Background: The growing burden of chronic illnesses calls for integrated and sustainable models of Primary Healthcare (PHC) that emphasize health promotion and patient-centered care. Interprofessional collaboration between General Practitioners (GPs) and Family and Community Nurses (FCNs) is a strategic approach to enhancing continuity of care and supporting individuals in adopting healthy behaviors across the trajectory of chronic conditions. This study aims to explore the experiences and perspectives of GPs and FCNs in Italy, with the goal of identifying the barriers, enablers, and transformative dynamics that can inform future PHC models. Methods: A qualitative study was conducted with four focus groups with 21 participants (8 GPs and 13 FCNs) from three Italian regions, carried out between March and November 2023. Data were analyzed using Reflexive Thematic Analysis (RTA) following Braun and Clarke’s framework. Ethical approval was obtained from the University of Parma (Protocol No. 0266537—21 October 2022). Results: Four themes and sixteen subthemes were identified: (1) barriers to effective collaboration (role ambiguity, limited time, structural misalignments); (2) facilitators of collaboration (openness, mutual recognition, shared goals); (3) team-building processes (phases of trust development, shared values, reflective problem-solving); and (4) transformation of work practices (improved patient outcomes, flexible methodologies, integrated care strategies). Conclusions: Interprofessional collaboration between GPs and FCNs enhances the capacity of PHC to address the complex needs of people with chronic conditions. Aligning relational, organizational, and structural factors is essential for sustainable, health-promoting care models. Tailored training, protected time, and shared spaces are critical to foster teamwork, promote patient empowerment, and ensure continuity of care in chronic illness management.
Considering how scientific literature on the subject has been enriched with increasingly significant contributions in both sociological and organizational fields, this short essay aims to define how the use of artificial intelligence can define a valuable compensatory tool aimed at promoting greater inclusiveness in daily life activities for those in neurological deficit. In particular, we intend to focus on the benefits of sports activity in terms of increased physical and mental well-being through the use of artificial intelligence and sensors.
21 September 2022 in Giornale Italiano di Medicina del Lavoro ed Ergonomia
Background. Needle stick injuries (NSI) are a frequent problem among the medical and nurse population: NIS can cause blood exposure pathologies like HCV or HIV. Aim of this study is to determinate an incidence rate and causes of NSI. Methods. A search was conducted on the main international databases, only studies conducted in Italian nurse are considered. Results. The incidence rate of NSI varies from 2.2 to 10.77 per 100 nurses per year. The major causes can be traced back to a large night shift, working in the operating block and in the medical departments, and the failure to use adequate devices. Conclusions. It is important to work on training, on the use of safety devices and on a better night shift.
1 January 2025 in International Journal of Pediatrics
Background: The COVID‐19 pandemic led to widespread societal disruptions, including lockdowns aimed at reducing virus transmission. These measures had a profound impact on physical and mental health, particularly among children and adolescents. The closure of sports facilities and restrictions on outdoor activities resulted in a significant decrease in physical activity levels among this age group. Methods: A cross‐sectional survey was conducted among 211 participants attending sports medicine clinics in Northern Italy. The survey is aimed at assessing physical activity levels during three distinct lockdown periods. It gathered data on demographics and tracked trends and changes in physical activity throughout these phases. Results: During the initial lockdown, 37.4% of the youth maintained regular physical activity, primarily at home, with an average of 4 h/week. By October 26, 69.6% of the participants were still engaged in physical activities, with participation stabilizing at 71.0% by the time of the survey. Inferential analyses confirmed that the increase in participation between the first and second phases was statistically significant ( p < 0.001, Cohen’s h = 0.85), whereas later changes were not significant. Although there was a slight increase in the weekly hours of physical activity, these levels remained below the World Health Organization’s recommended guidelines. Average weekly hours of activity showed only a small, nonsignificant increase ( p = 0.12, Cohen’s d = 0.20). Importantly, in all phases, fewer than 20% of participants met WHO recommendations. Conclusions: The COVID‐19 lockdowns significantly disrupted youth physical activity, which was heavily reliant on organized sports clubs. Despite some recovery after the restrictions were lifted, physical activity levels often fell below recommended guidelines. The disruption in physical activity patterns during the pandemic could have long‐lasting effects on future health outcomes. The habits established during childhood and adolescence often persist into adulthood, and the significant drop in physical activity during the pandemic may impact health for decades. This highlights the need for targeted strategies and enhanced physical education programs to mitigate the health risks associated with sedentary behaviors.
Introduction: The pandemic from Covid-19 has had a significant impact on our lifestyle, overwhelming and changing work modes, leisure and daily habits. The largest and most serious pandemic in the last 100 years has highlighted the health systems’s fragility around the world. In Italy, this has determined, in addition to the thousands of deaths caused by the virus, also the “collateral damage” due to the cessation of hospital admissions and outpatient services for all other patients. Materials and Methods: Through the search engine Pubmed, with search filter the word “lockdown” AND “Italy”, and considering all the articles published from 01/02/2020 to 6/11/2020, have appeared 591 results. The articles and quotations that have been taken into account refer to the period January 2020 – May 2020 with data in the same period of 2019. Discussion: The selected studies show uniformly throughout the Italian territory a decline in admissions and hospitalizations for diseases other than Covid-19. During the Coronavirus era not just performance has dropped, but also resources that have been reduced for many chronic and urgent diseases and for their prevention for being allocated to the fight against the Coronavirus; furthermore access to emergency room are decreased. Conclusion: it is important to find alternative solutions to hospital to avoid any reductions in hospital services, it is necessary to strengthen preventive medicine and territorial medicine, with greater participation of general practitioners in the management of the chronic patient to avoid further relapses.