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Malnutrition in older people in hospitals leads to negative outcomes for patients and to increased costs for the hospital. Nurses often underestimate the problem, showing negative attitudes. Aims: To compare the attitudes of surgical and medical nurses towards nutritional care of the elderly in hospital, in order to identify differences and nutritional care improvement strategies. Design: A multicentre cross-sectional survey was conducted in January 2015. Methods: All the nurses in the surgical and medical wards in 10 hospitals in northern Italy were surveyed using the Staff Attitudes to Nutritional Nursing Care Geriatric Scale (SANN-G scales). The chi squared test was used for comparing nominal variables and the t-test or Mann–Whitney test for was used for non-matched means depending on variable distribution. Results: 799 out of 1,293 questionnaires were returned(61.8%). 23.2%(185) of nurses had a negative attitude, 56.6%(452) had a neutral attitude, and 20.2%(162), positive. The ratio of attitudes was similar in both types of wards(surgical wards: negative 23.2%, neutral 56.6%, positive 20.2%, Median[IQR]=63[55;70], medical units: negative 23.3%, neutral 56.7%, positive 21%, Median[IQR]=63[55;70]). In both surgical and medical wards, the domains with median attitude scores below the cut-off were “interventions and individualisation”, without significant differences between them. No differences were found between nurses who had attended courses on nutritional care and those who had not, or between nurses working in teaching and non-teaching hospitals. Multivariate analysis did not show significant differences between the ratios of attitudes in medical and surgical wards (OR=1.298;CI95%=.883-1.886,p=.18). Conclusions: We found no differences in attitude between nurses who work in surgical and medical units. It is necessary to raise nurses’ awareness of poor nutritional care in both settings. More research is needed on barriers to nutritional care. Impact statement: Strategies such as education and more clearly defined nutritional responsibilities are needed to improve nurses’ attitudes.
Loris Bonetti; Stefano Terzoni; Maura Lusignani; Marina Negri; Marco Froldi; Anne Destrebecq. Nutritional care of older people: Investigating nurses’ attitudes in medical and surgical units. Contemporary Nurse 2021, 1 -13.
AMA StyleLoris Bonetti, Stefano Terzoni, Maura Lusignani, Marina Negri, Marco Froldi, Anne Destrebecq. Nutritional care of older people: Investigating nurses’ attitudes in medical and surgical units. Contemporary Nurse. 2021; ():1-13.
Chicago/Turabian StyleLoris Bonetti; Stefano Terzoni; Maura Lusignani; Marina Negri; Marco Froldi; Anne Destrebecq. 2021. "Nutritional care of older people: Investigating nurses’ attitudes in medical and surgical units." Contemporary Nurse , no. : 1-13.
BackgroundFatigue is a complex and frequent symptom in cancer patients, influencing their quality of life, but it is still underestimated in clinical practice and undertreated. The aims of this study were to detect the presence of fatigue in cancer patients, describe the perceptions of patients and nurses regarding it and describe the nursing management of fatigue.MethodsMixed methods study. Data were collected in two oncological wards using the Brief Fatigue Inventory (BFI), an ad hoc questionnaire, patient interviews, focus groups with nurses and the review of nursing records. Interviews and focus groups were analysed through thematic analysis. We used SPSS 22.0 for quantitative data and Nvivo 10 for qualitative data analysis.ResultsA total of 71 questionnaires were analysed (39 males, mean age 65,7(±14) years). Fatigue was reported 5 times (7%) in nursing records, while in 17 cases (23.9%) problems related to it were reported. Twelve patients were interviewed. Five themes were identified: feeling powerless and aggressive, my strategies or what helps me, feeling reassured by the presence of family members, feeling reassured by nurses’ gestures, being informed. Three themes were identified through the focus groups: objectivity and subjectivity in the assessment of fatigue, nursing contribution within the multidisciplinary management of fatigue, and difficulty in evaluating outcomes.DiscussionThe approach to the management of fatigue was unstructured. Patients were satisfied with the care received but needed more information and specific interventions. Useful aspects were identified that could be used to change the professional approach towards the management of fatigue.
Angela Tolotti; Loris Bonetti; Carla Pedrazzani; Monica Bianchi; Laura Moser; Nicola Pagnucci; Davide Sari; Dario Valcarenghi. Nursing Management of Fatigue in Cancer Patients: Mixed Methods Study. 2021, 1 .
AMA StyleAngela Tolotti, Loris Bonetti, Carla Pedrazzani, Monica Bianchi, Laura Moser, Nicola Pagnucci, Davide Sari, Dario Valcarenghi. Nursing Management of Fatigue in Cancer Patients: Mixed Methods Study. . 2021; ():1.
Chicago/Turabian StyleAngela Tolotti; Loris Bonetti; Carla Pedrazzani; Monica Bianchi; Laura Moser; Nicola Pagnucci; Davide Sari; Dario Valcarenghi. 2021. "Nursing Management of Fatigue in Cancer Patients: Mixed Methods Study." , no. : 1.
Aim To identify factors underlying ethical conflict occurring during the current COVID‐19 pandemic in the critical care setting. Background During the first wave of the COVID‐19 outbreak, Spanish and Italian intensive care units were overwhelmed by the demand for admissions. This fact revealed a crucial problem of shortage of health resources and rendered that decision‐making was highly complex. Sources of evidence Applying a nominal group technique this manuscript identifies a series of factors that may have played a role in the emergence of the ethical conflicts in critical care units during the COVID‐19 pandemic, considering ethical principles and responsibilities included in the International Council of Nurses Code of Ethics. The five factors identified were the availability of resources; the protection of healthcare workers; the circumstances surrounding decision‐making, end‐of‐life care, and communication. Discussion The impact of COVID‐19 on health care will be long‐lasting and nurses are playing a central role in overcoming this crisis. Identifying these five factors and the conflicts that have arisen during the COVID‐19 pandemic can help to guide future policies and research. Conclusions Understanding these five factors and recognizing the conflicts, they may create can help to focus our efforts on minimizing the impact of the ethical consequences of a crisis of this magnitude and on developing new plans and guidelines for future pandemics. Implications for nursing practice and policy Learning more about these factors can help nurses, other health professionals, and policymakers to focus their efforts on minimizing the impact of the ethical consequences of a crisis of this scale. This will enable changes in organizational policies, improvement in clinical competencies, and development of the scope of practice.
Anna Falcó‐Pegueroles; Esperanza Zuriguel‐Pérez; Gemma Via‐Clavero; Alejandro Bosch‐Alcaraz; Loris Bonetti. Ethical conflict during COVID‐19 pandemic: the case of Spanish and Italian intensive care units. International Nursing Review 2020, 68, 181 -188.
AMA StyleAnna Falcó‐Pegueroles, Esperanza Zuriguel‐Pérez, Gemma Via‐Clavero, Alejandro Bosch‐Alcaraz, Loris Bonetti. Ethical conflict during COVID‐19 pandemic: the case of Spanish and Italian intensive care units. International Nursing Review. 2020; 68 (2):181-188.
Chicago/Turabian StyleAnna Falcó‐Pegueroles; Esperanza Zuriguel‐Pérez; Gemma Via‐Clavero; Alejandro Bosch‐Alcaraz; Loris Bonetti. 2020. "Ethical conflict during COVID‐19 pandemic: the case of Spanish and Italian intensive care units." International Nursing Review 68, no. 2: 181-188.
Introduction: Increase in the knowledge of “caring science” among nurses plays a key role in ensuring a correct caring behavior towards patients. Caring training for students is a priority in nursing education, but unfortunately there are limited and conflicting studies which explore this outcome. The purpose of this observational study was to explore the perceptions of caring behaviors by nursing students during their clinical practice training in order to highlight if the level of caring behaviors changes as the nursing course progresses. Materials and Methods: The Caring Behaviors Inventory-24 (CBI-24) was administered to 331 students, enrolled in the three years of an Italian Nursing Course, who accepted to participate in the study (89.2% response rate). The data were analyzed using SPSS software version 26.0 (SPSS Inc., Chicago, IL). Results: The total mean score of CBI-24 was 4.82 in the first, 5.12 in the second and 5.26 in the third-year students. The CBI-24 dimensions “Responding to individual needs” and “Being with” obtained the highest scores among the students of the first year. At the end of the first year, our students were already able to perform expressive caring, whereas instrumental caring developed at a high level in the second and third years. We did not highlight any statistically significant difference between the two gender CBI-24 item scores. Conclusion: In light of our results, we put in evidence that Nursing Degree Programme favours the development in students of both relational and technical components of caring behaviors. We hope that in future students’ self-assessment of caring behaviors could be considered an educational outcome for Nursing Programme.
Paola Ferri; Serena Stifani; Elena Morotti; Maria Nuvoletta; Loris Bonetti; Sergio Rovesti; Anna Cutino; Rosaria Di Lorenzo. Perceptions of Caring Behavior Among Undergraduate Nursing Students: A Three-Cohort Observational Study. Psychology Research and Behavior Management 2020, ume 13, 1311 -1322.
AMA StylePaola Ferri, Serena Stifani, Elena Morotti, Maria Nuvoletta, Loris Bonetti, Sergio Rovesti, Anna Cutino, Rosaria Di Lorenzo. Perceptions of Caring Behavior Among Undergraduate Nursing Students: A Three-Cohort Observational Study. Psychology Research and Behavior Management. 2020; ume 13 ():1311-1322.
Chicago/Turabian StylePaola Ferri; Serena Stifani; Elena Morotti; Maria Nuvoletta; Loris Bonetti; Sergio Rovesti; Anna Cutino; Rosaria Di Lorenzo. 2020. "Perceptions of Caring Behavior Among Undergraduate Nursing Students: A Three-Cohort Observational Study." Psychology Research and Behavior Management ume 13, no. : 1311-1322.
Objectives During a pandemic, healthcare workers (HCWs) are essential to the health system response. Based on our knowledge, little information is available regarding the psychosocial impact on HCWs or interventions for supporting them during pandemics. Therefore, the study aimed to assess available literature on perceived stress and psychological responses to influenza pandemics in HCWs and identify implications for healthcare practice and future research. Methods This is a rapid review of the literature. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis. Results Across all the studies—both qualitative and quantitative—HCWs working during the epidemic reported frequent concerns regarding their own health and the fear of infecting their families, friends and colleagues. Moreover, social isolation, uncertainty, fears of stigmatization and reluctance to work or considering absenteeism were frequently reported. Moreover, many studies highlighted a high prevalence of high levels of stress, anxiety and depression symptoms, which could have long-term psychological implications in HCWs. Conclusions This rapid review offers an overview of the major concerns regarding HCWs’ psychosocial well-being and possible preventive strategies, which could be useful for the current COVID-19 outbreak and similar future pandemics. Studies suggested to invest on preventive psychological, social, family and physical support and to guaranteeing reasonable work conditions and others in order to protect HCWs from the long-lasting psychological effect of the COVID-19 pandemic.
Serena Barello; Anna Falcó-Pegueroles; Debora Rosa; Angela Tolotti; Guendalina Graffigna; Loris Bonetti. The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. International Journal of Public Health 2020, 65, 1205 -1216.
AMA StyleSerena Barello, Anna Falcó-Pegueroles, Debora Rosa, Angela Tolotti, Guendalina Graffigna, Loris Bonetti. The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. International Journal of Public Health. 2020; 65 (7):1205-1216.
Chicago/Turabian StyleSerena Barello; Anna Falcó-Pegueroles; Debora Rosa; Angela Tolotti; Guendalina Graffigna; Loris Bonetti. 2020. "The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review." International Journal of Public Health 65, no. 7: 1205-1216.
Summary Background & Aims A self-efficacy scale for nurses to assess nutritional care of older adults is pivotal for the development of precise educational interventions designed to promote behavioral changes among nurses by enhancing their self-efficacy. However, self-efficacy measurements associated with nutrition care is currently difficult due to the lack of valid and reliable tools. Therefore, this study aimed to develop and validate a self-efficacy scale for nursing nutritional care. Methods A multi-method and multi-phase design was adopted. Phase one comprised developmental tasks to generate scale items, based on emerging themes in the literature. Phase two comprised the validation, during which its content, construct, and concurrent validity and internal consistency were assessed. For determining construct validity, phase two encompassed two sequential cross-sectional data collection: the first data collection was designed to assess the psychometric characteristics of the scale, whereas the second aimed to confirm the emerging latent structure of the scale. Results The final version of the developed scale encompassed 27 items, within three domains, including knowledge (regarding nutritional care), assessment and evidence utilization, and care delivery. The scale exhibited evidence of face and content validity, adequate construct and concurrent validity, and good internal consistency. Conclusions This study resulted in the development of a tool that could be strategically employed for clinical and educational research aimed at improving the quality of nutritional care by enhancing nursing self-efficacy. The developed scale can provide relevant insights for describing nursing competence and its associations with patient-related outcomes.
Federica Dellafiore; Rosario Caruso; Cristina Arrigoni; Arianna Magon; Irene Baroni; Giovanni Alotto; Cinzia Quaccini; Monica Bianchi; Loris Bonetti. The development of a self-efficacy scale for nurses to assess the nutritional care of older adults: A multi-phase study. Clinical Nutrition 2020, 40, 1260 -1267.
AMA StyleFederica Dellafiore, Rosario Caruso, Cristina Arrigoni, Arianna Magon, Irene Baroni, Giovanni Alotto, Cinzia Quaccini, Monica Bianchi, Loris Bonetti. The development of a self-efficacy scale for nurses to assess the nutritional care of older adults: A multi-phase study. Clinical Nutrition. 2020; 40 (3):1260-1267.
Chicago/Turabian StyleFederica Dellafiore; Rosario Caruso; Cristina Arrigoni; Arianna Magon; Irene Baroni; Giovanni Alotto; Cinzia Quaccini; Monica Bianchi; Loris Bonetti. 2020. "The development of a self-efficacy scale for nurses to assess the nutritional care of older adults: A multi-phase study." Clinical Nutrition 40, no. 3: 1260-1267.
Malnutrition, among older people, has a prevalence of 22% in hospitals, 17.5% in nursing homes, and 8.7% in home care. Adequate knowledge among health care staff is necessary for risk identification and adequate intervention. The aim of this study was to translate and validate the Knowledge of Malnutrition-Geriatric (KoM-G) questionnaire in Italian and to investigate the malnutrition knowledge of registered nurses working in hospitals, nursing homes, home care, and palliative care in Italy. The KoM-G questionnaire was translated and validated in terms of content validity, internal consistency, and interrater reliability. Subsequently, a multicenter cross-sectional study in different settings was performed. The KoM-G ITA questionnaire showed excellent content validity, internal consistency, and good intrarater reliability. There were 511 nurses who completed the questionnaire. On average, 61.9% of the respondents answered the questions correctly. The level of knowledge about malnutrition in nurses is adequate. Training courses and management protocols should be implemented to improve nursing care for malnourished older people.
Barbara Bassola; Valentina Tommasi; Loris Bonetti; Silvia Bauer; Maura Lusignani. Nurses’ knowledge about malnutrition in older people: A multicenter cross-sectional study. Nutrition 2020, 78, 110947 .
AMA StyleBarbara Bassola, Valentina Tommasi, Loris Bonetti, Silvia Bauer, Maura Lusignani. Nurses’ knowledge about malnutrition in older people: A multicenter cross-sectional study. Nutrition. 2020; 78 ():110947.
Chicago/Turabian StyleBarbara Bassola; Valentina Tommasi; Loris Bonetti; Silvia Bauer; Maura Lusignani. 2020. "Nurses’ knowledge about malnutrition in older people: A multicenter cross-sectional study." Nutrition 78, no. : 110947.
Due to the ageing of cancer patients, new approaches that require a more active participation in the self-management of cancer treatment at home are needed. Nurses are strategic in improving the patient’s engagement capability in this regard. Knowing which interventions are more effective for the promotion of patient engagement could be useful to improve the effectiveness of the care provided. Therefore, this study aims to systematically review nursing interventions or programs that promote patient engagement in oncological nursing care and summarizing the main evidence related to their impact on relevant clinical and psychosocial outcomes. This is a systematic review and meta-analysis protocol based on Cochrane Handbook for the systematic review of interventions. We will search the most important electronic databases (PUBMED, CINAHL, EMBASE, SCOPUS, ISI Web of Science, Cochrane library) to find out which patient engagement interventions (active adult patient involvement) are implemented in oncological settings and understand what is the effectiveness of these interventions on the outcomes reported in the literature. The GRADE methodology will be used to synthetize the evidence. If possible, also a meta-analysis will be performed. We registered the study protocol on the PROSPERO database (N° CRD42020146189). To our knowledge, this is the first systematic review to address this clinical question in the field of oncology. This review will offer health professionals indications on the most frequently adopted patient engagement interventions and verify their clinical effectiveness. Furthermore, any gaps in the scientific literature will be highlighted. (www.actabiomedica.it)
Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Guendalina Graffigna; Tiziana Nania; Davide Sari; Paola Ferri; Serena Barello. Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol. 2020, 91, 65 -70.
AMA StyleLoris Bonetti, Angela Tolotti, Dario Valcarenghi, Guendalina Graffigna, Tiziana Nania, Davide Sari, Paola Ferri, Serena Barello. Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol. . 2020; 91 (Suppl 6):65-70.
Chicago/Turabian StyleLoris Bonetti; Angela Tolotti; Dario Valcarenghi; Guendalina Graffigna; Tiziana Nania; Davide Sari; Paola Ferri; Serena Barello. 2020. "Nurses’ interventions to promote cancer patient engagement and related outcomes: a systematic review and meta-analysis protocol." 91, no. Suppl 6: 65-70.
Workplace violence is a serious occupational problem among nurses in emergency departments. The aim of this study was to better understand workplace violence experienced by triage nurses. A mixed-methods study was carried out with 27 Italian nurses involved in the triage area of an emergency department. Quantitative data were collected using the Violent Incident Form and qualitative data were obtained from 3 focus groups. Ninety-six percent of triage nurses had suffered an episode of violence during the previous year. Participants reported that perpetrators of violence were primarily patients' relatives or friends (62%), usually male and in a lucid state of consciousness. The aggressor was a male patient in 31% of violent episodes. Male nurses reported only verbal abuse, unlike female nurses who suffered both physical and verbal episodes. Females received assistance from other staff during the aggression event more frequently than males, and females more frequently suffered from physical injury. Only physical and verbal aggressions were associated with physical injury. Four main themes emerged from the focus groups. Nurses reported that high exposure to workplace violence in triaging had significant consequences on their psychological well-being and on their behavior at work and at home. Violence, perceived as a personal and/or professional injury owing to insufficient organizational support, led professionals to experience feelings of resignation and to believe that abuse was an inevitable part of the job. Nevertheless, in our study, the precipitating factors were investigated, suggesting several possible solutions to limit this phenomenon.
Paola Ferri; Serena Stifani; Angela Accoto; Loris Bonetti; Ivan Rubbi; Rosaria Di Lorenzo. Violence Against Nurses in the Triage Area: A Mixed-Methods Study. Journal of Emergency Nursing 2020, 46, 384 -397.
AMA StylePaola Ferri, Serena Stifani, Angela Accoto, Loris Bonetti, Ivan Rubbi, Rosaria Di Lorenzo. Violence Against Nurses in the Triage Area: A Mixed-Methods Study. Journal of Emergency Nursing. 2020; 46 (3):384-397.
Chicago/Turabian StylePaola Ferri; Serena Stifani; Angela Accoto; Loris Bonetti; Ivan Rubbi; Rosaria Di Lorenzo. 2020. "Violence Against Nurses in the Triage Area: A Mixed-Methods Study." Journal of Emergency Nursing 46, no. 3: 384-397.
Background The increase in the use of oral cancer drugs implies that nurses take on new roles for which education and support to patients and family members become fundamental for promoting therapeutic adherence. Objective To describe the patients’ and nurses’ perceptions on the effectiveness of the educational process in oral cancer treatment. Methods A mixed method with a convergent design was used. Data were collected using a questionnaire (structured according to the Multinational Association of Supportive Care in Cancer Teaching Tool for Patients Receiving Oral Agents for Cancer guidelines) and semistructured interviews with patients. Focus groups were used with the nurses. Quantitative data were analyzed with SPSS 22.0 (IBM SPSS 22.0, Armonk, New York). Qualitative data were analyzed using semantic analysis. Results One hundred forty-two questionnaires were analyzed. Patients were usually informed by physicians and nurses (81%), alone (33%) or in the presence of an informal carer (29.6%). Language comprehension was high, with a significant difference between those 70 years or older (P = .04) and those younger than 70 years. From the interviews (n = 16), 3 themes were identified: emotions during communication, feeling reassured by the presence of family members and nurses, feeling welcomed and an active part of the educational process. Three themes were identified from the focus groups (n = 4): prerequisites for an effective therapeutic education, nurses’ skills, and educational process barriers. Conclusions Overall, patients were satisfied with the education received. They perceived nurses as people who can help them understand the information they have received and manage their treatment and adverse effects. Implications for Practice This study highlighted some important points for an effective educational process: having a nurse to refer to, technical relationship competences, joint visits with physicians, and being available by phone.
Angela Tolotti; Carla Pedrazzani; Loris Bonetti; Monica Bianchi; Dario Valcarenghi. Patients’ and Nurses’ Perceptions of the Effectiveness of an Oral Cancer Agent Education Process. Cancer Nursing 2020, 44, E151 -E162.
AMA StyleAngela Tolotti, Carla Pedrazzani, Loris Bonetti, Monica Bianchi, Dario Valcarenghi. Patients’ and Nurses’ Perceptions of the Effectiveness of an Oral Cancer Agent Education Process. Cancer Nursing. 2020; 44 (3):E151-E162.
Chicago/Turabian StyleAngela Tolotti; Carla Pedrazzani; Loris Bonetti; Monica Bianchi; Dario Valcarenghi. 2020. "Patients’ and Nurses’ Perceptions of the Effectiveness of an Oral Cancer Agent Education Process." Cancer Nursing 44, no. 3: E151-E162.
An empathic approach is considered fundamental in order to ensure the identification of patient needs and to provide the appropriate care, although the studies on the development of empathic attitude during nursing course reported conflicting results. Different empathic tendencies have been observed in the two genders: many studies showed greater empathy in females. To assess empathy level of students enrolled in the academic year 2015/16 at an Italian University nursing course, the Balanced Emotional Empathy Scale (BEES) was administered at the start of Year 1 (n=118), at the mid-point of Year 2 (n=99) and at the end of Year 3 (n=67). Data were statistically analyzed. Cronbach's values were satisfactory (0.87 at Year 1, 0.89 at Year 2, 0.79 at Year 3), confirming the good internal reliability of BEES. The nursing students obtained a total BEES mean ± SD score of 37.0 ± 19.5 at Year 1, 33.5 ± 22.6 at Year 2 and 35.4 ± 16 at Year 3, without any statistically significant difference among the three years. The BEES mean scores reported by males were lower in comparison with females during the three years of the course, although, at the end of the third year, males showed a significant increase at the "Emotional spread responsiveness" dimension of the scale. The study suggests that empathy can be maintained at good levels during the nursing education especially if nursing teaching and internship are focused on this topic, acting up the innate aptitude of each student.
Ferri Paola; Rovesti Sergio; Bonetti Loris; Stifani Serena; Panzera Nunzio; Di Lorenzo Rosaria; Paola Ferri; Sergio Rovesti; Loris Bonetti; Serena Stifani; Nunzio Panzera; Rosaria Di Lorenzo. Evaluation of empathy among undergraduate nursing students: a three-year longitudinal study. 2019, 90, 98 -107.
AMA StyleFerri Paola, Rovesti Sergio, Bonetti Loris, Stifani Serena, Panzera Nunzio, Di Lorenzo Rosaria, Paola Ferri, Sergio Rovesti, Loris Bonetti, Serena Stifani, Nunzio Panzera, Rosaria Di Lorenzo. Evaluation of empathy among undergraduate nursing students: a three-year longitudinal study. . 2019; 90 ():98-107.
Chicago/Turabian StyleFerri Paola; Rovesti Sergio; Bonetti Loris; Stifani Serena; Panzera Nunzio; Di Lorenzo Rosaria; Paola Ferri; Sergio Rovesti; Loris Bonetti; Serena Stifani; Nunzio Panzera; Rosaria Di Lorenzo. 2019. "Evaluation of empathy among undergraduate nursing students: a three-year longitudinal study." 90, no. : 98-107.
One of the principal side effects in patients that receive radiotherapy is radiodermatitis. Radiodermatitis can be highly invalidating for patients, causing pain, ulceration, swelling, and increased infection risk, with a negative effect on the quality of life, requiring dressings and medications. Therapeutic approaches reported so far in the literature have not proved to be effective in treating radiodermatitis. Therefore, new approaches are needed to deal with these side effects more effectively. The aim of the study was to evaluate the effectiveness of hyaluronic acid gel (HAG) (Jalosome soothing gel) for the treatment of a case of radiodermatitis. This is a case study of a patient affected by squamous cell carcinoma at the tongue base, who was treated with head and neck radiotherapy associated with the administration of cetuximab. About 1 month after this therapy was started the patient developed radiodermatitis, which did not regress with standard treatment. Therefore, HAG was applied once a day for about 20 days. The regression of radiodermatitis was measured using the Radiation Toxicity/Oncology Grading scale, pain relief was measured with a numerical scale, and patient satisfaction was done through a semi‐structured interview. The patient presented a dramatic reduction of skin toxicity, which had been resistant to all previous therapeutic approaches. Pain, which was severe at the beginning, gradually disappeared. The patient showed great satisfaction for the reduction of pain and the regression of the radiodermatitis. The effectiveness of HAG appears to be promising for the treatment of radiodermatitis.
Giovanni Presta; Andrea Puliatti; Loris Bonetti; Angela Tolotti; Davide Sari; Dario Valcarenghi. Effectiveness of hyaluronic acid gel (Jalosome soothing gel) for the treatment of radiodermatitis in a patient receiving head and neck radiotherapy associated with cetuximab: A case report and review. International Wound Journal 2019, 16, 1433 -1439.
AMA StyleGiovanni Presta, Andrea Puliatti, Loris Bonetti, Angela Tolotti, Davide Sari, Dario Valcarenghi. Effectiveness of hyaluronic acid gel (Jalosome soothing gel) for the treatment of radiodermatitis in a patient receiving head and neck radiotherapy associated with cetuximab: A case report and review. International Wound Journal. 2019; 16 (6):1433-1439.
Chicago/Turabian StyleGiovanni Presta; Andrea Puliatti; Loris Bonetti; Angela Tolotti; Davide Sari; Dario Valcarenghi. 2019. "Effectiveness of hyaluronic acid gel (Jalosome soothing gel) for the treatment of radiodermatitis in a patient receiving head and neck radiotherapy associated with cetuximab: A case report and review." International Wound Journal 16, no. 6: 1433-1439.
Malnutrition is a debilitating and highly prevalent condition in acute hospital settings especially in older person; however international literature revealed negative attitudes in providing nutritional care among nurses and health professionals. Few studies have investigated attitudes towards nutritional care among nursing students, there are no data regarding the Italian context. The aim of this study was to explore nursing students' attitudes towards nutritional care in older people. A multicentre cross-sectional survey incorporating a pre post design. Setting and participants. A convenience sample of nursing students of the bachelor's degree in Nursing in the three hospitals were recruited. Nursing students completed “The Staff Attitudes to Nutritional Nursing Care Geriatric Scale (Italian version) (SANN_GITA scale)”; first year students completed the scale before (T0) and after (T1) lectures about nutrition and nutritional care. 245 students were enrolled (response rate 88.4%). The overall score of sample attitudes was Median(Me) = 66 (IQR = [60; 72]); at the variation of the year the neutral attitudes are prevalent with a significant tendency to increase the positive attitudes (p < .003) and there is a statistically significant difference (p < .05) in all dimensions except the “habits” dimension “(P = .1126). After two months from the end of the lessons regarding nutritional care there is an increase in subjects with neutral attitudes and a decrease in those with negative attitudes (P = .05). This study revealed a progressive improvement of the attitudes during the three-year course, underling the importance of nutritional contents provided; understanding the most critical aspects about nutritional care can be helpful in understanding in which areas university education should be improved, in order to train nurses able to assess and face with each patients' assistance need.
Matteo Bollo; Stefano Terzoni; Paolo Ferrara; Anne Destrebecq; Loris Bonetti. Nursing students' attitudes towards nutritional care of older people: A multicentre cross-sectional survey incorporating a pre post design. Nurse Education Today 2019, 78, 19 -24.
AMA StyleMatteo Bollo, Stefano Terzoni, Paolo Ferrara, Anne Destrebecq, Loris Bonetti. Nursing students' attitudes towards nutritional care of older people: A multicentre cross-sectional survey incorporating a pre post design. Nurse Education Today. 2019; 78 ():19-24.
Chicago/Turabian StyleMatteo Bollo; Stefano Terzoni; Paolo Ferrara; Anne Destrebecq; Loris Bonetti. 2019. "Nursing students' attitudes towards nutritional care of older people: A multicentre cross-sectional survey incorporating a pre post design." Nurse Education Today 78, no. : 19-24.
Background: Moral distress is an increasingly documented problem in nursing and might foster nurses’ intention to leave their workplace. It has been studied in different settings, but no specific research has been conducted in Italian correctional facilities. A recent Italian study produced a preliminary validation of the Moral Distress Scale for Correctional Nurses, which needs to be completed. Objectives: To investigate the level of moral distress of nurses working in the Italian correctional setting, by completing the validation process of the Moral Distress Scale for Correctional Nurses. Methodology: Multicenter questionnaire survey. All correctional nurses (461) affiliated with the Italian Society of Medicine and Penitentiary Health (also called “Simspe-onlus”) were invited to participate and 238 responded. The survey was conducted between April and November 2017 through SurveyMonkey®. Analysis of covariance was conducted to investigate the relationship between moral distress and the other variables under study. Exploratory factor analysis was conducted on the scale to confirm its dimensions. Ethical considerations: The study was approved by the Italian Society of Medicine and Penitentiary Health (Simspe-onlus). The questionnaire included informed consent, pursuant to the law in force. The software could not accept questionnaires without explicit consent. Data were analyzed anonymously. Findings: The median score was 46.5, indicating moderate moral distress. The only variable affecting moral distress was work experience in correctional facilities. Longer experience was correlated to higher levels of moral distress and intention to leave. Incompetent colleagues and short staffing were related to higher levels of moral distress. The scale confirmed the one-dimensional structure suggested by the original authors. Discussion: This is the first study investigating moral distress among Correctional Nurses. The prison context is a high-risk environment for nurses, increasing the intention to leave the workplace. Conclusion: Corrective and protective measures, such as specific education, are needed to prevent moral distress development and to reduce nurses’ shortage in this area.
Tiziano Lazzari; Stefano Terzoni; Anne Destrebecq; Luca Meani; Loris Bonetti; Paolo Ferrara. Moral distress in correctional nurses: A national survey. Nursing Ethics 2019, 27, 40 -52.
AMA StyleTiziano Lazzari, Stefano Terzoni, Anne Destrebecq, Luca Meani, Loris Bonetti, Paolo Ferrara. Moral distress in correctional nurses: A national survey. Nursing Ethics. 2019; 27 (1):40-52.
Chicago/Turabian StyleTiziano Lazzari; Stefano Terzoni; Anne Destrebecq; Luca Meani; Loris Bonetti; Paolo Ferrara. 2019. "Moral distress in correctional nurses: A national survey." Nursing Ethics 27, no. 1: 40-52.
Burnout negatively affects nurses’ health and performance. Healthcare managers have an ethical duty to create healthy organizations that reduce burnout, especially within critical settings such as oncology. The aim of this study was twofold: (1) to measure the presence of nurses’ burnout to formulate organizational strategies to prevent the syndrome onset, and (2) to evaluate the effect of recent organizational changes on the burnout phenomenon. A descriptive, cross-sectional design supported by a systemic organizational analysis was conducted in a Swiss Oncology Institute in 2013. Of 103 nurses working in the Institute, 52 (51.4%) completed the Burnout Potential Inventory (BPI) questionnaire. Data were analyzed using descriptive statistics and Mann–Whitney and Kruskal–Wallis tests. Burnout risk levels were low to moderate. Only 2 nurses out of the 52 showed moderate burnout risk levels. Inpatient nurses showed a higher risk of burnout than outpatient nurses, particularly due to ambiguity and feelings of powerlessness. Nurses with post-basic education showed a higher risk when considering poor teamwork values and ambiguity in the workplace. Poor middle-management was found to negatively influence worker wellbeing. The working environment set by management resulted in low burnout risk levels. Managers must carefully select middle-management because inappropriate leadership might promote the onset of burnout.
Loris Bonetti; Angela Tolotti; Dario Valcarenghi; Carla Pedrazzani; Serena Barello; Greta Ghizzardi; Guendalina Graffigna; Davide Sari; Monica Bianchi. Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis. Sustainability 2019, 11, 1246 .
AMA StyleLoris Bonetti, Angela Tolotti, Dario Valcarenghi, Carla Pedrazzani, Serena Barello, Greta Ghizzardi, Guendalina Graffigna, Davide Sari, Monica Bianchi. Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis. Sustainability. 2019; 11 (5):1246.
Chicago/Turabian StyleLoris Bonetti; Angela Tolotti; Dario Valcarenghi; Carla Pedrazzani; Serena Barello; Greta Ghizzardi; Guendalina Graffigna; Davide Sari; Monica Bianchi. 2019. "Burnout Precursors in Oncology Nurses: A Preliminary Cross-Sectional Study with a Systemic Organizational Analysis." Sustainability 11, no. 5: 1246.
Paolo Ferrara; Stefano Terzoni; Armando D'Agostino; John R Cutcliffe; Yelissa Pozo Falen; Silvana Esther Corigliano; Loris Bonetti; Anne Destrebecq; Orsola Gambini. Psychometric properties of the Italian version of the Nurses' Global Assessment of Suicide Risk (NGASR) scale. Riv Psichiatr 2019, 54, 31 -36.
AMA StylePaolo Ferrara, Stefano Terzoni, Armando D'Agostino, John R Cutcliffe, Yelissa Pozo Falen, Silvana Esther Corigliano, Loris Bonetti, Anne Destrebecq, Orsola Gambini. Psychometric properties of the Italian version of the Nurses' Global Assessment of Suicide Risk (NGASR) scale. Riv Psichiatr. 2019; 54 (1):31-36.
Chicago/Turabian StylePaolo Ferrara; Stefano Terzoni; Armando D'Agostino; John R Cutcliffe; Yelissa Pozo Falen; Silvana Esther Corigliano; Loris Bonetti; Anne Destrebecq; Orsola Gambini. 2019. "Psychometric properties of the Italian version of the Nurses' Global Assessment of Suicide Risk (NGASR) scale." Riv Psichiatr 54, no. 1: 31-36.
Expected outcomes is that, at the end of the study, nursing students and resident physicians who participated in the interprofessional simulation show significantly higher levels of interprofessional collaboration compared to the CG, evaluated through the JSAPNC.
Paola Ferri; Sergio Rovesti; Daniela Magnani; Alberto Barbieri; Annalisa Bargellini; Francesca Mongelli; Loris Bonetti; Annarita Vestri; Danilo Alunni Fegatelli; Rosaria Di Lorenzo. The efficacy of interprofessional simulation in improving collaborative attitude between nursing students and residents in medicine. A study protocol for a randomised controlled trial. 2018, 89, 32 -40.
AMA StylePaola Ferri, Sergio Rovesti, Daniela Magnani, Alberto Barbieri, Annalisa Bargellini, Francesca Mongelli, Loris Bonetti, Annarita Vestri, Danilo Alunni Fegatelli, Rosaria Di Lorenzo. The efficacy of interprofessional simulation in improving collaborative attitude between nursing students and residents in medicine. A study protocol for a randomised controlled trial. . 2018; 89 (7-S):32-40.
Chicago/Turabian StylePaola Ferri; Sergio Rovesti; Daniela Magnani; Alberto Barbieri; Annalisa Bargellini; Francesca Mongelli; Loris Bonetti; Annarita Vestri; Danilo Alunni Fegatelli; Rosaria Di Lorenzo. 2018. "The efficacy of interprofessional simulation in improving collaborative attitude between nursing students and residents in medicine. A study protocol for a randomised controlled trial." 89, no. 7-S: 32-40.
Rossella Guastaferro; Ivana Maria Rosi; Roberto Milos; Enrico Messina; Alessandra Cerra; Loris Bonetti. Development of a screening tool to assess dehydration in hospitalized older population: a diagnostic, observational study. Prof Inferm 2018, 71, 178 -187.
AMA StyleRossella Guastaferro, Ivana Maria Rosi, Roberto Milos, Enrico Messina, Alessandra Cerra, Loris Bonetti. Development of a screening tool to assess dehydration in hospitalized older population: a diagnostic, observational study. Prof Inferm. 2018; 71 (3):178-187.
Chicago/Turabian StyleRossella Guastaferro; Ivana Maria Rosi; Roberto Milos; Enrico Messina; Alessandra Cerra; Loris Bonetti. 2018. "Development of a screening tool to assess dehydration in hospitalized older population: a diagnostic, observational study." Prof Inferm 71, no. 3: 178-187.
The Buzzy System combined to distraction cards showed a greater reduction of perceived pain than "magic glove" technique. This study underlines the importance of active involvement of caregivers during procedural pain in children. Pediatric nurses have an important role in empowering children and caregivers to be interactive during venipunctures.
Volkan Susam; Marie Friedel; Patrizia Basile; Paola Ferri; Loris Bonetti. Efficacy of the Buzzy System for pain relief during venipuncture in children: a randomized controlled trial. 2018, 89, 6 -16.
AMA StyleVolkan Susam, Marie Friedel, Patrizia Basile, Paola Ferri, Loris Bonetti. Efficacy of the Buzzy System for pain relief during venipuncture in children: a randomized controlled trial. . 2018; 89 (6-S):6-16.
Chicago/Turabian StyleVolkan Susam; Marie Friedel; Patrizia Basile; Paola Ferri; Loris Bonetti. 2018. "Efficacy of the Buzzy System for pain relief during venipuncture in children: a randomized controlled trial." 89, no. 6-S: 6-16.
Mauro Zuccarini; Giuseppina LeDonne; Loris Bonetti. [Clinical training and perception of its effects on the first novice nurse work experience: a phenomenological study]. Prof Inferm 2018, 70, 195 -205.
AMA StyleMauro Zuccarini, Giuseppina LeDonne, Loris Bonetti. [Clinical training and perception of its effects on the first novice nurse work experience: a phenomenological study]. Prof Inferm. 2018; 70 (4):195-205.
Chicago/Turabian StyleMauro Zuccarini; Giuseppina LeDonne; Loris Bonetti. 2018. "[Clinical training and perception of its effects on the first novice nurse work experience: a phenomenological study]." Prof Inferm 70, no. 4: 195-205.