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Prof. Gianfranco Damiani
1. Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy

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Journal article
Published: 22 August 2021 in International Journal of Environmental Research and Public Health
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There is still a lack of knowledge concerning the pathophysiology of death among COVID-19-deceased patients, and the question of whether a patient has died with or due to COVID-19 is still very much debated. In Italy, all deaths of patients who tested positive for SARS-CoV-2 are defined as COVID-19-related, without considering pre-existing diseases that may either contribute to or even cause death. Our study included nine subjects from two different nursing homes (Cases 1–4, Group A; Cases 5–9, Group B). The latter included patients who presumably died from CO poisoning due to a heating system malfunction. All subjects tested positive for COVID-19 both ante- and post-mortem and were examined using post-mortem computed tomography prior to autopsy. COVID-19 was determined to be a contributing cause in the deaths of four out of nine subjects (death due to COVID-19; i.e., pneumonia and sudden cardiac death). In the other five cases, for which CO poisoning was identified as the cause of death, the infection presumably had no role in exitus (death with COVID-19). In our attempt to classify our patients as dying with or due to COVID-19, we found the use of complete assessments (both histological analyses and computed tomography examination) fundamental.

ACS Style

Fabio De-Giorgio; Vincenzo M. Grassi; Eva Bergamin; Alessandro Cina; Franca Del Nonno; Daniele Colombo; Roberta Nardacci; Laura Falasca; Celeste Conte; Ernesto D’Aloja; Gianfranco Damiani; Giuseppe Vetrugno. Dying “from” or “with” COVID-19 during the Pandemic: Medico-Legal Issues According to a Population Perspective. International Journal of Environmental Research and Public Health 2021, 18, 8851 .

AMA Style

Fabio De-Giorgio, Vincenzo M. Grassi, Eva Bergamin, Alessandro Cina, Franca Del Nonno, Daniele Colombo, Roberta Nardacci, Laura Falasca, Celeste Conte, Ernesto D’Aloja, Gianfranco Damiani, Giuseppe Vetrugno. Dying “from” or “with” COVID-19 during the Pandemic: Medico-Legal Issues According to a Population Perspective. International Journal of Environmental Research and Public Health. 2021; 18 (16):8851.

Chicago/Turabian Style

Fabio De-Giorgio; Vincenzo M. Grassi; Eva Bergamin; Alessandro Cina; Franca Del Nonno; Daniele Colombo; Roberta Nardacci; Laura Falasca; Celeste Conte; Ernesto D’Aloja; Gianfranco Damiani; Giuseppe Vetrugno. 2021. "Dying “from” or “with” COVID-19 during the Pandemic: Medico-Legal Issues According to a Population Perspective." International Journal of Environmental Research and Public Health 18, no. 16: 8851.

Review
Published: 14 August 2021 in Journal of Personalized Medicine
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The present review aims to map the current literature on educational interventions to promote food literacy in type 2 diabetes, with a particular focus on the concept of patient engagement. The systematic review was implemented on five databases with no restrictions on the publication year. The studies selected for the review were focused on patients with type 2 diabetes, ranging from 2003 to 2021 and published in 13 countries (44% USA). Thirty-three articles were analyzed. Twenty-seven articles targeted singular patients; fifteen articles conceptualized patient engagement as self-management. In seven articles, the provider is a multidisciplinary team. Twenty articles did not report a theoretical framework in the intervention development, and eleven did not use an intervention material. Twenty-six articles did not use a technology proxy. Outcome categories were narratively mapped into four areas: clinical, psychological, behavioral, and literacy. To date, most of the interventions are heterogeneous in the adopted methodology, measures, and outcomes considered. More attention should be given to the psychosocial characterization of patient engagement as well as the technological support. High-quality, randomized controlled trials and longitudinal studies are lacking and need to be conducted to verify the efficacy of these insights.

ACS Style

M. Savarese; M. Sapienza; G. M. Acquati; M. C. Nurchis; M. T. Riccardi; V. Mastrilli; R. D’Elia; E. A. Graps; G. Graffigna; G. Damiani. Educational Interventions for Promoting Food Literacy and Patient Engagement in Preventing Complications of Type 2 Diabetes: A Systematic Review. Journal of Personalized Medicine 2021, 11, 795 .

AMA Style

M. Savarese, M. Sapienza, G. M. Acquati, M. C. Nurchis, M. T. Riccardi, V. Mastrilli, R. D’Elia, E. A. Graps, G. Graffigna, G. Damiani. Educational Interventions for Promoting Food Literacy and Patient Engagement in Preventing Complications of Type 2 Diabetes: A Systematic Review. Journal of Personalized Medicine. 2021; 11 (8):795.

Chicago/Turabian Style

M. Savarese; M. Sapienza; G. M. Acquati; M. C. Nurchis; M. T. Riccardi; V. Mastrilli; R. D’Elia; E. A. Graps; G. Graffigna; G. Damiani. 2021. "Educational Interventions for Promoting Food Literacy and Patient Engagement in Preventing Complications of Type 2 Diabetes: A Systematic Review." Journal of Personalized Medicine 11, no. 8: 795.

Journal article
Published: 16 July 2021 in Journal of Personalized Medicine
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Ensuring multiple sclerosis (MS) patients’ adherence to therapy is often challenging, but it is crucial to their survival and health-related quality of life (HRQoL). The aim of the present study was to outline connections between adherence, physical and mental HRQoL, levels of psychological readiness to engage in a treatment, levels of social support, anthropometric, socio-demographic and clinical factors in patients suffering from MS. This cross-sectional study involved a sample of 237 Italian MS patients. A survey was conducted with a structured self-administered online questionnaire using validated measures of quality of life, adherence to therapy and anthropometric, socio-demographic, psychological and clinical variables. A path analysis was used to test the overall structure of the associations between the variables. The pathway indicates a positive association between mental health index and a stronger degree of engagement and being or having been in a long-term relationship. Physical health index was positively associated with age, having an occupation, and having a specific form of MS. Having had relapses in the previous year raised the odds of better adherence to therapy, while an increase in Body Mass Index (BMI) reduced them. Our findings could help in the management of MS patients, promoting behavioral interventions that take the psychological and socio-demographic peculiarities of each patient into account with a view to improving their adherence to therapy.

ACS Style

Alessandra Buja; Guendalina Graffigna; Simona Mafrici; Tatjana Baldovin; Carlo Pinato; Umberto Bolzonella; Serena Barello; Alessia Tognetto; Gianfranco Damiani. Adherence to Therapy, Physical and Mental Quality of Life in Patients with Multiple Sclerosis. Journal of Personalized Medicine 2021, 11, 672 .

AMA Style

Alessandra Buja, Guendalina Graffigna, Simona Mafrici, Tatjana Baldovin, Carlo Pinato, Umberto Bolzonella, Serena Barello, Alessia Tognetto, Gianfranco Damiani. Adherence to Therapy, Physical and Mental Quality of Life in Patients with Multiple Sclerosis. Journal of Personalized Medicine. 2021; 11 (7):672.

Chicago/Turabian Style

Alessandra Buja; Guendalina Graffigna; Simona Mafrici; Tatjana Baldovin; Carlo Pinato; Umberto Bolzonella; Serena Barello; Alessia Tognetto; Gianfranco Damiani. 2021. "Adherence to Therapy, Physical and Mental Quality of Life in Patients with Multiple Sclerosis." Journal of Personalized Medicine 11, no. 7: 672.

Journal article
Published: 09 May 2021 in International Journal of Environmental Research and Public Health
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As the COVID-19 outbreak traveled through various Italian regions, all national and local administrations issued measures to counter the spread of the contagion and organize healthcare. The Italian healthcare system is, indeed, a decentralized system with 21 regional health systems (RHSs), with different models of healthcare service delivery and organization. This study investigates whether a different organization of RHSs would have led to different management of the COVID-19 epidemic, and evaluates the effect of different approaches in epidemic management on the COVID-19 epidemiological trend. A set of indicators is identified by conducting an online synchronous Focus Group, involving an experts panel. A Pearson’s correlation test was performed on the values assumed by the historical series of indicators investigate correlations among the trends represented by the indicators or between them and external factors. The comparison between the experiences of the different Italian regions, regarding the management of the epidemic, has helped to confirm and emphasize the importance of a community-based approach in health care—integrated with the hospital’s functions for the care of complex conditions and the need for specialized assistance.

ACS Style

Maria Specchia; Andrea Di Pilla; Martina Sapienza; Maria Riccardi; Americo Cicchetti; Gianfranco Damiani; Instant Report Group. Dealing with COVID-19 Epidemic in Italy: Responses from Regional Organizational Models during the First Phase of the Epidemic. International Journal of Environmental Research and Public Health 2021, 18, 5008 .

AMA Style

Maria Specchia, Andrea Di Pilla, Martina Sapienza, Maria Riccardi, Americo Cicchetti, Gianfranco Damiani, Instant Report Group. Dealing with COVID-19 Epidemic in Italy: Responses from Regional Organizational Models during the First Phase of the Epidemic. International Journal of Environmental Research and Public Health. 2021; 18 (9):5008.

Chicago/Turabian Style

Maria Specchia; Andrea Di Pilla; Martina Sapienza; Maria Riccardi; Americo Cicchetti; Gianfranco Damiani; Instant Report Group. 2021. "Dealing with COVID-19 Epidemic in Italy: Responses from Regional Organizational Models during the First Phase of the Epidemic." International Journal of Environmental Research and Public Health 18, no. 9: 5008.

Brief report
Published: 18 March 2021 in Vaccines
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Seasonal flu vaccination is one of the most important strategies for preventing influenza. The attitude towards flu vaccination in light of the COVID-19 pandemic has so far been studied in the literature mostly with the help of surveys and questionnaires. Whether a person chooses to be vaccinated or not during the COVID-19 pandemic, however, speaks louder than any declaration of intention. In our teaching hospital, we registered a statistically significant increase in flu vaccination coverage across all professional categories between the 2019/2020 and the 2020/2021 campaign (24.19% vs. 54.56%, p < 0.0001). A linear regression model, based on data from four previous campaigns, predicted for the 2020/2021 campaign a total flu vaccination coverage of 30.35%. A coverage of 54.46% was, instead, observed, with a statistically significant difference from the predicted value (p < 0.0001). The COVID-19 pandemic can, therefore, be considered as an incentive that significantly and dramatically increased adherence to flu vaccination among our healthcare workers.

ACS Style

Marcello Di Pumpo; Giuseppe Vetrugno; Domenico Pascucci; Elettra Carini; Viria Beccia; Anna Sguera; Maurizio Zega; Marcello Pani; Andrea Cambieri; Mario Nurchis; Floriana D’Ambrosio; Gianfranco Damiani; Patrizia Laurenti. Is COVID-19 a Real Incentive for Flu Vaccination? Let the Numbers Speak for Themselves. Vaccines 2021, 9, 276 .

AMA Style

Marcello Di Pumpo, Giuseppe Vetrugno, Domenico Pascucci, Elettra Carini, Viria Beccia, Anna Sguera, Maurizio Zega, Marcello Pani, Andrea Cambieri, Mario Nurchis, Floriana D’Ambrosio, Gianfranco Damiani, Patrizia Laurenti. Is COVID-19 a Real Incentive for Flu Vaccination? Let the Numbers Speak for Themselves. Vaccines. 2021; 9 (3):276.

Chicago/Turabian Style

Marcello Di Pumpo; Giuseppe Vetrugno; Domenico Pascucci; Elettra Carini; Viria Beccia; Anna Sguera; Maurizio Zega; Marcello Pani; Andrea Cambieri; Mario Nurchis; Floriana D’Ambrosio; Gianfranco Damiani; Patrizia Laurenti. 2021. "Is COVID-19 a Real Incentive for Flu Vaccination? Let the Numbers Speak for Themselves." Vaccines 9, no. 3: 276.

Journal article
Published: 06 March 2021 in International Journal of Environmental Research and Public Health
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Healthcare workers are at the forefront against COVID-19, worldwide. Since Fondazione Policlinico Universitario A. Gemelli (FPG) IRCCS was enlisted as a COVID-19 hospital, the healthcare workers deployed to COVID-19 wards were separated from those with limited/no exposure, whereas the administrative staff were designated to work from home. Between 4 June and 3 July 2020, an investigation was conducted to evaluate the seroprevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglobulin (IgG) antibodies among the employees of the FPG using point-of-care (POC) and venous blood tests. Sensitivity, specificity, and predictive values were determined with reverse-transcription polymerase chain reaction on nasal/oropharyngeal swabs as the diagnostic gold standard. The participants enrolled amounted to 4777. Seroprevalence was 3.66% using the POC test and 1.19% using the venous blood test, with a significant difference (p < 0.05). The POC test sensitivity and specificity were, respectively, 63.64% (95% confidence interval (CI): 62.20% to 65.04%) and 96.64% (95% CI: 96.05% to 97.13%), while those of the venous blood test were, respectively, 78.79% (95% CI: 77.58% to 79.94%) and 99.36% (95% CI: 99.07% to 99.55%). Among the low-risk populations, the POC test’s predictive values were 58.33% (positive) and 98.23% (negative), whereas those of the venous blood test were 92.86% (positive) and 98.53% (negative). According to our study, these serological tests cannot be a valid alternative to diagnose COVID-19 infection in progress.

ACS Style

Giuseppe Vetrugno; Daniele La Milia; Floriana D’Ambrosio; Marcello Di Pumpo; Roberta Pastorino; Stefania Boccia; Rosalba Ricci; Fabio De-Giorgio; Michela Cicconi; Federica Foti; Domenico Pascucci; Francesco Castrini; Elettra Carini; Andrea Cambieri; Maria D’Alfonso; Gennaro Capalbo; Massimo Fantoni; Umberto Moscato; Domenico Staiti; Francesco De Simone; Filippo Berloco; Gianfranco Damiani; Maurizio Zega; Paola Cattani; Brunella Posteraro; Maurizio Sanguinetti; Patrizia Laurenti. COVID-19 Seroprevalence among Healthcare Workers of a Large COVID-19 Hospital in Rome Reveals Strengths and Limits of Two Different Serological Tests. International Journal of Environmental Research and Public Health 2021, 18, 2650 .

AMA Style

Giuseppe Vetrugno, Daniele La Milia, Floriana D’Ambrosio, Marcello Di Pumpo, Roberta Pastorino, Stefania Boccia, Rosalba Ricci, Fabio De-Giorgio, Michela Cicconi, Federica Foti, Domenico Pascucci, Francesco Castrini, Elettra Carini, Andrea Cambieri, Maria D’Alfonso, Gennaro Capalbo, Massimo Fantoni, Umberto Moscato, Domenico Staiti, Francesco De Simone, Filippo Berloco, Gianfranco Damiani, Maurizio Zega, Paola Cattani, Brunella Posteraro, Maurizio Sanguinetti, Patrizia Laurenti. COVID-19 Seroprevalence among Healthcare Workers of a Large COVID-19 Hospital in Rome Reveals Strengths and Limits of Two Different Serological Tests. International Journal of Environmental Research and Public Health. 2021; 18 (5):2650.

Chicago/Turabian Style

Giuseppe Vetrugno; Daniele La Milia; Floriana D’Ambrosio; Marcello Di Pumpo; Roberta Pastorino; Stefania Boccia; Rosalba Ricci; Fabio De-Giorgio; Michela Cicconi; Federica Foti; Domenico Pascucci; Francesco Castrini; Elettra Carini; Andrea Cambieri; Maria D’Alfonso; Gennaro Capalbo; Massimo Fantoni; Umberto Moscato; Domenico Staiti; Francesco De Simone; Filippo Berloco; Gianfranco Damiani; Maurizio Zega; Paola Cattani; Brunella Posteraro; Maurizio Sanguinetti; Patrizia Laurenti. 2021. "COVID-19 Seroprevalence among Healthcare Workers of a Large COVID-19 Hospital in Rome Reveals Strengths and Limits of Two Different Serological Tests." International Journal of Environmental Research and Public Health 18, no. 5: 2650.

Journal article
Published: 21 February 2021 in Vaccines
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Most vaccinations are recommended within the 15th month of life, in order to reduce risks and to protect children from the initial stages of their lives. A vaccination training session was carried out during the birthing preparation course, aimed at increasing the attitude toward vaccination in maternal-child age. A questionnaire on vaccination awareness was administered before and after the training session and on-site flu vaccination was offered to women and their companions. The percentage of participants who consider the preparatory course a useful tool to obtain information about vaccines increases significantly from 30.34% at pre-intervention to 64.56% at post-intervention (p < 0.001). There is a significant increase in the mean number of vaccinations that the participants want their children to get. The number of participants believing that there is no relationship between vaccination and autism rose from 41.05 to 72.97% (p < 0.001). In total, 48 out of 119 (40.34%) pregnant women participating in the course and 39 companions were vaccinated for influenza. Vaccination knowledge and attitude significantly increased after a training session dedicated to vaccination as a part of the pregnant pre-birth course, whose aim can be therefore extended to the management of the health of the child, well beyond the period of pregnancy, according to the life-course approach to health.

ACS Style

Stefania Bruno; Brigida Carducci; Gianluigi Quaranta; Viria Beccia; Andrea Di Pilla; Daniele Ignazio La Milia; Marcello Di Pumpo; Elettra Carini; Lucia Masini; Enrica Tamburrini; Antonietta Spadea; Gianfranco Damiani; Antonio Lanzone; Patrizia Laurenti. Enhancement of Vaccination Attitude and Flu Vaccination Coverage among Pregnant Women Attending Birthing Preparation Course. Vaccines 2021, 9, 183 .

AMA Style

Stefania Bruno, Brigida Carducci, Gianluigi Quaranta, Viria Beccia, Andrea Di Pilla, Daniele Ignazio La Milia, Marcello Di Pumpo, Elettra Carini, Lucia Masini, Enrica Tamburrini, Antonietta Spadea, Gianfranco Damiani, Antonio Lanzone, Patrizia Laurenti. Enhancement of Vaccination Attitude and Flu Vaccination Coverage among Pregnant Women Attending Birthing Preparation Course. Vaccines. 2021; 9 (2):183.

Chicago/Turabian Style

Stefania Bruno; Brigida Carducci; Gianluigi Quaranta; Viria Beccia; Andrea Di Pilla; Daniele Ignazio La Milia; Marcello Di Pumpo; Elettra Carini; Lucia Masini; Enrica Tamburrini; Antonietta Spadea; Gianfranco Damiani; Antonio Lanzone; Patrizia Laurenti. 2021. "Enhancement of Vaccination Attitude and Flu Vaccination Coverage among Pregnant Women Attending Birthing Preparation Course." Vaccines 9, no. 2: 183.

Review
Published: 06 February 2021 in International Journal of Environmental Research and Public Health
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Healthcare organisations are social systems in which human resources are the most important factor. Leadership plays a key role, affecting outcomes for professionals, patients and work environment. The aim of this research was to identify and analyse the knowledge present to date concerning the correlation between leadership styles and nurses’ job satisfaction. A systematic review was carried out on PubMed, CINAHL and Embase using the following inclusion criteria: impact of different leadership styles on nurses’ job satisfaction; secondary care; nursing setting; full-text available; English or Italian language. From 11,813 initial titles, 12 studies were selected. Of these, 88% showed a significant correlation between leadership style and nurses’ job satisfaction. Transformational style had the highest number of positive correlations followed by authentic, resonant and servant styles. Passive-avoidant and laissez-faire styles, instead, showed a negative correlation with job satisfaction in all cases. Only the transactional style showed both positive and negative correlation. In this challenging environment, leaders need to promote technical and professional competencies, but also act to improve staff satisfaction and morale. It is necessary to identify and fill the gaps in leadership knowledge as a future objective to positively affect health professionals’ job satisfaction and therefore healthcare quality indicators.

ACS Style

Maria Specchia; Maria Cozzolino; Elettra Carini; Andrea Di Pilla; Caterina Galletti; Walter Ricciardi; Gianfranco Damiani. Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review. International Journal of Environmental Research and Public Health 2021, 18, 1552 .

AMA Style

Maria Specchia, Maria Cozzolino, Elettra Carini, Andrea Di Pilla, Caterina Galletti, Walter Ricciardi, Gianfranco Damiani. Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review. International Journal of Environmental Research and Public Health. 2021; 18 (4):1552.

Chicago/Turabian Style

Maria Specchia; Maria Cozzolino; Elettra Carini; Andrea Di Pilla; Caterina Galletti; Walter Ricciardi; Gianfranco Damiani. 2021. "Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review." International Journal of Environmental Research and Public Health 18, no. 4: 1552.

Journal article
Published: 22 October 2020 in International Journal of Environmental Research and Public Health
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Healthcare-associated infections (HAI) represent one of the most common cause of infection and an important burden of disease. The aim of this study was to analyze the results of a six-year HAI point prevalence survey carried out yearly in a teaching acute care hospital from 2013 to 2018, following the European Center for Disease Prevention and Control (ECDC) guidelines. Surgical site infections, urinary tract infections, bloodstream infections, pneumonia, meningitis, and Clostridium difficile infections were considered as risk factors. A total of 328 patients with HAI were detected during the 6-year survey, with an average point prevalence of 5.24% (95% CI: 4.70–5.83%). Respiratory tract infections were the most common, followed by surgical site infections, urinary tract infections, primary bloodstream infections, Clostridium difficile infections, and central nervous system infections. A regression model showed length of stay at the moment of HAI detection, urinary catheter, central venous catheter, and antibiotic therapy to be the most important predictors of HAI prevalence, yielding a significant adjusted coefficient of determination (adjusted R2) of 0.2780. This will provide future infection control programs with specific HAI to focus on in order to introduce a proper prophylaxis and to limit exposure whenever possible.

ACS Style

Andrea Gentili; Marcello Di Pumpo; Daniele Ignazio La Milia; Doriana Vallone; Gino Vangi; Maria Incoronata Corbo; Filippo Berloco; Andrea Cambieri; Gianfranco Damiani; Walter Ricciardi; Patrizia Laurenti. A Six-Year Point Prevalence Survey of Healthcare-Associated Infections in an Italian Teaching Acute Care Hospital. International Journal of Environmental Research and Public Health 2020, 17, 7724 .

AMA Style

Andrea Gentili, Marcello Di Pumpo, Daniele Ignazio La Milia, Doriana Vallone, Gino Vangi, Maria Incoronata Corbo, Filippo Berloco, Andrea Cambieri, Gianfranco Damiani, Walter Ricciardi, Patrizia Laurenti. A Six-Year Point Prevalence Survey of Healthcare-Associated Infections in an Italian Teaching Acute Care Hospital. International Journal of Environmental Research and Public Health. 2020; 17 (21):7724.

Chicago/Turabian Style

Andrea Gentili; Marcello Di Pumpo; Daniele Ignazio La Milia; Doriana Vallone; Gino Vangi; Maria Incoronata Corbo; Filippo Berloco; Andrea Cambieri; Gianfranco Damiani; Walter Ricciardi; Patrizia Laurenti. 2020. "A Six-Year Point Prevalence Survey of Healthcare-Associated Infections in an Italian Teaching Acute Care Hospital." International Journal of Environmental Research and Public Health 17, no. 21: 7724.

Journal article
Published: 01 October 2020 in International Journal of Environmental Research and Public Health
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Influenza vaccination among healthcare workers may reduce morbidity and protect fragile patients. Most of the evidence concerning the vaccine hesitancy of healthcare workers reported lack of knowledge and wrong attitude. The aims of this study were to explore the knowledge and attitudes about influenza vaccination among master’s degree students in Nursing and Midwifery, and to evaluate the effectiveness of their involvement in the hospital vaccination campaign in order to increase intention to receive immunization. The students of nurses and midwives were involved in the vaccination sessions of the 2018–19 hospital campaign. They were recruited to complete an online survey. Students of the 2nd year (involved in the vaccination campaign) and the 1st year (not involved) were compared. Descriptive and inferential statistics were performed for data analysis. Students who intend to receive influenza vaccination in the following year registered a percentage of 83.6% and showed an overall attitude of 66.8%. The involvement of the students in the vaccination campaign led to a significant increase in their positive vaccination attitude (80.9% vs. 87.0%) and in their intention to receive flu vaccination in the following year (67.7% vs. 100%). A positive attitude towards vaccinations was observed by nurses and midwives. Their involvement in the planning and activities during the vaccination campaign could positively influence their opinions and intention to receive vaccination.

ACS Style

Claudia Mellucci; Andrea Tamburrano; Fabiana Cassano; Caterina Galletti; Anna Sguera; Gianfranco Damiani; Patrizia Laurenti. Vaccine Hesitancy among Master’s Degree Students in Nursing and Midwifery: Attitude and Knowledge about Influenza Vaccination. International Journal of Environmental Research and Public Health 2020, 17, 7191 .

AMA Style

Claudia Mellucci, Andrea Tamburrano, Fabiana Cassano, Caterina Galletti, Anna Sguera, Gianfranco Damiani, Patrizia Laurenti. Vaccine Hesitancy among Master’s Degree Students in Nursing and Midwifery: Attitude and Knowledge about Influenza Vaccination. International Journal of Environmental Research and Public Health. 2020; 17 (19):7191.

Chicago/Turabian Style

Claudia Mellucci; Andrea Tamburrano; Fabiana Cassano; Caterina Galletti; Anna Sguera; Gianfranco Damiani; Patrizia Laurenti. 2020. "Vaccine Hesitancy among Master’s Degree Students in Nursing and Midwifery: Attitude and Knowledge about Influenza Vaccination." International Journal of Environmental Research and Public Health 17, no. 19: 7191.

Journal article
Published: 31 August 2020 in International Journal of Environmental Research and Public Health
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Emotional intelligence is an important skill for nurses and midwives and leads them to cleverly work in various fields and contexts, successfully handling colleagues, patients and their families. The aim of this cross-sectional study is to evaluate the relationship between emotional intelligence, sociodemographic and academic variables in current and former master’s degree students in nursing and midwifery, through the administration of a questionnaire to 71 subjects. Emotional intelligence is significantly related to gender. Females showed higher scores (0.2 points higher than men) for emotional intelligence factors, highlighting an excellent ability to “evaluate and express emotions in relation to others”. Moreover, significant differences in academic performances are shown: both females and midwives demonstrated higher academic performance (a mean degree mark 3.8 points higher than men and a mean degree mark 2.6 point than nurses, respectively). High levels of emotional intelligence in individuals who carried out training activities in the organization area are also evident: These subjects have an ability regarding the “regulation of emotion in the others”, which is significantly higher (p = 0.01) than those interested in other master’s degree areas. Emotional intelligence (EI) is strongly linked to the individual’s characteristics and their personalities and differs from technical and professional skills. EI is also an excellent predictor of professional success.

ACS Style

Fabiana Cassano; Andrea Tamburrano; Claudia Mellucci; Caterina Galletti; Gianfranco Damiani; Patrizia Laurenti. Evaluation of Emotional Intelligence among Master’s Degree Students in Nursing and Midwifery: A Cross-Sectional Survey. International Journal of Environmental Research and Public Health 2020, 17, 6347 .

AMA Style

Fabiana Cassano, Andrea Tamburrano, Claudia Mellucci, Caterina Galletti, Gianfranco Damiani, Patrizia Laurenti. Evaluation of Emotional Intelligence among Master’s Degree Students in Nursing and Midwifery: A Cross-Sectional Survey. International Journal of Environmental Research and Public Health. 2020; 17 (17):6347.

Chicago/Turabian Style

Fabiana Cassano; Andrea Tamburrano; Claudia Mellucci; Caterina Galletti; Gianfranco Damiani; Patrizia Laurenti. 2020. "Evaluation of Emotional Intelligence among Master’s Degree Students in Nursing and Midwifery: A Cross-Sectional Survey." International Journal of Environmental Research and Public Health 17, no. 17: 6347.

Journal article
Published: 13 June 2020 in International Journal of Environmental Research and Public Health
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The WHO declared the novel coronavirus disease a pandemic, with severe consequences for health and global economic activity and Italy is one of the hardest hit countries. This study aims to assess the socio-economic burden of COVID-19 pandemic in Italy through the estimation of Disability-Adjusted Life Years (DALYs) and productivity loss. The observational study was based on data from official governmental sources collected since the inception of epidemic until 28 April 2020. DALYs for a disease combines the years of life lost due to premature mortality in the population and the years lost due to disability of the disease. In addition to DALYs, temporary productivity loss due to absenteeism from work and permanent productivity loss due to premature mortality were estimated using the Human Capital Approach. The total DALYs amount to 2.01 per 1000 persons. The total permanent productivity loss was around EUR 300 million while the temporary productivity loss was around EUR 100 million. This evaluation does not consider other economic aspects related to lockdown, quarantine of contacts, healthcare direct costs etc. The burden of disease methodology is functional metric for steering choices of health policy and allowing the government to be accountable for the utilization of resources.

ACS Style

Mario Cesare Nurchis; Domenico Pascucci; Martina Sapienza; Leonardo Villani; Floriana D’Ambrosio; Francesco Castrini; Maria Lucia Specchia; Patrizia Laurenti; Gianfranco Damiani. Impact of the Burden of COVID-19 in Italy: Results of Disability-Adjusted Life Years (DALYs) and Productivity Loss. International Journal of Environmental Research and Public Health 2020, 17, 4233 .

AMA Style

Mario Cesare Nurchis, Domenico Pascucci, Martina Sapienza, Leonardo Villani, Floriana D’Ambrosio, Francesco Castrini, Maria Lucia Specchia, Patrizia Laurenti, Gianfranco Damiani. Impact of the Burden of COVID-19 in Italy: Results of Disability-Adjusted Life Years (DALYs) and Productivity Loss. International Journal of Environmental Research and Public Health. 2020; 17 (12):4233.

Chicago/Turabian Style

Mario Cesare Nurchis; Domenico Pascucci; Martina Sapienza; Leonardo Villani; Floriana D’Ambrosio; Francesco Castrini; Maria Lucia Specchia; Patrizia Laurenti; Gianfranco Damiani. 2020. "Impact of the Burden of COVID-19 in Italy: Results of Disability-Adjusted Life Years (DALYs) and Productivity Loss." International Journal of Environmental Research and Public Health 17, no. 12: 4233.

Journal article
Published: 11 June 2020 in International Journal of Environmental Research and Public Health
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Patient engagement has been recognized as a key priority in chronic care. However, scholars agree that guidelines are needed to ensure effective patient engagement strategies. To this end, a Consensus Conference process was promoted with the following methodological steps: (1) extensive literature review about patient engagement initiatives in chronic care; (2) a stakeholders survey to collect best practices and (3) workshops with experts. On the basis of the information collected, a consensus statement was drafted, revised, and finalized by a panel of select renowned experts. These experts agreed in defining engagement as an eco-systemic concept involving multiple actors all of which contribute to influence patients’ willingness and ability to engage in chronic care. Moreover, experts recommended, whenever possible, to adopt standardized instruments to assess engagement levels and related unmet needs. Then, experts strongly advised appropriate trainings for healthcare professionals about patient engagement strategies. Furthermore, the importance of promoting healthcare professionals’ wellbeing has been advocated. Family caregivers, as well as patients’ organizations - should be trained and engaged to increase the effectiveness of interventions dedicated to patients. Finally, experts agreed that digital technologies should be considered as a crucial enhancer for patient engagement in chronic care.

ACS Style

Guendalina Graffigna; Serena Barello; Giuseppe Riva; Massimo Corbo; Gianfranco Damiani; Primiano Iannone; Albino Claudio Bosio; Walter Ricciardi. Italian Consensus Statement on Patient Engagement in Chronic Care: Process and Outcomes. International Journal of Environmental Research and Public Health 2020, 17, 4167 .

AMA Style

Guendalina Graffigna, Serena Barello, Giuseppe Riva, Massimo Corbo, Gianfranco Damiani, Primiano Iannone, Albino Claudio Bosio, Walter Ricciardi. Italian Consensus Statement on Patient Engagement in Chronic Care: Process and Outcomes. International Journal of Environmental Research and Public Health. 2020; 17 (11):4167.

Chicago/Turabian Style

Guendalina Graffigna; Serena Barello; Giuseppe Riva; Massimo Corbo; Gianfranco Damiani; Primiano Iannone; Albino Claudio Bosio; Walter Ricciardi. 2020. "Italian Consensus Statement on Patient Engagement in Chronic Care: Process and Outcomes." International Journal of Environmental Research and Public Health 17, no. 11: 4167.

Journal article
Published: 07 May 2020 in International Journal of Environmental Research and Public Health
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Nursing documentation is an important proxy of the quality of care, and quality indicators in nursing assessment can be used to assess and improve the quality of care in health care institutions. The study aims to evaluate the completeness and the accuracy of nursing assessment, analyzing the compilation of pain assessment and nutritional status (body mass index (BMI)) in computerized nursing records, and how it is influenced by four variables: nurse to patient ratio, diagnosis related group weight (DRG), seniority of charge nurse, and type of ward (medical, surgical or other). The observational ecological pilot study was conducted between September and October 2018 in an Italian Tertiary-Level Teaching Hospital. The nursing documentation analyzed for the ‘Assessment’ phase included 12,513 records, 50.4% concerning pain assessment, and 45% BMI. The nurse–patient ratio showed a significant direct association with the assessment of nutritional status (p = 0.032). The average weight DRG has a negative influence on pain and BMI assessment; the surgical units positively correlate with the compilation of nursing assessment (BMI and pain). The nursing process is an essential component for the continuous improvement in the quality of care. Nurses need to be accountable to improve their knowledge and skills in nursing documentation.

ACS Style

Angela Iula; Carola Ialungo; Chiara De Waure; Matteo Raponi; Matteo Burgazzoli; Maurizio Zega; Caterina Galletti; Gianfranco Damiani. Quality of Care: Ecological Study for the Evaluation of Completeness and Accuracy in Nursing Assessment. International Journal of Environmental Research and Public Health 2020, 17, 3259 .

AMA Style

Angela Iula, Carola Ialungo, Chiara De Waure, Matteo Raponi, Matteo Burgazzoli, Maurizio Zega, Caterina Galletti, Gianfranco Damiani. Quality of Care: Ecological Study for the Evaluation of Completeness and Accuracy in Nursing Assessment. International Journal of Environmental Research and Public Health. 2020; 17 (9):3259.

Chicago/Turabian Style

Angela Iula; Carola Ialungo; Chiara De Waure; Matteo Raponi; Matteo Burgazzoli; Maurizio Zega; Caterina Galletti; Gianfranco Damiani. 2020. "Quality of Care: Ecological Study for the Evaluation of Completeness and Accuracy in Nursing Assessment." International Journal of Environmental Research and Public Health 17, no. 9: 3259.

Journal article
Published: 13 February 2020 in Vaccines
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Flu vaccination is recommended among healthcare workers (HCWs). The low vaccination coverage registered in our hospital among HCWs called for new engaging approaches to improve flu vaccination coverage. The aim of this study was to evaluate the efficacy of different strategies implemented during the last four years (2015–2019). A quasi-experimental study was conducted, involving almost 4000 HCWs each year. Starting from the 2015–2016 campaign, new evidence-based strategies were progressively implemented. At the end of each campaign, an evaluation of the vaccination coverage rate reached was performed. Moreover, during the last three campaigns, differences in coverage among job category, wards involved or not in on-site vaccination (OSV) intervention, age classes and gender were analyzed. An increasing flu vaccination coverage rate was registered, from 6% in 2015–2016 to almost 22% at the end of 2018–2019. The overall number of vaccinated HCWs increased, especially at younger ages. OSV strategy always leads to better results, and physicians always show a higher vaccination coverage than nurses and other HCWs. The implemented strategies were effective in achieving higher flu vaccination coverage among HCWs in our hospital and therefore can be considered valuable examples of good prevention practices in hospital settings.

ACS Style

Andrea Barbara; Daniele Ignazio La Milia; Marcello Di Pumpo; Alessia Tognetto; Andrea Tamburrano; Doriana Vallone; Carlo Viora; Silvia Cavalieri; Andrea Cambieri; Umberto Moscato; Filippo Berloco; Gianfranco Damiani; Walter Ricciardi; Giovanni Capelli; Patrizia Laurenti. Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital. Vaccines 2020, 8, 85 .

AMA Style

Andrea Barbara, Daniele Ignazio La Milia, Marcello Di Pumpo, Alessia Tognetto, Andrea Tamburrano, Doriana Vallone, Carlo Viora, Silvia Cavalieri, Andrea Cambieri, Umberto Moscato, Filippo Berloco, Gianfranco Damiani, Walter Ricciardi, Giovanni Capelli, Patrizia Laurenti. Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital. Vaccines. 2020; 8 (1):85.

Chicago/Turabian Style

Andrea Barbara; Daniele Ignazio La Milia; Marcello Di Pumpo; Alessia Tognetto; Andrea Tamburrano; Doriana Vallone; Carlo Viora; Silvia Cavalieri; Andrea Cambieri; Umberto Moscato; Filippo Berloco; Gianfranco Damiani; Walter Ricciardi; Giovanni Capelli; Patrizia Laurenti. 2020. "Strategies to Increase Flu Vaccination Coverage among Healthcare Workers: A 4 Years Study in a Large Italian Teaching Hospital." Vaccines 8, no. 1: 85.

Preprint
Published: 03 February 2020
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Patient engagement is receiving a growing attention in the healthcare context. However, although worldwide healthcare stakeholders agree that patient engagement is a priority for quality and effective care, no shared recommendations on how to promote patient engagement are currently available. Based on these premises, a Consensus Conference (CC) was promoted to address four main issues: What is the definition of Patient Engagement? How measuring Patient Engagement? What are the most recommended methodologies and the tools to promote Patient Engagement? What is the role of new technologies in promoting of Patient Engagement? The consensus was obtained through an iterative process that began with a systematic synthesis of the available literature in each domain followed by plenary expert discussions. This CC - including the systematic analysis of internationals scientific evidences (2749 sources across the major international scientific databases) together with experiences of a multi-disciplinary consortium of investigators and key stakeholders - attempted to provide the first evidence-based Expert Consensus Statement for the promotion of Patient Engagement in chronic care. These recommendations should be envisaged as inspirational principles to promote a real eco-system of engagement and might orient health services research and interventions.

ACS Style

Guendalina Graffigna; Serena Barello; Giuseppe Riva; Massimo Corbo; Gianfranco Damiani; Primiano Iannone; Albino Claudio Bosio; Walter Ricciardi. Recommendations for Promoting Patient Engagement in Chronic Care: A Consensus Conference Statement. 2020, 1 .

AMA Style

Guendalina Graffigna, Serena Barello, Giuseppe Riva, Massimo Corbo, Gianfranco Damiani, Primiano Iannone, Albino Claudio Bosio, Walter Ricciardi. Recommendations for Promoting Patient Engagement in Chronic Care: A Consensus Conference Statement. . 2020; ():1.

Chicago/Turabian Style

Guendalina Graffigna; Serena Barello; Giuseppe Riva; Massimo Corbo; Gianfranco Damiani; Primiano Iannone; Albino Claudio Bosio; Walter Ricciardi. 2020. "Recommendations for Promoting Patient Engagement in Chronic Care: A Consensus Conference Statement." , no. : 1.

Journal article
Published: 01 November 2019 in European Journal of Public Health
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Global health governance is defined as the use of institutions, rules and processes “to deal with challenges to health that require cross-border collective action to be addressed effectively”. Several studies on this have been published, but there is no consensus about the measure of its various aspects. The aim of this study was to search for strategies used by healthcare systems to evaluate their care in global settings and for shared indicators to assess global health governance worldwide. This systematic analysis of qualitative and quantitative studies was conducted according to the Population-Intervention-COntext model and the Population-Intervention-Comparison-Outcome models, using search string “global health and governance and assessment”, from 2014 to 2018 (in biennium 2013-14 WHO and others identified health governance as a global priority). Articles that reported quantitative and/or qualitative evaluation on global health governance were included. Outcomes were screened by title and abstract, and then by full texts in order to assess eligibility. From a total of 98, six studies met inclusion criteria. 4 main strategies of global health governance were identified: intersectoral policies (demographic factors, sanitation practices, housing characteristics and social behaviors); food and nutrition, caring to strengthen country-owned governance capacity (high levels of governance are associated with signing up initiatives for undernutrition prevention, OR = 30); disability and rehabilitation, crucial for realization of the right to health; risk factors control and non-communicable disease prevention (tobacco control). Two set of indicators were found: an expert-informed framework for assessing rehabilitation and a set of primary data sources to evaluate nutrition in fragile countries. Although lots of evidence in literature about globalization, only few areas are adequately measured. Literature about this topic should pay attention to assessment. Key messages In literature, four local areas were identified having perspective of global health governance: intersectoral policies, nutrition, rehabilitation and non-communicable disease prevention. For two of these areas, nutrition and rehabilitation, shared patterns of indicators were found, from primary data sources and expert consensus.

ACS Style

G Damiani; V Pettinicchio; R Markovic; L Rosi. Strategies and measurement for global health governance assessment: a 5-years mixed review. European Journal of Public Health 2019, 29, 1 .

AMA Style

G Damiani, V Pettinicchio, R Markovic, L Rosi. Strategies and measurement for global health governance assessment: a 5-years mixed review. European Journal of Public Health. 2019; 29 (Supplement):1.

Chicago/Turabian Style

G Damiani; V Pettinicchio; R Markovic; L Rosi. 2019. "Strategies and measurement for global health governance assessment: a 5-years mixed review." European Journal of Public Health 29, no. Supplement: 1.

Observational study
Published: 02 August 2019 in BMC Health Services Research
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The raising of disability and chronic illness burden among European population is calling for a new paradigm of care, focused on primary health care interventions. Engage-In-Caring is a novel multicomponent intervention clearly dedicated to improve family caregiver engagement in the care of patients with complex care needs, by supporting them to develop a stronger consciousness of their role, needs and skills. Engage-In-Caring intervention’s efficacy and feasibility have been evaluated through a single arm pre-post observational pilot study settled in Rome. A qualitative phase, consisting of literature analysis of caregivers’ unmet needs and a final revision from an experts’ group, led to the structuration of the intervention, following the Caregiver Health Engagement Model (CHE-Model). Afterwards, a quantitative phase allowed understanding the feasibility of the intervention through Kruskal-Wallis test on a sample of 47 caregivers. Results showed a reduction of the physical burden (Chi Squared = 6,483; p = .01) perceived by the caregivers and increase of the health literacy (Chi Squared = 3,560; p = .059) after the intervention. Feasibility tests on caregivers of patients with complex care needs are promising: this pilot study suggests a first effectiveness evidence, particularly concerning aspects related to burden perception and improvements in health literacy. Randomised controlled trials on larger samples are needed.

ACS Style

Elena Guida; S. Barello; A. Corsaro; M. C. Galizi; F. Giuffrida; G. Graffigna; G. Damiani. An Italian pilot study of a psycho-social intervention to support family caregivers’ engagement in taking care of patients with complex care needs: the Engage-in-Caring project. BMC Health Services Research 2019, 19, 1 -8.

AMA Style

Elena Guida, S. Barello, A. Corsaro, M. C. Galizi, F. Giuffrida, G. Graffigna, G. Damiani. An Italian pilot study of a psycho-social intervention to support family caregivers’ engagement in taking care of patients with complex care needs: the Engage-in-Caring project. BMC Health Services Research. 2019; 19 (1):1-8.

Chicago/Turabian Style

Elena Guida; S. Barello; A. Corsaro; M. C. Galizi; F. Giuffrida; G. Graffigna; G. Damiani. 2019. "An Italian pilot study of a psycho-social intervention to support family caregivers’ engagement in taking care of patients with complex care needs: the Engage-in-Caring project." BMC Health Services Research 19, no. 1: 1-8.

Review
Published: 01 July 2019 in Open Access Emergency Medicine
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Stroke is one of the leading causes of morbidity, disability, and mortality in high-income countries. Early prehospital stroke recognition plays a fundamental role, because most clinical decisions should be made within the first hours after onset of symptoms. The Cincinnati Prehospital Stroke Scale (CPSS) is a validated screening tool whose utilization is suggested during triage. The aim of this study is to review the role of the CPSS by assessing its sensitivity and specificity in prehospital and hospital settings. A systematic review and a meta-analysis of the literature reporting the CPSS sensitivity and specificity among patients suspected of stroke were undertaken. Electronic databases were searched up to December 2018, and the quality assessment was carried out by using the Revised Quality Assessment of Diagnostic Accuracy Studies -2 (QUADAS-2). Eleven studies were included in the meta-analysis. Results showed an overall sensitivity of 82.46% (95% confidence interval [CI] 74.83-88.09%) and specificity of 56.95% (95% CI 41.78-70.92). No significant differences were found in terms of sensitivity when CPSS was performed by physicians (80.11%, 95% CI 66.14-89.25%) or non-physicians (81.11%, 95% CI 69.78-88.87%). However, administration by physicians resulted in higher specificity (73.57%, 95% CI 65.78-80.12%) when compared to administration by non-physicians (50.07%, 95% CI 31.54-68.58%). Prospective studies showed higher specificity 71.61% (95% CI 61.12-80.18%) and sensitivity 86.82% (95% CI 74.72-93.63) when compared to retrospective studies which showed specificity of 33.37% (95% CI 22.79-45.94%) and sensitivity of 78.52% (95% CI 75.08-81.60). The CPSS is a standardized and easy-to-use stroke screening tool whose implementation in emergency systems protocols, along with proper and consistent coordination with local, regional, and state agencies, medical authorities and local experts are suggested.

ACS Style

A De Luca; M Mariani; Mt Riccardi; G Damiani. The role of the Cincinnati Prehospital Stroke Scale in the emergency department: evidence from a systematic review and meta-analysis. Open Access Emergency Medicine 2019, ume 11, 147 -159.

AMA Style

A De Luca, M Mariani, Mt Riccardi, G Damiani. The role of the Cincinnati Prehospital Stroke Scale in the emergency department: evidence from a systematic review and meta-analysis. Open Access Emergency Medicine. 2019; ume 11 ():147-159.

Chicago/Turabian Style

A De Luca; M Mariani; Mt Riccardi; G Damiani. 2019. "The role of the Cincinnati Prehospital Stroke Scale in the emergency department: evidence from a systematic review and meta-analysis." Open Access Emergency Medicine ume 11, no. : 147-159.

Journal article
Published: 05 June 2019 in International Journal of Environmental Research and Public Health
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Vaccinations remain the most effective way of preventing infection, disease, and mortality. Public health institutions consequently recommend vaccines to target groups, including healthcare workers, who are considered to be more at risk of exposure and transmission. The aim of this cross-sectional study is to assess, through the administration of a questionnaire, the nursing staff’s knowledge and attitude towards recommended vaccinations, and to explore the effects of a training course (carried out according to the academic detailing methodology) aimed at increasing operators’ knowledge and outreach on recommended vaccinations among healthcare workers. A total of 85 HCWs (30 nursing coordinators and 55 nurses) completed the questionnaire. Results demonstrate a higher rate of agreement towards vaccinations in nursing staff answers (75%), if compared with results of other studies (62–63%). Statistically significant differences between nursing coordinators and nurses can be found. Regarding vaccination attitudes, nursing coordinators agreed in 86% of the answers on healthcare workers’ vaccination vs 70% of nurses (p < 0.001). Considering immunization for influenza, 57% of nursing coordinators vs 18% of nurses reported for vaccination (p < 0.001). Educational programs, carried out according to academic detailing methods, could impact on vaccination attitudes and raise awareness about recommended vaccinations among healthcare workers. The questionnaire is a useful tool for investigating nursing staff knowledge and attitudes towards vaccinations, and to implement strategies to promoting vaccinations among healthcare workers.

ACS Style

Andrea Tamburrano; Claudia Mellucci; Caterina Galletti; Daniela Vitale; Doriana Vallone; Andrea Barbara; Anna Sguera; Maurizio Zega; Gianfranco Damiani; Patrizia Laurenti. Improving Nursing Staff Attitudes toward Vaccinations through Academic Detailing: The HProImmune Questionnaire as a Tool for Medical Management. International Journal of Environmental Research and Public Health 2019, 16, 2006 .

AMA Style

Andrea Tamburrano, Claudia Mellucci, Caterina Galletti, Daniela Vitale, Doriana Vallone, Andrea Barbara, Anna Sguera, Maurizio Zega, Gianfranco Damiani, Patrizia Laurenti. Improving Nursing Staff Attitudes toward Vaccinations through Academic Detailing: The HProImmune Questionnaire as a Tool for Medical Management. International Journal of Environmental Research and Public Health. 2019; 16 (11):2006.

Chicago/Turabian Style

Andrea Tamburrano; Claudia Mellucci; Caterina Galletti; Daniela Vitale; Doriana Vallone; Andrea Barbara; Anna Sguera; Maurizio Zega; Gianfranco Damiani; Patrizia Laurenti. 2019. "Improving Nursing Staff Attitudes toward Vaccinations through Academic Detailing: The HProImmune Questionnaire as a Tool for Medical Management." International Journal of Environmental Research and Public Health 16, no. 11: 2006.