United Nurses

I HAVE A DREAM:INFERMIERI uniti nell’ interesse dei cittadini in piena collaborazione con altre professioni per offrire una risposta eccellente ai bisogni di salute!

Le possibilità di sviluppare un lavoro di equipe si fondano primariamente su un’adeguata formazione e la conoscenza approfondita delle varie professioni presenti nel team e delle altrui competenze.

In questo modo diviene anche più facile affrontare una condizione clinica instabile, una situazione sanitaria complessa, che richiede continui adattamenti e quindi l’intervento non sempre prevedibile di professionalità diverse.

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Coach yourself!

We are the only one who has the key to access these great mysteries. We must coach ourselves, revealing the capabilities and the potentialities of each of us. We accompany us on the path of transformation, bringing to a higher level of awareness our aspirations, our dreams and helping us outline the way to achieve our goals. The tools are inside of each one.


Love yourself for what you are, be compassionate first to yourself and then to others. As Louise Hay, mother of positive thinking says, the words we use to describe our experiences, create our reality. It is better then to choose positive and powerful beliefs and to abandon the spiral of negative and dysfunctional thoughts, which do not help us in any way!

https://youtu.be/_Z5Cy5iQYZk
Compared to the experience of my life, this is what I think: stay with people who improve you!

Birth of Cardiac Massage

Knickerbocker, assistant in surgery, who conducted studies on defibrillation in dogs, found that placement of electrodes alone caused an increase in femoral arterial pressure. This observation made the idea that the circulation could be maintained artificially with cardiac massage. 
It was a revolutionary discovery: no need to “open the chest” for a direct cardiac massage! Be wrote in the article of 1960, “… anyone and everywhere can initiate resuscitation procedures. We need two hands. ”

Two hands can save life!


See more here:
Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA, 1960; 173, 1064-1067
Eisenberg MS, Psaty BM. Cardiopulmonary resuscitation. Celebration and challenges. JAMA 2010; 304, 87-88

Nurses and health promotion more than thirty years from Ottawa’s card

More than thirty years after the Ottawa Charter was drafted, nurses strongly emphasize the importance of promoting health through their activities.Health is an essential asset for social, economic and personal development, and is a key aspect of quality of life. Health promotion, theorized concept in various historical epochs, was coded in 1986 by the Ottawa Charter.

It is not possible to gain maximum health potential if you are unable to control the determinants of health. Nurses’ commitment is focused on the development of policies aimed at promoting and preserving the health of citizens.


(Federica Putzu)

Outputs, Outcomes, Impact

Theese are the basic components of a result chain, how actions can lead to a desired result. Construct an initial result chain based on a conceptual model than start analising the indicators of the process that lead to goals on a target.

Input ~ Strategy ~ Output ~ Outcome ~ Impact can be the chain.

Outputs, outcomes and impact are terms that are used to describe changes at different levels.

Output means the result of a trial, results which are achieved immediately after implementing an activity. 

Outcome is not seen immediately after the end of the activity, after some time appear this kind of result, it seem to be better described as some change at the ground level after a training. 

Impact is a long term result, not achievable  during the project activities. 

The external effectiveness is the indicator that shows the relationship between the product (output) and the result (outcome). 

Look here for more external concept description.

https://www.intrac.org/wpcms/wp-content/uploads/2016/06/Monitoring-and-Evaluation-Series-Outcomes-Outputs-and-Impact-7.pdf

Who takes care of the nurses?

Burnout is associated with professions that combine stress and idealism. Many nurses suffer from work-related stress. To be frequent are also depressive states and the so-called burn-out syndrome, ie the work exhaustion.

Data presented in Rome at the Policlinico Gemelli during the conference which was held in 2011 entitled “The work stress-related Health Care Workers Emergency” (dell’AcEMC, prof. Ivo Casagranda) says that  54.7% of nurses of a sample population suffers from a mental fatigue. For nurses, the most critical work si in the first 4 hours, while at least 8% of them has made use of psychotropic drugs. 

In the nursing profession you have manifestations of stress, burn-out and emotional overload that lead to an inevitable comunication difficulties, not infrequently, also it manifested by conflicts within the working group. Nurses must learn to manage conflict to draw a positive evolution of activities. The psychological scenario, resulting from a complex and emotionally strong supportive relationship with the patient and his family is hard to be under control.

Nurses are still in inter-friction, intra and inter-relationships characterized by the defense of their own specific in spite of inter-dependence and collaboration. The team-working skills becomes a requirement to improve performance and reduce work-related stress.