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Abstract

Introduzione: La frattura fra educazione infermieristica e realtà lavorativa quotidiana rappresenta una frequente causa di frustrazione ed esaurimento psicofisico, che spinge fino a metà degli infermieri a ritirarsi entro due anni dal conseguimento del titolo. Tali condizioni sono accentuate nell’assistenza alla persona anziana affetta da bisogni cronici e complessi.


Metodo: Un gruppo multidisciplinare di infermieri e filosofi ha studiato i determinanti ambientali, organizzativi e relazionali alla base dei problemi etici che emergono con maggior frequenza nell’assistenza alla persona anziana, sia nelle strutture per acuti, sia nelle strutture di ricovero a lungo termine, alla ricerca di evidenze utili a migliorare le condizioni dei professionisti. A tal proposito è stata una condotta una revisione di scopo.


Risultati: La maggior parte dei problemi ambientali e organizzativi risultano essere al di fuori del controllo dei singoli infermieri, e la maggior parte dei problemi relazionali ne rappresentano la conseguenza. Molti di questi problemi sono stati confermati e aggravati dalla pandemia di COVID-19. Discussione: Sebbene non vi siano soluzioni trasversali a tutti i contesti, resta possibile distinguere quali problemi rientrino nel dominio di azione degli infermieri, per aiutarli a prevenirne o gestirne l’occorrenza; e quali invece vadano oltre, onde evitare sentimenti di autoaccusa, e trasferire informazioni utili a coloro che invece possono di volta in volta intervenire.


Conclusioni: La formazione può allenare il pensiero critico e la comunicazione fra operatori, pazienti e familiari. Una volta raggiunti i massimi livelli possibili di cooperazione ed efficienza, tuttavia, margini di miglioramento sempre più ridotti saranno acquisiti a costi umani ed economici sempre maggiori. Il miglioramento delle condizioni degli infermieri dipende sempre sempre più da investimenti allocativi e culturali urgenti.


Keywords: anziani, COVID-19, esaurimento psicofisico, politiche allocative, salute sul luogo di lavoro.

Parole chiave

burnout anziani distress posti di lavoro promozione salute sicurezza burnout covid-19 moral distress workplace health promotion elderly

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Pennestrì, F., Giannetta, N., Villa, G., Manara, D. F., Sala, R., & Mordacci, R. (2022). Sfide etiche nell’assistenza agli anziani in contesto acuto e residenziale: una revisione di scopo. PROFESSIONI INFERMIERISTICHE, 75(1), 59. Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/1012
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