Intervento di case management infermieristico per migliorare la gestione del tempo e la soddisfazione dei professionisti sanitari nelle cure palliative oncologiche: uno studio pilota pre-post di fattibilità
DOI:
https://doi.org/10.54103/dn/27125Parole chiave:
Case management, Cure Palliative, Soddisfazione lavorativa, team di assistenza al paziente, Pazienti ambulatorialiAbstract
BACKGROUND: Gestire un percorso di cure palliative oncologiche è spesso gravoso per i professionisti.
SCOPO: Valutare la fattibilità di uno studio sugli effetti del case management infermieristico per migliorare la gestione del tempo e la soddisfazione nelle attività tra il personale sanitario e amministrativo in un contesto ambulatoriale di cure palliative.
METODI: Uno studio pre-post è stato condotto da febbraio ad agosto 2023. Tutti i professionisti hanno stimato il tempo giornaliero dedicato alle proprie attività e la relativa soddisfazione, prima e sei mesi dopo l’implementazione di un servizio di case management infermieristico. Sono stati registrati dati sulle procedure di raccolta, la chiarezza delle istruzioni, la rilevanza delle misurazioni, e l’implementazione dell’intervento.
RISULTATI: Hanno partecipato undici professionisti. Tutte le misure di fattibilità sono state giudicate appropriate. Dopo l'implementazione del case management, i medici hanno registrato una riduzione del tempo per la preparazione dei piani di trattamento (-7,00 min/giorno), telefonate (-27,8 min/giorno) e documentazione (-13,7 min/giorno). Anche l'anamnesi infermieristica (-10,0 min/giorno) e il coordinamento delle cure (-15,8 min/giorno) hanno mostrato riduzioni tra T0 e T1, con soddisfazione variata da 3 a 5,5 punti.
CONCLUSIONI: Il design dello studio proposto è stato considerato fattibile e adeguato da tutti i partecipanti. L’introduzione di un case manager infermieristico ha portato a una riduzione del tempo dedicato alle telefonate e alla documentazione amministrativa per il personale medico, aumentando la soddisfazione lavorativa. Sono necessari studi più ampi e solidi per indagare l'impatto di un case manager infermieristico sulla soddisfazione e la gestione del tempo dei professionisti nelle cure palliative oncologiche.
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Copyright (c) 2025 Viviana Fusetti, Alessandra Pigni, Sara Alfieri, Cinzia Brunelli, Maura Lusignani, Augusto Caraceni
Questo lavoro è fornito con la licenza Creative Commons Attribuzione - Non commerciale - Non opere derivate 4.0 Internazionale.
Accettato 2025-01-14
Pubblicato 2025-02-14
