierter Tenzel-Plastik nach Resektion eines Lentigo-maligna-Melanoms. J Dtsch Dermatol Ges. 2020 Nov;18(11):1338-1342. doi: 10.1111/ddg.14260_g. [Article in German]
Martini C, Nicolò M, Tombolesi A, Negri J, Brazzo O, Di Feo D, Devetti A, Rigott I, Risoli C, Antonucci GW, Durante S, Migliorini M.
Phase 3 of COVID-19: Treat your patients and care for your radiographers. A designed projection for an aware and innovative radiology department. J Med Imaging Radiat Sci. 2020 Oct 23:S1939-8654(20)30262-9. doi: 10.1016/j.jmir.2020.08.019. Epub ahead of print. PMID: 33153930; PMCID: PMC7584413.
Comploj E, Pycha A, Trenti E, Palermo S, Bonatti M, Krause P, Folchini DM, Pycha A.
Transarterial Embolization in the Management of Intractable Haemorrhage. Urol Int. 2020 Oct 16:1-5. doi: 10.1159/000511123. Epub ahead of print. PMID: 33070141.
Haider M, Comploj E, Hofmann A, Rösch WH.
Juvenile granulosa cell tumor-Testicular tumor of the very young : Report of three cases and contemporary recommendations. Urologe A. 2020 Nov 17. doi: 10.1007/s00120-020-01391-7. Online ahead of print.
Baldo N, Marini A, Miani M.
Drivers' Braking Behavior Affected by Cognitive Distractions: An Experimental Investigation with a Virtual Car Simulator. Behav Sci (Basel). 2020 Oct 1;10(10):150. doi: 10.3390/bs10100150. PMID: 33019584; PMCID: PMC7599599.
Lochner L, Wieser H, Oberhöller G, Ausserhofer D.
Interprofessional team-based learning in basic sciences: students' attitude and perception of communication and teamwork. Int J Med Educ. 2020 Sep 29; 11:214-221. doi: 10.5116/ijme.5f5b.24e3. PMID: 32997647.
Eisendle K, Puviani M, Pagani A, Thuile T.
Eyelid reconstruction with modified Tenzel flap after lentigo maligna melanoma resection. J Dtsch Dermatol Ges. 2020 Sep 28. doi: 10.1111/ddg.14260. Epub ahead of print. PMID: 32989892.
Carriere C, Baier S, Campana LG, Puviani M, Eisendle K.
Palliative intralesional tumescent methotrexate for recurrent locally advanced periocular cutaneous squamous cell carcinoma. J Dtsch Dermatol Ges. 2020 Sep; 18(9):1063-1066. doi: 10.1111/ddg.14262. Epub 2020 Sep 10. PMID: 32909317.
Gild P, Vetterlein MW, Seiler R, Necchi A, Hendricksen K, Mertens LS, Roghmann F, Landenberg NV, Gontero P, Cumberbatch M, Dobruch J, Seisen T, Grande P, D'Andrea D, Anract J, Comploj E, Pycha A, Saba K, Poyet C, van Rhijn BW, Noon AP, Roupret M, Shariat SF, Fisch M, Xylinas E, Rink M.
The association of cigarette smoking and pathological response to neoadjuvant platinum-based chemotherapy in patients undergoing treatment for urinary bladder cancer – A prospective European multicenter observational study of the EAU Young Academic Urologists (YAU) urothelial carcinoma working group. Surg Oncol. 2020 Sep; 34:312-317. doi: 10.1016/j.suronc.2020.06.006. Epub 2020 Jun 30. PMID: 32891350.
Pichler M, Thuile T, Kluge R, Puviani M, Benedicenti F, Eisendle K.
Metastatic cylindrocarcinoma in Brooke-Spiegler Syndrome - Report of a case and review of the literature. J Dtsch Dermatol Ges. 2020 Aug 24. doi: 10.1111/ddg.14227. Epub ahead of print. PMID: 32833298.
Ilijazi D, Pulverer W, Ertl IE, Lemberger U, Kimura S, Abufaraj M, D'Andrea D, Pradere B, Bruchbacher A, Graf A, Soria F, Susani M, Haitel A, Molinaro L, Pycha A, Comploj E, Pabinger S, Weinhäusel A, Egger G, Shariat SF, Hassler MR.
Discovery of Molecular DNA Methylation-Based Biomarkers through Genome-Wide Analysis of Response Patterns to BCG for Bladder Cancer. Cells. 2020 Aug 5;9(8):1839. doi: 10.3390/cells9081839. PMID: 32764425; PMCID: PMC7464079.
Trenti E, Palermo S, Huqi D, Ladurner C, Krause P, Pycha A, Comploj E.
Die Blasenhernie: eine Fallserie und Review der Literatur [Bladder hernia: report of a case series and review of the literature]. Aktuelle Urol. 2020 Jun 30. German. doi: 10.1055/a-1205-6046. Epub ahead of print. Erratum for: Aktuelle Urol. 2020 Jun 18; PMID: 32604428.
Plagg B, Engl A, Piccoliori G, Eisendle K.
Prolonged social isolation of the elderly during COVID-19: Between benefit and damage. Arch Gerontol Geriatr. 2020 Jul-Aug;89:104086. doi: 10.1016/j.archger.2020.104086. Epub 2020 May 3. PMID: 32388336; PMCID: PMC7196375.
Adornetti I, Chiera A, Deriu V, Altavilla D, Lucentini S, Marini A, Valeri G, Magni R, Vicari S, Ferretti F.
An investigation of visual narrative comprehension in children with autism spectrum disorders. Cogn Process. 2020 Aug;21(3):435-447. doi: 10.1007/s10339-020-00976-6. Epub 2020 May 7. PMID: 32383009.
Eisendle K, Thuile T, Deluca J, Pichler M.
Surgical Treatment of Pyoderma Gangrenosum with Negative Pressure Wound Therapy and Skin Grafting, Including Xenografts: Personal Experience and Comprehensive Review on 161 Cases. Adv Wound Care (New Rochelle). 2020 Jul;9(7):405-425. doi: 10.1089/wound.2020.1160. Epub 2020 Apr 28. PMID: 32320362; PMCID: PMC7307671.
Taverna L, Tremolada M, Tosetto B, Dozza L, Renata ZS.
Impact of Psycho-Educational Activities on Visual-Motor Integration, Fine Motor Skills and Name Writing among First Graders: A Kinematic Pilot Study. Children (Basel). 2020 Apr 2;7(4):27. doi: 10.3390/children7040027. PMID: 32252298; PMCID: PMC7231227.
Trenti E, Palermo S, Pycha A, Comploj E.
Sigmakonduit Volvulus: eine extrem seltene Komplikation eines Sigmakonduit [Sigmoid colon conduit volvulus: an extremely rare complication of a sigmoid colon conduit]. Aktuelle Urol. 2020 Apr 7. German. doi: 10.1055/a-1118-4286. Epub ahead of print. PMID: 32259867.
Taverna L, Tremolada M, Dozza L, Zanin Scaratti R, Ulrike D, Lallo C, Tosetto B.
Who Benefits from An Intervention Program on Foundational Skills for Handwriting Addressed to Kindergarten Children and First Graders? Int J Environ Res Public Health. 2020 Mar 24;17(6):2166. doi: 10.3390/ijerph17062166. PMID: 32214003; PMCID: PMC7142437.
Eisendle K, Pichler M, De Luca J, Thuile T.
Use of self-adherent silicone sheets in a pediatric burn patient: A case report and instructions for use. Pediatr Dermatol. 2020 Jan;37(1):257-260. doi: 10.1111/pde.14017. Epub 2019 Oct 18. PMID: 31626360.
Nothegger B, Reider N, Covaciu CE, Cova V, Ahammer L, Eidelpes R, Unterhauser J, Platzgummer S, Tollinger M, Letschka T, Eisendle K.
Allergen-specific immunotherapy with apples: selected cultivars could be a promising tool for birch pollen allergy. J Eur Acad Dermatol Venereol. 2020 Jun;34(6):1286-1292. doi: 10.1111/jdv.16201. Epub 2020 Feb 16. PMID: 31953891; PMCID: PMC7318684.
Bello G, Bisanti A, Giammatteo V, Montini L, Eleuteri D, Fiori B, La Sorda M, Spanu T, Grieco DL, Pennisi MA, De Pascale G, Antonelli M.
Microbiologic surveillance through subglottic secretion cultures during invasive mechanical ventilation: a prospective observational study. J Crit Care. 2020 Oct;59:42-48. doi: 10.1016/j.jcrc.2020.05.013. Epub 2020 May 26. PMID: 32516641
Dhaini SR, Ausserhofer D, El Bajjani M, Dumit N, Huijer Abu-Saad H, Simon M.
A longitudinal study on implicit rationing of nursing care among Lebanese patients- study protocol. J Adv Nurs. 2019 Apr 2. doi: 10.1111/jan.14012. [Epub ahead of print]
PMID:30937945
Comploj E, Hanspeter E, Trenti E, Palermo S, Pycha A.
Urethral sarcoma 14 years after brachytherapy of the prostate gland.
Aktuelle Urol. 2019 May 7. doi: 10.1055/a-0877-9133. [Epub ahead of print] German.
PMID: 31064024
Eisendle K, Thuile T, Puviani M, Pichler M.
Successful treatment of an extensive abrasion ulcer in chronic atrophic skin with a porcine xenograft after failure of multiple treatment modalities.
Int J Dermatol. 2019 May 7. doi: 10.1111/ijd.14478. [Epub ahead of print] No abstract available.
PMID: 31066030
Puviani M, Manfredini M, Eisendle K.
The SILVER study. Efficacy of topical nitric-zinc complex solution in the treatment of resistant warts: A postmarketing evaluation.
Dermatol Ther. 2019 Apr 16:e12940. doi: 10.1111/dth.12940. [Epub ahead of print]
PMID: 30990239
Tischler T, Trenti E, Basciu M, Hanspeter E, Pycha A, Kafka M, Comploj E.
Penile metastasis of a carcinoma of the salivary glands at the tongue base: a case report.
Aktuelle Urol. 2019 Mar 21. doi: 10.1055/a-0828-9824. [Epub ahead of print] German.
PMID: 30900231
Masucci L, Nicolotti N, Graffeo R, Tamburrano A, Archibusacci CM, Nagel D, Quaranta G, Eisendle K, Primus S, Romano L, Mazzella P, Posteraro B, Cammarota G, Sanguinetti M.
Clostridium difficile: trend in an Italian Tertiary Care Hospital during fifteen years, 2002-2016.
Minerva Med. 2019 Apr;110(2):168-171. doi: 10.23736/S0026-4806.18.05740-3. No abstract available.
PMID: 30821431
Puviani M, Monari P, Gualdi G, Eisendle K.
Verschiebelappen durch Spaltung der Ohrhelix für Läsionen des Helixrandes und der benachbarten Haut.
J Dtsch Dermatol Ges. 2019 Jan;17(1):90-93. doi: 10.1111/ddg.13719_g. No abstract available.
PMID: 30615285
Kostner R, Mairvongrasspeinten H, De Martin Polo A, Vittadello F, Ausserhofer D, Mantovan F.
Types and frequencies of complications associated with midline catheters and PICCs in a South Tyrolean district hospital: a retrospective cohort study].
Pflege. 2019 Apr;32(2):1-8. doi: 10.1024/1012-5302/a000654. Epub 2018 Dec 7. German.
PMID: 30526314
Giusti M, Gasser M, Valentini P, Pescollderungg L, Eisendle K.
Food Protein-Induced Enterocolitis Syndrome in South Tyrol 2012-2016: a population-based study.
J Eur Acad Dermatol Venereol. 2019 Feb 14. doi: 10.1111/jdv.15510. [Epub ahead of print] No abstract available.
PMID: 30767294
Mabire C, Bachnick S, Ausserhofer D, Simon M; Match RN Study Group.
Patient readiness for hospital discharge and its relationship to discharge preparation and structural factors: A cross-sectional study.
Int J Nurs Stud. 2019 Feb;90:13-20. doi: 10.1016/j.ijnurstu.2018.09.016. Epub 2018 Nov 19.
PMID: 30522054
Puviani M, Monari P, Gualdi G, Eisendle K. 1
Split ear helix advancement flap for lesions of the ear involving the helical rim and adjacent skin.
J Dtsch Dermatol Ges. 2019 Jan;17(1):90-93. doi: 10.1111/ddg.13719. Epub 2018 Dec 3. No abstract available.
PMID: 30506993
Wieser H, Mischo-Kelling M, Vittadello F, Cavada L, Lochner L, Fink V, Naletto C, Reeves S.
Perceptions of collaborative relationships between seven different health care professions in Northern Italy.
J Interprof Care. 2019 Mar-Apr;33(2):133-142. doi: 10.1080/13561820.2018.1534810. Epub 2018 Oct 22.
PMID: 30346847
Pichler M, Perino F, Eisendle K.
Cupping is contraindicated in Haily-Haily disease - the seamy site of alternative medicine.
Int J Dermatol. 2019 Apr;58(4):500-501. doi: 10.1111/ijd.14160. Epub 2018 Aug 3. No abstract available.
PMID: 30073659
Fiori B, D'Inzeo T, Posteraro B, Menchinelli G, Liotti FM, De Angelis G, De Maio F, Fantoni M, Murri R, Scoppettuolo G, Ventura G, Tumbarello M, Pennestrì F, Taccari F, Sanguinetti M, Spanu T.
Direct use of eazyplex® SuperBug CRE assay from positive blood cultures in conjunction with inpatient infectious disease consulting for timely appropriate antimicrobial therapy in Escherichia coli and Klebsiella pneumoniae bloodstream infections.
Infect Drug Resist. 2019 May 3;12:1055-1062. doi: 10.2147/IDR.S206323. eCollection 2019.
PMID: 31118711
Mazzon G, Ajčević M, Cattaruzza T, Menichelli A, Guerriero M, Capitanio S, Pesavento V, Dore F, Sorbi S, Manganotti P, Marini A.
Connected Speech Deficit as an Early Hallmark of CSF-defined Alzheimer's Disease and Correlation with Cerebral Hypoperfusion Pattern.
Curr Alzheimer Res. 2019 May 6. doi: 10.2174/1567205016666190506141733. [Epub ahead of print]
PMID: 31057108
Giordano L, Fiori B, D'Inzeo T, Parisi G, Liotti FM, Menchinelli G, De Angelis G, De Maio F, Luzzaro F, Sanguinetti M, Posteraro B, Spanu T.
A Simplified Testing Method for Direct Detection of Carbapenemase-Producing Organisms from Positive Blood Cultures Using the NG-Test CARBA 5 Assay.
Antimicrob Agents Chemother. 2019 May 6. pii: AAC.00550-19. doi: 10.1128/AAC.00550-19. [Epub ahead of print]
PMID: 31061162
Marini A, Sperindè P, Ruta I, Savegnago C, Avanzini F.
Linguistic Skills in Bilingual Children With Developmental Language Disorders: A Pilot Study.
Front Psychol. 2019 Mar 7;10:493. doi: 10.3389/fpsyg.2019.00493. eCollection 2019.
PMID: 30899235
Musy SN, Ausserhofer D, Schwendimann R, Rothen HU, Jeitziner MM, Rutjes AW, Simon M.
Trigger Tool-Based Automated Adverse Event Detection in Electronic Health Records: Systematic Review.
J Med Internet Res. 2018 May 30;20(5):e198. doi: 10.2196/jmir.9901. Review.
Schwendimann R, Blatter C, Dhaini S, Simon M, Ausserhofer D.
The occurrence, types, consequences and preventability of in-hospital adverse events - a scoping review.
BMC Health Serv Res. 2018 Jul 4;18(1):521. doi: 10.1186/s12913-018-3335-z
Menchinelli G, Liotti FM, Fiori B, De Angelis G, D'Inzeo T, Giordano L, Posteraro B, Sabatucci M, Sanguinetti M, Spanu T.
In vitro Evaluation of BACT/ALERT® VIRTUO®, BACT/ALERT 3D®, and BACTEC™ FX Automated Blood Culture Systems for Detection of Microbial Pathogens Using Simulated Human Blood Samples.
Front Microbiol. 2019 Feb 19;10:221. doi: 10.3389/fmicb.2019.00221. eCollection 2019.
PMID: 30837964
Wieser H, Mischo-Kelling M, Vittadello F, Cavada L, Lochner L, Fink V, Naletto C, Reeves S. 1
Perceptions of collaborative relationships between seven different health care professions in Northern Italy.
J Interprof Care. 2018 Oct 22:1-10. doi: 10.1080/13561820.2018.1534810.
Muzzana C, Saiani L, Mantovan F, Ausserhofer D.
Extent and type of implicit rationing of nursing care in seven South Tyrolean hospitals: a descriptive study]
Assist Inferm Ric. 2018 Jul-Sep;37(3):128-135. doi: 10.1702/2996.29981. Italian.
Lochner L, Girardi S, Pavcovich A, Meier H, Mantovan F, Ausserhofer D.
Applying interprofessional Team-Based Learning in patient safety: a pilot evaluation study.
BMC Med Educ. 2018 Mar 27;18(1):48. doi: 10.1186/s12909-018-1164-8.
Vittadello F, Mischo-Kelling M, Wieser H, Cavada L, Lochner L, Naletto C, Fink V, Reeves S.
A multiple-group measurement scale for interprofessional collaboration: Adaptation and validation into Italian and German languages.
J Interprof Care. 2018 May;32(3):266-273. doi: 10.1080/13561820.2017.1396298. Epub 2017 Nov 8.
Harvey CL, Baret C, Rochefort CM, Meyer A, Ausserhofer D, Ciutene R, Schubert M.
Discursive practice - lean thinking, nurses' responsibilities and the cost to care.
J Health Organ Manag. 2018 Sep 17;32(6):762-778. doi: 10.1108/JHOM-12-2017-0316. Epub 2018 Sep 24.
Ausserhofer D, Nagl-Cupal M.
Reporting Guidelines – Notwendigkeit oder notwendiges Übel?
Pflege. 2018 Aug;31(4):179-180. doi: 10.1024/1012-5302/a000627. German. No abstract available.
Bachnick S, Ausserhofer D, Baernholdt M, Simon M; Match RN study group.
Patient-centered care, nurse work environment and implicit rationing of nursing care in Swiss acute care hospitals: A cross-sectional multi-center study.
Int J Nurs Stud. 2018 May;81:98-106. doi: 10.1016/j.ijnurstu.2017.11.007. Epub 2017 Nov 24.
Eredics K, Bretterbauer KM, Comploj E, Friedl A, Gschliesser T, Lenart S, Seklehner S, Wimpissinger F, Madersbacher S.
Bladder cancer in nonagenarians: a multicentre study of 123 patients.
BJU Int. 2018 Dec;122(6):1010-1015. doi: 10.1111/bju.14419. Epub 2018 Jul 26
Piccin A, Tagnin M, Vecchiato C, Al-Khaffaf A, Beqiri L, Kaiser C, Agreiter I, Negri G, Kob M, Di Pierro A, Vittadello F, Mazzoleni G, Eisendle K, Fontanella F.
Graft-versus-host disease (GvHD) of the tongue and of the oral cavity: a large retrospective study.
Int J Hematol. 2018 Dec;108(6):615-621. doi: 10.1007/s12185-018-2520-5. Epub 2018 Aug 24. Review.
PMID: 30144000
Thuile T, Larcher L, Gatscher B, Schwaiger K, Deluca J, Fallaha A, Tappeiner L, Puviani M, Eisendle K.
Spalthauttransplantation zur Defektdeckung am Ohr: eine statistische Analyse.
J Dtsch Dermatol Ges. 2018 Feb;16(2):163-173. doi: 10.1111/ddg.13415_g.
PMID: 29418093
Thuile T, Larcher L, Gatscher B, Schwaiger K, Deluca J, Fallaha A, Tappeiner L, Puviani M, Eisendle K. 1
J Dtsch Dermatol Ges. 2018 Feb;16(2):163-173. doi: 10.1111/ddg.13415. Epub 2018 Jan 12.
PMID: 29328534
Salvadori U, Melotti R, L'Altrella D, Daves M, Al-Khaffaf A, Milizia L, Putzulu R, Filippi R, Carolo A, Lippi G, Gentilini I.
Validity and reliability of serologic immunophenotyping of multiple blood group systems by ORTHO Sera with fully automated procedure.
Immunohematology. 2018 Dec;34(4):140-147.
Peleg O, Messerschmidt-Grandi C.
Differentiation of self and trait anxiety: A cross-cultural perspective.
Int J Psychol. 2018 Oct 5. doi: 10.1002/ijop.12535. [Epub ahead of print]
PMID: 30289168
Grybauskas S, Moser L, Esteves L, Cintra O, Schneider-Moser U.
An interview with Simonas Grybauskas.
Dental Press J Orthod. 2018 Aug 1;23(4):14-35. doi: 10.1590/2177-6709.23.4.014-035.int. No abstract available. PMID: 30304151
Ferretti F, Adornetti I, Chiera A, Nicchiarelli S, Valeri G, Magni R, Vicari S, Marini A.
Time and Narrative: An Investigation of Storytelling Abilities in Children With Autism Spectrum Disorder.
Front Psychol. 2018 Jun 19;9:944. doi: 10.3389/fpsyg.2018.00944. eCollection 2018.
PMID: 29971024
Ricci-Maccarini A, Bergamini G, Fustos R.
Proposal of a form for the collection of videolaryngostroboscopy basic findings.
Eur Arch Otorhinolaryngol. 2018 Jul;275(7):1927-1933. doi: 10.1007/s00405-018-4991-7. Epub 2018 May 22.
PMID: 29789936
Wiedermann CJ, Adami M, Wiedermann W.
Weekend effects on health outcomes and operational efficiency in emergency admissions to general medicine services of the Central Hospital of the Autonomous Province of Bolzano, Italy.
Ann Ig. 2018 May-Jun;30(3):245-250. doi: 10.7416/ai.2018.2216.
PMID: 29670994
Ferretti F, Chiera A, Nicchiarelli S, Adornetti I, Magni R, Vicari S, Valeri G, Marini A.
The development of episodic future thinking in middle childhood.
Cogn Process. 2018 Feb;19(1):87-94. doi: 10.1007/s10339-017-0842-5. Epub 2017 Oct 20.
PMID: 29052802
Canzan F, Marognolli O, Bevilacqua A, Defanti F, Ambrosi E, Cavada L, Saiani L.
An overview of clinical practice education models for nursing students: a literature review
Assist Inferm Ric. 2017 Jan-Mar;36(1):7-13. doi: 10.1702/2676.27416. Review. Italian.
Schwendimann R, Ausserhofer D.
Patientensicherheit – ein vielschichtiger Diskurs.
Pflege. 2017;30(6):327-328. doi: 10.1024/1012-5302/a000592. German. No abstract available.
Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, Maier CB, Moreno-Casbas T, Ball JE, Ausserhofer D, Sermeus W; RN4CAST Consortium.
Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care.
BMJ Qual Saf. 2017 Jul;26(7):559-568. doi: 10.1136/bmjqs-2016-005567. Epub 2016 Nov 15.
Ausserhofer D.
Zusammenhang zwischen Skill-Mix beim Pflegepersonal und Einsatz von freiheitseinschränkenden Maßnahmen.
Pflege. 2017;30(2):95. doi: 10.1024/1012-5302/a000543. German. No abstract available.
Bachnick S, Ausserhofer D, Januel JM, Schubert M, Schwendimann R, De Geest S, Simon M.
Matching Registered Nurse services with changing care demands (MatchRN ): study protocol of a natural experiment multi-centre study.
J Adv Nurs. 2017 Jul;73(7):1735-1746. doi: 10.1111/jan.13287. Epub 2017 Apr 21.
Dhaini SR, Zúñiga F, Ausserhofer D, Simon M, Kunz R, De Geest S, Schwendimann R.
Are nursing home care workers' health and presenteeism associated with implicit rationing of care? A cross-sectional multi-site study
Geriatr Nurs. 2017 Jan - Feb;38(1):33-38. doi: 10.1016/j.gerinurse.2016.07.003. Epub 2016 Aug 1.
Lochner L, Wieser H, Waldboth S, Mischo-Kelling M (2017).
Umgestaltung einer Lehrveranstaltung in ein blended-learning-format: Machbar und lerneffizient.
Zeitschrift für Hochschulentwicklung ZFHE 12(1): 145-155.
Wiedermann CJ, Eisendle K.
Acute kidney injury in critically burned patients treated with hydroxyethyl starch: a response to Sánchez-Sánchez et al.
Ann Burns Fire Disasters. 2017 Sep 30;30(3):220-221. No abstract available.
PMID: 29849528
Lochner L, (2017)
Consigli per la didattica: l’utilizzo del PowerPoint.
Tutor 17:37-42.
Piccin A, Rebulla P, Pupella S, Tagnin M, Marano G, Di Pierro AM, Santodirocco M, Di Mauro L, Beqiri L, Kob M, Primerano M, Casini M, Billio A, Eisendle K, Fontanella F.
Impressive tissue regeneration of severe oral mucositis post stem cell transplantation using cord blood platelet gel.
Transfusion. 2017 Sep;57(9):2220-2224. doi: 10.1111/trf.14205. Epub 2017 Jun 27.
PMID: 28656652
Eisendle K.
Reply to sentinel lymph node biopsy (SLNB) plus wide local excision vs. wide local excision alone for primary cutaneous melanoma: a systematic review and meta-analysis - SLNB is not associated with a significantly better outcome in melanoma survival.
J Eur Acad Dermatol Venereol. 2017 Oct;31(10):e471-e472. doi: 10.1111/jdv.14262. Epub 2017 Apr 25. No abstract available.
PMID: 28380261
Wiedermann CJ, Eisendle K. 1
Comparison of hydroxyethyl starch regulatory summaries from the Food and Drug Administration and the European Medicines Agency.
J Pharm Policy Pract. 2017 Mar 21;10:12. doi: 10.1186/s40545-016-0090-6. eCollection 2017.
PMID: 28331624
Wiedermann CJ, Dunzendorfer S.
Fluid resuscitation targeting sepsis-induced cardiovascular dysfunction: severity of disease as effect modifier.
J Thorac Dis. 2017 Oct;9(10):3541-3544. doi: 10.21037/jtd.2017.08.158. No abstract available.
PMID: 29268336
Taverna L, Tremolada M, Bonichini S, Tosetto B, Basso G, Messina C, Pillon M.
Motor skill delays in pre-school children with leukemia one year after treatment: Hematopoietic stem cell transplantation therapy as an important risk factor.
PLoS One. 2017 Oct 24;12(10):e0186787. doi: 10.1371/journal.pone.0186787. eCollection 2017.
PMID: 29065156
Wiedermann CJ, Wiedermann W, Joannidis M.
Causal relationship between hypoalbuminemia and acute kidney injury.
World J Nephrol. 2017 Jul 6;6(4):176-187. doi: 10.5527/wjn.v6.i4.176. Review.
PMID: 28729966
Wiedermann CJ.
Failure of Propensity Scores in Overcoming the Tendency to Use Albumin as Salvage Treatment in Sicker Patients.
J Cardiothorac Vasc Anesth. 2017 Dec;31(6):e99. doi: 10.1053/j.jvca.2017.04.015. Epub 2017 Apr 13. No abstract available.
PMID: 28778769
Schwendimann R, Dhaini S, Ausserhofer D, Engberg S, Zúñiga F.
Factors associated with high job satisfaction among care workers in Swiss nursing homes - a cross sectional survey study.
BMC Nurs. 2016 Jun 6;15:37. doi: 10.1186/s12912-016-0160-8. eCollection 2016.
Versace V, Gutmann B, Sebastianelli L, Martignago S, Saltuari L, Nardone R, Wiedermann CJ.
Tick-borne viral encephalomyeloradiculitis complicated by severe autonomic myenteric involvement resulting in irreversible adynamic ileus.
Clin Auton Res. 2017 Jun;27(3):205-207. doi: 10.1007/s10286-017-0419-5. Epub 2017 Apr 18. No abstract available.
PMID: 28421291
Lochner L, Wieser H, Waldboth S, Mischo-Kelling M.
Combining traditional anatomy lectures with e-learning activities: how do students perceive their learning experience?
Int J Med Educ. 2016 Feb 21;7:69-74. doi: 10.5116/ijme.56b5.0369.
Schwendimann R, Dhaini S, Ausserhofer D, Engberg S, Zúñiga F. 1
Factors associated with high job satisfaction among care workers in Swiss nursing homes - a cross sectional survey study.
BMC Nurs. 2016 Jun 6;15:37. doi: 10.1186/s12912-016-0160-8. eCollection 2016
Zúñiga F, Schubert M, Hamers JP, Simon M, Schwendimann R, Engberg S, Ausserhofer D.
Evidence on the validity and reliability of the German, French and Italian nursing home version of the Basel Extent of Rationing of Nursing Care instrument.
J Adv Nurs. 2016 Aug;72(8):1948-63. doi: 10.1111/jan.12975. Epub 2016 Apr 7
Ausserhofer D, Deschodt M, De Geest S, van Achterberg T, Meyer G, Verbeek H, Sjetne IS, Malinowska-Lipień I, Griffiths P, Schlüter W, Ellen M, Engberg S.
"There's No Place Like Home": A Scoping Review on the Impact of Homelike Residential Care Models on Resident-, Family-, and Staff-Related Outcomes.
J Am Med Dir Assoc. 2016 Aug 1;17(8):685-93. doi: 10.1016/j.jamda.2016.03.009. Epub 2016 Apr 26. Review.
Schwendimann R, Ausserhofer D, Zuniga F.
Work satisfaction: the highlights].
Krankenpfl Soins Infirm. 2016;109(2):68-9. French. No abstract available.
Schwendimann R, Ausserhofer D, Zúñiga F. 1
It depends on this].
Krankenpfl Soins Infirm. 2016;109(1):22-3. German. No abstract available
Ausserhofer D, Rakic S, Novo A, Dropic E, Fisekovic E, Sredic A, Van Malderen G.
Improving the safety and quality of nursing care through standardized operating procedures in Bosnia and Herzegovina.
Int Nurs Rev. 2016 Jun;63(2):208-17. doi: 10.1111/inr.12237. Epub 2016 Jan 8.
Dhaini SR, Zúñiga F, Ausserhofer D, Simon M, Kunz R, De Geest S, Schwendimann R. 1
Care workers health in Swiss nursing homes and its association with psychosocial work environment: A cross-sectional study.
Int J Nurs Stud. 2016 Jan;53:105-15. doi: 10.1016/j.ijnurstu.2015.08.011. Epub 2015 Aug 31.
Dhaini S, Zúñiga F, Ausserhofer D, Simon M, Kunz R, De Geest S, Schwendimann R.
Absenteeism and Presenteeism among Care Workers in Swiss Nursing Homes and Their Association with
Psychosocial Work Environment: A Multi-Site Cross-Sectional StudyGerontology.
Gerontology. 2016;62(4):386-95. doi: 10.1159/000442088. Epub 2015 Dec 1.
Gasser J, Pagani E, Vittadello F, Nobile C, Zampieri P, Eisendle K.
Frequency, type and treatment of fungal pathogens in toenail onychomycosis in the central Alpine region of South Tyrol, northern Italy - a 10-year retrospective study from 2004 to 2013.
Mycoses. 2016 Dec;59(12):760-764. doi: 10.1111/myc.12528. Epub 2016 Jul 12.
PMID: 27402300
Pichler M, Larcher L, Holzer M, Exler G, Thuile T, Gatscher B, Tappeiner L, Deluca J, Carriere C, Nguyen VA, Moosbrugger-Martinz V, Schmuth M, Klein GF, Eisendle K.
Surgical treatment of pyoderma gangrenosum with negative pressure wound therapy and split thickness skin grafting under adequate immunosuppression is a valuable treatment option: Case series of 15 patients.
J Am Acad Dermatol. 2016 Apr;74(4):760-5. doi: 10.1016/j.jaad.2015.09.009. No abstract available. PMID: 26979359
Fallaha A, Thuile T, Tappeiner L, Pichler M, Deluca J, Perino F, Eisendle K.
Misdiagnosed microcystic adnexal carcinoma on the lateral forehead and challenges in reconstruction of a large and bone-deep defect.
J Dtsch Dermatol Ges. 2016 Jan;14(1):86-90. doi: 10.1111/ddg.12867. English, German.
PMID: 26713651
Zafiropoulos GG, Deli G, Hoffmann O, John G.
Changes of the peri-implant soft tissue thickness after grafting with a collagen matrix.
J Indian Soc Periodontol. 2016 Jul-Aug;20(4):441-445. doi: 10.4103/0972-124X.181245.
PMID: 28298828
Marini A, Galetto V, Tatu K, Duca S, Geminiani G, Sacco K, Zettin M.
Recovering two languages with the right hemisphere.
Brain Lang. 2016 Aug;159:35-44. doi: 10.1016/j.bandl.2016.05.014. Epub 2016 Jun 9.
PMID: 27289209
Maixner F, Krause-Kyora B, Turaev D, Herbig A, Hoopmann MR, Hallows JL, Kusebauch U, Vigl EE, Malfertheiner P, Megraud F, O'Sullivan N, Cipollini G, Coia V, Samadelli M, Engstrand L, Linz B, Moritz RL, Grimm R, Krause J, Nebel A, Moodley Y, Rattei T, Zink A.
Science. 2016 Jan 8;351(6269):162-165. doi: 10.1126/science.aad2545.
PMID: 26744403
Bruyneel L, Li B, Ausserhofer D, Lesaffre E, Dumitrescu I, Smith HL, Sloane DM, Aiken LH, Sermeus W.
Organization of Hospital Nursing, Provision of Nursing Care, and Patient Experiences With Care in Europe.
Med Care Res Rev. 2015 Dec;72(6):643-64. doi: 10.1177/1077558715589188. Epub 2015 Jun 10.
Mischo-Kelling M, Wieser H, Cavada L, Lochner L, Vittadello F, Fink V, Reeves S.
The state of interprofessional collaboration in Northern Italy: a mixed methods study.
J Interprof Care. 2015 Jan;29(1):79-81. doi: 10.3109/13561820.2014.925854. Epub 2014 Jun 10.
Darbyshire P, Mischo-Kelling M, Lochner L, Messerschmidt-Grandi C.
'Fighting for care': parents' perspectives of children's palliative care in South Tyrol, Italy.
Int J Palliat Nurs. 2015 Nov;21(11):542-7. doi: 10.12968/ijpn.2015.21.11.542.
Mischo-Kelling M, Wieser H, Cavada L, Lochner L, Vittadello F, Fink V, Reeves S. 1
The state of interprofessional collaboration in Northern Italy: a mixed methods study.
J Interprof Care. 2015 Jan;29(1):79-81. doi: 10.3109/13561820.2014.925854. Epub 2014 Jun 10.
Zúñiga F, Ausserhofer D, Hamers JP, Engberg S, Simon M, Schwendimann R.
Are Staffing, Work Environment, Work Stressors, and Rationing of Care Related to Care Workers' Perception of Quality of Care? A Cross-Sectional Study.
J Am Med Dir Assoc. 2015 Oct 1;16(10):860-6. doi: 10.1016/j.jamda.2015.04.012. Epub 2015 May 28.
Zúñiga F, Ausserhofer D, Schwendimann R.
Omitting, delaying or only partly fulfilling].
Krankenpfl Soins Infirm. 2015;108(11):30-1, 64-5. French, German. No abstract available.
Ausserhofer D, Gehri B, De Geest S, Fierz K, Schwendimann R.
Quality and general practice development in Swiss acute hospitals as a result of study results - a follow-up survey of nursing directors of RN4CAST hospitals].
Pflege. 2015 Feb;28(1):49-56. doi: 10.1024/1012-5302/a000404. German.
Zúñiga F, Ausserhofer D, Hamers JP, Engberg S, Simon M, Schwendimann R. 1
The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes--A cross-sectional study.
Int J Nurs Stud. 2015 Sep;52(9):1463-74. doi: 10.1016/j.ijnurstu.2015.05.005. Epub 2015 May 19
Graf E, Ausserhofer D, Schwendimann R, Zúñiga F.
Success factor emotional coworker engagement].
Krankenpfl Soins Infirm. 2015;108(8):20-1. German. No abstract available.
Lacher S, De Geest S, Denhaerynck K, Trede I, Ausserhofer D.
The Quality of Nurses' Work Environment and Workforce Outcomes From the Perspective of Swiss Allied Healthcare Assistants and Registered Nurses: A Cross-Sectional Survey.
J Nurs Scholarsh. 2015 Sep;47(5):458-67. doi: 10.1111/jnu.12151. Epub 2015 Jul 28.
Lochner L (2015).
Consigli per la didattica: Come strutturare il material per gli studenti?
Tutor 15:17-21
Abed Al Ahad, M., Elbejjani, M., Simon, M., Ausserhofer, D., Abu-Saad Huijer, H., & Dhaini, S. R. (2022).
Variability, shift-specific workloads and rationed care predictors of work satisfaction among Registered nurses providing acute care: A longitudinal study. Nurs Open, 9(2), 1190-1199.
Balzer, K., & Ausserhofer, D. (2022).
Neue Rollen in der Pflege – Der Pflegeberuf on the move. Pflege, 35(6), 317-318.
Brigo, F., Zaboli, A., Rinaldi, F., Ausserhofer, D., Nardone, R., Pfeifer, N., & Turcato, G. (2022).
The Manchester Triage System's performance in clinical risk prioritisation of patients presenting with headache in emergency department: A retrospective observational study. J Clin Nurs, 31(17-18), 2553-2561.
Dhaini, S. R., Abed Al Ahad, M., Simon, M., Ausserhofer, D., Abu-Saad Huijer, H., & Elbejjani, M. (2022).
Repeated assessments and predictors of nurses' shift-specific perceived workload. Nurs Forum.
Eggenschwiler, L. C., Rutjes, A. W. S., Musy, S. N., Ausserhofer, D., Nielen, N. M., Schwendimann, R., Unbeck, M., & Simon, M. (2022).
Variation in detected adverse events using trigger tools: A systematic review and meta-analysis. PLoS One, 17(9), e0273800.
Muzzana, C., & Ausserhofer, D. (2022).
Prävention des postoperativen Delirs nach elektiven Eingriffen. Pflege, 35(2), 125.
Muzzana, C., Mantovan, F., Huber, M. K., Trevisani, K., Niederbacher, S., Kugler, A., & Ausserhofer, D. (2022).
Delirium in elderly postoperative patients: A prospective cohort study. Nurs Open, 9(5), 2461-2472.
Turcato, G., Zaboli, A., Pfeifer, N., Sibilio, S., Tezza, G., Bonora, A., Ciccariello, L., & Ausserhofer, D. (2022).
Rapid antigen test to identify COVID-19 infected patients with and without symptoms admitted to the Emergency Department. Am J Emerg Med, 51, 92-97.
Wieser H, Mischo-Kelling M, Cavada L, Lochner L, Fink V, Naletto C, Vittadello F.
Evaluating Measurement Properties of the Adapted Interprofessional Collaboration Scale through Rasch Analysis. Healthcare (Basel). 2022 Oct 12;10(10):2007. doi: 10.3390/healthcare10102007.
Zaboli, A., Ausserhofer, D., Sibilio, S., Paulmichl, R., Toccolini, E., Pfeifer, N., Brigo, F., & Turcato, G. (2022).
Triage assessment of transitory loss of consciousness in the emergency department-A retrospective observational study. J Adv Nurs, 78(5), 1337-1347.
Renner, A., Ausserhofer, D., Zúñiga, F., Simon, M., Serdaly, C., & Favez, L. (2022).
Increasing implicit rationing of care in nursing homes: A time-series cross-sectional analysis. Int J Nurs Stud, 134, 104320.
Zaboli, A., Ausserhofer, D., Sibilio, S., Paulmichl, R., Toccolini, E., Losi, C., Giudiceandrea, A., Pfeifer, N., Brigo, F., & Turcato, G. (2022).
Nurse triage accuracy in the evaluation of syncope according to European Society of Cardiology guidelines. Eur J Cardiovasc Nurs, 21(3), 280-286.
Ausserhofer D, Mahlknecht A, Engl A, Piccoliori G, Pfitscher G, Silbernagl P, Giacomoni F, Pycha R, Lombardo S, Gärtner T, Mian M, Meier H, Wiedermann CJ and Keim R
Relationship between depression, anxiety, stress, and SARS-CoV-2 infection: a longitudinal study. Front. Psychol. 14:1116566. doi: 10.3389/fpsyg.2023.1116566
Ausserhofer, D., Tappeiner, W., Wieser, H., Serdaly, C., Simon, M., Zúñiga, F., & Favez, L.
Administrative burden in Swiss nursing homes and its association with care workers' outcomes-a multicenter cross-sectional study. BMC Geriatr, 23(1), 347.
Barbieri, V., Piccoliori, G., Mahlknecht, A., Plagg, B., Ausserhofer, D., Engl, A., & Wiedermann, C. J.
Adolescent Mental Health during the COVID-19 Pandemic: The Interplay of Age, Gender, and Mental Health Outcomes in Two Consecutive Cross-Sectional Surveys in Northern Italy. Behav Sci (Basel), 13(8).
Gehri, B., Ausserhofer, D., Zúñiga, F., Bachnick, S., Schwendimann, R., & Simon, M.
Nursing care left undone in psychiatric hospitals and its association with nurse staffing: A cross-sectional multi-centre study in Switzerland. J Psychiatr Ment Health Nurs.
Muzzana, C., Mantovan, F., Tappeiner, W., Niederbacher, S., Huber, M. K., & Ausserhofer, D.
[Interrater reliability and concurrent validity of 4AT for the detection of postoperative delirium: A prospective cohort study]. Pflege, 36(4), 189-197.
Rass, V., Tymoszuk, P., Sahanic, S., Heim, B., Ausserhofer, D., Lindner, A., Kofler, M., Mahlknecht, P., Boehm, A., Hüfner, K., Pizzini, A., Sonnweber, T., Kurz, K., Pfeifer, B., Kiechl, S., Peball, M., Kindl, P., Putnina, L., Fava, E., . . . Helbok, R.
Distinct smell and taste disorder phenotype of post-acute COVID-19 sequelae. Eur Arch Otorhinolaryngol, 280(11), 5115-5128.
Rottensteiner, S., Cavada, M. L., Siller, M., Gröber, G., Quircio, S., Fink, I., & Preusse-Bleuler, B.
[Measuring nurses' attitudes to family care: a longitudinal mixed method study]. Assist Inferm Ric, 42(4), 199-207.
Zaboli, A., Ausserhofer, D., Sibilio, S., Toccolini, E., Paulmichl, R., Giudiceandrea, A., Bonora, A., Pfeifer, N., & Turcato, G.
Electrocardiogram interpretation during nurse triage improves the performance of the triage system in patients with cardiovascular symptoms - A prospective observational study. Int Emerg Nurs, 68, 101273.
