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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
11

LINEE DI UN'ANTROPOLOGIA SIMBOLICA A PARTIRE DA JULIEN RIES

NAVARRIA, DAVIDE 12 April 2014 (has links)
Il lavoro si propone di indagare la prospettiva ermeneutica sviluppata dallo studioso belga Julien Ries, padre di una disciplina oggi nota come antropologia religiosa o simbolica. Irriducibile alla storia delle religioni, alla fenomenologia o all’ermeneutica del sacro, essa si configura piuttosto come loro virtuosa sintesi, entro la quale convergono metodi e approcci antropologici complementari, che integrandosi vicendevolmente formano una disciplina umanistica in grado di evidenziare le strutture fondamentali di homo religiosus quale categoria decisiva dell’antropologia simbolica. In questo lavoro abbiamo indagato le strutture teoretiche sottese all’impianto riessiano, ovvero la struttura concettuale di un’opera il cui taglio è altrimenti prettamente storico. Individuati i riferimenti principali di Ries in Jacques Vidal, Mircea Eliade, Gilbert Durand e Carl Gustav Jung, si è proceduto nell’indagine con una duplice preoccupazione: evidenziati gli snodi principali della teoresi dei quattro studiosi in ordine alla questione dell’esperienza religiosa, si sono poi confrontati tali risultati con l’utilizzo e la valorizzazione riessiana di tali approcci. Delineate così le linee di sviluppo di un’antropologia simbolica, il lavoro apre nuove prospettive in direzione di una “nuova ontologia simbolica”, che si pone alla base di una disciplina in grado di rinnovare le basi stesse dell’antropologia tout court. / The aim of the present work is to investigate the hermeneutical perspective developed by the Belgian scholar Julien Ries, founder of a discipline known as religious or symbolic anthropology. Irreducible to history of religions, phenomenology or to hermeneutic, it is rather a synthesis of them, in which converge different methods and approaches. The result of this virtuous integration is a humanistic discipline that clarifies the fundamental structures of homo religiosus, as an essential category of religiosus anthropology. In this work we studied the theoretical structures which innervate Ries’ point of view, namely the conceptual structure of a work otherwise merely historical. Once being identified the principal Ries’ sources in Jacques Vidal, Mircea Eliade, Gilbert Durand and Carl Gustav Jung, we worked with a double concern. Firstly, we have clarified the chief points of the perspective of the four scholars, in order to clarify their position concerning religious experience; secondarily, we compared these results with Ries’ valorisation of them. After having developed the basis of a symbolic anthropology, this work opens to further perspectives towards a “new symbolic ontology”, in order to renew anthropology tout court.
12

Alcuni insight nel definire le strategie di marketing nel settore food & beverage / SOME INSIGHTS IN DEFINING MARKETING STRATEGIES IN THE FOOD AND BEVERAGE INDUSTRY / Some insights in defining marketing strategies in the food and beverage industry

SEPE, GIORGIA 28 March 2018 (has links)
Il presente lavoro di tesi ha l’obiettivo di approfondire la conoscenza dei diversi aspetti del marketing del food & beverage, in considerazione dei molteplici cambiamenti occorsi e derivanti non solo dalla tecnologia ma anche dalle preferenze dei consumatori. A tal proposito, la ricerca adotta una triplice prospettiva, prendendo in considerazione l’analisi degli attori fondamentali esperti delle dinamiche del settore: gli insegnanti di educazione alimentare nelle scuole italiene; i professionisti di marketing, trade marketing e vendite nei loro processi di integrazione; le startup digitali coinvolte nello sviluppo di progetti che innovano i canali e le modalità distributivi. Pertanto, ogni capitolo di questo lavoro si focalizza in modo indipendente su ognuno degli attori proposti, presentando evidenze empiriche e spunti di ricerca futuri. L’obiettivo dell’intero studio è dunque di analizzare l’evoluzione del settore food & beverage a livello empirico e di fornire degli avanzamenti dal punto di vista teorico. / This research project deepens the knowledge around many aspects of the marketing of the food and beverage industry to address the new challenges deriving from both incremental and disruptive changes and more unpredictable consumers’ preferences. The research adopts different perspectives of three fundamental actors: consumers, established firms, and new ventures. The first study examines teachers’ perceptions and feelings around nutrition education, to what extent these professional figures can affect students’ behavior and how they perceive the relationship with families. The second study focuses on the integration of marketing, trade marketing, and sales functions within established firms. The third paper analyzes digital startups, and it contributes to the entrepreneurial literature on startups development and survival and the development of dynamic capabilities. The aim of the study is twofold, both empirical and theoretical. At a more empirical level, the goal is to provide an in-depth understanding of the evolution of marketing in the changing and complex environment of the food and beverage system, regarding competition, channels and institutions and consumers. At a theoretical level, it tries to provide some explanatory propositions for each analyzed setting.
13

SUBSTRATI NEUROSTRUTTURALI E NEUROFUNZIONALI DELLA DISFUNZIONE ESECUTIVA NELLA MALATTIA DI PARKINSON: IL RUOLO DELLA LATERALIZZAZIONE DEI SINTOMI MOTORI E DELLA RISERVA COGNITIVA / NEUROSTRUCTURAL AND NEUROFUNCTIONAL SUBSTRATES OF EXECUTIVE DYSFUNCTION IN PARKISON'S DISEASE: THE ROLE OF MOTOR LATERALIZATION AND COGNITIVE RESERVE / NEUROSTRUCTURAL AND NEUROFUNCTIONAL SUBSTRATES OF EXECUTIVE DYSFUNCTION IN PARKINSON’S DISEASE: THE ROLE OF MOTOR LATERALIZATION AND COGNITIVE RESERVE

DI TELLA, SONIA 06 April 2020 (has links)
La disconnessione frontostriatale è considerata il correlato neurale della disfunzione esecutiva nei pazienti con malattia di Parkinson (MP), una patologia neurodegenerativa che si presenta nella fase iniziale come una sindrome clinica asimmetrica con sintomi predominanti nel lato destro o sinistro associati alla perdita neuronale nella sostanza grigia profonda dell'emisfero cerebrale controlaterale. Nella tesi, è stato indagato un particolare aspetto della disfunzione esecutiva nella MP espressa quando è richiesto di selezionare le parole nel contesto di alternative in competizione, cercando differenze in relazione all'insorgenza clinica dei sintomi motori. A livello neurostrutturale, sono state esplorate le alterazioni della sostanza grigia e bianca nelle sottopopolazioni di MP, verificando se la capacità di selezionare le parole è associata ad indici di integrità della materia sostanza grigia e bianca nelle sottopopolazioni di PD. Infine, a livello neurofunzionale, è stato esplorato se la connettività delle regioni cerebrali associate alla disfunzione esecutiva in MP è modulata dalla riserva cognitiva, un fattore di efficienza cognitiva dovuto ad esperienze di vita cognitivamente stimolanti che possono contribuire alla resilienza nel fronteggiare al meglio la neurodegenerazione. Le evidenze raccolte indicano che la lateralità di insorgenza dei sintomi motori e la riserva cognitiva dovrebbero essere prese in considerazione nella valutazione delle funzioni cognitive nei pazienti con MP. / Frontostriatal disconnection is considered the neural correlate of executive dysfunction in patients with Parkinson’s disease (PD), a neurodegenerative pathology that exhibits at the initial phase as an asymmetric clinical syndrome with right or left sided predominant symptoms associated with neuronal loss in the deep grey matter of the contralateral cerebral hemisphere. In the current thesis, it was investigated a particular aspect of the executive dysfunction in PD expressed when it is required to select words in the context of competing alternatives, looking for differences according to the clinical onset of motor symptoms. At the neurostructural level, grey and white matter alterations were explored in PD subpopulations, testing if the ability to select words is associated with indices of grey and white matter integrity in PD subpopulations. Finally, at the neurofunctional level, it was explored if the connectivity of brain regions associated with the executive dysfunction in PD is modulated by the cognitive reserve, a factor of cognitive efficiency due to lifelong experiences that may contribute to the resilience against neurodegeneration. The evidence collected indicates that laterality of clinical motor symptom onset and cognitive reserve should be taken into account in the assessment of cognitive functions in patients with PD.
14

Studi sulle dinamiche dell'inoculo di Guignardia bidwellii, agente causale del marciume nero della vite / STUDIES ON INOCULUM DYNAMICS OF Guignardia bidwellii, CASUAL AGENT OF GRAPE BLACK-ROT / Studies on inoculum dynamics of Guignardia bidwellii, causal agent of grape black-rot

ONESTI, GIOVANNI 17 March 2016 (has links)
L’ascomicete Guignardia bidwellii, agente causale del marciume nero della vite, è un patogeno economicamente importante in alcuni areali viticoli. La conoscenza, disponibile sul marciume nero dell’uva, è stata recuperata dalla letteratura, analizzata e sintetizzata per sviluppare un modello meccanicistico del ciclo di vita del patogeno, guidata dalle variabili meteorologiche e dalla fenologia della vite, e basata sull'analisi dei sistemi. Il modello è stato poi valutato per la sua capacità di rappresentare il sistema reale e la sua utilità per la comprensione di epidemie di marciume nero su foglie e grappoli in un vigneto del Nord Italia, nel 2013 al 2015. Successivamente, le mancanze di conoscenza sono state analizzate, studiate e quindi colmate attraverso specifici esperimenti. In un primo passo, le dinamiche dell’inoculo primario e dei modelli di dispersione (di entrambi ascospore e conidi) da mummie svernate sono state studiate in un vigneto sperimentale per tre anni. In un secondo passo, l'effetto della temperatura e dell'umidità sulla formazione di picnidi di G. bidwellii e la successiva estrusione di cirri, nelle lesioni su foglia, la produzione e la germinazione dei conidi (inoculo secondario), e la lunghezza del periodo di latenza sono stati studiati sia in condizioni di campo che in ambiente controllato. In un terzo passo, sono stati condotti studi in ambiente controllato per studiare la produzione di conidi di G. bidwellii sulle lesioni di foglie, influenzata da lavaggi ripetuti e alternando periodi di secco ed umido. Il modello epidemiologico sviluppato in questa tesi può essere utilizzata da viticoltori come strumento predittivo per la pianificazione di trattamenti fungicidi nei vigneti. / The ascomycete Guignardia bidwellii, causal agent of black-rot on grapevines, is an economically important pathogen in some viticultural areas. The available knowledge on black-rot of grape was retrieved from literature, analyzed, and synthesized to develop a mechanistic model of the life cycle of the pathogen, driven by weather and vine phenology, and based on the systems analysis. The model was then evaluated for its ability to represent the real system and its usefulness for understanding black-rot epidemics on leaves and bunches in a vineyard of north Italy, in 2013 to 2015. Thereafter, weaknesses in our knowledge were analysed and studied through specific experiments. In a first step, dynamics of primary inoculum and dispersal patterns (both ascospores and conidia) from overwintered grape mummies were investigated in an experimental vineyard during three years. In a second step, the effect of temperature and humidity on the formation of G. bidwellii pycnidia and the extrusion of cirri in grape leaf lesions, production and germination of conidia (secondary inoculum), and the length of the latency period were studied under both environmental and controlled conditions. In a third step, environmental-controlled studies were conducted to investigate the production course of G. bidwellii conidia on grape leaf lesions as influenced by repeated washing events and alternate dry and wet periods. The model developed in this thesis can be used by vinegrowers as a predictive tool for scheduling fungicide sprays in the vineyards.
15

CARATTERIZZAZIONE DELLA MICOFLORA ASSOCIATA AI PRODOTTI CARNEI STAGIONATI SUINI CON PARTICOLARE RIFERIMENTO ALLA PRESENZA DI PENICILLIUM NORDICUM ED AL SUO BIOCONTROLLO / CHARACTERIZATION OF THE MYCOFLORA ASSOCIATED TO DRY CURED PORK MEAT PRODUCTS WITH FOCUS ON PENICILLIUM NORDICUM AND ITS BIOCONTROL

SPADOLA, GIORGIO 19 February 2014 (has links)
Penicillium nordicum è un importante contaminante di salumi, rappresentanando il 10 % e il 26 % della popolazione di Penicillium spp . isolati , rispettivamente dall'aria e dai prodotti carnei stagionati in un'indagine gestita in Italia ( Battilani et al. , 2007). Diverse colonie di P. nordicum isolate dai salumi hanno dimostrato di essere importanti produttori di ocratossina A , OTA ( Sansom e Frisvad , 2004 . Pietri et al, 2006 ; . Battilani et al , 2010). Attualmente, l'impostazione appropriata delle condizioni ambientali (temperatura, umidità relativa e circolazione dell'aria ), è l'unico strumento accettato per impedire la crescita incontrollata di P. nordicum all'interno degli impianti di stagionatura attraverso una accurata analisi dei punti critici di controllo e l’ideazione di un relativo piano HACCP (Hazard Analysis and Critical Control Points) ben struttutato ( Asefa et al , 2011; Virgili et al , 2012). Anche se il sistema HACCP è stato applicato con successo nel settore alimentare ci sono rischi per la sicurezza alimentare non attentamente considerati. Questo è particolarmente vero per quanto riguarda i rischi micotossigeni associati ai prodotti alimentari di origine animale. Il termine "rischi micotossigeni" è utilizzato da Asefa et al. ( 2011) per descrivere lieviti patogeni e metaboliti secondari tossici prodotti da specie fungine tossigene che contaminano i prodotti alimentari e incidono sulla sicurezza alimentare. La maggior parte dei piani HACCP nelle attività di trasformazione alimentare, come ad esempio la produzione di formaggi e di prodotti carnei stagionati, tiene in considerazione principalmente il rischio derivante da agenti batterici (Arvanitoyannis e Mavropoulos, 2000; Barbuti e Parolari, 2002) anche se tali prodotti alimentari vengono spesso contaminati da funghi micotossigeni e dai loro metaboliti (Spotti et al 1989; Spotti et al , 2001a; Battilani et al 2007). Pertanto, dovrebbe essere cruciale definire un piano HACCP specificamente incentrato sui rischi micotossigeni. L'identificazione, il controllo e la standardizzazione della micoflora superficie dei salumi è fondamentale per preservare la sicurezza delle produzioni e la salute dei consumatori . Questo è il contesto in cui deve essere valutata l’efficacia e l’affidabilità per l’identificazione delle popolazioni di Penicillium spp di interessante per la produzione alimentare. In questo contesto , il progetto di ricerca di questa tesi di dottorato ha cercato di approfondire le conoscenze su tali tematiche con l'intento di limitare il rischio micotossigeno nella catena di produzione dei prodotti carnei stagionati. Sono stati affrontati i seguenti argomenti: 1 . studio della composizione e dinamica della microflora fungina presente sulla superficie dei salumi (prodotto testato, salame) e l'aria di ambienti di stagionatura tenendo conto dell'influenza di alcuni parametri di processo (inoculo starter, temperatura, fase produttiva). 2 . sviluppo di un metodo MALDI TOF MS per l'identificazione di Penicilium a livello di specie per le prospettive future di screening diretti della microflora presente sui salumi. 3 . confronto e integrazione di diverse tecniche, come l'analisi morfologica, l’analisi molecolare e l’analisi tramite spettrometria di massa, per l'identificazione delle specie di Penicillium presenti nei salumi. 4 . valutazione dei lieviti selezionati, isolati dalla superficie di prosciutto crudo, per competere con P. nordicum ed inibire l'accumulo di OTA nella prospettiva del loro uso come starter superficiali con funzione di agenti di biocontrollo. / Penicillium nordicum is an important contaminant of cured meat products, representing 10% and 26% of the Penicillium spp. isolated, respectively, from the air or the products in a survey managed in Italy (Battilani et al., 2007). Several P. nordicum cured meat isolates proved to be important producers of ochratoxin A, OTA (Sansom and Frisvad, 2004; Pietri et al., 2006; Battilani et al., 2010). Currently, the appropriate setting of environmental conditions (temperature, relative humidity and air circulation), is the only accepted tool to prevent the uncontrolled growth of P. nordicum inside dry-curing plants through a carefully structured Hazard Analysis Critical Control Point (HACCP) plan (Asefa et al., 2011; Virgili et al., 2012). Even if the HACCP system has been successfully applied in the food industry, there are food safety hazards not carefully considered. This is especially true with regard to mycotoxigenic hazards associated with animal food products. The term “mycotoxigenic hazards” is used by Asefa et al. (2011) to describe pathogenic yeasts and toxic secondary metabolites of toxigenic moulds that contaminate food products and affect food safety. Most HACCP plans in food processing activities, such as the production of cheese and dry-cured meat products, considered mainly bacterial agents (Arvanitoyannis and Mavropoulos, 2000; Barbuti and Parolari, 2002), even if such food products get often contaminated with mycotoxigenic fungi and their metabolites (Spotti et al 1989; Spotti et al., 2001a; Battilani et al 2007). Therefore, it should be crucial to define a HACCP plan specifically focused on the mycotoxigenic hazards. The identification, control and standardization of the surface mycoflora of cured meat products is mandatory to preserve the productions safety and the consumers health. This is the context of the effectiveness and reliability evaluation for the Penicillium spp. identification methods of interesting species for food production. In this context, the research project of this PHD thesis tried to fill some gaps of knowledge with the attempt to limit the mycotoxigenic risk in the cured meat products chain. The following topics were faced: 1. study of the composition and dynamic of fungal microflora present on the surface of cured meat products (salami) and the air of seasoning environments taking into account the influence of some process parameters (starter inoculum, curing temperature, stage of seasoning). 2. development of a MALDI TOF MS method for the identification of Penicilium at species level for future direct screening perspectives of the microflora present on cured meat products. 3. comparison and integration of different techniques, as morphological, molecular and mass spectral analysis, for the identification of Penicillium species in cured meat products. 4. evaluation of selected yeasts, isolated from dry-cured ham surface, to compete with P. nordicum and to inhibit OTA accumulation in the perspective of their use as surface starter biocontrol agents.
16

Återhämtande faktorer inom psykiatrisk heldygnsvård : En sammanställning av patienters upplevelser

Bohlin, Anna, Evling, Petra January 2022 (has links)
ABSTRACT Introduction: It is an assumption that as long as people have existed, there has been mental illness and disease, but the way of perceiving, explaining and caring looks different historically and in different societies. Research describes the current care environment and the quality of care in psychiatric inpatient care as meager and confusing, with a lack of meaningful activities. Recovery in a psychiatric context is about finding hope and meaning in life, regaining self-confidence and taking power over one's continued life. Problem formulation: As a specialist nurse, you must work for a good care environment and in a structured way with the nursing process. Therefore, it is important to increase knowledge about patients' experiences of factors that support the recovery process in psychiatric inpatient care. Aim: Is to compile current scientific knowledge about the factors that patients experience that support their recovery in patients in psychiatric inpatient care. Method: A literature study with a qualitative inductive approach, with a manifest and latent content analysis of 16 scientific original articles. Results: The results revealed three overarching categories: Patients need information and to be involved in their care; Patients need good treatment and holistic nursing and the psychiatric ward must be a safe place with the opportunity for meaningful activities. The overall theme is that patients need to be at the center of their care and feel safe and in control, for their recovery Conclusion: There are a number of factors that can support patients in psychiatric care in their recovery, which include both the physical and psychosocial care environment. This indicates that recovery is a complex phenomenon and there is a need to design a more recovery-oriented nursing, and research more in the subject. Keywords: recovery, restorative factors, patients' experiences, psychiatric inpatient care, psychiatric round-the-clock care / SAMMANFATTNING Introduktion: Det är ett antagande, att så länge människor har funnits, har det funnits psykisk ohälsa och sjukdom, men sättet att uppfatta, förklara och vårda ser olika ut historiskt och i olika samhällen. Forskning beskriver den nuvarande vårdmiljön och vårdkvaliteten inom psykiatrisk heldygnsvård som torftig och förvirrande, med avsaknad av meningsfulla aktiviteter. Återhämtning i psykiatrisk kontext handlar om att finna hopp och mening med livet, att återerövra självförtroende och ta makt över sitt fortsatta liv.  Problemformulering: Som specialistsjuksköterska ska man arbeta för en god vårdmiljö och strukturerat med omvårdnadsprocessen. Därför är det angeläget att öka kunskapen om patienters upplevelser av faktorer som understödjer återhämtningsprocessen inom heldygnsvård.  Syfte: Är att sammanställa aktuell vetenskaplig kunskap om vilka faktorer som patienter upplever understödjer deras återhämtning inom psykiatrisk heldygnsvård. Metod: En litteraturstudie med kvalitativ induktiv ansats, med en manifest och latent innehållsanalys av 16 vetenskapliga originalartiklar.  Resultat: I resultatet framkom tre övergripande kategorier: Patienter har behov av att få information och att vara delaktiga i sin vård; Patienter har behov av att få ett gott bemötande och en holistisk omvårdnad samt Vårdavdelningen ska vara en trygg plats med möjlighet till meningsfulla aktiviteter. Övergripande tema handlar om att patienter behöver vara i centrum av sin omvårdnad och känna trygghet och kontroll, för sin återhämtning Slutsats: Det finns en mängd faktorer som kan stödja patienter inom psykiatrisk heldygnsvård i deras återhämtningen, som innefattar både den fysiska och psykosociala vårdmiljön. Det indikerar att återhämtning är ett komplext fenomen och det finns behov av att utforma en mer återhämtningsinriktad omvårdnad samt forska mer inom ämnet. Nyckelord: Återhämtning, återhämtande faktorer, patienters upplevelser, psykiatrisk slutenvård, psykiatrisk heldygnsvård / RESUMEN Introducción: Es una suposición que desde que existieron los seres humanos, ha habido enfermedades y enfermedades mentales, pero la forma de percibir, explicar y cuidar se ve diferente históricamente y en diferentes sociedades. La investigación describe el entorno de atención actual y la calidad de la atención dentro de la atención de pacientes psiquiátricos hospitalizados como estrechos y confusos, con falta de actividad significativa. La recuperación en un contexto psiquiátrico se trata de encontrar esperanza y significado en la vida, recuperar la confianza en uno mismo y tomar el control de su vida continua. Formulación del problema: Como enfermera especialista, debe trabajar para un buen ambiente de atención y de forma estructurada con el proceso de enfermería. Por lo tanto, es importante aumentar el conocimiento sobre las experiencias de los pacientes de los factores que apoyan el proceso de recuperación dentro de la atención psiquiátrica de pacientes hospitalizados. Propósito: es compilar el conocimiento científico actual sobre los factores que experimentan los pacientes que apoyan su recuperación en pacientes psiquiátricos hospitalizados. Método: Estudio de literatura con enfoque cualitativo inductivo, con análisis de contenido manifiesto y latente de 16 artículos científicos originales. Resultados: Los resultados revelaron tres categorías generales: los pacientes necesitan información y estar involucrados en su atención; Los pacientes necesitan un buen tratamiento y atención integral, y el departamento de psiquiatría debe ser un lugar seguro con la oportunidad de realizar actividades significativas. El tema general es que los pacientes deben estar en el centro de su atención y sentirse seguros y en control, para poder recuperarse. Conclusión: Hay una serie de factores que pueden apoyar a los pacientes de atención psiquiátrica en su recuperación, incluido el entorno de atención física y psicosocial. Esto sugiere que la recuperación es un fenómeno complejo y que es necesario diseñar una enfermería más orientada a la recuperación y realizar más investigaciones sobre el tema. Palabras clave: recuperación, factores restaurativos, experiencias del paciente, hospitalización psiquiátrica, atención psiquiátrica las 24 horas. / ABSTRAIT Introduction: C'est une hypothèse que depuis que les humains existent, il y a eu des maladies mentales et des maladies, mais la façon de percevoir, d'expliquer et de s'en soucier semble différente historiquement et dans différentes sociétés. La recherche décrit l'environnement de soins actuel et la qualité des soins au sein des soins psychiatriques aux patients hospitalisés comme exigus et déroutants, avec un manque d'activité significative. Le rétablissement en contexte psychiatrique consiste à retrouver espoir et sens à la vie, à reprendre confiance en soi et à reprendre le contrôle de sa vie. Formulation du problème : En tant qu'infirmière spécialisée, vous devez travailler pour un bon environnement de soins et de manière structurée avec le processus de soins infirmiers. Par conséquent, il est important d'accroître les connaissances sur les expériences des patients concernant les facteurs qui soutiennent le processus de rétablissement dans le cadre des soins psychiatriques aux patients hospitalisés. Objectif : Compiler les connaissances scientifiques actuelles sur les facteurs vécus par les patients qui favorisent leur rétablissement chez les patients hospitalisés en psychiatrie. Méthode : Une étude bibliographique avec une approche inductive qualitative, avec une analyse du contenu manifeste et latent de 16 articles scientifiques originaux. Résultats : Les résultats ont révélé trois grandes catégories : les patients ont besoin d'informations et d'être impliqués dans leurs soins ; Les patients ont besoin d'un bon traitement et de soins complets, et le service psychiatrique doit être un endroit sûr avec la possibilité d'activités significatives. Le thème général est que les patients doivent être au centre de leurs soins et se sentir en sécurité et en contrôle, afin qu'ils se rétablissent. Conclusion : Il existe un certain nombre de facteurs qui peuvent soutenir les patients en soins psychiatriques dans leur rétablissement, y compris l'environnement physique et psychosocial des soins. Cela suggère que le rétablissement est un phénomène complexe et qu'il est nécessaire de concevoir des soins infirmiers davantage axés sur le rétablissement et de faire plus de recherche sur le sujet. Mots-clés : rétablissement, facteurs réparateurs, expériences des patients, soins psychiatriques aux patients hospitalisés, soins psychiatriques 24 heures sur 24 / ZUSAMMENFASSUNG Einleitung: Es ist eine Annahme, dass es psychische Erkrankungen und Erkrankungen gibt, seit es Menschen gibt, aber die Art und Weise der Wahrnehmung, Erklärung und Behandlung sieht historisch und in verschiedenen Gesellschaften unterschiedlich aus. Die Forschung beschreibt das derzeitige Pflegeumfeld und die Pflegequalität in der psychiatrischen 24-Stunden-Pflege als beengt und verwirrend, mit einem Mangel an sinnvollen Aktivitäten. Bei der Genesung in einem psychiatrischen Kontext geht es darum, Hoffnung und Sinn im Leben zu finden, das Selbstvertrauen wiederzugewinnen und die Macht über Ihr weiteres Leben zu übernehmen. Problemformulierung: Als Fachpflegekraft müssen Sie sich für ein gutes Pflegeumfeld einsetzen und den Pflegeprozess strukturieren. Daher ist es wichtig, das Wissen über die Erfahrungen der Patienten mit Faktoren zu erweitern, die den Genesungsprozess in der Rund-um-die-Uhr-Betreuung unterstützen. Zweck: Ist die Erhebung aktueller wissenschaftlicher Erkenntnisse darüber, welche Faktoren erlebte Patienten ihre Genesung im Rahmen der psychiatrischen Rund-um-die-Uhr-Versorgung unterstützen. Methode: Eine qualitativ-induktive Literaturstudie mit manifester und latenter Inhaltsanalyse von 16 wissenschaftlichen Originalartikeln. Ergebnisse: In den Ergebnissen kristallisierten sich drei übergreifende Kategorien heraus: Patienten haben das Bedürfnis, Informationen zu erhalten und an ihrer Versorgung beteiligt zu werden; Patienten brauchen eine gute Behandlung und ganzheitliche Pflege, und die Pflegeabteilung muss ein sicherer Ort mit Möglichkeiten für sinnvolle Aktivitäten sein. Das übergeordnete Thema ist, dass Patienten im Mittelpunkt ihrer Versorgung stehen und sich für ihre Genesung sicher und unter Kontrolle fühlen müssen Schlussfolgerung: Es gibt eine Reihe von Faktoren, die Patienten in der psychiatrischen 24-Stunden-Versorgung bei ihrer Genesung unterstützen können, darunter sowohl das physische als auch das psychosoziale Versorgungsumfeld. Es weist darauf hin, dass die Genesung ein komplexes Phänomen ist und dass es notwendig ist, eine stärker auf die Genesung ausgerichtete Pflege zu entwerfen und mehr Forschung zu diesem Thema zu betreiben. Schlüsselwörter: Genesung, Genesungsfaktoren, Patientenerfahrungen, stationäre psychiatrische Versorgung, psychiatrische 24-Stunden-Versorgung / ملخص مقدمة: من الافتراض أنه ما دام الناس موجودون ، كان هناك مرض وأمراض نفسية ، لكن طريقة إدراك وشرح وعلاج تبدو مختلفة تاريخيًا وفي مجتمعات مختلفة. يصف البحث بيئة الرعاية الحالية وجودة الرعاية في الرعاية النفسية على مدار 24 ساعة بأنها ضيقة ومربكة ، مع عدم وجود أنشطة ذات مغزى. يتعلق التعافي في سياق الطب النفسي بإيجاد الأمل والمعنى في الحياة ، واستعادة الثقة بالنفس والاستيلاء على السلطة على حياتك المستمرة. صياغة المشكلة: بصفتك ممرضة متخصصة ، يجب أن تعمل من أجل بيئة رعاية جيدة وهيكل عملية التمريض. لذلك ، من المهم زيادة المعرفة حول تجارب المرضى بشأن العوامل التي تدعم عملية التعافي في الرعاية على مدار الساعة. الغرض: هو تجميع المعرفة العلمية الحالية حول العوامل التي يختبرها المرضى والتي تدعم تعافيهم في إطار رعاية نفسية على مدار الساعة. الطريقة: دراسة أدبية بنهج استقرائي نوعي ، مع تحليل محتوى واضح وكامن لـ 16 مقالة علمية أصلية. النتائج: في النتائج ، ظهرت ثلاث فئات شاملة: المرضى بحاجة إلى تلقي المعلومات والمشاركة في رعايتهم ؛ يحتاج المرضى إلى علاج جيد ورعاية شاملة ، ويجب أن يكون قسم الرعاية مكانًا آمنًا مع فرص القيام بأنشطة ذات مغزى. الموضوع الرئيسي هو أن المرضى يجب أن يكونوا في مركز رعايتهم وأن يشعروا بالأمان والتحكم من أجل شفائهم الخلاصة: هناك عدد من العوامل التي يمكن أن تدعم المرضى في الرعاية النفسية على مدار 24 ساعة في شفائهم ، والتي تشمل كلاً من بيئة الرعاية الجسدية والنفسية الاجتماعية. إنه يشير إلى أن التعافي ظاهرة معقدة وهناك حاجة لتصميم المزيد من التمريض الموجه نحو التعافي وإجراء مزيد من البحوث حول هذا الموضوع. الكلمات المفتاحية: التعافي ، عوامل الشفاء ، تجارب المرضى ، رعاية المرضى الداخليين النفسيين ، رعاية نفسية على مدار 24 ساعة / 概括 简介:这是一个假设,只要人存在,就有精神疾病和疾病,但感知、解释和治疗的方式在历史和不同社会中看起来不同。研究将当前的 24 小时精神科护理环境和护理质量描述为局促和混乱,缺乏有意义的活动。精神病学背景下的康复是关于在生活中找到希望和意义,重新获得自信并掌握继续生活的权力。 问题表述:作为一名专科护士,您必须努力营造良好的护理环境并构建护理流程。因此,重要的是要增加对患者在全天候护理中支持康复过程的因素的体验的了解。 目的:收集当前的科学知识,了解患者经历的哪些因素支持他们在精神科全天候护理中康复。 方法:采用定性归纳法的文献研究,对 16 篇原创科学文章进行明显和潜在的内容分析。 结果:在结果中,出现了三个总体类别:患者需要接收信息并参与他们的护理;患者需要良好的治疗和整体护理,护理部门必须是一个安全的地方,有机会进行有意义的活动。最重要的主题是患者需要处于他们护理的中心,并感到安全和可控,以便他们康复 结论:有许多因素可以支持 24 小时精神科护理中的患者康复,包括身体和心理社会护理环境。这表明康复是一个复杂的现象,需要设计更多以康复为导向的护理,并对此进行更多的研究。 关键词:康复,康复因素,患者体验,精神科住院治疗,24小时精神科治疗 / РЕЗЮМЕ Введение: Это предположение, что пока существуют люди, были психические заболевания и болезни, но способ восприятия, объяснения и лечения выглядит по-разному исторически и в разных обществах. Исследования описывают нынешнюю среду и качество круглосуточной психиатрической помощи как стесненные и запутанные, с отсутствием значимых мероприятий. Выздоровление в психиатрическом контексте означает обретение надежды и смысла жизни, обретение уверенности в себе и обретение власти над своей дальнейшей жизнью. Формулировка проблемы: Как специализированная медсестра, вы должны работать над созданием хорошей среды ухода и структурировать процесс ухода. Поэтому важно расширять знания пациентов о факторах, поддерживающих процесс выздоровления при круглосуточном уходе. Цель: Обобщить современные научные знания о том, какие факторы, с которыми сталкиваются пациенты, способствуют их выздоровлению в рамках круглосуточной психиатрической помощи. Метод: изучение литературы с использованием качественного индуктивного подхода, с анализом явного и скрытого содержания 16 оригинальных научных статей. Результаты. В результате были выявлены три всеобъемлющие категории: пациенты нуждаются в получении информации и в участии в уходе за ними; Пациенты нуждаются в хорошем лечении и комплексном уходе, а отделение ухода должно быть безопасным местом с возможностями для полноценной деятельности. Главной темой является то, что пациенты должны быть в центре внимания и чувствовать себя в безопасности и под контролем для своего выздоровления. Заключение. Существует ряд факторов, которые могут помочь пациентам, находящимся на круглосуточной психиатрической помощи, в их выздоровлении, включая как физическую, так и психосоциальную среду ухода. Это указывает на то, что выздоровление является сложным явлением, и существует необходимость разработки более ориентированного на выздоровление ухода и проведения дополнительных исследований по этому вопросу. Ключевые слова: выздоровление, факторы выздоровления, переживания пациентов, психиатрическая стационарная помощь, круглосуточная психиатрическая помощь. / خلاصه مقدمه: این فرض است که تا زمانی که مردم وجود داشته اند، بیماری و بیماری روانی وجود داشته است، اما نحوه درک، تبیین و درمان از نظر تاریخی و در جوامع مختلف متفاوت به نظر می رسد. تحقیقات محیط مراقبت فعلی و کیفیت مراقبت در مراقبت‌های روان‌پزشکی 24 ساعته را محدود و گیج‌کننده و با فقدان فعالیت‌های معنادار توصیف می‌کنند. بهبودی در زمینه روانپزشکی به معنای یافتن امید و معنا در زندگی، بازیابی اعتماد به نفس و به دست گرفتن قدرت بر ادامه زندگی است. فرمول مشکل: به عنوان یک پرستار متخصص، باید برای یک محیط مراقبت خوب کار کنید و فرآیند پرستاری را ساختار دهید. بنابراین، افزایش دانش در مورد تجربیات بیماران از عواملی که از روند بهبودی در مراقبت شبانه روزی حمایت می کنند، مهم است. هدف: گردآوری دانش علمی فعلی در مورد عواملی که بیماران تجربه می‌کنند از بهبودی آنها در مراقبت‌های شبانه‌روزی روان‌پزشکی حمایت می‌کند. روش: مطالعه ادبیات با رویکرد استقرایی کیفی، با تحلیل محتوای آشکار و پنهان 16 مقاله علمی اصیل. یافته‌ها: در نتایج، سه دسته کلی به دست آمد: بیماران نیاز به دریافت اطلاعات و مشارکت در مراقبت از خود دارند. بیماران نیاز به درمان خوب و مراقبت جامع دارند و بخش مراقبت باید مکانی امن با فرصت هایی برای فعالیت های معنادار باشد. موضوع اصلی این است که بیماران باید در مرکز مراقبت خود باشند و برای بهبودی خود احساس امنیت و کنترل کنند. نتیجه‌گیری: عوامل متعددی وجود دارد که می‌تواند بیماران را در مراقبت‌های 24 ساعته روان‌پزشکی در بهبودی آن‌ها حمایت کند که شامل محیط مراقبت فیزیکی و روانی اجتماعی می‌شود. این نشان می دهد که بهبودی یک پدیده پیچیده است و نیاز به طراحی بیشتر پرستاری بهبود محور و انجام تحقیقات بیشتر در مورد این موضوع وجود دارد. واژه‌های کلیدی: بهبود، عوامل بهبود، تجارب بیماران، مراقبت‌های بستری روانپزشکی، مراقبت‌های روان‌پزشکی 24 ساعته / RIEPILOGO Introduzione: Si presume che da quando le persone sono esistite, ci sono state malattie e malattie mentali, ma il modo di percepire, spiegare e trattare sembra diverso storicamente e in società diverse. La ricerca descrive l'attuale ambiente di cura e la qualità dell'assistenza nell'assistenza psichiatrica 24 ore su 24 come angusto e confuso, con una mancanza di attività significative. Il recupero in un contesto psichiatrico consiste nel trovare speranza e significato nella vita, riguadagnare fiducia in se stessi e assumere il potere sulla propria vita. Formulazione del problema: come infermiere specializzato, devi lavorare per un buon ambiente di cura e strutturare il processo infermieristico. Pertanto, è importante aumentare la conoscenza delle esperienze dei pazienti sui fattori che supportano il processo di recupero nell'assistenza 24 ore su 24. Scopo: è quello di raccogliere le attuali conoscenze scientifiche su quali fattori che i pazienti sperimentano supportano il loro recupero nell'ambito dell'assistenza psichiatrica 24 ore su 24. Metodo: Uno studio della letteratura con un approccio induttivo qualitativo, con un'analisi del contenuto manifesto e latente di 16 articoli scientifici originali. Risultati: nei risultati sono emerse tre categorie generali: i pazienti hanno bisogno di ricevere informazioni e di essere coinvolti nelle loro cure; I pazienti hanno bisogno di un buon trattamento e di cure olistiche e il reparto di assistenza deve essere un luogo sicuro con opportunità per attività significative. Il tema principale è che i pazienti devono essere al centro della loro cura e sentirsi sicuri e in controllo, per la loro guarigione Conclusione: ci sono una serie di fattori che possono supportare i pazienti in assistenza psichiatrica 24 ore su 24 nel loro recupero, che includono sia l'ambiente di assistenza fisica che psicosociale. Indica che il recupero è un fenomeno complesso e che è necessario progettare un'assistenza infermieristica più orientata al recupero e fare più ricerca sull'argomento. Parole chiave: Recupero, fattori di recupero, esperienze dei pazienti, cure psichiatriche ospedaliere, cure psichiatriche 24 ore su 24

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