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Abstract

INTRODUZIONE: L’insufficienza cardiaca, ha un enorme impatto in termini di mortalità, morbilità e costi per le organizzazioni sanitarie. Le indicazioni per l'impianto di dispositivi cardiaci, come pacemaker o defibrillatore cardiaco impiantabile (ICD) sono in costante aumento. Con l’arrivo della telemedicina, gli infermieri giocano un ruolo importante nella gestione a distanza delle malattie cardiache croniche. Lo scopo di questo studio è descrivere le esperienze degli infermieri, che monitorano a distanza i pazienti con un dispositivo cardiaco impiantato, in Italia.
METODO: È stato condotto uno studio qualitativo con un approccio fenomenologico. Il campione era composto da 7 infermieri dedicati al monitoraggio in remoto (RM), provenienti da tre Ospedali del Nord Italia. Abbiamo condotto interviste semi-strutturate per comprendere l'esperienza e la formazione che gli infermieri hanno ricevuto per condurre il RM.
RISULTATI: Dall'analisi delle interviste, sono stati identificati sei temi: 'Conoscenze e competenze specialistiche', 'Apprendimento attraverso la pratica', 'Organizzazione del lavoro', 'Processo decisionale', 'Fiducia', e 'Bisogno di informazioni'. La maggior parte del nostro campione ha sviluppato le proprie competenze direttamente sul campo, in assenza di un percorso certificato e riconosciuto, sul RM nei pazienti con scompenso cardiaco impiantati di device cardiaco. Pertanto, gli infermieri che svolgono attività di RM non ricevono lo stesso tipo di istruzione e formazione.
CONCLUSIONI: Attualmente, in Italia, non esiste una formazione standardizzata per gli infermieri che svolgono attività di RM, eppure è fondamentale avere conoscenze e formazione adeguate a poter svolgere efficacemente questo tipo di attività e assistenza.
PAROLE CHIAVE: Dispositivo cardiaco, Competenze infermieristiche cardiache, Infermieristica e-Health, Studio qualitativo, Monitoraggio remoto.

Parole chiave

cardiac device competencies ehealth nursing remote monitoring qualitative study device cardiaco infermiere cardiologica ehealth studio qualitativo monitoraggio remoto

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Barisone, M., Ghirotto, L., Catania, G., Zanini, M., Dal Molin, A., Sasso, L., & Bagnasco, A. (2022). Il monitoraggio in remoto nei pazienti con scompenso cardiaco impiantati di device cardiaco: uno studio qualitativo esplorativo descrittivo sulle esperienze e competenze degli infermieri in Italia. PROFESSIONI INFERMIERISTICHE, 75(2), 115–22. Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/1028
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