Ippolito Notarnicola - Academia.edu (original) (raw)
Papers by Ippolito Notarnicola
Acta bio-medica : Atenei Parmensis, Aug 31, 2022
Healthcare
Interprofessional education requires that two or more professionals learn from and with each othe... more Interprofessional education requires that two or more professionals learn from and with each other to allow effective collaboration and improve health outcomes. Thus far, the interprofessional collaboration of healthcare students might be assessed using the Readiness for Interprofessional Learning Scale (RIPLS), which is currently not available in its Italian version. This study aimed to provide the intercultural adaptation of the RIPLS in Italian (I-RIPLS) and assess its validity and reliability. A two-phase validation study was performed in 2020, using a single-centre approach in students enrolled in the medical degree, physiotherapy, nursing, and dentistry courses at an Italian-speaking university in Albania. The first phase of the study determined the cross-cultural adaptation of the items by involving two translators who followed a forward and backward translation process. In the second phase, a sample of 414 students was enrolled. The preliminary corrected item-total correlati...
Healthcare
Spirituality is a common theme in the field of healthcare research. This study aimed to examine n... more Spirituality is a common theme in the field of healthcare research. This study aimed to examine nurses’ perceptions of spirituality in the context of the religious diversity of patients in pluri-religious settings. We performed a scoping review following the methodology on studies conducted between 2010 and 2020. We searched the following databases: CINAHL Plus, PubMed, and PsycINFO. For the identification of grey literature, the OpenGrey database was used. In total, 789 articles were reviewed. Of these, 16 met predetermined inclusion criteria. Two main overarching themes emerged from our inductive analysis: (a) the intertwining of spirituality and spiritual care in diverse religious landscapes and (b) obstacles impeding the inclusion of spiritual care in pluri-religious settings. According to our results, nurses consider that spirituality is interconnected with spiritual care for individuals from different religious backgrounds. Interpretations of spirituality in nursing practice v...
Professioni infermieristiche, Apr 2, 2022
BACKGROUND Nursing in Albania has grown rapidly over the past decade in response to government in... more BACKGROUND Nursing in Albania has grown rapidly over the past decade in response to government initiatives to strengthen primary care. There is limited data on how this expansion has impacted the role of the nurse leadership, the scope of practice, and the characteristics of the workforce. AIM The purpose of this study is to try to describe the current demographic and occupational characteristics of Albanian nurses. METHOD A national survey was undertaken to describe the demographics, clinical roles, and skills of nurses. This retrospective study will attempt to describe the situation of nurses from 2009-2021 and the analysis in the processed dataset was carried out to explore changes in the workforce over time. RESULTS This study presents a retrospective analysis of Albanian nursing regarding the evolution of nursing. It also provides some information on the preparations for vocational training. In this study it is highlighted that there has been a reformulation of the theme of nursing professional qualification, and the need to improve the quality of educational processes and a wide offer of continuing education for Albanian nurses. CONCLUSION This study identified that some of the structural barriers to nursing in Albanian general care have been addressed over time. However, it also identifies ongoing barriers that impact the development of the nurse s role. Understanding and addressing these issues is critical to optimizing both the effectiveness of the nursing workforce and undergraduate education. NURSING IMPLICATIONS There is a clear indication of increased intellectual and conceptual accumulation in the decades when professional nursing education at the technical level has been part of the public policy agenda. This knowledge serves as a reference for the formulation of new actions aimed at other professionals who provide direct assistance to the population.
Professioni infermieristiche, 2021
BACKGROUND Death is one of the basic theme with which nurses are faced, and for which it is hard ... more BACKGROUND Death is one of the basic theme with which nurses are faced, and for which it is hard for them to prepare deeply and sincerely. The difficulties in handling the emotional burden can cause them to develop negative feelings towards life and clinical practice, so that it affects their caregiving capacity and the quality of care provided. AIM To explore nurses' perceptions facing the death of a hospitalized oncology patient. METHODS Qualitative phenomenological study. The sample of nurses was recruited at IRCCS (Scientific Institute for Research and Healthcare) in Rome, a hospice in Latina and a hospice in Rieti. The data were collected by means of focus groups. The semi-structured interviews featuring three guiding questions constructed for this purpose, were audio-recorded, transcribed, and then analyzed using the analysis framework approach. RESULTS In total 7 focus groups were conducted with a total participation of 39 nurses. Four themes emerged from the qualitative ...
BackgroundIn recent years, the licensure exam in nursing has focused on the range of curricula an... more BackgroundIn recent years, the licensure exam in nursing has focused on the range of curricula and teaching methods used in international universities. ‘Tuning’ was the first document that sought to harmonise training purposes in terms of competences and learning outcomes in Europe. Nursing has 47 specific competences divided into 5 domains.MethodsA multicentric observational perspective study was conducted in four universities in the Lazio region for to describe which of 47 Tuning competences are evaluated during the licensure exam in Italian nursing degree courses, at what level of performance, in which clinical area and setting are contextualised, and what types of tests are used for their evaluation. The commissioners of the Professional Order of Rome – OPI – collected data via tests in the licensure exams for the academic years 2017–2019 using 2 grids, one for cognitive and one for psychomotor assessments.ResultsThe Tuning competences were requested 7522 times, 5130 for the cog...
Journal of Nursing Management, 2022
AIM To determine the factors that influence nurses' fear of COVID-19 and professional quality... more AIM To determine the factors that influence nurses' fear of COVID-19 and professional quality of life as well as their attitudes toward COVID-19 in four different countries. BACKGROUND The emergence of COVID-19 has affected the psychological and professional quality of life of the frontline health care workers, especially nurses. DESIGN An online cross-sectional multicultural study. METHODS A total of 1071 nurses from Turkey, Brazil, Spain and Italy were selected by convenience sampling. All participants were invited to complete the Fear of COVID-19 Scale and Professional Quality of Life Scale through online form from October 2020 to January 2021. RESULTS It has been seen that nurses' fear of COVID-19 has been above the average and their professional quality of life has been affected negatively during the pandemic. Almost one out of three nurses (28.6%) thought of quitting their job during the pandemic. The majority of nurses (91.0%) thought their professional quality of life changed during the pandemic. The mean score of the Fear of COVID-19 Scale is higher in nurses who are working in Brazil, are female, have a chronic illness and are working in an outpatient clinic. Professional quality of life is even lower in nurses who are younger than 40, have a professional experience of less than 15 years, are working in Brazil and have concerns about themselves and their relatives due to COVID-19. CONCLUSIONS It was determined that there was a relationship between fear of COVID-19 and professional quality of life subscales of nurses. IMPLICATIONS FOR NURSING MANAGEMENT Nurse leaders have an important role in supporting nurses actively during and after the COVID-19 pandemic, and providing them with good working conditions, sufficient resources and rewards. In order for nurses to be able to cope with the challenges brought about by the pandemic, particularly the fear of COVID-19, and to avoid thoughts of quitting the profession, it would be beneficial to take certain administrative measures on institutional and territorial basis. It is recommended that employees with a chronic disease work in low-risk clinics, the number of nurses be increased in busier clinics, working hours be reduced and nurses be provided with psychosocial support by experts to cope with stress. On the other hand, effective infection control, personal protective measures and implementing institutional policies and protocols can help to reduce the fear of COVID-19 and increase their professional quality of life.
Nursing Ethics, 2020
Background: Spirituality has always been present in the history of nursing and continues to be a ... more Background: Spirituality has always been present in the history of nursing and continues to be a topic of nursing interest. Spirituality has ancient roots. The term ‘spirituality’ is interpreted as spirit and is translated as breath and soul, whereas spirituality (immateriality) is spiritual nature. Historically, the term spirituality is associated with the term religiosity, a definition that persists today, and often the two terms are used interchangeably. In the healthcare context, the construct is still. Objective To clarify the concept of spirituality in nursing. Research design In this article spirituality was explored using Rodgers' evolutionary and inductive method of concept analysis. Participants and research context For this analysis, a sample of 71 articles published in English, from 2008 to 2018 from PubMed/Medline, CINAHL Plus with full text, PsycINFO, SciELO databases were retrieved. It was also accomplished an empirical search of dictionaries and e-books. Ethical ...
Professioni infermieristiche, 2020
 Introduzione : Il ragionamento clinico A¨ un processo nel corso del quale gli infermieri raccol... more  Introduzione : Il ragionamento clinico A¨ un processo nel corso del quale gli infermieri raccolgono spunti, elaborano le informazioni arrivano a comprendere il problema o la situazione del paziente pianificando e attuando gli interventi, valutando i risultati. Disegno dello studio: Obiettivo di questo studio A¨ effettuare la validazione linguistica e culturale per il contesto Italiano della Nurse Clinical Reasoning Scale (NCRS). Metodi : L’adattamento transculturale per sviluppare la versione italiana del questionario A¨ stato effettuato seguendo le linee guida proposte da Beaton e collaboratori nel 2000. Risultati : I risultati hanno evidenziato che la versione italiana dello strumento risulta affidabile sia dimostrando una buona coerenza interna (Alpha di Cronbach = 0.90), che una buona stabilitA (ICC= 0.90; CI = 0.87-0.92; p= <0.001) e puA² essere proposta come un interessante mezzo di valutazione degli studenti infermieri nel corso dei tirocini clinici ed infermieri nell...
Methodologies and Intelligent Systems for Technology Enhanced Learning, 8th International Conference, 2018
This article describes a new concept of health, originally developed and published in 2014. This ... more This article describes a new concept of health, originally developed and published in 2014. This model offers a new understanding of health, disease and healing that may be very useful for patient care. In fact, the Meikirch model leads to a new comprehension of health as a complex adaptive system. Systems thinking and complex adaptive systems share a number of components, namely: emergence, self-organization, and hierarchies of interacting systems. Systems thinking, especially with simulation models, facilitates understanding of health as a complex phenomenon. Therefore, the simulation model is becoming an excellent translator of complex problems in easily understandable results. Systemic thinking is a process that can influence cause and effect and prompts solutions to multifaceted tribulations. In conclusion, this paper describes the principles of complementarity and of differences between scientific approaches for systemic thinking and traditional thinking and suggests that it is time for research approaches that fosters a non-mechanistic thinking.
Professioni infermieristiche, 2020
INTRODUCTION The clinical reasoning is a process in which nurses collect ideas, process informati... more INTRODUCTION The clinical reasoning is a process in which nurses collect ideas, process information, they come to understand the problem or the patient's situation by planning and implementing interventions, evaluating the results. STUDY DESIGN The aim of this study is to perform linguistic and cultural validation for the Italian context of the Nurse Clinical Reasoning Scale (NCRS). METHODS Transcultural adaptation to develop the Italian version of the questionnaire was carried out following the guidelines proposed by Beaton and collaborators in 2000. RESULTS The results showed that the Italian version of the instrument is reliable both showing a good internal consistency (Cronbach's Alpha = 0.90), and a good stability (ICC = 0.90; CI = 0.87-0.92) and can be proposed as an interesting means of evaluating nursing students in the course of clinical placements and nurses in their daily clinical practice. CONCLUSIONS Having tools available in Italian promotes the implementation ...
Professioni infermieristiche, 2020
INTRODUCTION The professional quality of life (ProQOL) is a fundamental aspect of the care provid... more INTRODUCTION The professional quality of life (ProQOL) is a fundamental aspect of the care providers' working life and plays an important role in monitoring their mental health status and wellbeing. The objective of this study is to explore the level of ProQOL among the Emergency Operating Center workers in the Italian context and to examine the role of both stressors and coping strategies. Health workers from an Italian 118 Emergency Operating Center participated into the research. METHODS A preliminary cross-sectional study has been performed. RESULTS The survey's response rate was 72.04% (n = 67). Results found that Stressors are positively correlated with Burnout and Compassion Fatigue whereas Compassion Satisfaction has a positive correlation with the Task-oriented coping strategy and with the Emotion-oriented strategy. CONCLUSIONS In conclusion, it is pivotal to implement strategies and solutions that can enhance the levels of satisfaction of Emergency Operating Center...
Annali di igiene : medicina preventiva e di comunita, 2020
PURPOSE The importance of nursing competence arises from its central role in influencing and dete... more PURPOSE The importance of nursing competence arises from its central role in influencing and determining care outcomes. The employment of adequately educated staff, able to base clinical decisions on the best scientific evidence, is one of the components required for delivering high quality nursing care in the oncological field. The aim of this study is to analyze - through the Nurse Competence Scale - the level of competence of nurses working in oncological settings. METHOD A descriptive study was performed between March and September 2017. The participants were recruited among the nursing staff working in the Day Hospital and the Units of the IRCCS -Regina Elena National Cancer Institute in Rome. The confidentiality and the anonymity of the subjects involved in the study were guaranteed by submitting a socio-cultural data sheet -specifically designed to collect demographic and education data - and the Nurse Competence Scale. RESULTS The sample included 65 nurses (93%) and 5 head n...
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2021
PURPOSE Transitions in nursing education and professionalism that align with global nursing stand... more PURPOSE Transitions in nursing education and professionalism that align with global nursing standards are elucidated as critical success factors in transforming health professionals and health care in Albania. Progressive educational and regulatory pathways throughout the 2000s (1999-2020) are emphasized for their impact on the Albanian health system, including the achievement of universal healthcare coverage. METHODS Data collected by the Ministry of Health and Sport and the Regulatory Authority for nursing and other healthcare professions in Albania were analyzed and outcomes explicated with regard to Albania's major health challenges. DISCUSSION AND CONCLUSIONS Three milestones affirmed nursing as a driving force in the Albanian healthcare system: (a) nurses constitute the largest health professional workforce via a nurse-patient ratio of 1:400 in contrast to a physician-patient ratio of 1:2,500; (b) nurses are frontline care providers via clinical leadership in the managemen...
Annali di igiene : medicina preventiva e di comunita, 2018
INTRODUCTION The university educational sphere has many dilemmas. The question of sufficient know... more INTRODUCTION The university educational sphere has many dilemmas. The question of sufficient knowledge and skills for students to acquire abilities to provide care in different clinical setting is one important dilemma. AIM To measure the level of competencies by nursing students and its application in different clinical environments. METHODS Nursing students of two Italian universities participated in the research. Data collection took place April to July 2015 using the Nurse Competence Scale. The Strengthening Reporting of Observational Studies in Epidemiology Guidelines was used to describe the study. Pearson's chi-square test, Student's t test, and regression tests were used for statistical analysis. RESULTS The questionnaire response rate was 87.27% (n = 698). Most of the nursing students assessed their level of competency as 'good' and evaluated themselves as more competent than their actual nursing role. Students also appraised themselves as competent either v...
JBI Evidence Synthesis, 2021
OBJECTIVE The objective of this review is to evaluate the experiences of health care personnel in... more OBJECTIVE The objective of this review is to evaluate the experiences of health care personnel in promoting a sense of home in older adults living in residential care facilities. INTRODUCTION Moving to a residential care facility represents a critical moment for older adults as it disrupts their life and distances them from significant people and objects in their life. Health care personnel working in residential care facilities can assist in promoting the feeling of being at home for the residents. There is a lack of qualitative evidence reporting the experiences of health care providers with regards to promoting a sense of home in older adults living in residential care settings. INCLUSION CRITERIA This review will consider qualitative studies that explore the experiences of health care personnel in promoting a sense of home in people aged 65 and over living in residential care facilities, including, but not limited to, nursing homes, residential care homes, retirement homes, assisted-living facilities, and skilled nursing facilities. METHODS The review will use a meta-aggregation approach according to the JBI methodology for systematic synthesis of qualitative evidence. MEDLINE, CINAHL, Embase, PsycINFO, Scopus, and Web of Science databases will be searched together with Google Scholar, OpenGrey, and ProQuest Dissertations and Theses Global. Studies published in English, Italian, French, Portuguese, and Spanish will be included. Qualitative study findings will be pooled using the JBI System for the Unified Management, Assessment and Review of information. Methodological study quality will be appraised using the standard JBI critical appraisal checklist for qualitative research. The ConQual approach will be used to assess the confidence in the findings. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020214383.
CIN: Computers, Informatics, Nursing, 2020
In oncology, adherence to oral antineoplastic medication is a key element of treatment, on which ... more In oncology, adherence to oral antineoplastic medication is a key element of treatment, on which the success of any therapeutic intervention depends. Given their widespread use in clinical practice, it is important to identify tools that can facilitate the monitoring and self-management of the patient at home, to avoid the consequences of employing ineffective treatment. One of the tools available today to take action on this phenomenon is mobile health technology. The aim of this review is to describe published studies relating to the use of mobile health to promote adherence to oral antineoplastic medication. This scoping review was conducted using the framework proposed by Arksey and O'Malley, adapted according to Levac et al. Of 1320 articles identified, only seven met the eligibility criteria and therefore were included in the review. All seven articles involved the use of digital means to measure adherence to treatment, patient satisfaction, acceptability and feasibility of the digital means used, and presence of symptoms, but not the effectiveness of the digital instrument used. In conclusion, the use of digital means to assist adherence of cancer patients to oral antineoplastic medication is widely recognized, but its effectiveness in clinical practice is poorly supported by the nature of the published studies.
Journal of advanced nursing, 2018
The aim of this study was to investigate any possible relationship between sleep disorders, burno... more The aim of this study was to investigate any possible relationship between sleep disorders, burnout and job performance in a shift-work population of nurses. Sleep disorders and burnout can affect the job performance of nurses in terms of efficiency, productivity, task execution speed and supervision, which can be compromised when work shifts are organized on a 24-hour schedule and when the shift itself is irregular. A cross-sectional observational study was conducted from August 2014 - January 2015 on a sample of 315 shift-work nurses across 39 wards in seven central Italian hospitals. The Pittsburgh Sleep Quality Index was used to detect the presence of sleep disorders, the Copenhagen Burnout Inventory was used to detect the presence of any possible type of burnout and the Job Performance Scale was used to measure job performance. Data analysis was mainly based on a multivariate logistic regression to identify variables significantly associated with investigated outcomes. On shift...
Professioni infermieristiche
In nursing, clinical competence is a central issue for patient care and a clear understanding of ... more In nursing, clinical competence is a central issue for patient care and a clear understanding of the concept is critical for nursing education and nursing discipline. To perform an analysis of the concept of 'clinical competence' in nursing to better understand its meaning. The Walker and Avant's concept analysis model was used. A systematic literature review on international databases (PubMed, CINAHL, Scopus, Cochrane, Ovid, Open Grey) from 1993 to 2015 was conducted. In the retrieved articles, the utilization of the concept of "clinical competence in nursing" was examined. According to Walker and Avant's method all the 8 steps were described on the basis of the findings of the literature review. Attributes, antecedents, consequences and empirical referents of the clinical competence in nursing have been identified and discussed and model, borderline, opposite cases were constructed. The relevance of the concept both for education and nursing professionali...
Acta bio-medica : Atenei Parmensis, Aug 31, 2022
Healthcare
Interprofessional education requires that two or more professionals learn from and with each othe... more Interprofessional education requires that two or more professionals learn from and with each other to allow effective collaboration and improve health outcomes. Thus far, the interprofessional collaboration of healthcare students might be assessed using the Readiness for Interprofessional Learning Scale (RIPLS), which is currently not available in its Italian version. This study aimed to provide the intercultural adaptation of the RIPLS in Italian (I-RIPLS) and assess its validity and reliability. A two-phase validation study was performed in 2020, using a single-centre approach in students enrolled in the medical degree, physiotherapy, nursing, and dentistry courses at an Italian-speaking university in Albania. The first phase of the study determined the cross-cultural adaptation of the items by involving two translators who followed a forward and backward translation process. In the second phase, a sample of 414 students was enrolled. The preliminary corrected item-total correlati...
Healthcare
Spirituality is a common theme in the field of healthcare research. This study aimed to examine n... more Spirituality is a common theme in the field of healthcare research. This study aimed to examine nurses’ perceptions of spirituality in the context of the religious diversity of patients in pluri-religious settings. We performed a scoping review following the methodology on studies conducted between 2010 and 2020. We searched the following databases: CINAHL Plus, PubMed, and PsycINFO. For the identification of grey literature, the OpenGrey database was used. In total, 789 articles were reviewed. Of these, 16 met predetermined inclusion criteria. Two main overarching themes emerged from our inductive analysis: (a) the intertwining of spirituality and spiritual care in diverse religious landscapes and (b) obstacles impeding the inclusion of spiritual care in pluri-religious settings. According to our results, nurses consider that spirituality is interconnected with spiritual care for individuals from different religious backgrounds. Interpretations of spirituality in nursing practice v...
Professioni infermieristiche, Apr 2, 2022
BACKGROUND Nursing in Albania has grown rapidly over the past decade in response to government in... more BACKGROUND Nursing in Albania has grown rapidly over the past decade in response to government initiatives to strengthen primary care. There is limited data on how this expansion has impacted the role of the nurse leadership, the scope of practice, and the characteristics of the workforce. AIM The purpose of this study is to try to describe the current demographic and occupational characteristics of Albanian nurses. METHOD A national survey was undertaken to describe the demographics, clinical roles, and skills of nurses. This retrospective study will attempt to describe the situation of nurses from 2009-2021 and the analysis in the processed dataset was carried out to explore changes in the workforce over time. RESULTS This study presents a retrospective analysis of Albanian nursing regarding the evolution of nursing. It also provides some information on the preparations for vocational training. In this study it is highlighted that there has been a reformulation of the theme of nursing professional qualification, and the need to improve the quality of educational processes and a wide offer of continuing education for Albanian nurses. CONCLUSION This study identified that some of the structural barriers to nursing in Albanian general care have been addressed over time. However, it also identifies ongoing barriers that impact the development of the nurse s role. Understanding and addressing these issues is critical to optimizing both the effectiveness of the nursing workforce and undergraduate education. NURSING IMPLICATIONS There is a clear indication of increased intellectual and conceptual accumulation in the decades when professional nursing education at the technical level has been part of the public policy agenda. This knowledge serves as a reference for the formulation of new actions aimed at other professionals who provide direct assistance to the population.
Professioni infermieristiche, 2021
BACKGROUND Death is one of the basic theme with which nurses are faced, and for which it is hard ... more BACKGROUND Death is one of the basic theme with which nurses are faced, and for which it is hard for them to prepare deeply and sincerely. The difficulties in handling the emotional burden can cause them to develop negative feelings towards life and clinical practice, so that it affects their caregiving capacity and the quality of care provided. AIM To explore nurses' perceptions facing the death of a hospitalized oncology patient. METHODS Qualitative phenomenological study. The sample of nurses was recruited at IRCCS (Scientific Institute for Research and Healthcare) in Rome, a hospice in Latina and a hospice in Rieti. The data were collected by means of focus groups. The semi-structured interviews featuring three guiding questions constructed for this purpose, were audio-recorded, transcribed, and then analyzed using the analysis framework approach. RESULTS In total 7 focus groups were conducted with a total participation of 39 nurses. Four themes emerged from the qualitative ...
BackgroundIn recent years, the licensure exam in nursing has focused on the range of curricula an... more BackgroundIn recent years, the licensure exam in nursing has focused on the range of curricula and teaching methods used in international universities. ‘Tuning’ was the first document that sought to harmonise training purposes in terms of competences and learning outcomes in Europe. Nursing has 47 specific competences divided into 5 domains.MethodsA multicentric observational perspective study was conducted in four universities in the Lazio region for to describe which of 47 Tuning competences are evaluated during the licensure exam in Italian nursing degree courses, at what level of performance, in which clinical area and setting are contextualised, and what types of tests are used for their evaluation. The commissioners of the Professional Order of Rome – OPI – collected data via tests in the licensure exams for the academic years 2017–2019 using 2 grids, one for cognitive and one for psychomotor assessments.ResultsThe Tuning competences were requested 7522 times, 5130 for the cog...
Journal of Nursing Management, 2022
AIM To determine the factors that influence nurses' fear of COVID-19 and professional quality... more AIM To determine the factors that influence nurses' fear of COVID-19 and professional quality of life as well as their attitudes toward COVID-19 in four different countries. BACKGROUND The emergence of COVID-19 has affected the psychological and professional quality of life of the frontline health care workers, especially nurses. DESIGN An online cross-sectional multicultural study. METHODS A total of 1071 nurses from Turkey, Brazil, Spain and Italy were selected by convenience sampling. All participants were invited to complete the Fear of COVID-19 Scale and Professional Quality of Life Scale through online form from October 2020 to January 2021. RESULTS It has been seen that nurses' fear of COVID-19 has been above the average and their professional quality of life has been affected negatively during the pandemic. Almost one out of three nurses (28.6%) thought of quitting their job during the pandemic. The majority of nurses (91.0%) thought their professional quality of life changed during the pandemic. The mean score of the Fear of COVID-19 Scale is higher in nurses who are working in Brazil, are female, have a chronic illness and are working in an outpatient clinic. Professional quality of life is even lower in nurses who are younger than 40, have a professional experience of less than 15 years, are working in Brazil and have concerns about themselves and their relatives due to COVID-19. CONCLUSIONS It was determined that there was a relationship between fear of COVID-19 and professional quality of life subscales of nurses. IMPLICATIONS FOR NURSING MANAGEMENT Nurse leaders have an important role in supporting nurses actively during and after the COVID-19 pandemic, and providing them with good working conditions, sufficient resources and rewards. In order for nurses to be able to cope with the challenges brought about by the pandemic, particularly the fear of COVID-19, and to avoid thoughts of quitting the profession, it would be beneficial to take certain administrative measures on institutional and territorial basis. It is recommended that employees with a chronic disease work in low-risk clinics, the number of nurses be increased in busier clinics, working hours be reduced and nurses be provided with psychosocial support by experts to cope with stress. On the other hand, effective infection control, personal protective measures and implementing institutional policies and protocols can help to reduce the fear of COVID-19 and increase their professional quality of life.
Nursing Ethics, 2020
Background: Spirituality has always been present in the history of nursing and continues to be a ... more Background: Spirituality has always been present in the history of nursing and continues to be a topic of nursing interest. Spirituality has ancient roots. The term ‘spirituality’ is interpreted as spirit and is translated as breath and soul, whereas spirituality (immateriality) is spiritual nature. Historically, the term spirituality is associated with the term religiosity, a definition that persists today, and often the two terms are used interchangeably. In the healthcare context, the construct is still. Objective To clarify the concept of spirituality in nursing. Research design In this article spirituality was explored using Rodgers' evolutionary and inductive method of concept analysis. Participants and research context For this analysis, a sample of 71 articles published in English, from 2008 to 2018 from PubMed/Medline, CINAHL Plus with full text, PsycINFO, SciELO databases were retrieved. It was also accomplished an empirical search of dictionaries and e-books. Ethical ...
Professioni infermieristiche, 2020
 Introduzione : Il ragionamento clinico A¨ un processo nel corso del quale gli infermieri raccol... more  Introduzione : Il ragionamento clinico A¨ un processo nel corso del quale gli infermieri raccolgono spunti, elaborano le informazioni arrivano a comprendere il problema o la situazione del paziente pianificando e attuando gli interventi, valutando i risultati. Disegno dello studio: Obiettivo di questo studio A¨ effettuare la validazione linguistica e culturale per il contesto Italiano della Nurse Clinical Reasoning Scale (NCRS). Metodi : L’adattamento transculturale per sviluppare la versione italiana del questionario A¨ stato effettuato seguendo le linee guida proposte da Beaton e collaboratori nel 2000. Risultati : I risultati hanno evidenziato che la versione italiana dello strumento risulta affidabile sia dimostrando una buona coerenza interna (Alpha di Cronbach = 0.90), che una buona stabilitA (ICC= 0.90; CI = 0.87-0.92; p= <0.001) e puA² essere proposta come un interessante mezzo di valutazione degli studenti infermieri nel corso dei tirocini clinici ed infermieri nell...
Methodologies and Intelligent Systems for Technology Enhanced Learning, 8th International Conference, 2018
This article describes a new concept of health, originally developed and published in 2014. This ... more This article describes a new concept of health, originally developed and published in 2014. This model offers a new understanding of health, disease and healing that may be very useful for patient care. In fact, the Meikirch model leads to a new comprehension of health as a complex adaptive system. Systems thinking and complex adaptive systems share a number of components, namely: emergence, self-organization, and hierarchies of interacting systems. Systems thinking, especially with simulation models, facilitates understanding of health as a complex phenomenon. Therefore, the simulation model is becoming an excellent translator of complex problems in easily understandable results. Systemic thinking is a process that can influence cause and effect and prompts solutions to multifaceted tribulations. In conclusion, this paper describes the principles of complementarity and of differences between scientific approaches for systemic thinking and traditional thinking and suggests that it is time for research approaches that fosters a non-mechanistic thinking.
Professioni infermieristiche, 2020
INTRODUCTION The clinical reasoning is a process in which nurses collect ideas, process informati... more INTRODUCTION The clinical reasoning is a process in which nurses collect ideas, process information, they come to understand the problem or the patient's situation by planning and implementing interventions, evaluating the results. STUDY DESIGN The aim of this study is to perform linguistic and cultural validation for the Italian context of the Nurse Clinical Reasoning Scale (NCRS). METHODS Transcultural adaptation to develop the Italian version of the questionnaire was carried out following the guidelines proposed by Beaton and collaborators in 2000. RESULTS The results showed that the Italian version of the instrument is reliable both showing a good internal consistency (Cronbach's Alpha = 0.90), and a good stability (ICC = 0.90; CI = 0.87-0.92) and can be proposed as an interesting means of evaluating nursing students in the course of clinical placements and nurses in their daily clinical practice. CONCLUSIONS Having tools available in Italian promotes the implementation ...
Professioni infermieristiche, 2020
INTRODUCTION The professional quality of life (ProQOL) is a fundamental aspect of the care provid... more INTRODUCTION The professional quality of life (ProQOL) is a fundamental aspect of the care providers' working life and plays an important role in monitoring their mental health status and wellbeing. The objective of this study is to explore the level of ProQOL among the Emergency Operating Center workers in the Italian context and to examine the role of both stressors and coping strategies. Health workers from an Italian 118 Emergency Operating Center participated into the research. METHODS A preliminary cross-sectional study has been performed. RESULTS The survey's response rate was 72.04% (n = 67). Results found that Stressors are positively correlated with Burnout and Compassion Fatigue whereas Compassion Satisfaction has a positive correlation with the Task-oriented coping strategy and with the Emotion-oriented strategy. CONCLUSIONS In conclusion, it is pivotal to implement strategies and solutions that can enhance the levels of satisfaction of Emergency Operating Center...
Annali di igiene : medicina preventiva e di comunita, 2020
PURPOSE The importance of nursing competence arises from its central role in influencing and dete... more PURPOSE The importance of nursing competence arises from its central role in influencing and determining care outcomes. The employment of adequately educated staff, able to base clinical decisions on the best scientific evidence, is one of the components required for delivering high quality nursing care in the oncological field. The aim of this study is to analyze - through the Nurse Competence Scale - the level of competence of nurses working in oncological settings. METHOD A descriptive study was performed between March and September 2017. The participants were recruited among the nursing staff working in the Day Hospital and the Units of the IRCCS -Regina Elena National Cancer Institute in Rome. The confidentiality and the anonymity of the subjects involved in the study were guaranteed by submitting a socio-cultural data sheet -specifically designed to collect demographic and education data - and the Nurse Competence Scale. RESULTS The sample included 65 nurses (93%) and 5 head n...
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2021
PURPOSE Transitions in nursing education and professionalism that align with global nursing stand... more PURPOSE Transitions in nursing education and professionalism that align with global nursing standards are elucidated as critical success factors in transforming health professionals and health care in Albania. Progressive educational and regulatory pathways throughout the 2000s (1999-2020) are emphasized for their impact on the Albanian health system, including the achievement of universal healthcare coverage. METHODS Data collected by the Ministry of Health and Sport and the Regulatory Authority for nursing and other healthcare professions in Albania were analyzed and outcomes explicated with regard to Albania's major health challenges. DISCUSSION AND CONCLUSIONS Three milestones affirmed nursing as a driving force in the Albanian healthcare system: (a) nurses constitute the largest health professional workforce via a nurse-patient ratio of 1:400 in contrast to a physician-patient ratio of 1:2,500; (b) nurses are frontline care providers via clinical leadership in the managemen...
Annali di igiene : medicina preventiva e di comunita, 2018
INTRODUCTION The university educational sphere has many dilemmas. The question of sufficient know... more INTRODUCTION The university educational sphere has many dilemmas. The question of sufficient knowledge and skills for students to acquire abilities to provide care in different clinical setting is one important dilemma. AIM To measure the level of competencies by nursing students and its application in different clinical environments. METHODS Nursing students of two Italian universities participated in the research. Data collection took place April to July 2015 using the Nurse Competence Scale. The Strengthening Reporting of Observational Studies in Epidemiology Guidelines was used to describe the study. Pearson's chi-square test, Student's t test, and regression tests were used for statistical analysis. RESULTS The questionnaire response rate was 87.27% (n = 698). Most of the nursing students assessed their level of competency as 'good' and evaluated themselves as more competent than their actual nursing role. Students also appraised themselves as competent either v...
JBI Evidence Synthesis, 2021
OBJECTIVE The objective of this review is to evaluate the experiences of health care personnel in... more OBJECTIVE The objective of this review is to evaluate the experiences of health care personnel in promoting a sense of home in older adults living in residential care facilities. INTRODUCTION Moving to a residential care facility represents a critical moment for older adults as it disrupts their life and distances them from significant people and objects in their life. Health care personnel working in residential care facilities can assist in promoting the feeling of being at home for the residents. There is a lack of qualitative evidence reporting the experiences of health care providers with regards to promoting a sense of home in older adults living in residential care settings. INCLUSION CRITERIA This review will consider qualitative studies that explore the experiences of health care personnel in promoting a sense of home in people aged 65 and over living in residential care facilities, including, but not limited to, nursing homes, residential care homes, retirement homes, assisted-living facilities, and skilled nursing facilities. METHODS The review will use a meta-aggregation approach according to the JBI methodology for systematic synthesis of qualitative evidence. MEDLINE, CINAHL, Embase, PsycINFO, Scopus, and Web of Science databases will be searched together with Google Scholar, OpenGrey, and ProQuest Dissertations and Theses Global. Studies published in English, Italian, French, Portuguese, and Spanish will be included. Qualitative study findings will be pooled using the JBI System for the Unified Management, Assessment and Review of information. Methodological study quality will be appraised using the standard JBI critical appraisal checklist for qualitative research. The ConQual approach will be used to assess the confidence in the findings. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020214383.
CIN: Computers, Informatics, Nursing, 2020
In oncology, adherence to oral antineoplastic medication is a key element of treatment, on which ... more In oncology, adherence to oral antineoplastic medication is a key element of treatment, on which the success of any therapeutic intervention depends. Given their widespread use in clinical practice, it is important to identify tools that can facilitate the monitoring and self-management of the patient at home, to avoid the consequences of employing ineffective treatment. One of the tools available today to take action on this phenomenon is mobile health technology. The aim of this review is to describe published studies relating to the use of mobile health to promote adherence to oral antineoplastic medication. This scoping review was conducted using the framework proposed by Arksey and O'Malley, adapted according to Levac et al. Of 1320 articles identified, only seven met the eligibility criteria and therefore were included in the review. All seven articles involved the use of digital means to measure adherence to treatment, patient satisfaction, acceptability and feasibility of the digital means used, and presence of symptoms, but not the effectiveness of the digital instrument used. In conclusion, the use of digital means to assist adherence of cancer patients to oral antineoplastic medication is widely recognized, but its effectiveness in clinical practice is poorly supported by the nature of the published studies.
Journal of advanced nursing, 2018
The aim of this study was to investigate any possible relationship between sleep disorders, burno... more The aim of this study was to investigate any possible relationship between sleep disorders, burnout and job performance in a shift-work population of nurses. Sleep disorders and burnout can affect the job performance of nurses in terms of efficiency, productivity, task execution speed and supervision, which can be compromised when work shifts are organized on a 24-hour schedule and when the shift itself is irregular. A cross-sectional observational study was conducted from August 2014 - January 2015 on a sample of 315 shift-work nurses across 39 wards in seven central Italian hospitals. The Pittsburgh Sleep Quality Index was used to detect the presence of sleep disorders, the Copenhagen Burnout Inventory was used to detect the presence of any possible type of burnout and the Job Performance Scale was used to measure job performance. Data analysis was mainly based on a multivariate logistic regression to identify variables significantly associated with investigated outcomes. On shift...
Professioni infermieristiche
In nursing, clinical competence is a central issue for patient care and a clear understanding of ... more In nursing, clinical competence is a central issue for patient care and a clear understanding of the concept is critical for nursing education and nursing discipline. To perform an analysis of the concept of 'clinical competence' in nursing to better understand its meaning. The Walker and Avant's concept analysis model was used. A systematic literature review on international databases (PubMed, CINAHL, Scopus, Cochrane, Ovid, Open Grey) from 1993 to 2015 was conducted. In the retrieved articles, the utilization of the concept of "clinical competence in nursing" was examined. According to Walker and Avant's method all the 8 steps were described on the basis of the findings of the literature review. Attributes, antecedents, consequences and empirical referents of the clinical competence in nursing have been identified and discussed and model, borderline, opposite cases were constructed. The relevance of the concept both for education and nursing professionali...