Armela Zylfo

Dr. Armela Zylfo

Department of Technical Medical Sciences, Marin Barleti University, Tirana, Tiranë, Albania
orcid

Research Focus & Metrics

Academic Career Length

3Years (2024-Present)

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

Representative Publications

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22 April 2024 in The Open Public Health Journal
Verified
Journal Article
Open access
PDF file
EHEdona Haxhija
Edona Haxhija
ZSZAMIRA SHABANI
ZAMIRA SHABANI
Armela ZylfoArmela Zylfo
Armela Zylfo
DSDonika Shkoza
Donika Shkoza
ARArlinda Ramaj
Arlinda Ramaj
Aims: AAB College is a non-public institution that dates back to 2017, and during its internal evaluation, the involvement of nursing students in scientific research has appeared problematic, so the purpose of this study is to first identify the attitude of nursing students towards scientific research only in this college later in the near future we will compare with a public institution. Background: Since higher education institutions are subject to accreditation, and one of the key points is scientific research and the involvement of students in this process, we thought of investigating this issue. It is necessary for nursing students to have a culture of scientific research because this affects the increase of their performance in school, at work and also in the improvement of the quality of service to patients. Nursing students should be initiated into the research culture and adopt positive attitudes toward scientific research during their undergraduate education to improve the nursing profession, contribute to the professionalization of this profession, and maintain quality of care, nurse autonomy, and power. This research should transmit, promote, and protect knowledge in the improvement of teaching, scientific research, and community services. Objective: Cross-sectional descriptive statistics were used to summarize the importance of research to nursing students, the time students spend on research, student attitudes toward science, how collaborative research professors were with students, and the motivation provided to students by faculty or professors. Methodology: Data collection was carried out during January - June 2022. The sample was randomly selected. In this study, 300 students of “AAB College” were included. Students were given a questionnaire administered by us. To perform the statistical analysis, we used the SPSS program 19 version and Microsoft Office 2010. Results: The minimum age of the students who were interviewed is 18 years. 64% of these students are female (n=192), and 36% are male (n=108). Conclusions: The largest percentage of students state that scientific research is “Very important” for them. The lectures related to research in nursing have “a lot of influence” on their formation. Students spend “Enough” time or energy on scientific research. The faculty/college where they study does not offer them support for studies or scientific activities. The majority of students have not participated in any scientific activity, but students who have been active or passive participants in scientific activities are referred to being provided with training certificates. Students feel “enough” motivated to carry out scientific work in the nursing field.

25 February 2026 in Preprints.org
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Preprint
Open access
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BDBlerina Duka
Blerina Duka
KNKejda Nuhu
Kejda Nuhu
FMFabiola Mane
Fabiola Mane
Jola ÇiniJola Çini
Jola Çini
Armela ZylfoArmela Zylfo
Armela Zylfo
AAAlta Arapi
Alta Arapi
Background/Objectives: The rapid expansion of telemedicine has reshaped healthcare delivery, positioning telenursing as essential for continuity of care and patient management. This scoping review maps current evidence on telecare nursing practices, examining organizational models, professional roles, and key clinical and organizational outcomes. Methods: The review was conducted across five international databases, following the methodological framework proposed by Arksey and O’Malley, the interpretive extension by Levac et al., and the Joanna Briggs Institute guidelines, with reporting aligned to PRISMA-ScR recommendations. The search identified 1760 records, of which 1215 remained after duplicate removal. After title and abstract screening and full-text evaluation, 27 studies met the inclusion criteria. Results: Telenursing was implemented across diverse clinical contexts, particularly in chronic disease management, oncology, postoperative care, and emergency settings. Evidence indicates improvements in symptom management, therapeutic adherence, quality of life, and complication reduction, suggesting positive clinical and organizational impacts. The literature highlights the need for advanced digital, communication, and relational competencies, emphasizing the importance of targeted professional training. Cross-cutting trends include enhanced continuity of care, greater patient autonomy, improved integration between hospital and community services, and reduced healthcare costs. Conclusions: This review provides an updated overview of telenursing applications, highlighting their adaptability across clinical settings and the expanding strategic role of nurses in digital care. The findings indicate a rapidly evolving field and emphasize the need for further research to strengthen organizational frameworks, define advanced competencies, and support the sustainable integration of telenursing into healthcare systems.

9 May 2026 in Nursing Reports
Verified
Journal Article
Open access
PDF file
BDBlerina Duka
Blerina Duka
KNKejda Nuhu
Kejda Nuhu
FMFabiola Mane
Fabiola Mane
Jola ÇiniJola Çini
Jola Çini
Armela ZylfoArmela Zylfo
Armela Zylfo
AAAlta Arapi
Alta Arapi
Background/Objectives: The rapid expansion of telemedicine has reshaped healthcare delivery, positioning telenursing as essential for continuity of care and patient management. This scoping review maps current evidence on telecare nursing practices, examining organizational models, professional roles, and key clinical and organizational outcomes. Methods: The review was conducted across five international databases, following the methodological framework proposed by Arksey and O’Malley, the interpretive extension by Levac et al., and the Joanna Briggs Institute guidelines, with reporting aligned to PRISMA-ScR recommendations. The search identified 1760 records, of which 1219 remained after duplicate removal. After title and abstract screening and full-text evaluation, 25 studies met the inclusion criteria. Results: Telenursing was implemented across diverse clinical contexts, particularly in chronic disease management, oncology, postoperative care, and emergency settings. Evidence indicates improvements in symptom management, therapeutic adherence, quality of life, and complication reduction, suggesting positive clinical and organizational impacts. The literature highlights the need for advanced digital, communication, and relational competencies, emphasizing the importance of targeted professional training. Cross-cutting trends include enhanced continuity of care, greater patient autonomy, improved integration between hospital and community services, and reduced healthcare costs. Conclusions: This review provides an updated overview of telenursing applications, highlighting their adaptability across clinical settings and the expanding strategic role of nurses in digital care. The findings indicate a rapidly evolving field and emphasize the need for further research to strengthen organizational frameworks, define advanced competencies, and support the sustainable integration of telenursing into healthcare systems.

26 September 2026 in Nursing Reports
Verified
Journal Article
Open access
PDF file
BDBlerina Duka
Blerina Duka
Michele Biring-PaniMichele Biring-Pani
Michele Biring-Pani
FMFabiola Mane
Fabiola Mane
Jola ÇiniJola Çini
Jola Çini
Armela ZylfoArmela Zylfo
Armela Zylfo
Ippolito NotarnicolaIppolito Notarnicola
Ippolito Notarnicola
Background/Objectives: Telemedicine has substantial potential to improve access and continuity of care, but implementation depends on professional, organizational, technological, and governance readiness. This cross-sectional study examined healthcare professionals’ perceptions of telemedicine implementation in Albania as an exploratory needs-assessment phase informed by Living Lab principles. Methods: An online survey was completed by 1213 healthcare professionals. The study used a questionnaire developed for this project; its multi-item domains are therefore treated as exploratory rather than established constructs. Descriptive statistics, exploratory factor analysis, Spearman correlations, and multivariable linear and logistic regression were used. Two supplementary open-ended questions were analyzed using content-oriented thematic coding and integrated with the structured survey findings to identify preliminary priorities for later participatory co-design. Results: High future willingness to use telemedicine was reported by 67.4% of participants. Continuous training (84.7%), adaptation of traditional healthcare delivery (65.8%), limited digital skills (64.7%), and lack of clear protocols/guidelines (61.5%) were frequently endorsed implementation issues. Perceived usefulness showed the strongest adjusted statistical association with future willingness in the linear model (B = 0.665, 95% CI 0.602–0.727, p < 0.001) and logistic sensitivity model (OR = 5.41, 95% CI 4.32–6.79, p < 0.001). Professional confidence was positively associated with willingness, whereas workflow and relational barriers were negatively associated. Conclusions: The findings describe the perceptions of this non-probability sample and should not be interpreted as national estimates of telemedicine readiness. They provide exploratory evidence that may inform subsequent stakeholder consultation, instrument validation, and participatory Living Lab activities focused on training, workflow integration, infrastructure, governance, and patient engagement.

Verified
Journal Article
Open access
PDF file
AGAlbana Gjyzari
Albana Gjyzari
RBRamadan Bara
Ramadan Bara
OSOrges Spahiu
Orges Spahiu
JSJonida Stefa
Jonida Stefa
Armela ZylfoArmela Zylfo
Armela Zylfo
GBGenc Burazeri
Genc Burazeri
Our aim was to assess the psychometric properties of the “EORTC QLQ-PR25” in Albania and to determine the links between disease characteristics and treatment in men with prostate cancer. A study conducted in Tirana during April 2024–December 2025 included 74 consecutive men diagnosed with prostate cancer who completed the EORTC QLQ-PR25 questionnaire (response: ≈94%). The EORTC QLQ-PR25 demonstrated excellent internal consistency across all subscales (Cronbach’s alpha range: 0.85-0.91), with very high reliability for the overall scale (α=0.94). Higher symptom burden and poorer overall quality-of-life were significantly associated with radical prostatectomy, metastatic disease, high Gleason score (9-10), and extracapsular tumour spread (all P<0.05). Patients undergoing radical prostatectomy reported the worst outcomes across all symptom domains, as well as the lowest general quality-of-life and health status scores. Seemingly, the EORTC QLQ-PR25 is a reliable and clinically valid instrument for assessing prostate cancer-specific quality-of-life among Albanian men. Also, symptom burden and quality-of-life impairment were strongly associated with disease severity and invasive treatment. Our findings support the integration of patient-reported outcomes into routine prostate cancer care in Albanian-speaking countries.