Department of Health Sciences, University of Genoa, Genova, Italy.
Scientific Committee CERSI-FNOPI, Federazione Nazionale Ordini Professioni Infermieristiche, Rome, Italy.
BMJ Open. 2023 May 18;13(5):e071155. doi: 10.1136/bmjopen-2022-071155.
Considering the increasing complexity of care and workload for home care nurses due to the ageing of the population, it is crucial to describe the work environment and the community care setting. The aim of this study protocol is to map the characteristics and identify gaps of home care in the community to design future interventions aimed at ensuring quality and safety.
This is a national cross-sectional descriptive observational study using the survey method. Nurses from all participating community care centres will be recruited through convenience sampling by the coordinators of each centre, who will act as facilitators for this study. All community care recipients and their informal carers during the study period will be invited to complete a survey.To map the characteristics and identify gaps of home care in the community, three sources of data will be collected: (1) organisational characteristics, professional satisfaction, intention to leave and burn-out; (2) experience of care recipients and their informal carers and (3) improper access to the emergency department, readmission to hospital, comorbidities, services offered and users' level of autonomy, and main and secondary diagnoses.Considering the total Italian nursing population of approximately 450 000 registered nurses, a sample size of 1% of this population, equal to approximately 4600 nurses, was hypothesised.This study started in July 2022 and is planned to end in December 2023.Data will be analysed using descriptive and inferential statistics.
This study protocol was approved by the Liguria Regional Ethics Committee in November 2022. Informed consent will be obtained from participants and confidentiality will be ensured. Data collected for this study will be kept anonymised in a protected database.The results of the study will be disseminated mainly through conferences, publications and meetings with government representatives.
由于人口老龄化，家庭护理护士的护理工作和工作量日益复杂，因此描述工作环境和社区护理环境至关重要。本研究方案旨在绘制家庭护理在社区中的特征，并确定差距，以设计未来旨在确保质量和安全的干预措施。
这是一项全国性的横断面描述性观察研究，采用调查方法。将通过每个中心的协调员通过方便抽样招募来自所有参与社区护理中心的护士，他们将作为本研究的协调员。所有在研究期间的社区护理接受者及其非正式照顾者都将被邀请完成一项调查。为了描绘社区家庭护理的特征并确定差距，将收集以下三个来源的数据：（1）组织特征、职业满意度、离职意向和倦怠；（2）护理接受者及其非正式照顾者的体验；（3）不当进入急诊部、再次住院、合并症、提供的服务以及用户的自主性和主要及次要诊断。考虑到意大利大约有 450,000 名注册护士的总护理人员，假设该人群的 1%，即大约 4600 名护士，作为样本量。本研究于 2022 年 7 月开始，计划于 2023 年 12 月结束。将使用描述性和推断性统计数据分析数据。
本研究方案于 2022 年 11 月获得利古里亚地区伦理委员会的批准。将从参与者那里获得知情同意，并确保保密性。为本研究收集的数据将保持匿名并存储在受保护的数据库中。该研究的结果将主要通过会议、出版物和与政府代表的会议来传播。
