Chiara Palazzo

Dr. Chiara Palazzo

orcid

Research Focus & Metrics

Academic Career Length

1Year (2026-Present)

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

Representative Publications

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9 May 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
MAMarco Abagnale
Marco Abagnale
CPChiara Palazzo
Chiara Palazzo
NZNicolò Zampetti
Nicolò Zampetti
MFMelania De Filippo
Melania De Filippo
RCRita Citarella
Rita Citarella
FGFrancesco Gravante
Francesco Gravante
Background/Objectives: Point-of-care ultrasound (POCUS) is increasingly used in intensive care units (ICUs) as a rapid bedside diagnostic tool supporting timely clinical assessment. The impact of nurse-performed POCUS on clinical management, procedural performance, and professional practice in adult ICUs has not yet been systematically synthesized. This review aimed to evaluate the integration of nurse-performed POCUS into nursing care and its effects on technical, decision-making, and professional outcomes. Methods: A systematic review was conducted in accordance with PRISMA 2020 and the JBI Manual for Evidence Synthesis. PubMed, Scopus, CINAHL, and Web of Science were searched without time restrictions. Original studies were included if they involved adult ICU patients and evaluated POCUS performed by nurses, reporting clinical, procedural, or professional outcomes. Methodological quality was assessed using JBI and MMAT checklists according to study design. Results: Eleven studies were included. The results were synthesized into four primary domains: (1) support for the clinical decision-making process, (2) technical performance and procedural outcomes, (3) diagnostic accuracy, and (4) professional autonomy, training, and sustainability of competencies. Nurse-performed POCUS was associated with management changes in 26–67% of assessments and improved first-attempt success in ultrasound-guided peripheral venous access. Diagnostic accuracy was acceptable when supported by structured training, with no reported increase in complications. Conclusions: Nurse-performed POCUS in adult ICUs appears safe and practice-enhancing, supporting decision-making and selected procedural outcomes. Further multi-center controlled studies are required to clarify its impact on major clinical endpoints and long-term outcomes.

19 March 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
AGASSUNTA GUILLARI
ASSUNTA GUILLARI
MAMarco Abagnale
Marco Abagnale
CPChiara Palazzo
Chiara Palazzo
MFMaria Assunta Fulco
Maria Assunta Fulco
TRTeresa Rea
Teresa Rea
VGVincenza Giordano
Vincenza Giordano
Background/Objectives: Nurse retention remains a major global challenge for healthcare systems, intensified by workforce aging, rising care complexity, and the long-term impact of the COVID-19 pandemic. Despite extensive research, the evidence on nurse retention remains fragmented and frequently focuses on isolated determinants. This review aimed to synthesize the multifactorial determinants of nurse retention by integrating organizational, relational, and individual perspectives. Methods: An integrative review was conducted following Whittemore and Knafl’s approach and reported according to PRISMA 2020 guidelines where applicable. A systematic search of six databases identified studies published between 2016 and 2026 addressing nurse retention in hospital settings. Included studies underwent methodological quality appraisal using validated tools, and findings were synthesized narratively. Results: Twenty-five articles were included. The analysis revealed differences in perspective between nurse managers and nurses regarding the factors that influence retention. Transformational and participative leadership among nurse managers enhanced staff retention through supportive organizational climates and higher professional commitment. For staff nurses, positive work environments, collegial support, and psychological resources such as self-efficacy and resilience were key predictors of intention to stay. These findings can be interpreted through Herzberg’s Two-Factor Theory, Self-Determination Theory and Theory of Planned Behavior, which collectively highlight how recognition, autonomy, and competence satisfaction drive nurses’ intention to remain in their roles. Conclusions: Nurse retention reflects dynamic, multilevel processes rather than the influence of single determinants. Integrated, theory-informed approaches targeting organizational structures, relational climates, and individual psychological resources are required to strengthen workforce sustainability and support high-quality care delivery.

24 March 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
AGASSUNTA GUILLARI
ASSUNTA GUILLARI
ACAndrea Chirico
Andrea Chirico
CPChiara Palazzo
Chiara Palazzo
MMMaurizio Di Martino
Maurizio Di Martino
FCFrancesco Cristiano
Francesco Cristiano
VGVincenza Giordano
Vincenza Giordano
Background/Objectives: Nomophobia, the irrational fear of being without a mobile phone, is increasingly prevalent among university students and has emerged as a concerning form of digital dependence. Among nursing students, this condition is particularly relevant due to the emotional demands and cognitive challenges of healthcare education. Nomophobia has been linked with adverse psychological outcomes, sleep disturbances, and impaired academic and clinical performance. However, existing evidence remains fragmented and lacks an integrated conceptual synthesis. This review aimed to synthesize current evidence on the prevalence, correlates, and outcomes of nomophobia among nursing students. Methods: An integrative review was conducted following Whittemore and Knafl’s methodology and PRISMA guidelines. A systematic search was performed in PubMed, CINAHL, PsycINFO, PsycArticles, and Medline (between 2015 and 2025), supplemented by Google Scholar. Cross-sectional studies and literature focusing on nomophobia in nursing students were included. The primary studies and selected review articles were considered when no overlap with the included primary evidence was identified. Methodological quality appraisal was assessed using validated tools (QuADS and JBI). Results: Twenty-two studies were included (19 cross-sectional and 3 reviews). Four thematic areas emerged: prevalence and severity (50–90% moderate to severe); psychological correlates (anxiety, depression, stress, insomnia, alexithymia, fear of missing out); academic and cognitive outcomes (impaired performance, procrastination, reduced decision-making); and behavioural predictors (excessive smartphone use and emotional dysregulation). The Nomophobia Questionnaire (NMP-Q) was the most frequently used instrument. Conclusions: Nomophobia represents a relevant dimension of the mind–technology relationship in nursing education, with implications for students’ mental health, academic engagement, and clinical readiness. Addressing nomophobia may support healthier learning environments and contribute to the development of emotionally competent and safe future healthcare professionals. However, significant gaps remain, particularly regarding longitudinal evidence and intervention-based approaches.

10 April 2026 in Journal of Advanced Nursing
Verified
Journal Article
Open access
CPChiara Palazzo
Chiara Palazzo
VGVincenza Giordano
Vincenza Giordano
ACAndrea Chirico
Andrea Chirico
TRTeresa Rea
Teresa Rea
AGASSUNTA GUILLARI
ASSUNTA GUILLARI
Aim(s): This review analyses and synthesises the available evidence on the barriers limiting women's career advancement in nursing. It aims to identify effective interventions to promote gender equity in healthcare leadership through an integrated framework informed by Social Role Theory, Ambivalent Sexism Theory and Theory of Planned Behaviour. Design: Rapid Evidence Assessment. Data Sources: The search was conducted on the databases: PubMed, CINAHL Complete, MEDLINE, ApaPsycArticles, ApaPsycInfo between March and May 2025. Methods: The Population–Exposure–Outcome framework guided the formulation of the research question. Two reviewers independently conducted screening, quality appraisal and data extraction. Results: Eight studies with heterogeneous research designs were included: four literature reviews, three quantitative studies and one qualitative study. The analysis identified four themes: (1) gender pay gap; (2) gender stereotypes and cultural expectations; (3) systemic barriers: organisational structures and institutional culture; (4) organisational strategies for gender equity and female leadership. Conclusion: Career advancement for female nurses is limited by systemic and internalised constraints that reinforce vertical segregation. Multilevel interventions are needed to dismantle structural inequalities and reshape gender norms within nursing leadership. Implications for the Profession and/or Patient Care: Targeted reforms, including transparent promotion criteria, structured mentoring, bias awareness training and inclusive organisational policies, are essential to promote leadership equity, improve workplace justice and foster a sustainable health system. Impact: This study addresses the persistent gender gap in nursing leadership, identifying systemic, cultural and individual barriers to women's career progression. Through a Rapid Evidence Assessment, it proposes a new multilevel theoretical framework. The results support policies and interventions to promote gender equity in nursing leadership. Reporting Methods: This review adheres to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines for reporting. Patient or Public Contribution: None.

5 June 2026 in NSC Nursing
Verified
Journal Article
Open access
TRTeresa Rea
Teresa Rea
VGVincenza Giordano
Vincenza Giordano
CPChiara Palazzo
Chiara Palazzo
ADAnna D’ANgelo
Anna D’ANgelo
MGMarco Gallucci
Marco Gallucci
AGASSUNTA GUILLARI
ASSUNTA GUILLARI
Introduction: Dance Movement Therapy (DMT), distinct from broader recreational or structured dance activities, has increasingly been proposed as a person-centred, movement-based intervention to address the psychosocial and relational needs of people living with dementia, which are often insufficiently addressed by pharmacological treatments alone. However, the available evidence is characterised by conceptual and methodological heterogeneity, with different dance-based approaches frequently grouped under the same label. A narrative review design was therefore adopted to provide an interpretative and clinically oriented synthesis of how DMT has been conceptualised, implemented, and evaluated across care contexts. Aim: This narrative review aims to critically synthesize how DMT has been described and applied in the literature for people living with dementia and which psychosocial, physical, and cognitive dimensions have been explored. Materials and Methods: A narrative review was conducted using searches in PubMed, CINAHL, APA PsycInfo, and PsycArticles between July 2025 and March 2026, and findings were synthesised with attention to clinical relevance. Results: A total of 11 primary studies were included. DMT for people living with dementia encompasses heterogeneous approaches, ranging from clinical DMT to structured and recreational dance activities, which differ in therapeutic intent and should not be considered equivalent. Overall, the evidence suggests potential multidimensional benefits, particularly in psychological and behavioural domains, including improvements in mood, emotional well-being, and social interaction. Some studies also report gains in mobility, balance, and selected cognitive functions, although findings are inconsistent and often context dependent. Most interventions were conducted in institutional settings, where feasibility was influenced by organisational and logistical factors. The heterogeneity of interventions, study designs, and outcome measures, together with methodological limitations, limits comparability and requires cautious interpretation of the findings. Conclusion: DMT may represent a promising person-centred and relational approach that can enrich dementia care, particularly in institutional settings. However, current evidence remains limited, heterogeneous, and exploratory. Future research should adopt more rigorous designs, clearly distinguish DMT from other dance-based interventions, and include longer follow-up periods.

22 May 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
AGASSUNTA GUILLARI
ASSUNTA GUILLARI
KBKeti Ballfusha
Keti Ballfusha
CPChiara Palazzo
Chiara Palazzo
MMMaurizio Di Martino
Maurizio Di Martino
VGVincenza Giordano
Vincenza Giordano
Background/Objectives: Rare diseases have a substantial impact not only on affected individuals but also on their families, particularly parents who assume primary caregiving roles. Despite increasing attention to rare conditions, parents’ experiences remain fragmented across the literature. This integrative review aimed to synthesise existing evidence on the experiences and multidimensional impact of caring for a child with a rare disease on parents. Methods: An integrative review was conducted following Whittemore and Knafl’s methodology and reported according to PRISMA 2020 guidelines. A systematic search was performed across MEDLINE, CINAHL, PsycINFO, PsycARTICLES, and Scopus from 1 November 2025 to 31 January 2026. Twenty-two studies (qualitative, quantitative, mixed-methods, and reviews) were included. Data were analysed using thematic synthesis. Results: Three interrelated themes were identified: (1) the diagnostic journey, characterised by prolonged uncertainty, fragmented care, and the pivotal role of communication; (2) multidimensional caregiving burden, encompassing emotional, social, economic, and physical impacts, with notable gender differences; and (3) adaptive trajectories, involving dynamic coping processes, parental upskilling, and meaning-making. Across studies, caregiving burden emerged as a cumulative and system-influenced phenomenon, while adaptation was found to coexist with ongoing uncertainty rather than representing a linear resolution. Conclusions: Caring for a child with a rare disease profoundly affects parents across multiple domains. The findings highlight the need for integrated, family-centred care models, improved diagnostic communication, and sustained psychosocial support. Implications for nursing practice: Nurses play a key role in recognising caregiver burden, supporting adaptive processes, and promoting effective communication throughout the diagnostic and care trajectory.