Florian Spada

Dr. Florian Spada


Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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5 September 2022 in Healthcare
Verified
Journal Article
Open access
PDF file
FSFlorian Spada
Florian Spada
Rosario CarusoRosario Caruso
Rosario Caruso
Maddalena De MariaMaddalena De Maria
Maddalena De Maria
EKEmiljan Karma
Emiljan Karma
AOAisel Oseku
Aisel Oseku
Alessandro StievanoAlessandro Stievano
Alessandro Stievano
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 correlations showed that five items did not show significant item-to-total correlations. Even if their deletion was not mandatory for generating a suitable correlation matrix for factor analysis, the advantages of keeping only items contributing to a more stable measurement with a shorter scale represented the rationale for removing items with non-significant item-to-total correlation from the correlation matrix before testing the dimensionality of the I-RIPLS with factor analysis. The answers from the first 50% of responders (n = 207) were used to determine the most plausible dimensionality of the I-RIPLS by employing an exploratory factor analysis (EFA), and the second 50% were used to cross-validate the most plausible dimensionality derived from EFA by employing confirmatory factor analysis (CFA) models. The most plausible dimensionality from EFA, by acknowledging the interpretation of the scree plot, the eigenvalues greater than 1, a parallel analysis, and the previous theoretical dimensions of the tool had two factors with adequate internal consistency. The CFA confirmed the two-factor solutions and the internal consistency for each domain. The I-RIPLS has 14 items with adequate evidence of validity and reliability. Future research should revise the tool for pursuing cross-cultural multigroup measurement invariance.

28 July 2023 in Healthcare
Verified
Journal Article
Open access
PDF file
BDBlerina Duka
Blerina Duka
Alessandro StievanoAlessandro Stievano
Alessandro Stievano
EPEmanuela Prendi
Emanuela Prendi
FSFlorian Spada
Florian Spada
GRGennaro Rocco
Gennaro Rocco
Ippolito NotarnicolaIppolito Notarnicola
Ippolito Notarnicola
(1) Background: The assessment and application of registered nurses’ professional skills are essential to providing quality and safe care. Self-efficacy can positively affect the professional competence of registered nurses. This study analysed professional competence and its association with self-efficacy among registered nurses. (2) Methods: A cross-sectional observational study was conducted. The sampling was conventional. The data collection took place through the Albanian version of the Nurse Professional Competence Scale Short Form (A-NPCS-SF), which was used to assess their professional skills, and the Albanian version of the Nursing Profession Self-Efficacy Scale (A-NPSES), which was used to assess their self-efficacy. The study was based on a convenience sample of 985 registered nurses from the 12 Albanian provinces. (3) Results: The Cronbach alpha value for the A-NPCS-SF scale was 0.947, while for the A-NPSES scale, it was 0.875, proving both scales to be reliable. Self-efficacy does not play an essential role in the development of the professional competence of registered nurses since our survey found only one dimension correlates with these two elements. (4) Conclusions: The results of our analysis have instead highlighted the importance of a close relationship between job satisfaction and the development of professional skills.

8 November 2022 in Healthcare
Verified
Journal Article
Open access
PDF file
BDBlerina Duka
Blerina Duka
Alessandro StievanoAlessandro Stievano
Alessandro Stievano
Rosario CarusoRosario Caruso
Rosario Caruso
EPEmanuela Prendi
Emanuela Prendi
FSFlorian Spada
Florian Spada
Ippolito NotarnicolaIppolito Notarnicola
Ippolito Notarnicola
There are few tools to ascertain self-efficacy, which is a valuable component of nursing skills. This study has tested the psychometric properties of an Albanian translation of the Nursing Profession Self-Efficacy Scale (NPSES), which is based on Bandura’s theory of social cognition. Data were collected using questionnaires which were filled out by 423 nurses from the twelve provinces of the Albanian health system. The scale’s content, face, and construct validity were evaluated. Reliability was verified using Cronbach’s α and test–retest and by calculating the intraclass correlation coefficients. The original NPSES has two factors; for the A-NPSES analyzed in this study, four factors emerged from the factorial analysis of our reference sample: nursing care procedure situation, nursing research situation, nursing ethics situation, and nursing practice situation. Cronbach’s α was 0.91, indicating that the tool is reliable. The results of this study demonstrate the validity and reliability of the Albanian version of the NPSES. This scale is a valuable tool for self-assessing nurses’ self-efficacy. An adequate scale for measuring nurses’ self-efficacy can be used to improve the quality of clinical nursing care.

31 August 2022
Verified
Journal Article
Open access
EPEmanuela Prendi
Emanuela Prendi
Alessandro StievanoAlessandro Stievano
Alessandro Stievano
Rosario CarusoRosario Caruso
Rosario Caruso
BDBlerina Duka
Blerina Duka
FSFlorian Spada
Florian Spada
INIppolito Notarnicola
Ippolito Notarnicola
Professional competence is essential in providing nursing care based on standards. This concept can be measured, among various instruments, with the Nurses' Professional Competence Scale Short Form (NPCS-SF). The main aim of this study was to explore the perceptions of Registered Nurses (RNs) and Student Nurses (SNs) of their competencies and investigate their differences in the development of nursing competencies using the Italian version of the NPCS-SF. A cross-sectional observational study design was accomplished. The research was based on a convenience sample of 328 RNs and SNs (response rate: 81.95%) recruited at the University of Our Lady of Good Counsel, Tirane, Albania and Tor Vergata University Hospital, Rome, Italy. RNs averaged higher than SNs' (m= 86.11 ± 9.53 SD) in professional competencies development. The factor for which the mean was highest for RNs was 'ethics of nursing care' (m = 89.54 ± 8.31 SD). SNs scored the lowest in leadership and coordination of nursing care (m = 78.36 ± 14.55 SD). The factors that scored the highest and lowest on the scale were similar with the results of using NPCS-SF in other countries. The study results may indicate that specific training for RNs and SNs could be accomplished based on different competence factors that show low scores of the NPCS-SF. The NPCS-SF has also shown excellent reliability in the Italian context. Furthermore, these findings have implications for teaching competencies in educational institutions and further research.

17 October 2023
Verified
Journal Article
Open access
FSFlorian Spada
Florian Spada
Rosario CarusoRosario Caruso
Rosario Caruso
Ippolito NotarnicolaIppolito Notarnicola
Ippolito Notarnicola
Maddalena De MariaMaddalena De Maria
Maddalena De Maria
BDBlerina Duka
Blerina Duka
Alessandro StievanoAlessandro Stievano
Alessandro Stievano
Readiness for interprofessional education (IPE) was recognized by international authorities as a key approach for educating students attending healthcare programs. Thus far, there are no descriptions of readiness for IPE in the Albanian context. For this reason, this study aimed to describe readiness for IPE, assessed by measuring “teamwork and collaboration” and “positive professional identity, roles, and responsibilities” among students attending healthcare programs in an Italian-speaking university based in Albania, and describe the correlations between readiness for IPE and the characteristics of the respondents. This study had a descriptive observational design, a cross-sectional data collection, and a convenience sampling procedure performed in a single centre. The study was accomplished between April 2020 and June 2021, involving 688 students, 38.2% of the entire population of students attending healthcare programs in the context of the investigation. The teamwork and collaboration mean score was 4.40 (standard deviation = 0.56), and no differences were found between programs (p-value=0.159). The positive professional identity, roles, and responsibilities mean score was 4.33 (standard deviation = 0.64) with no differences between programs (p-value=0.340). Females attending nursing or midwifery reported higher positive professional identity, roles, and responsibilities scores (p-value=0.020), and females in dentistry reported higher teamwork and collaboration scores than males (p-value=0.045). Future research should evaluate readiness for IPE longitudinally to ascertain its trajectories over time and analyze any potential individual- or organizational-level variables that may impact IPE and sex-related differences regarding factors influencing IPE. (www.actabiomedica.it)

3 August 2023
Verified
Journal Article
Open access
BDBlerina Duka
Blerina Duka
Alessandro StievanoAlessandro Stievano
Alessandro Stievano
Rosario CarusoRosario Caruso
Rosario Caruso
EPEmanuela Prendi
Emanuela Prendi
VEVlora Fejzullahu Ejupi
Vlora Fejzullahu Ejupi
Ippolito NotarnicolaIppolito Notarnicola
Ippolito Notarnicola
The primary aim of this study was the translation and psychometric validation of the Albanian Nurse Professional Competence Scale Short Form (A-NPCS-SF) for further application in Albanian healthcare settings. The multiphase design used to develop the A-NPCS-SF comprised (1) cultural and linguistic validation, (2) content and face validity, and (3) construct validity. The A-NPCS-SF showed adequate content validity. Confirmatory factor analysis supported the six-factor structure of the A-NPCS-SF to explain the data obtained from the nurses. The A-NPCS-SF showed evidence of validity and reliability in measuring four professional competencies. Having an appropriate scale in Albanian for professional competence self-assessment by nurses constitutes an essential step in measuring these competencies. (www.actabiomedica.it).