Introduzione: In ambito palliativo, la soddisfazione dei pazienti insieme al raggiungimento di una buona qualità di vita è considerato un importante indicatore di esito e di processo dell'assistenza. Infatti, il grado di soddisfazione dei servizi di Cure Palliative viene considerato un importante outcome da investigare soprattutto ad assistenza conclusa (3) in quanto è valutabile solo dopo il decesso del paziente attraverso la comprensione di quanto il familiare sia rimasto soddisfatto dell'assistenza prestata al suo caro. Lo studio osservazionale ha l'obiettivo di valutare la soddisfazione relativa all'assistenza ricevuta nel centro di Cure Palliative Antea attraverso la somministrazione del FAMCARE2, a un campione di familiari, a un mese dalla morte del proprio caro, in modo da poter avere un riscontro dell'assistenza fornita e cercare di capire quali aspetti dell'assistenza è possibile migliorare.

Following the lead of Slow Medicine, the Association of Nurses of Internal Medicine (ANÌMO) saw the opportunity to build, through an analysis of the professional practice, an alliance between health professionals and citizens in order to support and facilitate informed choices. From this revision emerged The Decalogue, a document which summarizes the fundamental pillars of the slow nursing to guarantee a sober respectful and equitable care during the hospitalization.

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The aim of the study was to explore the effects of Intentional Rounding, a regular-based proactive patient monitoring, on falls and pressure ulcers in internal medicine units. This is a cluster-randomised controlled study, where units were assigned (1:1) to Intentional Rounding (intervention group) or Standard of Care (control group). The primary outcome was the cumulative incidence of falls and new pressure ulcers. These events were considered separately as secondary endpoints, together with the number of bell calls and the evaluation of patient satisfaction. Primary analyses were carried out on the modified intention-to-treat population (hospitalisation of at least 10 days). Recruitment occurred between October 2019 and March 2020, at which time the study was prematurely closed due to the COVID-19 pandemic. Enrolment totalled 1822 patients at 26 sites; 779 patients were included in the modified intention-to-treat analysis. The intervention group had a lower risk of falls (adjusted incidence rate ratio 0.14; 95% confidence interval, 0.02–0.78; p = 0.03). There were no statistical differences in new pressure ulcers or the cumulative incidence of both adverse events. Mean bell calls for each patient were 15.4 ± 24.1 in the intervention group and 13.7 ± 20.5 in the control group (p = 0.38). Additionally, patient satisfaction in the intervention group was almost at the maximum level. Our study supports the usefulness of Intentional Rounding in a complex and vulnerable population such as that hospitalised in internal medicine units.