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2021 ◽  
pp. 1-12
Author(s):  
Giancarlo Ripabelli ◽  
Angelo Salzo ◽  
Michela Lucia Sammarco ◽  
Giuliana Guerrizio ◽  
Giuseppe Cecere ◽  
...  

Author(s):  
Sara Pittarello

Two medical encounters taking place in a Northern Italian hospital are analysed in this paper from a qualitative point of view, based on the author’s previous research. The aim is to reveal the strategies adopted by medical interpreters, in these two specific cases, to translate medical terminology and promote/exclude interlocutors’ active participation. This latter aspect is influenced by the way the interaction is socially and linguistically organised and, in particular, by how interlocutors’ utterances are translated. The prevalence of dyadic or triadic sequences and especially the shifts between such communication exchanges are pivotal in fostering or hindering interlocutors’ participation. Furthermore, medical interactions, as a form of institutional talk, enshrine specific expectations, which are mainly of a cognitive nature but may also be affective, as in the two encounters observed. By conveying such expectations and expressions of personal interest, interpreters have proved to contribute to the fair distribution of active participation among primary interlocutors. Hospital ethical approval and subjects’ written informed consent have been obtained.


2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
EI Mosca ◽  
E Steinfeld ◽  
S Capolongo

Abstract Background Design for All (DfA) strategy addressing human diversity, social inclusion and equality, can have an impact on users' well-being in healthcare facilities. However, evaluation tools are needed to identify the extent to which DfA influences users' experience and service quality. This study explores the application of the Design for All A.U.D.I.T. (Assessment Usability Design & Inclusion Tool). Methods The tool's structure is based on a multicriteria framework that evaluate hospital areas through a rating system. The hierarchical framework includes three Categories of DfA outcomes (Physical-spatial quality; Sensorial-cognitive quality and Social quality) with related criteria, indicators and requirements. The tool has been applied in the evaluation of two private hospitals, one in Buffalo (US) and one in Milan (Italy). Results The analysis of findings addressed both spatial and DfA qualities. For spaces, Horizontal circulation had the best scores in both hospitals (76% Italy, 88% US). The Italian hospital Vertical circulation had the lowest score (46%), while in the Buffalo facility Outdoor spaces had the lowest scores. Regarding DfA qualities, the Italian hospital obtained the highest score in Environmental Factors (84%), due to a sustainable design approach, while Social Inclusion got the lowest score (54%). The Buffalo facility scored higher on Social Inclusion (87%) because it provides diverse services for users. Both the hospitals had problems with Wayfinding due to layout and signs, scoring low on this criterion (59% Italy, 39% US). Conclusions The analysis of the hospitals demonstrated that the tool can evaluate spaces and DfA outcomes along dimensions of health and well-being. The system can be used to identify critical aspects and suggest design strategies, defining priorities for interventions. Further research directions will consider applications in different hospitals to ensure the tool scalability and application to new building projects. Key messages The evaluation tool enhances Public Health by measuring hospital quality in terms of Design for All and user needs. The tool can be applied in the decision-making process during design and renovation of specific areas of hospitals to implement Inclusive Design.


2021 ◽  
Author(s):  
Rosamaria Lecca ◽  
Enrica Bonanni ◽  
Elvia Battaglia ◽  
Michelangelo Maestri ◽  
Michela Figorilli ◽  
...  

Author(s):  
Anna Prigitano ◽  
Maria C. Esposto ◽  
Davide Carnevali ◽  
Emanuele Catena ◽  
Francesco Auxilia ◽  
...  

2021 ◽  
Vol 112 ◽  
pp. 42-44
Author(s):  
P. Stefanizzi ◽  
A. Martinelli ◽  
D. Ferorelli ◽  
S. Soldano ◽  
M. Marra ◽  
...  

Author(s):  
Sara Schiavone ◽  
Angela Annecchiarico ◽  
Danilo Lisi ◽  
Mario Massimo Mensorio ◽  
Francesco Attena

Background: In our study, an Italian version of the PMOS-30 questionnaire was used to evaluate its feasibility and to improve health care quality in an Italian hospital. Methods: A cross-sectional study was conducted with 435 inpatients at a hospital in the Campania Region of Southern Italy using the PMOS-30 questionnaire and two other questions to assess patient feedback about the overall perception of safety. Results: The item “I was always treated with dignity and respect” showed the greatest percentage of agreement (agree/strongly agree = 89.2%; mean = 4.24). The least agreement was associated with the four “Staff Roles and Responsibilities” items (agree/strongly agree ranged from 31.5 to 40.0%; weighted mean = 2.84). All other 25 items had over 55.0% agreement, with 19 items over 70%. Moreover, 94.5% of the patients considered the safety of the ward sufficient/good/very good, and 92.8% did not notice situations that could cause harm to patients. Conclusion: Patient perception of safety was found to be satisfactory. The results were presented to the hospital decision makers for suggesting appropriate interventions. Our experience showed that the use of the PMOS-30 questionnaire may improve safety and health care quality in hospital settings through patient feedback.


2021 ◽  
Vol 9 ◽  
Author(s):  
Lidia Borghi ◽  
Julia Menichetti ◽  
Elena Vegni ◽  

The exceptional circumstances of the Coronavirus disease (COVID-19) pandemic are making the grief processes challenging for families who are losing a relative for COVID-19. This community case study aimed to describe a phone-based primary preventive psychological intervention that has been delivered to these families by the Clinical Psychology unit of an Italian hospital. In particular, the article reports how the intervention has been organized within the overall hospital care pathway for families, the specific contents and components of the intervention, and the seven-phase structure of the intervention. The unique features and related challenges of the intervention, along with the implications for clinical practice, are discussed.


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