2026-06-25T14:43:35Z https://riviste.fupress.net/index.php/if/oai

oai:ojs.pkp.sfu.ca:article/1641 2026-01-11T12:23:54Z if:ART

Ultrasound applied to nursing in the Emergency Medical Service (EMS): a scoping review Lucenti, Enrico Lavelli, Lucrezia De Luca, Walter Beretta, Maurizio Pre-hospital Setting Care Emergency Medical service Nurse Ultrasound Sonography Sonographer Abstract Background: In recent years, ultrasound has represented a new field of application for nursing. Point of Care UltraSound (POCUS) has been defined as an essential skill in the pre-hospital setting. The primary objective of this scoping review is to describe what are the main ultrasound techniques applied by nurses in the pre-hospital emergency setting. The secondary objective is to identify the different training courses implemented in the various studies selected to learn the necessary ultrasound skills. Methods: We conducted a scoping review. The following databases were consulted: PubMed, Cochrane Library, CINAHL and Google Scholar. For the extraction of useful articles, after identifying the inclusion and exclusion criteria, the PRISMA methodology was used, two authors independently analyzed the identified records, in the event of a conflict a third author intervened. Results: The identified records were initially 815. After the duplicates removal, and screening made by the researcher for inclusion criteria, 6 articles were retrieved for qualitative analysis. The most discussed topic is the recognition of pneumothorax: two studies analyzed a specific educational program on ultrasound for flight nurses, three articles evaluated the us of US to verify the correct insertion of devices, and two explored the skills of nurses in performing ultrasound scans. The first study stated that nurses had 86.4% accuracy, 66.6% sensitivity and 100% specificity in ultrasound using; in the second one, nurses had a sensitivity and specificity of 100% in non-traumatized patients and a sensitivity of 60% and a specificity of 93% in trauma patients. Conclusions: Despite the methodological differences of the selected records, the main ultrasound techniques implemented by nurses in the Emergency Medical Service (EMS) are Focused Assessment with Sonography for Trauma (FAST), Extendend Focused Assessment with Sonography for Trauma (E-FAST), evaluation of pneumothorax and visualization of correct insertion of devices (Endotracheal Tube, Nasogastric Tube). At the level of training in the ultrasound field, on the other hand, a certain heterogeneity is highlighted in the structuring of training courses, both in terms of hours of theory and of controlled practice. infermieristica Editore (iEditore) 2022-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1641 10.36253/if-1641 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 40-48 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 40-48 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1641/1231 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1642 2026-01-11T12:24:39Z if:ART

Ambulance sanitation in Italy: a pilot study Zonzini, Camilla Chiossi, Sara Musolesi , Stefano Pathogens Ambulance Fumigation Biological Exposure Hygiene Sodium hypochlorite Not avaiable. infermieristica Editore (iEditore) 2023-07-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1642 10.36253/if-1642 infermieristica journal; Vol. 2 No. 2 (2023): infermieristica journal: with you, not aganist; 103-105 infermieristica journal; V. 2 N. 2 (2023): infermieristica journal: with you, not aganist; 103-105 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1642/1494 Copyright (c) 2023 infermieristica journal https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/1648 2026-01-11T12:23:54Z if:ART

At the origin of modern nursing: Florence Nightingale (1820-1910) versus Ellen Gould White (1827-1915) Baldanzi, Francesco Lippi, Donatella History of nursing Ellen Gould White Florence Nightingale spiritualism healthcare history of hygiene Aim of this short article is to put in light the connections between the similarities and differences between the theories of Florence Nightingale (1820-1910) and those of Ellen Gould White (1827-1915): the first is known around the world because she is considered the founder of modern nursing.Ellen Gould White, on the other hand, is especially familiar within the Seventh-day Adventist Church, of which she was a prominent member.These two women never met or corresponded with one another, yet their writings about health have strong similarities. infermieristica Editore (iEditore) 2022-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1648 10.36253/if-1648 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 11-15 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 11-15 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1648/1230 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1652 2026-01-11T12:23:54Z if:ART

Trends in foreign-educated nurse mobility beyond the COVID-19 pandemic Stievano, Alessandro Alvarez, Thomas Shaffer, Franklin Nurse migration Human resources for health Ethical international recruitment Codes of ethics While the COVID-19 pandemic initially halted the mobility of health professionals, global migration has since returned to pre-pandemic levels and will likely explode in the years beyond the pandemic. Simultaneously, the situation surrounding global health workforce staffing and sustainability is dire; the current global shortage of nurses is estimated at seven million, while the WHO calls for 13 million new nurses by 2030. In response, countries, particularly in high-income regions, seek to fill workforce vacancies with foreign-educated health workers. To both meet the demands of high-income countries’ strained health systems and to ensure ethical and sustainable recruitment practices for equally strained low- to middle-income regions, governments, health systems, and other stakeholders should strive for workforce sustainability via effective and coordinated policy responses, both at the national and international level. If correctly endorsed and implemented, the WHO Global Code of Practice on the International Recruitment of Health Personnel can be an effective tool in helping “destination” countries and regions meet the needs of their strained health workforces while also ensuring sustainability and ethical recruitment from “source” regions that are equally at risk. infermieristica Editore (iEditore) 2022-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1652 10.36253/if-1652 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 3-5 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 3-5 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1652/1229 Copyright (c) 2022 infermieristica journal

oai:riviste.fupress.net:article/1658 2022-08-25T17:55:58Z if:ART

oai:ojs.pkp.sfu.ca:article/1667 2026-01-11T12:25:42Z if:ART

The effectiveness of nursing in intermediate care related to an integrated concept of dependency: a case study using the Modified Barthel index Falchi, Sara Quirini, Silvio Ugenti, Nikita Valentina Longobucco, Yari Scalorbi, Sandra Intermediate Care Transitional Care Barthel Index Nursing Planning Introduction. A new care setting was established In modern society, called intermediate care (IC). It refers to residential structures aimed at link hospital and patient’s home, ensuring improved and personalized continuity of care and achieve better health outcomes. Patients admitted in this setting are usually elderly, with high levels of dependency. One of the most used assessment tools for dependency is Barthel Index (BI) and its modified version: the Modified Barthel Index (MBI). The aim of this paper is to verify if care in community hospital (intermediate care) improves patient independence (measured with Modified Barthel Index), and this improvement is linked to an appropriate care model. Methods. A case study of a hypothetical patient has been developed, according to the Rosenberg Model. Data emerging from the case study has been compared with international literature. Care dependency is very a broad concept and includes both objective data and patient’s perceptions. Care dependency, therefore, could be described and assessed from an objective and a subjective point of view, in term of person’s affect. The case-analysis provides possible indicators regarding the meaning of dependency and is the start point for a targeted assessment of Nursing Diagnoses (NDs).                                                                                                                                          Results. The functional domains of NANDA-I taxonomy 2024-2026 related to dependency were identified through the case analysis. Each ND was examined with reference to objective and subjective diagnostic indicators, thus highlighting the diagnoses related to each 14-independence topic presented by Hillcoat-Nallétamby. The MBI has been used as nursing outcome together with other psycho-social indicators. Discussion. MBI is proved to be an indicator of the effectiveness of nursing care provided in the intermediate care settings. However, in order to define a patient as independent, the physical domain should be integrated with his/her psychosocial experiences according to identified Nursing Diagnosis.           Conclusion. An integrated nursing assessment leads to the identification of the Nursing Diagnosis influenced by the experience of dependency. Nursing Plan should include patient’s emotions and other aspects related to his/her social life. infermieristica Editore (iEditore) 2024-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1667 10.36253/if-1667 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 251-257 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 251-257 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1667/1982 Copyright (c) 2024 Sara Falchi, Silvio Quirini, Nikita Valentina Ugenti, Yari Longobucco, Sandra Scalorbi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/1668 2026-01-11T12:23:54Z if:ART

Venturi mask is the pioneer of High-Flow Oxygen Therapy Concepts Manici, Matteo Bambi, Stefano Lucchini, Alberto Oxygen Therapy High Flow Venturi Hypoxemia PEEP Oxygen therapy should be carefully considered and monitored because, as any other medications, it can cause harm to patients, if used inappropriately. This paper focus on the distinction between low-flow and high-flow oxygen therapy. A discussion about Venturi system for oxygen administration is carried on, given that some authors include it in the low-flow devices group despite its characteristics to deliver high flow therapy. infermieristica Editore (iEditore) 2022-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1668 10.36253/if-1668 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 7-9 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 7-9 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1668/1227 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1676 2026-01-11T12:25:15Z if:ART

Insomnia in patients undergoing Autologous Hematopoietic Stem Cell Transplantation Veronese, Mayra Lacarbonara, Federica Hematopoietic Stem Cell Transplantation Sleep-Wake Disorders Neoplasm Sleep Sleep Initiation and Maintenance Disorders Background: Insomnia has an elevated incidence in patients who receive autologous Hematopoietic Stem Cell Transplantation (HSCT), which can lead to psychic and physical dysfunctions and impair immunological and neuroendocrine processes, hence compromising the response to treatment. The aim of this study is to evaluate the incidence, severity, and changes in time of insomnia in patients following autologous HSCT. Identify the factors affecting the quality of sleep and, in the end, identify the number of nocturnal awakenings and night interruptions by healthcare personnel.Methods: insomnia was detected through the Insomnia Severity Index (ISI) questionnaire. The questionnaire was handed out in three different periods: on the first day of hospitalization (T0), the day after the transplantation (T1), and at the discharge (T2). The questionnaire was given out at the hematology ward in two hospitals in Italy.Results: The convenience sample consisted of 31 patients. 42% of patients (N=13) in the pre-hospitalization, 58% (N=18) the day of transplantation, and 65% (N=20) at discharge showed insomnia symptoms: a significant difference between the ISI score at T0 and the ISI score at T1 and T2. There was a relationship between the ISI score and the presence of adverse effects of chemotherapy.Conclusion: Insomnia is already present in patients following autologous HSCT from pre-admission and worsens during hospitalization. In detecting the symptoms of insomnia, the nurse plays an important role. Multidisciplinary management, both medical and nursing, is essential. infermieristica Editore (iEditore) 2024-06-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1676 10.36253/if-1676 infermieristica journal; Vol. 3 No. 2 (2024): evolution of vascular access; 95-102 infermieristica journal; V. 3 N. 2 (2024): evolution of vascular access; 95-102 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1676/1786 Copyright (c) 2024 Mayra Veronese, Federica Lacarbonara https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/1709 2026-01-11T12:23:54Z if:ART

Why an "infermieristica" journal? Rasero, Laura Editorial Nursing journal Journal Nurse Nursing No abstract available. infermieristica Editore (iEditore) 2022-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1709 10.36253/if-1709 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 1 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 1 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1709/1181 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1714 2026-01-11T12:23:54Z if:ART

The complex issue of medication management in older persons: a challenge for nurses Vitiello, Carmen Maria Longobucco, Yari Espinoza Tofalos, Sofia Di Bari, Mauro Elderly Polypharmacy Nurse skills Nurse competences Therapeutic adherence Adverse Drug Reaction With increasing life expectancy, the share of older persons with coexisting multiple chronic degenerative diseases (comorbidity / multimorbidity) is expanding. These conditions require the use of multiple drugs, leading to polypharmacy, which plays a central role in making the therapeutic approach to the elderly particularly complex, together with age-related changes in pharmacokinetics and pharmacodynamics. Physicians and nurses both are challenged by polypharmacy and by the other drug-related issues involving older patients, in all care settings. In particular, nurses should be aware of the main issues of pharmacotherapy in older persons, because they are often the frontline for older patients care, especially in nursing homes. This review addresses the main issues related to pharmacotherapy in late life, such as pharmacokinetics and pharmacodynamics changes, limitations of evidence-based medicine, polypharmacy, drug interactions, adverse drug reactions, and lack of adherence. Focus will be on how these problems may impact on nursing, and on what nurses should know and do to improve drug treatment of older patients. In the last decade, the role and responsibilities of nurses in the management of drug therapy have significantly changed in most countries. There is consensus in educational programs and legislation that the preparation and administration of medications are essential aspects of nursing practice. These are considered as collaborative tasks with physicians and not purely mechanistic tasks. The nurse must intervene in the event of a perceived error, and he/she must report doubts about congruity or relevance of the therapy. Although nursing students gain knowledge and develop skills on drug therapy during their education, these are often perceived as insufficient. The need for post-graduation continuing education should be also emphasized. Thus, graduate and post-graduate educational programs should be developed, in order to offer adequate answers to the increasing and challenging share of older patients seen in clinical practice. infermieristica Editore (iEditore) 2022-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1714 10.36253/if-1714 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 49-56 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 49-56 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1714/1226 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1777 2026-01-11T12:23:54Z if:ART

Is telemedicine a golden opportunity or a dangerous roundabout for chronic rheumatic diseases? A narrative review Melis, Maria Ramona El Aoufy, Khadija Matucci-Cerinic, Marco telerheumatology telemedicine telenursing COVID-19 rheumatic diseases rheumatic and musculoskeletal diseases Introduction: Telemedicine (TM) reported a great increase from 50% to 150% in health care to RMDs patients during the COVID-19 period, but conflicting opinions in the literature are still present. Aim: to investigate the results of literature on TM in terms of feasibility (patients’ satisfaction, accessibility, clinical outcomes and barriers), discussing its integration for the future in a nursing perspective during and after COVID-19 period. Methods: the team that conducted the narrative review was composed by two rheumatology and research nurses (MRM, KEA) and a rheumatologist (MMC), who discussed the relevance of the research question and agreed on the search strategy. Pubmed and Google Scholar databases were searched. The inclusion criteria were: original and quantitative research papers in English with available abstract/full text, on adult patients with RMDs in accordance with the American College of Rheumatology (ACR) and/or European Alliance of Associations of Rheumatology (EULAR) classification criteria, exposed to any kind of technologies during and after COVID19 period, investigating any kind of patient/clinical reported outcomes. Results: TM could be considered as an integration to standard clinical care in Rheumatology, especially for patients with a stable or low disease activity and rheumatic diagnosis. The choice of the candidates and the assessment of their E-health literacy level are necessary prior including them in TM programs. In addition, healthcare professionals need to be trained in this new modality of providing care. Conclusion: hybrid models of telehealthcare might be a balanced solution, improving efficiency of the consultation, continuity of care and providing a patient-centred approach. infermieristica Editore (iEditore) 2022-06-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1777 10.36253/if-1777 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 17-24 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 17-24 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1777/1225 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1790 2026-01-11T12:23:54Z if:ART

The foot, Anatomy notes Paternostro, Ferdinando Veltro, Cristiana Branca, Jacopo Junio Valerio Vacca, Anna foot anatomy The foot has 28 bones, 30 joints, and more than 100 muscles, ligaments, and tendons. These structures work together to carry out two main functions: weight-bearing and propulsion. Plus, the foot must be flexible to adapt to uneven surfaces and remain stable. In this article, we briefly illustrate the anatomy of the foot and its various structures infermieristica Editore (iEditore) 2022-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion https://riviste.fupress.net/index.php/if/article/view/1790 10.36253/if-1790 infermieristica journal; Vol. 1 No. 1 (2022): infermieristica journal: nursing r-evolution; 30-38 infermieristica journal; V. 1 N. 1 (2022): infermieristica journal: nursing r-evolution; 30-38 2785-7018 Copyright (c) 2022 infermieristica journal https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/1869 2025-11-07T12:16:44Z if:ART

Depression and Post Traumatic Stress Disorder experienced by emergency room nurses during the COVID-19 emergency detected through the "Screening Questionnaire for Disaster Mental Health", a survey conducted in a Local Health Service in Northern Italy Lucenti, Enrico Casella, Giovanna Schiavone, Federica Beretta, Maurizio Gheri, Flavio Gubbelini, Mirella Guasconi, Massimo COVID-19 Depression Nurses Post-traumatic stress disorder Stress Introduction: Nurses are at high risk of developing a psychiatric disorder as a result of exposure to stressful and/or traumatic events experienced in the workplace. Specifically, they may develop long-term depression or post-traumatic stress disorder (PTSD). The spread of the COVID-19 pandemic has exposed nurses to stressful working conditions. The aim of this study was to investigate the effects of mental and physical stress on nurses who provided assistance in the Emergency Room (ER) of Piacenza Hospital during the COVID-19 pandemic.Methods: A sample of 43 nurses working in the ER from 8 March to 3 May 2020 was enrolled. Each nurse was asked to fill in a form containing socio-demographic data and the "Screening Questionnaire for Disaster Mental Health" (SQD). The study was approved by the Ethics Committee of the Area Vasta Emilia Nord.Results: The SQD-D sub-scale results showed that 38 out of 43 nurses (88%) had “less likely to be depressed” and the remaining 5 (12%) had “more likely to be depressed”. Regarding the likelihood of developing PTSD, SQD-P sub-scale results, 29 nurses (67%) little possibility to be affected, 8 nurses (19%) classify themselves as moderately affected, and finally 6 nurses present as severely affected. The Cronbach's alpha for the scale was 0.80, for the SQD-P was 0.73 and for the SQD-D it was 0.68. The correlations between age and SQD and between years of service and SQD were not statistically significant.Conclusions: The study showed that some nurses are at high risk of developing depression or PTSD in stressful work situations such as those caused by COVID-19. These data can be used to suggest preventive measures such as psychological support. infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1869 10.36253/if-1869 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 183-190 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 183-190 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1869/1898 Copyright (c) 2024 Enrico Lucenti, Giovanna Casella, Federica Schiavone, Maurizio Beretta, Flavio Gheri, Mirella Gubbelini, Massimo Guasconi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/1876 2026-01-11T12:24:39Z if:ART

Intraoperative monitoring of the recurrent laryngeal nerve in thyroid gland surgery Fagni, Niccolo' Gelati, Giacomo Veltro, Cristiana Paternostro, Ferdinando Thyroid Surgery Recurrent Laryngeal Nerves Neuro-monitoring In Thyroid surgery, the two novel approaches are the trans-axillary Robotic thyroidectomy and the trans-oral and sub-chin techniques.During these surgical approaches is mandatory to recognise the Anatomy. The lower laryngeal nerves originate from the X cranial nerve (vagus nerve) and innervate all the intrinsic muscles of the larynx except for the cricothyroid muscles (which are innervated by the superior laryngeal nerve instead). The "recurring" name is due to the course in the opposite direction to the nerve of origin.Neuro-monitoring of recurrent laryngeal nerves is the most important of the recent technological innovations. However it is of fundamental importance for the operator to remember that this method does not prevent recurrent nerve injury. On the other hand a two stage thyroidrctomy can avoid a tracheostomy thanks to neuro-monitoring. infermieristica Editore (iEditore) 2023-07-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1876 10.36253/if-1876 infermieristica journal; Vol. 2 No. 2 (2023): infermieristica journal: with you, not aganist; 65-70 infermieristica journal; V. 2 N. 2 (2023): infermieristica journal: with you, not aganist; 65-70 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1876/1493 Copyright (c) 2023 Niccolo' Fagni, Giacomo Gelati, Cristiana Veltro, Ferdinando Paternostro https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/1898 2026-01-11T12:24:23Z if:ART

Pilonidal cysts: what's new? Technological innovations and the importance of Wound Management Colella, Rosa De Mola, Angela Azzarone, Filippo sinus pilonidal pilonidal cysts wound care infected wounds biofilms Pilonidal cyst normally manifests itself with the formation of ulcers or orifices predominantly in the sacrococcygeal region. It generally affects young males between 15 and 30 years of age . It has a reported incidence rate of 26 per 10,000 people and affects men 2.2 times more than women . It often tends towards a chronic course if the correct diagnostic- therapeutic course is not taken. Surgical treatment of pilonidal cysts is only recommended in the presence of symptomatic disease and is the only effective treatment in this case7-11. Improper cleaning of the wound bed slows healing and may promote complications such as infection or biofilm formation, which may lead to recurrence. In addition to surgical or conservative treatment , is required an adequate assessment of the skin tissue by a specialist wound care professional who can recognise all local signs that impede healing. Hence, the role of a specialist in Vulnology in the multidisciplinary team and in the post-operative phase may be necessary to take care of the person in a dedicated outpatient clinic, in order to assess the patient and to adopt targeted local treatment strategies. The article proposes a narrative review of the latest available evidence, considering the last 10 years, regarding surgical approaches and new biotechnologies for wound management, highlighting new treatment modalities and critical issues still to be investigated. infermieristica Editore (iEditore) 2023-04-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1898 10.36253/if-1898 infermieristica journal; Vol. 2 No. 1 (2023): infermieristica journal: it's TIME to care; 29-38 infermieristica journal; V. 2 N. 1 (2023): infermieristica journal: it's TIME to care; 29-38 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1898/1431 Copyright (c) 2023 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1906 2026-01-11T12:24:08Z if:ART

Handling the challenge of antimicrobial resistant superbugs in the clinical setting: nursing staff as a pivotal player Coppi, Marco Baccani, Ilaria Niccolai, Claudia Antonelli, Alberto Giani, Tommaso Rossolini, Gian Maria AMR MDR Infection Prevention and Control Antimicrobial Resistance Nursing Staff. Infectious Diseases Bacterial resistance to antibiotics (antimicrobial resistance, AMR) is spreading globally among major Gram-positive and Gram-negative bacterial pathogens (including staphylococci, enterococci, Enterobacterales, Pseudomonas aeruginosa andBacterial resistance to antibiotics (antimicrobial resistance, AMR) is rapidly spreading globally among major Gram-positive and Gram-negative bacterial pathogens (including staphylococci, enterococci, Enterobacterales, Pseudomonas aeruginosa, and Acinetobacter baumannii); this phenomenon has a remarkable impact on morbidity, mortality and healthcare-associated costs. Evolution and dissemination of AMR can be counteracted with a combined strategy based on i) antimicrobial stewardship programs aimed at a prudent and appropriate use of antibiotics to improve clinical outcomes and reduce the selective pressure for resistance; and ii) infection prevention and control (IPC) practices, to limit the spread of resistant pathogens within the healthcare settings. In this scenario, the nursing staff plays a pivotal role, since these figures are involved in the enforcement and supervision of IPC bundles (e.g., contact precautions, hand, and environmental hygiene, active surveillance, patient isolation, or cohorting), which are essential to limit the spread of resistant pathogens among different patients.  infermieristica Editore (iEditore) 2022-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1906 10.36253/if-1906 infermieristica journal; Vol. 1 No. 2 (2022): infermieristica journal: we never stop; 69-72 infermieristica journal; V. 1 N. 2 (2022): infermieristica journal: we never stop; 69-72 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1906/1310 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1907 2026-01-11T12:24:08Z if:ART

The essentiality of nursing in modern health systems Sasso, Loredana Essentaility of Nursing Fundamentals of Care Patient Outcomes Nurse Outcomes Nursing Abstract not available. infermieristica Editore (iEditore) 2022-11-20 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1907 10.36253/if-1907 infermieristica journal; Vol. 1 No. 2 (2022): infermieristica journal: we never stop; 57-59 infermieristica journal; V. 1 N. 2 (2022): infermieristica journal: we never stop; 57-59 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1907/1308 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1914 2026-01-11T12:24:08Z if:ART

A case report on pulmonary fibro-emphysema: an incorrectly framed case Scaramozzino, Marco Umberto Sapone, Giovanni Sheenam Fulgido, Attilio COPD Spirometry Therapy Pneumology This case report describes the combination of pulmonary fibrosis and emphysema (CPFE) as a possible new addition to the growing list of smoking-related lung diseases, which are characterised by the coexistence of usual interstitial pneumonia (UIP) or non-specific interstitial pneumonia (NSIP) with emphysema in tobacco smokers.  infermieristica Editore (iEditore) 2023-01-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1914 10.36253/if-1914 infermieristica journal; Vol. 1 No. 2 (2022): infermieristica journal: we never stop; 74-77 infermieristica journal; V. 1 N. 2 (2022): infermieristica journal: we never stop; 74-77 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1914/1311 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1920 2026-01-11T12:24:08Z if:ART

Parental participation in care during Neonatal Intensive Care Unit stay: a validation study Scarponcini Fornaro, Davide Della Pelle, Carlo Buccione, Emanuele Parenthood Neonatal Intensive Care Unit Parental Participation Nurses Neonatal Intensive Care Introduction: Although the Neonatal Intensive Care Units (NICU) can offer lifesaving care for vulnerable newborns after birth, separation from the parents, pain, sleep disruptions, and environmental stressors can be traumatic experiences for these critically ill newborns. At the same time, the new parents can experience a situation they are not prepared for, such as separation from the newborn, and fear of the unknown, which, together disrupt the family ties, which are created and strengthened right during the moment of birth. Evaluating the participation of the parents in neonatal care during their children’s stay in the NICU allows health professionals to highlight possible gaps in the correct management of the babies by the parents, intervening where it is necessary, with proper education and support.  Aim: To validate the Italian version of “The Scale of Parental Participation in Care: Neonatal Intensive Care Unit” (PPCS: NICU).  Methods: The study was conducted in a 22-bed mixed (medical and surgical) NICU of a public hospital. The study participants comprised parents whose infants were admitted to the NICU from April to August 2022.  Results: A total of 128 parents were included in the study. Exactly half of the sample was female, and the average age was 33.43 ± 6.51 years; 31.25% (n=40) of the sample already had a first child. Those who had a history of previous abortion were 25% (n=32). Additionally, 3.12% (n=4) of parents experienced a previous death of their child. About the type of delivery, 54.69% (n=70) of the sample experienced vaginal birth, 17.19% (n=22) of them underwent an elective cesarean, and 28.12% (n=36) underwent an emergency cesarean. Item analysis was performed on all 16 items. The corrected total item correlation coefficients for the scale items were adequate between 0.408 and 0.821. Cronbach’s alpha was 0.926.  Conclusion: The Italian version of the PPCS: NICU shows high reliability and therefore, it can be used in the context of Italian NICUs to assess the degree of parental participation in neonatal care, allowing early identification of critical issues by parents in the care of newborns admitted to NICU.  infermieristica Editore (iEditore) 2023-01-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1920 10.36253/if-1920 infermieristica journal; Vol. 1 No. 2 (2022): infermieristica journal: we never stop; 81-88 infermieristica journal; V. 1 N. 2 (2022): infermieristica journal: we never stop; 81-88 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1920/1312 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1923 2026-01-11T12:24:08Z if:ART

Intraosseous access: a simulation analysis Antov Miki Rinaldi, Bartolomeo Bergesio Giorgio Vallana Vittoria Roasio Agostino IO Access Simulation Teaching Nursing Student Learning Introduction: The priority in critical patients is to find a vascular access. The most used access is the peripheral venous access, but when its placement goes wrong or is difficult, the literature recommends implementing intraosseous (IO) access as a valid alternative. The IO access is a rapid, reliable and a relatively safe method. Despite the recommendations, IO access is rarely used when indicated. The objective of this study was to evaluate the critical points of the IO procedure, positioning time, percentage of success at first attempt in simulation and, in according to obtained outcomes, checking of the procedure inclusion within university programs.  Material and methods: A sample of 84 people was recruited; among them 44 were students attending the third year of the Degree Course in Nursing of the University of Turin (site of Asti) and 40 nurses from intensive care unit and emergency ward of Cardinal Massaia Hospital of Asti. A short lesson about IO access took place, followed by a practical demonstration. Subsequently, the IO access insertion performance and difficulty perceived were evaluated. Statistical analysis was performed by means of inferential and descriptive bivariate analysis.  Results: The average value of the performance “IO access insertion” was 12.2±1.22 (average of the assigned points by the sample). The average difficulty perceived was 1.65±0.42, and mainly found in “selection of the correct point of insertion” with a value of 2.64±0.87, “needle placement” with a medium value of 2.35±1.02 and “medication” with a value of 2.0±0.94. Average execution time of IO access and needle placement were 73.3 and 36.1 seconds, respectively. Finally, the success rate at the first attempt was 72.6%.  Discussion: The IO access execution time, for the complete procedure and for the needle placement only, was below the 3 minutes. Among nurses and students, data of the success of the procedure show significant results, but the difference between subgroups is still lower than expected considering  the results of the statistical analysis about procedure success, execution time and error percentage. Most critical issues were found in the retrieval of area of insertion, whereas the most difficulty perceived was on reference point selection, correct needle placement and medication. The procedure may become subject of teaching in the University.  Conclusion: The study evaluates the possibility of the IO access use, by underlining how is necessary a training about it. The principal reason of ‘non-use’ of this device is the disinformation of healthcare professionals. The results seem to underline the importance of a possible integration of IO access technique in the programs of Degree Nursing Course and post-base course. This may improve nursing in emergency situations and therefore, patient outcomes. When healthcare staff training is possible, periodical refresh is particularly recommended in order to maintain the acquired skills.  infermieristica Editore (iEditore) 2023-01-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1923 10.36253/if-1923 infermieristica journal; Vol. 1 No. 2 (2022): infermieristica journal: we never stop; 91-97 infermieristica journal; V. 1 N. 2 (2022): infermieristica journal: we never stop; 91-97 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1923/1313 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1928 2026-01-11T12:24:08Z if:ART

Weaning from mechanical ventilation: a narrative review Fusi, Cristian Bulleri, Enrico Azzini, Giulia Mechanical ventilation Weaning ICU Spontaneous Breathing Trial Pneumology The “weaning” from mechanical ventilation is a process that involves several assessments and steps to aid a patient to reach a “liberation” from the ventilator and allow for breathing autonomy.The process of “weaning” from mechanical ventilation involves several assessments and steps to support a patient in reaching a “liberation” from the ventilator and allow for spontaneous breathing. The weaning process consists of evaluating if the patient is able to breathe with minimal or no ventilation support. This assessment is performed by a diagnostic test named spontaneous breathing trial (SBT), repeated every 24 hours to ensure extubation success. Even though many patients do not meet the eligibility criteria for starting the weaning process, they can still be weaned. For this reason, these criteria should be evaluated in order to assess a possible weaning, rather than adopting absolute standards which have to be met simultaneously. The SBT helps the healthcare professionals to understand the patient’s capacity to sustain physiological breathing once they are extubated (or on spontaneous breathing if a tracheostomy tube is maintained in place). Several patients fail to meet the weaning criteria after less than 20 minutes of the SBT. Therefore, a 30-minute trial is enough to estimate the patient’s capacity to withhold spontaneous breathing. Even if the SBT is currently the gold standard method to conduct the weaning trial, it does not prevent the occurrence of complications after extubation such as upper airways obstruction, increased resistance, loss of airway protective reflexes, cough efficiency, and drainage of tracheobronchial secretions. The preventive use of NIV or High Flow Nasal Cannula is strongly recommended for patients experiencing extubation failure and mechanically ventilated for more than 24 hours after an SBT. A well-performed SBT usually leads to definitive extubation; on the other hand, SBT failure requires a comprehensive investigation on potentially reversible conditions. Prolonged weaning is highly wasteful in terms of time and resources due to the need for a systematic and multidisciplinary approach to successfully face the weaning process. infermieristica Editore (iEditore) 2022-12-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1928 10.36253/if-1928 infermieristica journal; Vol. 1 No. 2 (2022): infermieristica journal: we never stop; 61-66 infermieristica journal; V. 1 N. 2 (2022): infermieristica journal: we never stop; 61-66 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1928/1309 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/1931 2026-01-11T12:24:08Z if:ART

Interruptions during therapy preparation, administration and monitoring while caring for the paediatric population: a scoping review Parente, Eustachio Cialdi, Annalisa Frangioni, Gabriele Ciofi, Daniele El Aoufy, Khadija Therapy Process Paediatric Children Interruptions Paediatric Background: Nurses perform many actions during the therapy process. However, the time dedicated to the process of drug therapy is very important for the children’s safety; indeed, assessing the factors that can impact on the whole therapy process represent an important objective.  Aim. The primary aim of this scoping review is to investigate the factors associated to the interruptions of the therapeutic process (i.e., preparation, administration and, monitoring) for inpatient paediatric population. The secondary aim is to investigate possible implementation strategies to prevent interruptions and, thus, prevent medical administration error (MAE).  Materials and method: A scoping review was performed, following the PRISMA guidelines using the keywords ‘paediatric’ AND ‘interruption to therapy administration/preparation/ monitoring’. The search was performed during April 2022.  Results: Out of 242 records retrieved, 8 full text studies met the inclusion criteria and therefore, included in the review. the included full texts were grouped according to the stage of the therapy process they addressed. The majority of the studies adopted an observational design and highlighted how interruptions can occur due to environmental reasons and people. All the included studies focused on the “negative” consequences of interruptions, although, they reveal that the nurses constitute a resilient profession, because they can implement adaptive strategies in extremely disruptive environments and organizations. However, development of new strategies to reduce interruptions during the therapy process is highly needed to guarantee the safety of the children.  Conclusion: we recognize that prioritization is an ongoing challenge, indeed the first step is a cultural change in order to implement new organizational and clinical models where “positive” disruptions are allowed and the “negative” ones are blocked or prevented.  infermieristica Editore (iEditore) 2023-01-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/1931 10.36253/if-1931 infermieristica journal; Vol. 1 No. 2 (2022): infermieristica journal: we never stop; 99-111 infermieristica journal; V. 1 N. 2 (2022): infermieristica journal: we never stop; 99-111 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/1931/1314 Copyright (c) 2022 infermieristica journal

oai:ojs.pkp.sfu.ca:article/2004 2026-01-11T12:24:39Z if:ART

Control of mother-to-child transmission of Chagas disease: the Tuscany Region model Barbiero, Anna Mazzi, Martina Mantella, Antonia Trotta, Michele Salvatore Rossolini, Gian Maria Antonelli, Alberto Bordonaro, Patrizia Colao, Maria Grazia Speciale, Anna Rosa Di Benedetto, Tullio Di Tommaso, Mariarosaria Mantengoli, Elisabetta Petraglia, Felice Galli, Luisa Pezzati, Marco Dani, Carlo Caldés Pinilla, Maria José Berni, Cecilia Dannaoui, Bassam Albajar Vinas, Pedro Bartoloni, Alessandro Zammarchi, Lorenzo Chagas Disease Pregnancy Screening Latin America Neglected Tropical Disease Chagas disease is an endemic parasitosis in Latin America where the main route of transmission is vectorial. In Europe, due to migration phenomena, Chagas disease cases are increasing and the main way of transmission is mother-to-child, perpetuating the infection from one generation to the other. Congenital Chagas disease is in most cases asymptomatic at birth, but, if not diagnosed and treated early, it puts the child at risk of developing severe cardiac and gastrointestinal problems throughout life. According to the Regional Resolution throughout the territory of Tuscany, pregnant women born in continental Latin America (or born to a mother born in that area) should be offered free of charge serological test for Chagas disease during pregnancy or at delivery, with the main objective of controlling and stopping the transmission of the disease. infermieristica Editore (iEditore) 2023-07-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2004 10.36253/if-2004 infermieristica journal; Vol. 2 No. 2 (2023): infermieristica journal: with you, not aganist; 73-78 infermieristica journal; V. 2 N. 2 (2023): infermieristica journal: with you, not aganist; 73-78 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2004/1492 Copyright (c) 2023 infermieristica journal https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2066 2026-01-11T12:24:51Z if:ART

Amiodarone induced lung toxicity: a radiological overview that simulating COVID19 infection disease Scaramozzino, Marco Umberto Sapone, Giovanni Plastina, Ubaldo Romeo Levi, Guido Nucara, Mariacarmela Amiodarone-Induced Pulmonary Toxicity Amiodarone Hyper-Reactivity OCS Ground Glass Opacity Amiodarone-induced pulmonary toxicity (AIPT) is among the most serious adverse effects and is one of the leading causes of death associated with its use. It is a clinical pathology that is conditioned by dose, patient’s age, and pre-existent pulmonary pathologies. Those effects reach a plateau at a cumulative dose bigger than 150g. Patient’s comorbidities; oxygen therapy, invasive procedures or surgical interventions can trigger the pulmonary symptoms induced by amiodarone toxicity. The increased risk of developing amiodarone-induced pulmonary fibrosis is directly related to the dose and the duration of the intake. Despite significant advances in the understanding of AIPT, its aetiology and pathogenesis remain incompletely understood. The role of steroids in the management of pulmonary toxicity from amiodarone is debatable, however, most reports of improvement after amiodarone withdrawal di"er little from those in which concomitant steroid therapy was employed. Therefore, the addition of therapeutic doses of corticosteroids in amiodarone induced pneumopathy may be indicated. Typically, prednisone is started in doses of 40 to 60 mg/day orally and slowly reduced. Again, the pharmacodynamics of amiodarone dictate a treatment period of four to 12 months. The case report describes a patient with AIPT who after therapy with Prednisone at a dosage of 50mg/day by gradually scaling down the doses as reported in the above clinical studies, had a clinical, functional and CT radiological picture that was markedly improved with disappearance of most of the scattered ground glass areas and the previously reported thickening with associated bi-apical fibrotic outcomes. infermieristica Editore (iEditore) 2023-10-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2066 10.36253/if-2066 infermieristica journal; Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat; 123-129 infermieristica journal; V. 2 N. 3 (2023): infermieristica journal: your heart, our beat; 123-129 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2066/1606 Copyright (c) 2023 Marco Umberto Scaramozzino, Giovanni Sapone, Ubaldo Romeo Plastina, Guido Levi, Mariacarmela Nucara https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2070 2026-01-11T12:24:23Z if:ART

Blue Light Photobiomodulation as treatment for peristomal skin disorders: case series Gasperini, Stefano Antonini, Mario Peristomal Skin Disorders Photobiomodulation Blue Light Wound Bed Score Introduction. Keeping the peristomal skin intact proves to be a challenge for stoma patients and the health care teams that work with them. Peristomal skin complications are shown to affect 36.3% to 73.4% of patients. They are often particularly difficult to treat with topical therapies since the topical medications available are cream-based or ointment type formulations that don’t allow for perfect adhesion of the pouching system to the abdomen’s skin. In this study a preliminary evaluation of the effectiveness of Blue Light Photobiomodulation in the treatment of peristomal skin disorders was performed Methods. Patients carrying ostomy with lesions of types L2, L3, L4, L5, LX (SACS 2.0 classification5) that had not experienced an improvement in 4 weeks of standard therapy were selected for Blue Light therapy.  Blue Light treatment was performed twice a week for 4 weeks, in addition to standard therapy. Tissue repair was evaluated through Wound Bed Score and pain reduction. Results. All the 11 patients enrolled responded to Blue Light treatment with an average WBS improvement of 8.3 points and a significant reduction in pain. Blue Light Photobiomodulation proved decisive in activating the healing process in three patients with pyoderma gangrenous. Conclusions. The positive clinical results suggests that Blue Light Photobiomodulation could be a promising tool in the management of peristomal skin lesions.   infermieristica Editore (iEditore) 2023-04-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion https://riviste.fupress.net/index.php/if/article/view/2070 10.36253/if-2070 infermieristica journal; Vol. 2 No. 1 (2023): infermieristica journal: it's TIME to care; 5-10 infermieristica journal; V. 2 N. 1 (2023): infermieristica journal: it's TIME to care; 5-10 2785-7018 Copyright (c) 2023 infermieristica journal https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2075 2026-01-11T12:24:23Z if:ART

Stoma and peristomal complications: a rapid overview of the literature Chirco, Giorgia Antonini, Mario Ostomy Stoma complications Peristomal complications Stoma edema Malpositioning Malpacking Lesions Proliferative Lesions Peristomal Skin Infection Stoma and Peristomal Atypia Complications of the stoma complex are estimated to occur in 20-70% of the ostomized population. These studies, however, appear to show contradictions in terms of definitions of the same complications, making the results of the analyses of incidence and prevalence of the phenomenon inconsistent with each other. The absence of clear and unambiguous definitions, does not allow clear evidence to be defined in science; moreover, this is reflected in the absence of a standardized clinical-care approach, which inevitably hinders the spread of an organizational and methodological culture aimed at the wellness and autonomy of the subject. In order to overcome this obstacle, different classifications of complications have been proposed throughout the years, differentiating these exclusively into macro categories, without delving into them in detail. In this regard, this review aims to clearly define, from the general to the particular, the individual complications of the stoma complex so as to provide nurses an instrument that can help them in the prevention and recognition of these. infermieristica Editore (iEditore) 2023-04-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2075 10.36253/if-2075 infermieristica journal; Vol. 2 No. 1 (2023): infermieristica journal: it's TIME to care; 13-25 infermieristica journal; V. 2 N. 1 (2023): infermieristica journal: it's TIME to care; 13-25 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2075/1429 Copyright (c) 2023 infermieristica journal

oai:ojs.pkp.sfu.ca:article/2078 2026-01-11T12:24:39Z if:ART

The use of wireless technology for thoracic physical examination: a pilot case based on a literature review Scaramozzino, Marco Umberto Sapone, Giovanni Plastina, Ubaldo Romeo Levi , Guido Nucara , Mariacarmela Festa, Maura Artificial Intelligence AI Thoracic Objective Examination Obstructive and Restrictive Pulmonary Diseases CT Chest Crackles Auscultation is a standard method of physical examination used by physicians and is widely accepted by doctors and patients for its simplicity, repeatability and non-invasiveness. Artificial intelligence is the 'new integrated frontier' of the thoracic examination, yet there are still concordance discrepancies in obstructive pulmonary diseases; on the contrary, for fibrotic diseases, the degree of concordance increases significantly, as shown by previous clinical studies conducted mainly in children. However, there are data in the literature that appear to be very discordant on certain types of lung noises, such as wet crackles and dry noises; therefore, the application of these devices in daily use in outpatient and hospital settings needs to be further expanded. The integrated data allowed us to make the right diagnosis, also avoiding costs for the national health system and possible invasive procedures such as bronchoscopy, which today remains the “gold standard” for the histological diagnosis of sarcoidosis with lung localisation. Integrated technology could improve the diagnostic capacity in restrictive lung diseases, as shown in this clinical case. Several randomised controlled trials are still needed to increase the significance of this initial integrated research work performed  infermieristica Editore (iEditore) 2023-07-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2078 10.36253/if-2078 infermieristica journal; Vol. 2 No. 2 (2023): infermieristica journal: with you, not aganist; 81-87 infermieristica journal; V. 2 N. 2 (2023): infermieristica journal: with you, not aganist; 81-87 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2078/1491 Copyright (c) 2023 Marco Umberto Scaramozzino, Giovanni Sapone, Ubaldo Romeo Plastina, Guido Levi , Mariacarmela Nucara , Maura Festa https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2080 2026-01-11T12:24:39Z if:ART

Learning teamworking and non-technical skills: a pilot study of a postgraduate course at the University of Florence Verde, Veronica Bardacci, Yari Ballerini, Lorenzo Baldassini Rodriguez, Samuele Balestri, Chiara Iovino, Paolo Belli, Simone Bambi, Stefano Simulation Non-technical Skills Training Healthcare Gaming Virtual Simulation AbstractBackground: Non-technical skills (NTS) are the cognitive and social skills that integrate the technical skills of a worker. In healthcare systems, NTS exert positive effects on patients’ safety and healthcare professionals’ efficiency.Aim: This study aims to assess the degree of NTS knowledge, before and after a workshop administered to a group of 17 nursing students attending a critical care nursing postgraduate course at the University of Florence.Methods: A cross-over design study was conducted. The workshop was composed of short lectures on “fundamentals of teamworking” and “team building and communication”, followed by team activities and gaming. At the end of the day a medical “escape room” about a shock scenario, was developed and run by the students. A questionnaire investigating participants’ entertainment and self-evaluation of NTS use, was administered at the end of the simulation sessions.Results: A sample of 17 nurses was enrolled. Pre-posttests were completed by 16 participants. Seventy-five % (n=12) of the respondents found the team working activities exciting. Most of the participants (62.5%, n=10) considered the “escape shock room game” enjoyable and stimulating and would recommend the learning activities to other healthcare professionals (75%, n=12). Compared to pre-test scores, statistically, significant improvements in NTS understanding were found on the topics of “team building” (p<0.001; r= -0.60), “teamworking” (p= 0.001; r= -0.56), “membership” (p= 0.001; r= -0.56), “hard skills” (p= 0.001; r= -0.57), “soft skills” (p=0.001; r= -0.56) and “situational awareness” (p< 0.001; r= -0.61) items.Conclusions: The process of NTS training is well accepted by critical care nursing students and can improve their competencies. Therefore, simulation based NTS training programs and gaming activities should be periodically implemented as part of Critical Care Nursing Postgraduate Courses. infermieristica Editore (iEditore) 2023-07-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2080 10.36253/if-2080 infermieristica journal; Vol. 2 No. 2 (2023): infermieristica journal: with you, not aganist; 89-100 infermieristica journal; V. 2 N. 2 (2023): infermieristica journal: with you, not aganist; 89-100 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2080/1490 Copyright (c) 2023 Veronica Verde, Yari Bardacci, Lorenzo Ballerini, Samuele Baldassini Rodriguez, Chiara Balestri, Paolo Iovino, Simone Belli, Stefano Bambi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2096 2026-01-11T12:24:51Z if:ART

The factors obstaculating adherence to the gluten free diet in the youth bands: an observational study Rinaldi, Bartolomeo Vallana, Vittoria Vallese, Silvia Musso, Benedetta Bergesio, Giorgio Strocco, Andrea Celiac Disease Gluten-Free Foods Gluten Free Diet Adherence Difficulties ABSTRACT Introduction Celiac Disease (CD) affects the small intestine and it’s characterized by a high sensitivity to gluten. Among the main signs and symptoms, there are typical or intestinal ones such as abdominal pain, abdominal swelling, diarrhea, weight loss, atrophy of the intestinal villi. At the moment, the only effective therapy is to follow a gluten-free diet during a long-life. The aim of the study is to investigate the difficulties of adherence to GFD in young people with CD. Materials and methods A questionnaire was administered to the population under study (15-30 years), between 9 July 2022 and 29 August 2022. The interviewees answered 28 questions: 5 concerning the socio-demographic variable, 23 concerning the difficulties of adherence to the GFD. Results 227 people answered the questionnaire. Among them, a low percentage was sent to the attention of a dietician or psychologist. 78.8% prepare their own meal independently. 78.4% believe they know very well the foods they can eat and 93% say they follow the diet stringently. Discussion Following the GF diet is a challenge for most young people with CD. Restaurants offering GF meals are limited and this could be a reason for giving up leisure and socializing, or in the worst-case scenario, the person with CD is forced not to join the GFD. The risk of contamination that can involve fear, isolation, embarrassment in asking questions, is another factor to always keep in mind. Conclusion Adherence difficulties begins with the CD diagnosis and the taking charge. The main problem in related to the social setting of young people, who wants to live without complications due to crance of places with GF food. Literature should investigate about adherence difficulties, instead of quality of life and behaviour CD related. It’s necessary to improve the attention on GF world to decrease discomfort about medical conditions. Keywords FD, celiac disease, gluten-free foods, therapy, adherence difficulties. infermieristica Editore (iEditore) 2023-10-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2096 10.36253/if-2096 infermieristica journal; Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat; 131-137 infermieristica journal; V. 2 N. 3 (2023): infermieristica journal: your heart, our beat; 131-137 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2096/1607 Copyright (c) 2023 Bartolomeo Rinaldi, Vittoria Vallana, Silvia Vallese, Benedetta Musso, Giorgio Bergesio, Andrea Strocco https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2102 2026-01-11T12:24:51Z if:ART

Peristomal skin changes: therapeutic education on prevention and nursing interventions on management Dorigo, Gloria Wound Care Wound Management Peristomal Skin Complications Education Nursing interventions Dressing Introduction: for the person with an ostomy it is very important to have intact peristomal skin, because there is a certainty that the ostomy pouching system adheres to the skin; on the other hand, with altered skin there is a greater risk that the ostomy pouching system detaches with consequent infiltration of the effluents and contact with the peristomal skin, showing skin alterations and further compromising the person's quality of life. Materials and methods: the bibliographic research conducted on PubMed detecting 47 publications that answered to the 2 research questions, under 10 years, with a sample of more than 50 adult participants and in English language. Results: to define therapeutic education strategies to prevent peristomal skin complications and the most appropriate nursing interventions and dressing to manage peristomal skin complications. Conclusion: a preventive therapeutic education with detailed, simple, adequate information and perhaps supported by printed information leaflets regarding peristomal skin complications will be able to reduce the incidence of peristomal skin changes, because the person with an ostomy will be able to recognize early the signs and symptoms of altered skin and manage them at home, thanks to the guidelines provided by  the specialist nurse. In addition, the specialist nurse can effectively put to good use the expertise acquired through the treatment of peristomal skin complications, preventing the patient from suffering further side effects and speeding up the healing process, which is the main goal. infermieristica Editore (iEditore) 2023-10-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2102 10.36253/if-2102 infermieristica journal; Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat; 157-168 infermieristica journal; V. 2 N. 3 (2023): infermieristica journal: your heart, our beat; 157-168 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2102/1610 Copyright (c) 2023 Gloria Dorigo https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2105 2026-01-11T12:24:23Z if:ART

Use of antimicrobial Dialkyl Carbamoyl Chloride (DACC) surface dressings for the treatment of infected post-surgical complications in neonates with low risk of adverse reactions: case series in the AOU Meyer NICU Nicolosi, Biagio Parente, Eustachio post surgical wounds neonatal injury infected wounds The skin of the child presents significant differences compared to that of the adult; this diversity is even more marked if the skin of the newborn is taken into consideration. In fact, this is immature, as is its immune response. This results in weak responses to microorganisms. Therefore, the use of antibacterial dressings is necessary to manage the microbial load at the skin surface level. To this end, international consensus documents suggest that the use of products with a physical and mechanical action to remove bacteria is indicated. Bacterial uptake dressings that exploit DACC technology are bacteriostatic and non-bactericidal dressings; this "passive" control of the bacterial load avoids the rupture of the bacterial cell wall and the consequent release of endotoxins, which worsen the inflammatory state and prevent the healing of the lesion. Thanks to its purely physical principle, it also does not release any antimicrobial agent, which could create the risk of bacterial resistance and allergies. This treatment proposal aims to highlight the advantage and benefit of advanced dressings with DACC technology, for the prevention and treatment of pediatric and neonatal infected wounds. infermieristica Editore (iEditore) 2023-04-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2105 10.36253/if-2105 infermieristica journal; Vol. 2 No. 1 (2023): infermieristica journal: it's TIME to care; 39-45 infermieristica journal; V. 2 N. 1 (2023): infermieristica journal: it's TIME to care; 39-45 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2105/1428 Copyright (c) 2023 infermieristica journal

oai:ojs.pkp.sfu.ca:article/2120 2026-01-11T12:24:51Z if:ART

The “Psychology” of organ donation: two exploratory studies considering Italian “Health professionals” and “Citizens” Severino, Franca Paola Guazzini, Andrea Rasero, Laura Bambi, Stefano Piemonte, Guya Baldassini Rodriguez, Samuele COVID-19 Organ Donation Psychosocial Factors Ethnicity Psychology Background: Transplantation extends and improves lives, but the shortage of organs is one of the main factors limiting the number of transplants in Italy. Objectives: The aim of this research was to understand the psychological and socio demographic determinants that can be related to the manifestation of the willingness to donate in a sample of citizens and professionals.Methods: In the study conducted on two samples (health professionals and citizens), two self-administered questionnaires were created ad hoc and administered to the participants recruited by means of a snowballing not-randoming procedure.Results: 386 citizens and 122 health professionals completed the questionnaire. Results frequently supported the literature. Specifically, with reference to the sample of citizens, (a) women are more likely to express a willingness to donate than men; furthermore, (b) having a realistic knowledge of the topic has a relationship with this manifestation. In both samples, (c) having previously discussed the topic of donation is relevant to expressing willingness to donate. With reference to the sample of professionals only, (d) having received training on organ donation has a relationship with practitioners' willingness to donate. Conclusion: There are several factors that influence the manifestation of willingness to donate in both samples. Efforts should be stepped up to provide comprehensive and appropriate education, knowledge and training on the subject to increase willingness to donate. infermieristica Editore (iEditore) 2023-10-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2120 10.36253/if-2120 infermieristica journal; Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat; 143-154 infermieristica journal; V. 2 N. 3 (2023): infermieristica journal: your heart, our beat; 143-154 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2120/1609 Copyright (c) 2023 Franca Paola Severino, Andrea Guazzini, Laura Rasero, Stefano Bambi, Guya Piemonte, Samuele Baldassini Rodriguez https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2128 2026-01-11T12:24:23Z if:ART

Assistance to the wound care patient: a challenge still open Stefanon, Laura Probst, Sebastian wound care Wound care used to be more of an art than a science, but thanks to contributions from different disciplines, wound care is nowfirmly based on science and clinical evidence using a holistic view of the patient. This means not only focusing on the specific wound that needs to be treated, but also trying to observe and understand the patient’s overall health. Such an approach requires a range of skills from medicine to physiology, psychology, clinical engineering and patient care. The management of the patient with skin lesions, a subject that is often underestimated, requires targeted and timely interventions through the creation of specialised and multidisciplinary teams. These teams can accompany the person throughout their treatment journey, ensuring effectiveness of treatment and equanimity of access to care. infermieristica Editore (iEditore) 2023-04-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2128 10.36253/if-2128 infermieristica journal; Vol. 2 No. 1 (2023): infermieristica journal: it's TIME to care; 1-2 infermieristica journal; V. 2 N. 1 (2023): infermieristica journal: it's TIME to care; 1-2 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2128/1427 Copyright (c) 2023 infermieristica journal

oai:ojs.pkp.sfu.ca:article/2138 2026-01-11T12:24:23Z if:ART

An interplay between nursing’s skills and new technologies in the home care: a case report of a complex ulcer Sandroni, Sara Fabrizi, Stefania Salutini, Eleonora Wound Care Home Treatment Wound Healing Not available. infermieristica Editore (iEditore) 2023-04-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2138 10.36253/if-2138 infermieristica journal; Vol. 2 No. 1 (2023): infermieristica journal: it's TIME to care; 47-49 infermieristica journal; V. 2 N. 1 (2023): infermieristica journal: it's TIME to care; 47-49 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2138/1426 Copyright (c) 2023 infermieristica journal

oai:ojs.pkp.sfu.ca:article/2142 2026-01-11T12:24:23Z if:ART

Negative pressure wound therapy Paggi, Battistino VAC Negative pressure wound therapy We now commonly use Negative Pressure Therapy (NPWT) as an adjunct to care in a variety of circumstances. In the management of wounds, ulcers or sores of varying size and with such a degree of secretions, exudate, oozing that the correct use of common dressing devices is not possible. Over time, this therapeutic choice has seen an important evolution in clinical indications and technology aimed at achieving an effective and consistent result. infermieristica Editore (iEditore) 2023-04-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2142 10.36253/if-2142 infermieristica journal; Vol. 2 No. 1 (2023): infermieristica journal: it's TIME to care; 51-54 infermieristica journal; V. 2 N. 1 (2023): infermieristica journal: it's TIME to care; 51-54 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2142/1425 Copyright (c) 2023 infermieristica journal

oai:ojs.pkp.sfu.ca:article/2236 2026-01-11T12:24:39Z if:ART

Violence in health sector: the un-stoppable pandemic Ramacciati, Nicola Nurses Workplace Violence Health Personnel Pandemic Not avaiable.  infermieristica Editore (iEditore) 2023-07-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2236 10.36253/if-2236 infermieristica journal; Vol. 2 No. 2 (2023): infermieristica journal: with you, not aganist; 59-62 infermieristica journal; V. 2 N. 2 (2023): infermieristica journal: with you, not aganist; 59-62 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2236/1488 Copyright (c) 2023 Nicola Ramacciati https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2257 2026-01-11T12:24:51Z if:ART

Harnessing the sweet potential: the revival of honey dressing in modern wound care Primavera, Emanuele Marzolani, Camilla Honey Manuka Wound-care Nursing Honey dressings have found wide application in the past and are currently experiencing a resurgence due to their beneficial properties, which aid professionals in their daily practices. Manuka honey possesses properties that are suitable for debridement of chronic wounds, stoma-therapy, and burns. This cultural article aims to review the major literature and benefits of medical honey dressing and underline five important implications (i.e., alternative care for individuals experiencing antibiotic resistance, ease of application, faster healing, shorter hospital stays, and economic convenience in countries characterized by high financial constraints) that at this stage are underdeveloped in the literature. infermieristica Editore (iEditore) 2023-10-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2257 10.36253/if-2257 infermieristica journal; Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat; 139-142 infermieristica journal; V. 2 N. 3 (2023): infermieristica journal: your heart, our beat; 139-142 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2257/1608 Copyright (c) 2023 Emanuele Primavera, Camilla Marzolani https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2287 2026-01-11T12:24:51Z if:ART

Emergency department nurses’ competences: implementing a personal dossier for nurses onboarding, skills maintenance, and quality audit Ruggeri, Marco Rasero, Laura Brandi, Angela Bambi, Stefano Nurse competences Dossier Nurse skills Quality Emergency Department Emergency Departments (EDs) are among the most challenging clinical settings for nurses.EDs are complex settings, including patients with various clinical severity levels, every typology of medical and surgical specialties, fast organizational responses, a triage area to identify the clinical priorities to access a medical visitation, and simultaneous emergency codes to be managed.Therefore, the issue of acquiring and maintaining adequate competencies to manage the delivery of nursing care in a multifaceted setting such as ED is central. Orientation and onboarding programs with very different characteristics in terms of content, duration, and delivery methods are present worldwide. These programs can include clinical skills self-assessment, structured learning opportunities, e-learning, development of core skills, portfolios. The possibility of integrating different educational strategies to gain knowledge with time spent in specific clinical areas to increase experience is the winning way to obtain the growth and maintenance of ED nurses’ competencies. In this paper, we report on the experience (currently in progress) related to the ongoing performance evaluation of ED nurses’ activities during 12 months in the Emergency Department of Careggi University Hospital.In particular, a printed annual “Professional dossier” was designed with two-fold aim. The staff nurse holder of the booklet can handle a realistic summary of his/her activities, case mix, and time spent in the diverse clinical areas of the ED, comparing these data with opportune standards provided to make adequate comparisons and pinpoint the professional improvements that are needed. The nurse coordinator and nurse manager can use nurses’ personal dossiers to know the realistic competencies load in the ED, balance the work shifts with adequate skill mix, program the rotation of nurses in the different clinical areas during the year to ease the maintenance of experience and expertise, and have a photograph of some important performance indicators for hospital personnel evaluation. infermieristica Editore (iEditore) 2023-10-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2287 10.36253/if-2287 infermieristica journal; Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat; 113-122 infermieristica journal; V. 2 N. 3 (2023): infermieristica journal: your heart, our beat; 113-122 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2287/1604 Copyright (c) 2023 Marco Ruggeri, Laura Rasero, Angela Brandi; Stefano Bambi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2329 2026-01-11T12:25:15Z if:ART

Prognosis and Chances of Recovery in Bell's Palsy Fagni, Niccolò Paternostro, Ferdinando Branca, Jacopo Junio Valerio Salerni, Lorenzo Mandalà, Marco Facial Nerve Impedance Audiometry Stapedial Reflex Stapedium Muscle The Bell’s palsy was firstly described about two century ago by the neuroanatomist Charles Bell. This paralysis affects the VII cranial nerve and, up to date, the aetiology of the disease appears to be multifactorial. In the present manuscript, focusing on the anatomical structures related to the VII nerve, such as its the stapedial muscle innervation, we highlight the role of impedance testing as a helpful examination for the facial nerve function, together with its role as effective and safe prognosis in Bell’s palsy by the stapedial reflex. infermieristica Editore (iEditore) 2024-06-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2329 10.36253/if-2329 infermieristica journal; Vol. 3 No. 2 (2024): evolution of vascular access; 113-116 infermieristica journal; V. 3 N. 2 (2024): evolution of vascular access; 113-116 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2329/1788 Copyright (c) 2024 Niccolò Fagni, Ferdinando Paternostro, Jacopo Junio Valerio Branca, Lorenzo Salerni, Marco Mandalà https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2336 2026-01-11T12:24:51Z if:ART

The role of nurses in the multidisciplinary heart failure team: we are one but we are not the same. Lazzeroni, Davide Riccò, Laura Heart failure Nurse Nurses play a multifaceted and pivotal role in managing patients with heart failure (HF), their contributions encompass assessment, education, symptom management, and psycho-social support. Teamwork with cardiologists and other healthcare professionals, combined with the integration of e-Health and telemedicine technologies, ensures a comprehensive and coordinated approach to HF management. Every team that treats and monitors patients with HF should invest in training highly specialized nurses since their contribution significantly improve outcomes and patient well-being. The present editorial summarizes the contribution of the nurse's role within the multidisciplinary team of care and management of heart failure patients. infermieristica Editore (iEditore) 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2336 10.36253/if-2336 infermieristica journal; Vol. 2 No. 3 (2023): infermieristica journal: your heart, our beat infermieristica journal; V. 2 N. 3 (2023): infermieristica journal: your heart, our beat 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2336/1605 Copyright (c) 2023 Davide Lazzeroni, Laura Riccò https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2400 2026-01-11T12:25:15Z if:ART

Assessment of dispatch-assisted cardiopulmonary resuscitation performance during out-of- hospital cardiac arrest in a Tuscan emergency operation center: a retrospective study Ballini, Giulia Mezzetti, Andrea Bambi, Stefano Casini, Simona Longobucco, Yari Magi, Camilla Elena Rasero , Laura Emergency Nurses Cardiopulmonary Resuscitation Pre-Arrival Instructions Outcome Background: Time is the most crucial prognostic factor in out-of-hospital cardiac arrest (OHCA) owing to its clinical features. Dispatcher-assisted CPR (DA-CPR) by dispatch centers to a bystander calling for an ambulance, enabling even an inexperienced bystander to start CPR in 50% of cases and reducing the free therapy interval from chest compression to less than three minutes. Objectives: to assess the dispatch-assisted cardiopulmonary resuscitation performance during out-of-hospital cardiac arrest. Methods: a retrospective study was conducted at the Firenze-Prato Emergency Operation Centre to analyse data collected from all dispatch audio recordings of OHCA events that occurred between 1 January 2019 and 31 December 2020. Emergency calls lasting less than 60 s were excluded from the analysis, as this duration does not provide dispatchers with adequate time to accurately identify OHCA and provide pre-arrival instructions to the bystander.Results: A total of 1,267 OHCAs cases were included in this study, with 832 (65.7%) occurring in 2019 and 435 (34.3%) in 2020. Emergency nurses offered pre-arrival instructions in 272 cases (21.5%), with 160 cases in 2019 (19.2%) and 112 cases (25.7%) in 2020 (c2=7.19, p=0.007). These instructions were accepted by the caller in 9% (n=75) and 14% (n=61) of the cases, respectively (c2=7.48, p=0.006). OHCA events that could not be identified by telephone (therefore, DA-CPR was not possible) were 365 cases (43.9%) in 2019 and 175 cases (40.2%) in 2020 (c2=1.55, p=0.213). Conclusions: The adoption of a standardised protocol for delivering pre-arrival instructions, along with training programs focusing on OHCA and interview techniques, is strongly recommended based on the findings of our study. This was reinforced by the analysis of nighttime calls during which DA-CPR was not provided, including cases without clear justification. infermieristica Editore (iEditore) 2024-06-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2400 10.36253/if-2400 infermieristica journal; Vol. 3 No. 2 (2024): evolution of vascular access; 117-125 infermieristica journal; V. 3 N. 2 (2024): evolution of vascular access; 117-125 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2400/1789 Copyright (c) 2024 Giulia Ballini, Andrea Mezzetti, Stefano Bambi, Simona Casini, Yari Longobucco, Camilla Elena Magi, Laura Rasero https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2403 2026-01-11T12:25:02Z if:ART

Risk assessment of pressure injuries in newborns. Appropriateness of Glamorgan and NSRAS scales: a scoping review Nicolosi, Biagio Curcio, Felice Gheorghe, Maria Aurelia Ranieri, Prisco Parente, Eustachio neonates pressure ulcers risk assessment NICU The newborn's skin must undergo a transition process as a result of the passage from an aqueous to an aerobic environment. This process occurs over a period of approximately 2 to 8 weeks. The skin of newborns has important anatomical and physiological differences compared to those of older children and adults. It is thin, with fewer appendages; the stratum corneum is not present; the dermal-epidermal junction is reduced; intercellular junctions are weaker; the secretions of the sebaceous glands are limited and the pH is generally neutral. All these factors make the newborn's skin more fragile to any stimulus. To have effective prevention and intervention procedures, an accurate and practical risk assessment tool should be identified as a preliminary step for adequate prevention. Unfortunately, only few validated tools are available to assess the risk of PUs in children, especially newborns. The objective of the study is to examine the adherence of the most used tools for the assessment of PU risk in newborns, in particular to make a comparison of the limits and advantages of the most frequently used tools in neonatal settings, the Glamorgan scale and NSRAS. To respond to the main objective, a scoping review of the literature was conducted. 54 studies were identified. Further analysis was conducted, which led to the exclusion of articles that did not examine the characteristics of newborn skin, the risk factors related to PUs and the appropriateness of the NSRAS and Glamorgan tools, for a final selection of 35 studies. Patients admitted to NICU represent the paediatric category most exposed to the risk of developing pressure ulcers. Factors such as reduced mobility, together with the pressure exerted by aids or devices, increase the risk of pressure injuries. The risk factors that most expose the newborn to risk are the structure of the skin and medical devices. Nurses should implement preventative measures to control the risk of PU. The use of specific tools is necessary to detect the risk of PUs in newborns and implement preventive measures. PUs risk assessment is one of the nursing care strategies for prevention. Therefore, operators need a valid, reliable, and predictive scale. Lastly, we recommend the use of NSRAS for future research and for the education of healthcare professionals in the neonatal area. infermieristica Editore (iEditore) 2024-04-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2403 10.36253/if-2403 infermieristica journal; Vol. 3 No. 1 (2024): at home is better; 45-60 infermieristica journal; V. 3 N. 1 (2024): at home is better; 45-60 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2403/1757 Copyright (c) 2024 Biagio Nicolosi, Felice Curcio, Maria Aurelia Gheorghe, Prisco Ranieri, Eustachio Parente https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2410 2025-11-07T12:16:44Z if:ART

Post Intensive Care Syndrome in patients affected by COVID-19 Ciuffi, Sara Meucci, Beatrice Longobucco, Yari Magi, Camilla Elena Amato, Carla El Aoufy, Khadija Iovino, Paolo Lucchini, Alberto Forciniti, Carolinna Iozzo, Pasquale Rasero, Laura Bambi, Stefano Post Intensive Care Syndrome COVID-19 ABCDE Bundle Prevention Nursing Despite improvements in survival rates within the ICU over the years, a substantial number of patients continue to struggle with prolonged return to their initial levels of functionality. The physical, psychological, cognitive, and social alterations that persist beyond hospital discharge due to a critical illness are collectively termed “Post Intensive Care Syndrome” (PICS). This term encompasses patients recovering from critical illnesses and their family members (PICS-F). Considering the potential consequences for COVID-19 patients after discharge from the ICU, this paper aimed to describe the characteristics and frequency of PICS in this specific population. Owing to the recent emergence of COVID-19, evidence is still lacking in scientific literature. Among patients admitted to the ICUs with COVID-19, there is a notably high incidence of alterations in at least one dimension (physical, psychological, cognitive, and social). These observed alterations appear to be comparable to those found in non-COVID-19 patients. However, owing to the limited number of studies in the current literature, this cannot be definitively demonstrated. Similar to non-COVID-19 patients, the implementation of the ABCDEF bundle should be considered for COVID-19 patients to prevent PICS. The published literature underscores the profound impact of COVID-19 on patients admitted to ICUs, resulting in significant alterations in the physical, psychological, and cognitive dimensions of post-intensive care syndrome. However, clinical heterogeneity was present in the reported data, and various assessment scales were employed in different studies for each domain. To address this issue, adoption of standardized assessment tools as part of post-ICU follow-ups at consistent intervals for all patients is recommended. infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2410 10.36253/if-2410 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 145-155 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 145-155 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2410/1895 Copyright (c) 2024 Sara Ciuffi, Beatrice Meucci, Yari Longobucco, Camilla Elena Magi, Carla Amato, Khadija El Aoufy, Paolo Iovino, Alberto Lucchini, Carolinna Forciniti, Pasquale Iozzo, Laura Rasero, Stefano Bambi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2412 2026-01-11T12:25:02Z if:ART

Investigation of the prevalence of skin injuries in hospitalized newborns and main reports: an observational, cross-sectional, and monocentric pilot study. Nicolosi, Biagio Parente, Eustachio Marilli, Irene Prisco, Ranieri Gregorini, Mirco Ciofi, Daniele Pressure Ulcers Injuries Prevalence Newborn Moisture Associated Skin Damage Neonatal Intensive Care Unit Pediatrics The literature still offers few results on the prevention and treatment of neonatal skin lesions. However, it is important to note that available data show a high prevalence of injuries in newborns, especially in Neonatal Intensive Care Units. This prevalence, cross-sectional and pilot monocentric study aims to obtain updated epidemiological indicators on lesions in the hospitalized neonatal population. We analyzed a pilot cohort, randomizing a time window (November 2022). A data collection form (CRF) was designed in which information relating to the variables analyzed was collected, i.e. the child's medical history and a detailed inspection of the skin. This data was recorded in a database. A quantitative and descriptive analysis of the frequency of sociodemographic variables of all aggregated prevalence cut-off data was performed. During data analysis, correlations were made with respect to the type of lesions based on statistical significance (Fisher's exact).The results of the study demonstrate that the lesions are the result of a combination of several factors, including: setting, intrinsic and extrinsic factors, pathology and methods of use of skin management. For a better understanding of this problem it is necessary to deepen the research, expanding the number of observation windows. infermieristica Editore (iEditore) 2024-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2412 10.36253/if-2412 infermieristica journal; Vol. 3 No. 1 (2024): at home is better; 63-70 infermieristica journal; V. 3 N. 1 (2024): at home is better; 63-70 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2412/1746 Copyright (c) 2024 Biagio Nicolosi, Eustachio Parente, Irene Marilli, Ranieri Prisco, Mirco Gregorini, Daniele Ciofi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2428 2026-01-11T12:25:15Z if:ART

The Prevalence of overweight nurses in Italy: a systematic review Brusini, Antonio Tersigni, Simone Curatolo, Danilo Giacomuzzi Trepiccione, Mattia Papotti, Benedetta Obesity Overweight in nurses Nurses Lifestyle BMI Introduction: A nurse is a healthcare professional who deals with health in an increasingly older world, and it is essential to maintain a healthy lifestyle. The aim of this study was to estimate the prevalence of overweight nurses and make a comparison with the general population.Methods: A systematic review was performed on PubMed, Web of Science, Scopus, and Cinahl Plus; only primary studies conducted in Italy were considered, starting from 01/01/2013.Results: The range of nurses with BMI ≥ 25 ranged from 29.6% to over 62%. Shi work, especially night shi s, is a risk factor for incurring a BMI ≥ 25.Conclusions: It is important to seek a policy of reducing the BMI among nurses, as the nursing population faces the risk of incurring overweight and obesity conditions, even if in smaller terms than the general population. infermieristica Editore (iEditore) 2024-06-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2428 10.36253/if-2428 infermieristica journal; Vol. 3 No. 2 (2024): evolution of vascular access; 127-134 infermieristica journal; V. 3 N. 2 (2024): evolution of vascular access; 127-134 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2428/1790 Copyright (c) 2024 Antonio Brusini, Simone Tersigni, Danilo Curatolo, Mattia Giacomuzzi Trepiccione, Benedetta Papotti https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2450 2026-01-11T12:25:15Z if:ART

Highlanders: a qualitative study to explore the experiences of home care nurses in rural areas in Italy Capitani, Nicolas Rasero, Laura Longobucco, Yari Magi, Camilla Elena Iovino, Paolo Bambi, Stefano Calamassi, Diletta Nurse Home care Rural-mountainous areas Perceptions Criticality Satisfaction Introduction and aim: Home care in rural areas is characterised by peculiarities linked to both the type of care of the patient and his/her family and the context in which it is provided. International studies have highlighted the need for specialised training and advanced clinical skills to work in this field. Currently, there are no studies in the literature that explore the experiential feelings of Italian nurses who provide home care in rural areas. Setting: Rural areas in Italian Apennine District. Participants: Italian home care nurses in the selected areas. Design: Qualitative study using a transcendental phenomenological approach. Semi-structured interviews were conducted face-to-face, and audio was recorded with home care nurses. Results: Eleven nurses (mean age, 53 years) were interviewed. Four themes supported by nine codes emerged: "Entering your homes" (Stepping lightly; a matter of trust; key professional); "Being home care nurses in rural areas" (Working alone, autonomy, responsibility and gratifications; ideal characteristics of home care nurse); "Love and hate toward doctors" (Family doctors; ANT doctors); "The territory: the Apennines and mountainous areas" (working in rural areas; healthcare professionals).Discussion and conclusions: The risks for home careers in rural areas are related to the vastness of the territory, long car journeys, the harsh climate in winter, and pets in the homes. The beauty of the area, the close relationship established with the families in charge, and daytime working hours are reasons for great professional and personal satisfaction. Some modalities and forms of collaboration with general practitioners can be improved. infermieristica Editore (iEditore) 2024-06-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2450 10.36253/if-2450 infermieristica journal; Vol. 3 No. 2 (2024): evolution of vascular access; 81-92 infermieristica journal; V. 3 N. 2 (2024): evolution of vascular access; 81-92 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2450/1785 Copyright (c) 2024 Nicolas Capitani, Laura Rasero, Yari Longobucco, Camilla Elena Magi, Paolo Iovino, Stefano Bambi, Diletta Calamassi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2529 2026-01-11T12:25:02Z if:ART

Wound care in a child suffering from Stevens-Johnson syndrome in PICU: case report Zanetti, Carlotta Wound Healing Stevens-Johnson Syndrome Nursing Erythema Multiforme Pediatric Intensive Care Unit Pediatrics Stevens-Johnson Syndrome is considered a life-threatening adverse drug reaction.  The pathogenesis of these syndromesis still unclear, but several drugs, such as anticonvulsivants and antibiotics, and especially sulfonamides, non-steroidal anti-infiammatorydrugs, and allopurinol were predominantly suspected of triggering this reaction. A 5-year-old boy patient who came to hospital attention for an urticarial reaction developed after taking amoxicillin, then a recent scarlet fever acquired by brother. Due to the worsening of the lesions, he was admitted to our PICU after being intubated for deterioration of the respiratory dynamics and safe treatment of secretions. Nursing care is crucial: care of patient hospitalized with Stevens-Johnson syndrome and Toxic Epidermal Necrolysis consists of wound care, infection prevention, comfort management, hydration and nutrition, psychosocial support, and prevention of long-term complications. For all patients with SJS and TEN, it is essential to perform a total body daily evaluation of the skin. If the dressings remain intact, it is advisable to note the appearance of visible skin and any visible exudate or staining on the outside of the intact dressings. If dressings are being removed or need to be reapplied daily, a full skin evaluation is useful. infermieristica Editore (iEditore) 2024-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2529 10.36253/if-2529 infermieristica journal; Vol. 3 No. 1 (2024): at home is better; 9-13 infermieristica journal; V. 3 N. 1 (2024): at home is better; 9-13 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2529/1742 Copyright (c) 2024 Carlotta Zanetti https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2533 2026-01-11T12:25:02Z if:ART

An hybrid Operating Theater setting for major surgery in an Extremly Low Birth Weight Infants: a case report Stellabotte, Michele Bentornato, Giuseppe Fornasieri, Alessandra Monteleone, Marcello Danelli, Marco Capoferri, Monica Macchini, Francesco Zanini, Andrea Mazzoleni, Stefano Ferrari, Carlo Montagnini, Luigi Stoia, Paolo Augusto Somaini, Marta Pediatrics newborn Neonatal Intensive Care Unit Transfer critically ill newborn to the operating theater is a very difficult challenge for nurses, anesthesiologists, neonatologists and surgeons. Most of these patients are mechanically ventilated and cardiocirculatory supported. The biggest challenge for premature infants that need to leave the incubator, while outside the Neonatal Intensive Care Unit (NICU), is maintaining temperature homeostasis. A male preterm newborn, born at 28 gestational week with a birth weight of 700 g underwent a major surgical procedure due to a type C esophageal atresia. This case report is focused on two points: the multidisciplinary approach and the preparation of the patient and settings. Favorable logistic and expertise of the staff can make a difference in this process. An hybrid OT combines the advantages of both the bedside surgery and the OT setting. infermieristica Editore (iEditore) 2024-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2533 10.36253/if-2533 infermieristica journal; Vol. 3 No. 1 (2024): at home is better; 5-8 infermieristica journal; V. 3 N. 1 (2024): at home is better; 5-8 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2533/1741 Copyright (c) 2024 Michele Stellabotte, Giuseppe Bentornato, Alessandra Fornasieri, Marcello Monteleone, Marco Danelli, Monica Capoferri, Francesco Macchini, Andrea Zanini, Stefano Mazzoleni, Carlo Ferrari, Luigi Montagnini, Paolo Augusto Stoia, Marta Somaini https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2535 2026-01-11T12:25:15Z if:ART

Nurse specialist in the organ and tissue donation process with coordination role: a scoping review protocol Longo, Donato Ramacciati, Nicola Giusti, Gian Domenico Coordinator Donation Nurse Organ Procurement Introduction: Organ and tissue donation may be the only therapeutic possibility for some people with an end-stage disease. Good planning and scheduling is required to maximize this important activity. One way to increase the number and quality of organ donations could be to use the role of Nurse Transplant Coordinator. Objective: The aim of this scoping review is to map the literature to understand whether the figure of Nurse Transplant Coordinator can improve outcomes in the organ and tissue donation process. Inclusion criteria: All study designs carried out from 1990 to today will be included. Studies that include organ and tissue donations in which the figure of a specialized and dedicated nurse with a leadership role is present will be included in the scoping review protocol. Both public and private healthcare settings will be considered. Methods: The review protocol is carried out using the JBI manual for knowledge synthesis methodology and the PRISMA-ScR guidelines. The scoping review will be completed in five phases: determining the research question, research strategy, inclusion criteria, data extraction and synthesis and presentation of the results. The bibliographic search will be carried out on the Medline, Web of Science, Scopus, CINAHL and Google Scholar search engines. The screening of articles will take place in three phases. Data will be extracted independently by the authors using standardized tools. Data will be summarized and analyzed using graphs and tables and through descriptive and narrative analysis. infermieristica Editore (iEditore) 2024-06-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2535 10.36253/if-2535 infermieristica journal; Vol. 3 No. 2 (2024): evolution of vascular access; 105-111 infermieristica journal; V. 3 N. 2 (2024): evolution of vascular access; 105-111 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2535/1787 Copyright (c) 2024 Donato Longo, Nicola Ramacciati, Gian Domenico Giusti https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2537 2026-01-11T12:25:02Z if:ART

Don’t forget the pediatric intensive care units: the nurses’ point of view Buccione, Emanuele Stellabotte, Michele nurses Pediatric intensive care unit Currently, in Italy, there are not enough paediatric intensive care beds, and an adequate number of trained nurses is lacking, particularly in paediatric settings. This could result in decreased quality of care and safety levels for patients and their families. infermieristica Editore (iEditore) 2024-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2537 10.36253/if-2537 infermieristica journal; Vol. 3 No. 1 (2024): at home is better; 1-2 infermieristica journal; V. 3 N. 1 (2024): at home is better; 1-2 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2537/1740 Copyright (c) 2024 Emanuele Buccione, Michele Stellabotte https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2542 2026-01-11T12:25:02Z if:ART

Pediatric palliative care in children and young people with non-oncological diseases: a scoping review Maffeo, Marina Sartorio, Irene Fiani, Maria Elena Nicolosi, Biagio Ciofi, Daniele Chronic Disease Pediatric Palliative Care Barrier Eligibility Parents Pediatrics Pediatrics Background: Pediatric palliative care (CPP) is defined as active and holistic care of the child's body, mind and spirit, actively supporting the centrality and role of the family. They have as their primary objective the improvement of the quality of life of children and their families, supporting them in treatment choices. CPPs should be planned at the time of diagnosis, in order to be able to initiate the patient and family early on to a type of care that responds to the multiple needs that the situation entails, without precluding concomitant curative therapy.  In fact, it has been shown that they are all the more effective the earlier they are integrated into the child's treatment plan. However, despite the international recognition of CPPs as an integral part of the right to health, implementation and effective access to such services remain limited in many contexts, including Italy. challenges to CPPs integration are multiple and include the complexity of clinical conditions, lack of training of healthcare professionals, regulatory and regional politicy issues, and socio-cultural barriers.Aim: The primary aim of this scoping review is to investigate the current landscape of PPCs for children and young people with life-limiting non-oncological conditions in Italy and worldwide in terms of benefits, eligibility, impact on the family and the barriers associated with treatment.Materials and method: A scoping review was performed between September 2023 and January 2024 following the PRISMA guidelines using the keywords “pediatric palliative care” AND “chronic disease/barrier/eligibility/parents.Results: Ten full-text articles met the inclusion criteria. The major studies were quantitative, cross sectional. The finding demonstrates that early inclusion of complex chronic non-oncological patients in palliative care programs leads to greater patient and family satisfaction, reducing emotional burden and improving communication and treatment planning. Parents experience stress and financial difficulties. Parent psychological distress was associated with parent-reported patient symptoms and financial difficulty. Major challenges include the lack of support networks and training in palliative care, along with legal and economic issues.Conclusions: While there is growing recognition of the importance of CPP, further efforts are needed to address challenges in accessing and integrating services, as well as meeting the needs of patients, families and healthcare professionals working in this field. Improving knowledge and awareness about CPP can help overcome barriers to accessing services and improve the quality of care provided to pediatric patients and their families. infermieristica Editore (iEditore) 2024-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2542 10.36253/if-2542 infermieristica journal; Vol. 3 No. 1 (2024): at home is better; 15-25 infermieristica journal; V. 3 N. 1 (2024): at home is better; 15-25 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2542/1743 Copyright (c) 2024 Marina Maffeo, Irene Sartorio, Maria Elena Fiani, Biagio Nicolosi, Daniele Ciofi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2559 2026-01-11T12:25:02Z if:ART

Stoma and tube stoma: two sides of the same coin? A scoping review Grandi, Alice Midea , Ilaria Ester Toscano, Letizia Nicolosi, Biagio Stoma Tube Stoma Neonate Nursing Care Neonatal Abdominal Surgery Pediatrics Introduction: A stoma is a surgical opening in the abdomen that allows for the passage of feces and/or urine. It can be temporary or permanent, and the type of stoma depends on the affected section of the intestine or urinary tract. In neonates, a stoma may be necessary for various congenital or acquired pathologies. Stoma management in this age group requires specific skills and presents different challenges compared to adults.Aim: The aim of this review is to compare the advantages and disadvantages of stoma and tube stoma in neonates, to identify the clinical and care strategy that guarantees a better quality of life for the child and their family.Methods: A scoping review was conducted in the PubMed and CINAHL databases. The search included studies comparing the use of stoma and tube feeding in neonates with different pathologies.Results: Data analysis showed that: stomas offer immediate access to the intestine for feeding and decompression, but can be associated with complications such as retraction, ischemia, and peristomal dermatitis. Tube stoma allows for controlled tissue expansion of the intestine and better management of short bowel syndrome but requires more complex management and greater training of healthcare personnel.Conclusions: The choice between stoma and tube stoma in neonates should be individualized, considering the different clinical variables and the needs of the child and their family. infermieristica Editore (iEditore) 2024-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2559 10.36253/if-2559 infermieristica journal; Vol. 3 No. 1 (2024): at home is better; 27-35 infermieristica journal; V. 3 N. 1 (2024): at home is better; 27-35 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2559/1744 Copyright (c) 2024 Alice Grandi, Ilaria Ester Midea , Letizia Toscano, Biagio Nicolosi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2743 2025-11-07T12:16:44Z if:ART

What do nurses think about telenursing? A descriptive Italian study De Leo, Aurora Dionisi, Sara Di Simone, Emanuele Spano, Alessandro Iacorossi, Laura Paterniani, Albina Liquori, Gloria Molinaro, Priscilla Petrone, Fabrizio Di Muzio, Marco Panattoni, Nicolo Giannetta, Noemi Attitudes Barriers Descriptive study Knowledge Nurse Quantitative Research Telenursing Web survey Introduction: Telenursing is a new nursing approach to improve continuity, quality and safety of care and patient outcomes. This study aims to describe the viewpoint of Italian nurses on their knowledge, attitudes, and barriers to telenursing.Materials and methods: This descriptive study following the STROBE guidelines was conducted in August 2022 through a web survey. A non-validated questionnaire and convenience snowball sampling were used. Descriptive statistical analysis was performed.Results: 323 nurses were included in the study. 75% of nurses were female, prevalently employed in hospitals (81%). Digital devices were present in 76% of healthcare facilities, but 82% of the sample had never carried out telenursing interventions. The academic training of 75% of nurses does not include telenursing education, and 93% of the sample would be interested in training on the topic, considering their previous knowledge insufficient (54%). Surveyed nurses believe telenursing could improve communication in the care team, patient safety (70%), and quality of care (45%). In nurses' opinion, patients' main barriers would be low digital literacy, use complexity and lack of resources. In addition to sharing the same barriers as patients, nurses need more skilled and exclusively assigned staff and better interconnection between the resources used.Conclusion: In Italian nurses’ opinion, telenursing should improve the quality and safety of care and team communication. The main barriers described by the present study (lack of knowledge, resources, integration, and complexity of the tools used) suggest the need for multi-level interventions and studies to increase its use between nurses and patients. infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2743 10.36253/if-2743 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 191-204 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 191-204 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2743/1899 Copyright (c) 2024 Aurora De Leo, Sara Dionisi, Emanuele Di Simone, Alessandro Spano, Laura Iacorossi, Albina Paterniani, Gloria Liquori, Priscilla Molinaro, Fabrizio Petrone, Marco Di Muzio, Nicolo Panattoni, Noemi Giannetta https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2756 2025-11-07T12:16:44Z if:ART

Psychometric properties of self-report instruments for assessing self-care in patients with oncological diseases: protocol for a COSMIN-based systematic review Amato, Carla Iovino, Paolo Magi, Camilla Elena Longobucco, Yari El Aoufy, Khadija Bambi, Stefano Rasero, Laura Self-Care Self-Management Neoplasms Self-Report Psychometrics Validity Health Behaviour Background: The topic of self-care in cancer has garnered increased attention from researchers and clinicians over the years. This has prompted the development and testing of several instruments to capture the multidimensional nature of the self-care construct in cancer patients. Several self-report instruments are available in the literature; however, which instrument exhibits the best reliability and validity remains unclear.Objective: The aim of this protocol is to identify all available instruments developed for measuring self-care behaviors in adult cancer patients and critically appraise their psychometric properties.Methods: This systematic review will follow the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines. PubMed, CINAHL, Embase, Scopus, Web of Science, and PsycINFO databases will be searched for relevant articles on the topic. Studies testing the psychometric properties of self-report instruments assessing self-care behaviors in adult cancer patients, published in English, Italian, or Spanish, will be included. Two independent reviewers will assess the eligibility of the studies and extract the data. Risk of bias will be evaluated using the COSMIN Risk of Bias Checklist, and the quality of the results will be assessed based on specific COSMIN criteria.Conclusion: A thorough and critical evaluation of all available evidence for instruments measuring self-care in patients with cancer might have both strong clinical and research implications. The results of this review could drive healthcare providers in the selection of the most appropriate assessment tool for detecting and monitoring the self-care levels of this population. On the other hand, the results may underline the necessity of validating new instruments. infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2756 10.36253/if-2756 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 157-163 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 157-163 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2756/1896 Copyright (c) 2024 Carla Amato, Paolo Iovino, Camilla Elena Magi, Yari Longobucco, Khadija El Aoufy, Stefano Bambi, Laura Rasero https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2766 2026-01-11T12:26:06Z if:ART

Women’s Knowledge, Beliefs and Practices Related to Breast Self-Examinations in Italy Stefanelli, Elena Colaceci, Sofia Marcheggiani, Giancarlo Nicola, Ramacciati Breast Self-Examination Breast Cancer Health Belief Model Women Prevention Introduction. Breast cancer is a significant global health issue. In Italy, it represents 30.3% of female cancer cases. Early detection through mammography is crucial, particularly for women who face a higher risk. Moreover, breast self-examination (BSE) is a tool that can help women become familiar with their breasts to identify breast changes and contact their physicians for clinical assessments. We conducted a study with an observational–descriptive survey design. The objective was to examine women’s knowledge, beliefs and practices about breast cancer prevention and BSE. Methods. Data collection relied upon the Italian-validated version of the Champion’s Health Belief Model Scale, consisting of 31 items related to susceptibility, gravity, perceived benefits, perceived barriers and self-efficacy. The inclusion criteria required the women to be between 20 and 44 years of age and to be living in Umbria, Italy. The convenience sample was stratified according to the age distribution of women. Results. A total of 252 questionnaires were collected. After screening for completeness and ensuring they met the required criteria, the final sample included 150 women according to the predetermined stratification. Most women had a university education (53.3%); about 44% were mothers, 75.7% of whom had breastfed. Most practiced BSE (73.3%), with no significant sociodemographic differences. Educational levels impacted perceived breast cancer risk, with 21.4% of lower-educated women fearing higher susceptibility (p=0.049). Self-efficacy was higher amongst self-examiners, but uncertainty was prevalent in both groups. Embarrassment and time constraints were barriers, but other Health Belief Model variables exhibited no significant differences between BSE and non-BSE groups. Discussion and Conclusion. This study uncovered a strong link between women’s self-efficacy, confidence in performing a BSE and BSE practice. Education and health campaigns should consider socio-demographic factors (e.g. level of education, age) to promote BSE, especially amongst women who are not covered by mammography screenings. infermieristica Editore (iEditore) 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2766 10.36253/if-2766 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 23-32 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 23-32 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2766/2102 Copyright (c) 2025 Elena Stefanelli, Sofia Colaceci, Giancarlo Marcheggiani, Ramacciati Nicola https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2783 2026-01-11T12:25:15Z if:ART

Advancing Vascular Access Services through Education, Consensus, and Clear Role Definitions Spencer, Timothy R. Education Training Competency Vascular Access Team Outcomes Healthcare Vascular Access is a critical component of modern healthcare, underpinning a myriad of medical procedures from administering intravenous medications and fluids to enabling hemodialysis, nutritional support and other complex parenteral therapies. Despite its significance, the realm of vascular access suffers from a lack of standardized educational programs and ambiguous role definitions, leading to suboptimal patient outcomes and increased healthcare costs. This brief editorial explores the pressing need for official educational programs in vascular access and advocates for clearer role definitions and accountabilities while fostering a collaborative interdisciplinary environment. infermieristica Editore (iEditore) 2024-06-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2783 10.36253/if-2783 infermieristica journal; Vol. 3 No. 2 (2024): evolution of vascular access; 75-78 infermieristica journal; V. 3 N. 2 (2024): evolution of vascular access; 75-78 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2783/1784 Copyright (c) 2024 Timothy R. Spencer https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2788 2025-11-07T12:16:44Z if:ART

Safe external ventricular drain management for infection prevention and control: a narrative review Caroti, Giulia Parente, Eustachio Meucci, Beatrice Drain EVD External ventricular External Ventricular Catheter EVD Infection EVD Cover Dressing Introduction: External ventricular drain (EVD) placement is a common neurosurgical procedure. Nurses play a crucial role in care, troubleshooting, and monitoring of EVD-related complications, making their education and training in this area of paramount importance. A well-trained nurse possesses the necessary knowledge and skills to recognize and respond promptly to EVD-related complications, such as infections, bleeding, and blockages. External ventricular drainage is associated with a high rate of nosocomial meningitis. The introduction of a well- implemented EVD care bundle can significantly decrease EVD infection rates. The support of the multi-item bundle for EVD is considered very important to reduce EVD-related infections.Aim: To summarize the most recent available evidence for the prevention and control of EVD infections. Methods: Comprehensive literature search had been done using the PubMed (Medline), Embase, CINAHL, and Cochrane databases. The narrative review was performed according to the PRISMA Extension for Scoping Review checklist (PRISMA-ScR).Results: The query identified 4266 studies; after duplicate removal and exclusion of papers due to non-pertinent criteria, 26 studies were included. Only three papers were related to pediatric patients and all were about EVD anchoring. Regarding the risk of infection, bundles and protocols are important for the reduction of the occurrence rate; however, staff adherence to these is fundamental.Conclusion: Multidisciplinary staff and training are fundamental to improve EVD management. Avoiding routine or daily sampling reduces the EVD infection rate. When the procedure is requested, it is important to follow a strict protocol and to use sterile techniques. Hydrocolloid dressings, SecurAcath, gauze, and film dressings were used to anchor the cover EVD in the studies. infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2788 10.36253/if-2788 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 205-212 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 205-212 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2788/1900 Copyright (c) 2024 Giulia Caroti, Eustachio Parente, Beatrice Meucci https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2867 2025-11-07T12:16:44Z if:ART

The Ventricular Assist Device team in the management of patients treated with long-term Mechanical Circulatory Support Amato, Simone Battisti, Andrea Napolitano , Daniele VAD VAD Team Nursing Multidisciplinary Team VAD Coordinator The number of people with heart failure is increasing rapidly worldwide. Despite preventive measures, optimal medical therapy, and cardiac transplantation, the overall morbidity and mortality of this syndrome remain high. Ventricular assist devices are well established as a treatment for heart failure and are increasingly used globally, both for destination therapy and as a bridge to cardiac transplantation. The management of these patients requires the training of a highly specialized team to ensure optimal outcomes. This article focuses on implementing a multidisciplinary team on the ventricular assist device, ensuring comprehensive care for implanted patients to mitigate potential complications early.     infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2867 10.36253/if-2867 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 165-168 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 165-168 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2867/1897 Copyright (c) 2024 Simone Amato, Andrea Battisti, Daniele Napolitano https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2904 2026-01-11T12:25:42Z if:ART

Use of Non Pharmacological Therapies for Pain Management in Children: A Survey of Pediatric Healthcare Provides Maffeo, Marina Bianchi, Asia Fogli, Beatrice Meucci, Veronica Nicolosi, Biagio Ciofi, Daniele Pain Cognitive Behavioral Therapy Nursing Pain Management Introduction. Pediatric pain management is a complex challenge, particularly in settings such as intensive care units and in postoperative care, where the use of analgesic drugs can result in significant side effects. The use of non-pharmacological therapies (NPTs) has been shown to be effective in reducing both pain and anxiety. Since they are safe and free of side effects, they are therefore suitable for reducing the adverse effects of pharmacotherapy and improving the compliance of pediatric patients. Methods. A descriptive survey was carried out by means of an ad hoc questionnaire with multiple-choice questions and was open to 202 voluntary healthcare personnel of pediatric departments of a Tuscany pediatric health agency with non-probability convenience sampling. The questionnaire assessed knowledge, skills and attitudes toward NPTs, with a statistical analysis of qualitative and quantitative variables. Results. Forty-six percent of participants considered NPTs effective for pain control, but a significant proportion (54%) remained skeptical. Pediatric nurses demonstrated greater expertise in the use of NPTs, with 91% showing sufficient knowledge compared to 63% in other professions (Odds Ratio = 6.1; CI: 2.8–13; p < 0.0001). Conclusions. The study highlights the need for specific and ongoing educational programs on provision NPTs for healthcare personnel. Integration of NPTs into care plans could reduce dependence on analgesics, helping both to significantly reduce pain and to ensure a more holistic approach. infermieristica Editore (iEditore) 2024-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2904 10.36253/if-2904 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 287-294 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 287-294 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2904/1985 Copyright (c) 2024 Marina Maffeo, Asia Bianchi, Beatrice Fogli, Veronica Meucci, Biagio Nicolosi, Daniele Ciofi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2908 2026-01-11T12:25:42Z if:ART

The Influence of the Clinical Context on nursing organizational well-being: A Cross-sectional study Della Bella, Valerio Fiorini, Jacopo Zaghini, Francesco Sili, Alessandro Occupational Health Psychological Well-Being Working Conditions Nurses Nursing, Supervisory Physician-Nurse Relations Work-Life Balance Workload Health Resources Introduction. A healthcare organization that promotes the well-being of its nurses ensures better quality and safety for patients. Studies have focused on investigating nurses' experiences without examining the differences related to specific clinical contexts in determining their organizational well-being. This study aims to identify which variables in specific nursing clinical contexts are associated with their reported organizational well-being. Methods. A descriptive cross-sectional study was conducted using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. A convenience sample of nurses from different departments (e.g., medicine, surgery, emergency room) was recruited in different hospital settings across Italy. Data were collected through a web survey comprising validated instruments that investigated organizational well-being and associated variables (e.g., work-home conflicts, relationships, resources). Descriptive and inferential analyses were conducted. Results. The study included 272 nurses. In medical departments, organizational well-being was associated with nurses' relationships with physicians (r = 0.35, p < 0.001), colleagues (r = 0.32, p < 0.01), and head nurse (r = 0.23, p < 0.05), available resources (r = 0.46, p < 0.001), workload (r = -0.23, p < 0.05), and work-home conflicts (r = -0.49, p < 0.001). In surgical departments, it was associated with available resources (r = 0.36, p < 0.01), relationships with the head nurse (r = 0.47, p < 0.001), and work-home conflicts (r = -0.29, p < 0.01). In emergency departments, it was associated with nurses' relationships with physicians (r = 0.24, p < 0.05) and head nurses (r = 0.29, p < 0.01), available resources (r = 0.42, p < 0.001), workload (r = -0.25, p < 0.01), and work-home conflicts (r = -0.38, p < 0.001). The mean scores for workload and relationships with the head nurse differed among the considered departments. Discussion. The results underlined differences in organizational well-being perception depending on the clinical context. Relationships with physicians and colleagues were only associated with nurses' well-being in specific clinical settings. In contrast, work-family conflicts, availability of resources, and relationships with the head nurse were common clinical context variables influencing the organizational well-being perceived by nurses. This study adds to the existing literature by highlighting how different clinical environments shape nurses' organizational well-being, emphasizing the need for tailored organizational interventions to address context-specific challenges. infermieristica Editore (iEditore) 2025-01-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2908 10.36253/if-2908 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 221-229 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 221-229 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2908/1992 Copyright (c) 2024 Valerio Della Bella, Jacopo Fiorini, Francesco Zaghini, Alessandro Sili https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2909 2026-01-11T12:26:06Z if:ART

Predictors Analysis of Malnutritional Risk in Patients Admitted to Intensive Care Unit in the First 36 Hours: an Observational Study Bartoli, Davide Petrosino, Francesco Marziali, Elisa Napolitano, Daniele Pucciarelli, Gianluca Trotta, Francesca Critical Illness Intensive Care Unit Nutrition Assessment Nursing Assessment Introduction. Contributing factors to the development of malnutrition include the presence of a critical illness. A state of malnutrition is associated with worse outcomes, such as prolonged length of stay and mechanical ventilation, increased risk of contracting infections and developing pressure sores, increased readmission rates, morbidity, and mortality. The aim of the following study is to is to identify predictors of early nutritional risk in critical illness in relation to mNUTRIC, in the first 36 hours of ICU admission. Methods. This is a single-center observational study. The sample consisted of 103 patients admitted to the ICUs of a university hospital in central-southern Italy. The instrument, created on the basis of the literature review, is made of 25 items. A descriptive statistycal analysis was then conducted and the correlation between the items of the instrument and the independent variables were analyzed with Kendall's Tau. Multiple regression analysis was performed, which was evaluated to describe the relationship between the variables, therefore to determine how the various coefficients affect the mNUTRIC variables. Results. The sample had a mean age of 62.25 years, with a mean risk of malnourishment of 3.30 on the mNUTRIC scale. The overall model was statistically significant (F(3, 85) = 31.92, p < 0.001), age showed a significant positive effect (β = 0.485, t = 6.43, p < 0.001) as well as lactates that showed a significant positive effect (β = 0.204, t = 2.73, p = 0.008) and the positive and significant effects of meccanical ventilation and sedation (β = 0.423; t = 5.625; p < 0.001). Discussion. Predictor analysis has succeeded in defining variables that can be considered to improve early metabolic consequences in critically ill patients. Therefore, it is necessary to create rapid and comprehensive tools with specific variables to reduce malnutrition conditions early and activate ad hoc nutritional pathways in critically ill patients. infermieristica Editore (iEditore) 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2909 10.36253/if-2909 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 73-83 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 73-83 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2909/2107 Copyright (c) 2025 Davide Bartoli, Francesco Petrosino, Elisa Marziali, Daniele Napolitano, Gianluca Pucciarelli, Francesca Trotta https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2923 2026-01-11T12:25:42Z if:ART

Healthcare Associated Infections Management inside Intensive Care Units: “What do nurses think about their head nurses?” A qualitative pilot study Cappelli, Eva Fiorini, Jacopo Canzan, Federica Livigni , Lucilla Carnevale, Angelica Sili, Alessandro Infection Prevention and Control Antimicrobial Resistance Coordinator Nurse Health Behaviour Critical Care Introduction. Preventing and controlling Healthcare Associated Infections (HAIs) caused by Multi Drug Resistant Organisms (MDROs) is one of the primary goals in high-risk settings like Intensive Care Units (ICUs). The leadership style of the head nurse can result in a reduction of infection rates, such as bloodstream and urinary tract infections; however, it is unclear how leadership can encourage nurses to adhere to Infection Prevention Control (IPC) programs. This study aims to explore the role of the head nurse in encouraging the clinical care team to adhere to IPC practices for preventing and controlling MDRO infections in the ICU. Methods. In 2024, a single-centre interpretative phenomenological study was conducted following the Consolidated Criteria for Reporting Qualitative (COREQ). Nurses and head nurses from three ICUs were recruited. Data were collected through semi-structured interviews and analysed thematically. Results. Eleven nurses and two head nurses were recruited. The results identified four themes that facilitate the management of HAIs by MDROs: a) awareness of the infection problem, b) head nurse supervision, c) information sharing, and d) distribution of responsibilities. The involvement of leadership and learning through feedback from head nurses are perceived not as barriers but as added value that promotes the dissemination of best practices. Conclusions. Recognising the role of the head nurse in the management of HAIs by MDRO would represent an important driver for change in high-risk infection settings. It would enable healthcare organisations to intervene not only with nurses directly involved in patient care but also with middle managers who implement the hospital's directives and produce nursing sensitive outcomes. infermieristica Editore (iEditore) 2025-01-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2923 10.36253/if-2923 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 231-238 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 231-238 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2923/1994 Copyright (c) 2024 Eva Cappelli, Jacopo Fiorini, Federica Canzan, Lucilla Livigni , Angelica Carnevale, Alessandro Sili https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/2957 2025-11-07T12:16:44Z if:ART

New insights into validity, reliability, and measurement invariance of the Kansas City Cardiomyopathy Questionnaire 23 Dollaku, Hamilton Iovino, Paolo Pucciarelli, Gianluca Rasero, Laura Uchmanowicz, Izabella Alvaro, Rosaria Vellone, Ercole Psychometric properties; Validation Study Quality of Life Instrument Heart Failure Health Status Reliability Background: People affected by heart failure (HF) often exhibit a poor health status, which places a great deal of burden on the healthcare systems. The Kansas City Cardiomyopathy Questionnaire (KCCQ) 23 is the most used tool to measure the health status in this population; however, its psychometric properties have not been thoroughly established.Objective: To evaluate the psychometric properties of the KCCQ-23 in a European cohort of HF patients.Methods: 510 patients (median age 74 years, IQR=18, 58% males) completed the KCCQ-23 along with clinical and psychosocial measures. Factorial validity was established with confirmatory factor analysis (CFA); omega and model-based internal consistency indexes were computed to examine the internal consistency of the scale. Convergent validity was established by correlating the KCCQ-23 scores with clinical and psychosocial measures. Measurement invariance tests across those with preserved vs reduced ejection fraction were conducted within a multigroup framework.Results: Two CFA solutions were tested, which confirmed the theoretical and empirical models postulated by the original author. The internal consistency coefficients for the latent dimensions were adequate (Omega range =0.77-0.93; internal consistency coefficient =0.89-96). KCCQ-23 scores were found to be correlated with ejection fraction, NYHA levels, quality of life, self-care confidence, anxiety and depression, and symptom burden, supporting its convergent validity. Finally, the KCCQ-23 was invariant across ejection fraction levels, both in the theoretical and empirical factor solution.Conclusion: Overall, this study provides evidence of satisfactory psychometric properties of the KCCQ-23, promoting its use in clinical settings and research fields. infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/2957 10.36253/if-2957 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 169-182 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 169-182 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/2957/1893 Copyright (c) 2024 Hamilton Dollaku, Paolo Iovino, Gianluca Pucciarelli, Laura Rasero, Izabella Uchmanowicz, Rosaria Alvaro, Ercole Vellone https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3011 2025-11-07T12:16:44Z if:ART

Simulation: Enhancing Patient Care and Staff Wellbeing Severi, Francesco de Luca, Marco Simulation Psychological Well-Being Not available. infermieristica Editore (iEditore) 2024-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3011 10.36253/if-3011 infermieristica journal; Vol. 3 No. 3 (2024): simul-action for elevation; 141-143 infermieristica journal; V. 3 N. 3 (2024): simul-action for elevation; 141-143 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3011/1894 Copyright (c) 2024 Francesco Severi, Marco de Luca https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3078 2026-01-11T12:26:06Z if:ART

The Role of the Operating Room Manager According to Operating Room Directors: a Qualitative Content Analysis Study Tomei, Bernardino Cicala, Caterina Spano, Alessandro Petruzzo, Antonio Operating Room Operating Room Manager Operating Room Management OR Manager OR Management Operating Room Director OR Director Introduction. In healthcare system management, managing operating rooms, which are characterized by a significant production focus and a correspondent high level of complexity, is one of the most current issues, to implement more efficient models, based on a balanced use of resources. Operating Room Management is an emerging model based on Operation Management. Although in literature it is easy to find concepts and tools regarding the Operation Management of surgical items, little is known so far about the roles which should apply these principles. The topic is shown in a few articles, many of these marginally related to it, but none derived from primary studies. Methods. To thoroughly explore the topic, the study aimed to investigating whether the Operating Room Manager is a well-known figure, how it is defined by decision-makers with different role, and whether it is considered a resource to be integrated into current surgical paths management systems. Doctors, nurses and other figures, managers involved in the operating theatres were involved. A qualitative content analysis technique was used. This method allows analysis of both the manifest and latent content of interviews, making it suitable for exploring a ‘territory’ that is, to some extent, considered unexplored. Results. Results, obtained from a sample of 11 professional figures, led to the extraction of 6 themes: The dynamism of organizational models and the balance between resources and related risks; Curriculum and complexity: a difficult choice; The role in the management complexity regarding processes and professional figures; Competences: Knowledge of the system (“reading” the processes) and leadership; Teamworking ability; Areas of activity and development: bridge figure with other contexts and “resisting to resistances”. Each theme represents the following areas: Organizational models and Operation Management; curriculum; role; skills and leadership; teamwork; area of development. Discussion and Conclusions. Between the themes emerged from the analysis regarding the role of the Operating Room Manager, the curriculum and the areas of competence and development are fairly well-defined. However, the theme of skills and the role itself struggles to emerge, and a clear profile of the Operating Room Manager should be better defined in future studies. infermieristica Editore (iEditore) 2025-04-03 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3078 10.36253/if-3078 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 41-55 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 41-55 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3078/2109 Copyright (c) 2025 Bernardino Tomei, Caterina Cicala, Alessandro Spano, Antonio Petruzzo https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3122 2026-01-11T12:25:42Z if:ART

Exploring the Impact of Organizational Well-Being on Intention to Leave the Nursing Profession: a Scoping Review Basso, Rossella Roberta Della Bella, Valerio Fiorini, Jacopo Sili, Alessandro Occupational Health Psychological Well-Being Working Conditions Nurses Personnel Turnover Intention Job Satisfaction Health Resources Introduction. In several countries, the desire among nurses to leave their profession is a significant concern. Recent studies highlight a relationship between the nursing working context and the intention to leave the profession, indicating that suboptimal working conditions significantly influence the willingness to remain a nurse. This literature review aims to define the relationship between nurses' organizational well-being and intention to leave the profession, analyzing which organizational well-being variables influence this decision. Materials and methods. A scoping review was conducted on PubMed, Scopus, CINAHL, and Cochrane. The Joanna Briggs Institute’s (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines have been followed. Critical appraisal and data extraction were conducted using the JBI tools. Data were extracted and analyzed according to narrative synthesis. Results. The search yielded 3,224 references. Following the review process, twelve articles were included in the review. Four main categories of variables were identified: job satisfaction, working conditions, physical-psychosocial health, and economic and professional recognition. Balanced workloads and organizational demands, adequate resources, and positive relationships between colleagues and patients characterized a supportive work environment where nurses lived in a condition of well-being and their intention to leave the profession decreased. In contrast, high workloads, overtime, insufficient resources, and lack of managerial support increased the intention to leave the profession. Discussion. The relationship between nurses' well-being and their intention to leave the profession has been identified. Healthcare organizations should improve the individual and organizational well-being of nurses as strategies to promote their retention. Understanding turnover drivers enabled healthcare managers to address critical issues that promoted retention by fostering sustainable work environments. Future multicenter studies should implement interventions to promote organizational well-being and evaluate the nurses' turnover intentions. infermieristica Editore (iEditore) 2024-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3122 10.36253/if-3122 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 239-250 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 239-250 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3122/1981 Copyright (c) 2024 Rossella Roberta Basso, Valerio Della Bella, Jacopo Fiorini, Alessandro Sili https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3157 2026-01-11T12:25:42Z if:ART

The Clinical Learning Environment Experience of the Student Nurse of the Generation Z: a Convergent Parallel Mixed Method Study Lommi, Marzia Covelli , Giuliana Ivziku, Dhurata Barretta , Giorgia Pozzuoli , Gianluca Porcelli , Barbara Guarente, Luca Ricci , Simona Nursing Student Generation Z Motivation Experience Clinical Learning Environment Mixed Method Influences Background. The internship represents an experience that incorporates numerous meanings and values that involve nursing students globally, particularly for those belonging to Generation Z. Aims. 1) to assess the students' perceptions of the clinical learning environments, 2) to identify the elements that contribute to determining the clinical learning environment, and 3) to compare quantitative and qualitative results to highlight key elements that can support the development of targeted educational strategies for nursing students. Design. Convergent parallel mixed-method study Participants. Students attending the first, second and third years of the bachelor degree in nursing. Methods. Quantitative and socio-demographic data were collected with a questionnaire that included the Clinical Learning Environment and Supervision plus Nurse Teacher (CLES-T) scale. Qualitative data were collected with the internship diaries. The qualitative data transformed into dummy variables were finally correlated with the quantitative data using a biserial point correlation to explore their relationships. Results. We received answers from 63 students, half of them females, who reported experiencing a positive clinical learning environment. Simple linear regressions showed that the variables age, course year, being a student worker or with health care work experience, previous volunteering are all positively correlated with the total scale and with each dimension of the CLES-T. The content analysis of the internship diaries revealed 7 main categories describing the experience of the clinical learning environment of nursing students of Generation Z. Finally, it was possible to outline a summary scheme that describes the key elements that contribute to the success of the internship and the learning experience. Conclusions. The key success factors emerging from the study include meaningful relationships with tutors, staff, and peers, effective management of emotional aspects, development of professional identity, intrinsic motivation, and the acquisition of practical skills through feedback and support. A positive and well-organized clinical learning environment facilitates these outcomes, promoting role awareness and responsibility. These findings can be applied to nursing education by developing targeted educational strategies such as structured mentoring programs, emotional training, and practical simulations. Integrating these elements enables educators and institutions to overcome challenges in clinical internships, enhancing students' preparation and fostering the development of competent and confident nurses. infermieristica Editore (iEditore) 2024-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3157 10.36253/if-3157 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 259-275 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 259-275 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3157/1983 Copyright (c) 2024 Marzia Lommi, Giuliana Covelli , Dhurata Ivziku, Giorgia Barretta , Gianluca Pozzuoli , Barbara Porcelli , Luca Guarente, Simona Ricci https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3158 2026-01-11T12:26:06Z if:ART

Case Management Activities in Palliative Care for Cancer: A Scoping Review Fusetti, Viviana Pigni, Alessandra Brunelli, Cinzia Tallarita, Antonino Di Benedetto, Davide Alfieri, Sara Caraceni, Augusto Lusignani, Maura Cancer Case Management Health Service Research Healthcare Teams Nursing Palliative care Scoping review Introduction. Case Managers have long been deployed in palliative cancer care, but the heterogeneous nature of this role makes it difficult to gather evidence of its effectiveness and consequently foster standardized implementation by health policies. We explore the models, characteristics, and specific activities that Palliative Care Case Managers perform in oncology. Methods. This scoping review was performed and reported according to the PRISMA-ScR checklist. Seven electronic databases (Cochrane Library, PubMed, Scopus, EMBASE, CINAHL, PsycINFO, and Web of Science) and Google Scholar, were searched for relevant papers until June 2024. Studies were included if they reported Case Management interventions for patients with cancer receiving palliative care. Charted data included study characteristics, Case management activities, Case management models, and intervention delivery. Results. Twelve studies were included. A total of 38 activities emerged from the analysis and five themes were identified across them, including “Information, education and self-management”, “Support and counselling”, “Patient centredness”, “Network”, “Quality of care”. In all studies, the CMs role was performed by a nurse, with a specific experience or training in palliative care or oncology, with multidisciplinary teams acting as support or as possible consultants. Activities were provided by phone, by hospital visits, via homecare visits or a combination of all above models. Only seven studies reported outcome measures related to patient or health care system dimensions, while data regarding case load were reported in four studies. Research gaps include impact and feasibility methodology, informations about referral criteria for case management service, the satisfaction of patients and health care providers with the service, barriers and facilitators, and the investigation of the most suitable professional to perform the case management role. Discussion and Conclusions. It is important to standardize the description of case management activities in the literature and establishing a shared definition of this role in diverse contexts, including its modes of multidisciplinary integration. A standardized reporting framework for studies on this topic is needed to guide future research. Further studies are needed to describe case management activities in palliative care for cancer. This is the first scoping review to systematically explore and summarize Case Management activities and models in Palliative Care for Cancer. These findings will support nursing organizational policies in the design of Case Management services in Cancer Palliative Care, address key issues in case management practice and proposing examples for personalized implementation of this service across clinical contexts. Nursing researchers can foster studies on this topic to improve the body of evidence at our disposal. infermieristica Editore (iEditore) 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/pdf https://riviste.fupress.net/index.php/if/article/view/3158 10.36253/if-3158 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 5-22 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 5-22 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3158/2100 https://riviste.fupress.net/index.php/if/article/view/3158/2101 Copyright (c) 2025 Viviana Fusetti, Alessandra Pigni, Cinzia Brunelli, Antonino Tallarita, Davide Di Benedetto, Sara Alfieri, Augusto Caraceni, Maura Lusignani https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3159 2026-01-11T12:25:42Z if:ART

Risk Factors for Skin Injuries in Hospitalized Children: a Retrospective Study Nicolosi, Biagio Parente, Eustachio Fontani, Irene Idrizaj, Sabina Stringi, Daiana Bamonte, Claudia Longobucco, Yari Buccione, Emanuele Maffeo, Marina Granai, Valentina Gregorini, Mirco Ciofi, Daniele Pediatric Skin Injuries Hospitalization Risk Factors Pressure Injuries Comorbidities Medical Devices Background. Skin injuries in hospitalized pediatric patients can slow recovery, increase infection risk, pain, stress, length of stay, and healthcare costs, while reducing family quality of life. The prevalence and incidence of these injuries vary by environment, comorbidities, and specific pathologies. Objective. To identify the main risk factors related to skin lesions in hospitalized children Methods. This retrospective, observational, monocentric study aims to identify the main risk factors for skin injuries in hospitalized children. Results. A study of 880 hospitalized children aged 0-17 from January 2019 to December 2020 found that 133 developed skin injuries. Factors increasing risk included longer hospital stays, comorbidities, forced bed rest, and the number of medical devices. Each additional hospitalization day and lower weight raised the risk. Continence was protective. Injuries mainly affected the perineum, upper limbs, face, lower limbs, abdomen, and occiput. These findings emphasize the need for tailored prevention strategies for pediatric patients due to their unique characteristics. Conclusions. This study underscores the need for further research to develop effective prevention protocols specifically for pediatric populations, emphasizing the role of comprehensive risk factor assessment and resource allocation to mitigate skin injury risks in hospitalized children. infermieristica Editore (iEditore) 2024-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3159 10.36253/if-3159 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 277-285 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 277-285 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3159/1984 Copyright (c) 2024 Biagio Nicolosi, Eustachio Parente, Irene Fontani, Sabina Idrizaj, Daiana Stringi, Claudia Bamonte, Yari Longobucco, Emanuele Buccione, Marina Maffeo, Valentina Granai, Mirco Gregorini, Daniele Ciofi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3198 2026-01-11T12:26:06Z if:ART

Prompting for Healthcare Professionals: Enhancing Clinical Decision-Making with Artificial Intelligence Alemanno, Antonio Carmone, Michele Priore, Leonardo Artificial Intelligence Healthcare Professionals Prompt Engineering Introduction. Generative Artificial Intelligence (AI), specifically through Large Language Models (LLMs), is progressively reshaping clinical documentation, decision support, patient education, and research synthesis in healthcare. Despite significant benefits, these models pose challenges such as inaccuracies (hallucinations) and inherent biases. This paper highlights prompt engineering as an emerging and critical skill for healthcare professionals and demonstrates how structured prompting techniques can improve the reliability, clinical relevance, and ethical compliance of AI-driven applications. Methods. A systematic review of recent literature was conducted to present structured prompt engineering methodologies specifically tailored to healthcare settings. Advanced prompting techniques, including chain-of-thought reasoning, zero-shot and few-shot prompting, and self-consistency strategies, were examined. Results. The proposed structured approach encompasses clear objective definition, precise contextualization, integration of domain-specific knowledge, iterative refinement, and ethical risk mitigation. Practical guidelines are provided for designing prompts suitable for clinical scenarios, such as diagnostic decisions, patient-specific therapeutic protocols, and administrative tasks. Notably, advanced techniques such as chain-of-thought reasoning and self-consistency effectively reduce inaccuracies and enhance clinical decision-making. Discussion and Conclusion. The structured integration of prompt engineering optimizes clinical decision-making and supports adherence to evidence-based practices. Incorporating prompt engineering into healthcare educational programs and fostering interdisciplinary collaboration are crucial for the responsible implementation of generative AI. These advancements have far-reaching implications for improving clinical effectiveness, enhancing patient care quality, and elevating the standards of healthcare education and professional practice. infermieristica Editore (iEditore) 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3198 10.36253/if-3198 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 33-39 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 33-39 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3198/2103 Copyright (c) 2025 Antonio Alemanno, Michele Carmone, Leonardo Priore https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3204 2026-01-11T12:25:42Z if:ART

Care also for nurses in their healthcare organizations Stievano, Alessandro Gennaro, Susan Nursing Care Occupational Health Retention Organizational Well-Being Not available. infermieristica Editore (iEditore) 2024-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3204 10.36253/if-3204 infermieristica journal; Vol. 3 No. 4 (2024): caring for nurses; 217-219 infermieristica journal; V. 3 N. 4 (2024): caring for nurses; 217-219 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3204/1978 Copyright (c) 2024 Alessandro Stievano, Susan Gennaro https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3207 2026-01-11T12:26:20Z if:ART

Use of Ultrasound-Guided Nurse Technique for the Placement of Peripheral Venous Access in the Emergency Room Versus the Standard “Blind” Technique: a Systematic Review Tersigni, Simone Brusini, Antonio Ultrasound Emergency Room Intravenous Vascular Access Peripheral Introduction. In the Emergency Department, it is increasingly necessary to be able to find stable venous access when managing acute patients. This study aims to investigate the effectiveness of ultrasound-guided nursing compared to the standard “blind” technique. Methods. A comprehensive literature search was undertaken using PubMed, Cochrane, and EMBASE. The results were then evaluated according to the JBI checklists. Results. 9 studies are considered for this review. This review showed the effectiveness of the ultrasound-guided cannulation procedure (53-91.75%) compared to the standard blind technique. It also indicated a reduction in adverse events, a decrease in the number of attempts needed for successful cannulation (1-2.2 punctures), an increase in success on the first attempt (78.9-83%), greater user satisfaction with the ultrasound-guided technique, and reduced pain perception. Discussions. The effectiveness of the ultrasound-guided cannulation procedure compared to the standard blind technique is aligned with the literature. The innovation of this review is the evaluation of nurse execution, time analysis, user satisfaction, reported pain, and the technique's success.  infermieristica Editore (iEditore) 2025-07-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3207 10.36253/if-3207 infermieristica journal; Vol. 4 No. 2 (2025): post-ICU pathways; 113-122 infermieristica journal; V. 4 N. 2 (2025): post-ICU pathways; 113-122 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3207/2259 Copyright (c) 2025 Simone Tersigni, Antonio Brusini https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3252 2026-01-11T12:26:06Z if:ART

White Noises and Parental Voices Against Noises Damage in Preterm Babies: a Randomised Trial’s Protocol Rossi, Silvia Serveli, Simona Artuso, Ilaria Parodi, Stefano Scelsi, Silvia Nursing Care Parents Randomized Controlled Trial Preterm Noise Voice Introduction. Adaptation to extrauterine life is challenging for preterm babies. Environmental stimuli, like noises, could lead to adverse health outcomes, causing instability in vital parameters and neurodevelopment impairment. American Academy of Pediatrics recommends a maximum environmental noise ≤ 45 decibels (dB) in the Newborn Intensive Care Units (NICUs). We hypothesise that listening to white noises and parental voices could mitigate the adverse outcomes caused by noises > 45 dB on preterm babies. Methods. A randomised controlled trial (ClinicalTrials.gov, NCT06150404) aimed to include preterm babies of ≥31 weeks gestation, meeting the specific inclusion criteria. Data regarding environmental noises and vital parameters will be collected from all patients enrolled from the day of enrollment till their discharge. In addition, data regarding language and hearing development will be collected respectively after three years and three months from discharge. A soundtrack with white noises and parental voices will be administered to preterm babies enrolled in the intervention group through an mp3 device. Expected Results. If our hypothesis is confirmed, this study could benefit preterm babies by reducing adverse outcomes linked to excessive environmental noise, such as vital parameters instability and language and hearing impairment. Study results could also affect care practices in NICU settings to ensure patient safety, even if the null hypothesis is confirmed. The data collected will be utilised to understand environmental noise levels in our NICU and implement improvement projects in their management. infermieristica Editore (iEditore) 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3252 10.36253/if-3252 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 57-63 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 57-63 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3252/2105 Copyright (c) 2025 Silvia Rossi, Simona Serveli, Ilaria Artuso, Stefano Parodi, Silvia Scelsi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3285 2026-01-11T12:26:06Z if:ART

Bowel Management in the ICU: What We Know Caroti, Giulia Zagni, Rebecca Constipation Diarrhea Bowel Protocol Intensive Care Unit Introduction. Gastrointestinal dysmotility frequently occurs in critically ill patients, who often experience symptoms such as constipation and diarrhea. Within the high-tech environment of modern intensive care units (ICUs), bowel care is often overlooked and sometimes regarded as a secondary concern. Limited guidelines and low-quality evidence hinder the management of constipation and diarrhea. The aim of this study is to review and analyze the literature on bowel management in ICUs. Method. This is a cultural paper. All articles were sourced from indexed databases and nursing journals. Results. Constipation is defined by NANDA-I as “a decrease in the normal frequency of defecation.” In the ICU, the incidence of constipation ranges from 45% to 83%. The most commonly used laxatives are osmotic, bulk-forming, and stimulant laxatives. The World Health Organization (WHO) defines diarrhea as the passage of three or more loose or liquid stools per day. Diarrhea is common in ICUs, and its complications can prolong the length of stay in the intensive care unit. The incidence of diarrhea ranges from 29.5% to 95%. In the ICU, acute fecal incontinence and diarrhea can be managed with a bowel management system (BMS). The implementation of bowel management protocols can improve bowel care in the ICU. Discussion and Conclusion. Studies agree that the incidence of constipation and diarrhea is high in the ICU. The use of BMS is controversial. The use of a bowel protocol allowed standardization and improving bowel care in ICU. Further studies are necessary to find robust evidence for orientating healthcare staff in bowel management in ICU. infermieristica Editore (iEditore) 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3285 10.36253/if-3285 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 65-71 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 65-71 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3285/2106 Copyright (c) 2025 Giulia Caroti, Rebecca Zagni https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3313 2026-01-11T12:26:39Z if:ART

Navigating Multimorbidity in Older Adults: A Mapping Review Subashi, Brunilda Kamberi, Fatjona Kokalla, Erlini Lalo, Rezarta Sinanaj, Glodiana Multimorbidity Older Adults Patterns Determinants Risk Factors Consequences Introduction. Multimorbidity is an increasing global concern, particularly among older populations, affecting 55-98% of those aged ≥ 65 and above. This study aims to provide a comprehensive global overview of research on multimorbidity in older adults. It will assess the quantity and types of studies focused on the prevalence, patterns, determinants, risk factors, and consequences of multimorbidity, while also identifying key research gaps for future studies. Methods. This mapping review study was conducted using the PubMed, Scopus and Web of Science databases in December 2024. Only full-text papers published in English were included. The search terms included ‘aged’, ‘multimorbidity’, ‘multiple chronic conditions’, ‘prevalence’, ‘cost of illness’, ‘social determinants’, ‘risk factors’, and ‘Albania’. After filtering, all results were exported to Rayyan reference management software. Duplicates were removed, and the remaining papers were evaluated for suitability based on their titles and abstracts. Results. After the full text screening the final set for data extraction includes seven observational studies on multimorbidity in older adults. Europe has the highest number of studies, with four, followed by Asia with three studies. Despite this, Asia has a greater coverage of studies on multimorbidity in older populations. North and South America are represented by two studies from each. Six of included studies examine the prevalence of multimorbidity, with four exploring its patterns and consequences, and one investigating its determinants and its risk factors. Discussions. There are notable gaps in research on multimorbidity in older adults, particularly regarding its determinants, and risk factors. No studies on multimorbidity in older adults were found for Africa and Australia in the period 2019-2024.  infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3313 10.36253/if-3313 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 185-196 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 185-196 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3313/2301 Copyright (c) 2025 Brunilda Subashi, Fatjona Kamberi, Erlini Kokalla, Rezarta Lalo, Glodiana Sinanaj https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3367 2026-01-11T12:26:20Z if:ART

Nurse TAVI Coordinator: Clinical Insights, Competence Management, and Future Directions Limonti, Francesco Gravante, Francesco Ramacciati, Nicola Tavi Coordinator Advanced Practice Nursing TAVI Nurse Nurse Practitioner Transcatheter Aortic Valve Replacement Aortic Stenosis Severe aortic stenosis is an increasingly prevalent valvular condition due to population aging, associated with debilitating symptoms and high mortality when left untreated. Transcatheter aortic valve implantation (TAVI) has revolutioned the management of aortic valve disease by providing a minimally invasive alternative that reduces hospital stays and enhances clinical outcomes. In this context, the TAVI Nurse Coordinator plays a crucial role in overseeing the entire patient care pathway. This includes conducting comprehensive frailty assessments and educating both patients and caregivers during the preoperative phase, as well as managing postprocedural follow-up - ensuring seamless multidisciplinary coordination and personalized patient care. infermieristica Editore (iEditore) 2025-07-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3367 10.36253/if-3367 infermieristica journal; Vol. 4 No. 2 (2025): post-ICU pathways; 95-100 infermieristica journal; V. 4 N. 2 (2025): post-ICU pathways; 95-100 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3367/2258 Copyright (c) 2025 Francesco Limonti, Francesco Gravante, Nicola Ramacciati https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3426 2026-01-11T12:26:06Z if:ART

A Step Toward Safety in Tracheal Intubation Spina, Noemi Iozzo, Pasquale Bambi, Stefano High Flow Medical Devices Hypoxemia ICU Emergency Department N/A infermieristica Editore (iEditore) 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3426 10.36253/if-3426 infermieristica journal; Vol. 4 No. 1 (2025): beyond the mask; 1-3 infermieristica journal; V. 4 N. 1 (2025): beyond the mask; 1-3 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3426/2099 Copyright (c) 2025 Noemi Spina, Pasquale Iozzo, Stefano Bambi https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3428 2026-01-11T12:26:20Z if:ART

Dealing with Central Vascular Access Devices: A Qualitative Study on Cancer Patients' Experiences Torreggiani, Martina Maselli, Deborah Botti, Stefano Mazza, Genny Ferrarini, Monia Guberti, Monica Qualitative Research Oncology Vascular Access Devices PICC Line Catheterization Port-A-Cath Introduction. Central vascular access devices are widely used in oncology settings due to the significant side effects of chemotherapy on blood vessels. Despite the methodological robustness of the literature, the enhanced integration of patients’ perspectives would enrich the evidence on this topic. This study explores oncology patients' experiences with cVADs (PICC and TIVAD), from insertion to daily life management.   Methods. We conducted a  generic qualitative interview study with thematic analysis. Adult patients with a Peripherally Inserted Central Catheter or a Totally Implantable Venous Access Device receiving oncological treatment at the Oncology Department of the Azienda USL – IRCCS of Reggio Emilia were included, as also those who completed the treatment plan.  Results. The emerging themes were categorized into three main areas: (1) catheter implantation, (2) catheter maintenance, and (3) “daily life” with the catheter. Patients reported a high degree of satisfaction with the information and the education received by healthcare professionals: this appeared crucial in reducing anxiety and fear during the device placement and its daily management. However, patient engagement in the device selection appeared less consistent. The devices were well tolerated and had a low impact on their daily activities. All participants perceived the devices as helpful and safe during their care pathway.     Discussion. The study confirmed the importance of central venous access devices to minimize patient discomfort during chemotherapy treatment. The competence and empathy of healthcare professionals, along with adequate information and education, contribute to reducing patient’s anxiety. Improving patients’ engagement in the device choice is necessary. Patients reported a positive experience, enabling them to cope with the device, even at home. infermieristica Editore (iEditore) 2025-07-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3428 10.36253/if-3428 infermieristica journal; Vol. 4 No. 2 (2025): post-ICU pathways; 103-112 infermieristica journal; V. 4 N. 2 (2025): post-ICU pathways; 103-112 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3428/2257 Copyright (c) 2025 Martina Torreggiani, Deborah Maselli, Stefano Botti, Genny Mazza, Monia Ferrarini, Monica Guberti https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3437 2026-01-11T12:26:39Z if:ART

Optimizing Self-Care in Cardiovascular Patients Undergoing Transcatheter Aortic Valve Implantation: A Systematic Review Protocol Limonti, Francesco Abagnale, Marco Cecere, Luciano Gravante, Francesco Ramacciati, Nicola Self-Care Transcatheter Aortic Valve Intervention Health-Related Quality Of Life Systematic Review Aortic Valve Stenosis Introduction. Optimizing a self-care approach to support health maintenance in patients with aortic valve stenosis (AVS) who require minimally invasive transcatheter aortic valve implantation (TAVI) before and after the procedure could promote faster and more effective recovery. Additionally, this methodology may improve the perceived health-related quality of life (HRQoL) in the patients undergoing treatment, contributing to better overall outcomes through health promotion practices and disease management. This review's primary objective is to investigate self-care's effectiveness in enhancing quality of life. Methods and materials. The literature review protocol follows PRISMA guidelines and uses the PIO framework for search terms. Studies will be identified through significant databases (PubMed, Scopus, CINAHL, Web of Science, and Cochrane Library). Methodological quality and bias risk will be assessed with JBI Critical Appraisal Tools. This review protocol has been registred on PROSPERO (No. CRD420250655531). Results. The emerging findings could potentially contribute to refining current theories on the indications for using self-care interventions to improve the HRQoL of patients undergoing TAVI. Discussion and conclusions. Future implications for research and clinical practice should adopt an increasingly targeted and focused approach in using self-care interventions to enhance the health-related quality of life of patients undergoing TAVI, both in terms of symptom recognition and disease management pre- and post-procedure. This systematic review will comprehensively examine the effects of the implementation of self-care methodologies on improving the quality of life in post-TAVI patients.  infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/pdf https://riviste.fupress.net/index.php/if/article/view/3437 10.36253/if-3437 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 147-153 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 147-153 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3437/2295 https://riviste.fupress.net/index.php/if/article/view/3437/2296 Copyright (c) 2025 Francesco Limonti, Marco Abagnale, Luciano Cecere, Francesco Gravante, Nicola Ramacciati https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3501 2026-01-11T12:26:20Z if:ART

Nursing Management Strategies for a Patient With an Aeson CARMAT® Total Artificial Heart: a Case Report Amato, Simone Fattore , Giulia Battisti , Andrea De Bartolo, Valentina Giordano , Vincenza Simonelli , Niccolò Marucci, Anna Rita Gravante, Francesco Aeson CARMAT® Total Artificial Heart Nursing Care Mechanical Circulatory Support Heart Failure Introduction. Total artificial heart (TAH) devices are a viable bridge to transplantation in patients with end-stage biventricular heart failure. Among these, the Aeson CARMAT® TAH offers pulsatile flow and biocompatible materials to enhance physiological compatibility and reduce thromboembolic risks. Case Presentation. We describe the case of a 62-year-old male with ischemic cardiomyopathy and NYHA Class IV symptoms, deemed ineligible for immediate heart transplant. The patient underwent Aeson TAH implantation following multidisciplinary evaluation and was admitted to the cardiac surgery intensive care for postoperative management. Clinical Findings. Postoperative care focused on six core areas: (1) hemodynamic monitoring, including continuous tracking of pressures and device-derived values; (2) anticoagulation and bleeding control with INR-based dosing; (3) infection prevention via strict asepsis and respiratory therapy; (4) device monitoring, including waveform interpretation and alarm management; (5) patient and caregiver education on device handling and complication signs; and (6) early mobilization to prevent ICU-related complications and support functional recovery. Discussion. The case highlights the nurse’s central role in managing TAH patients, integrating technical competence with holistic support. Early identification of complications and structured education contributed to a successful recovery and preparation for transplant listing. infermieristica Editore (iEditore) 2025-07-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3501 10.36253/if-3501 infermieristica journal; Vol. 4 No. 2 (2025): post-ICU pathways; 125-129 infermieristica journal; V. 4 N. 2 (2025): post-ICU pathways; 125-129 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3501/2256 Copyright (c) 2025 Simone Amato, Giulia Fattore , Andrea Battisti , Valentina De Bartolo, Vincenza Giordano , Niccolò Simonelli , Anna Rita Marucci, Francesco Gravante https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3535 2026-01-11T12:26:39Z if:ART

Burden and Risk Factors for Sharp Injuries among Healthcare Workers in a Ugandan Tertiary Hospital: a Cross-Sectional Study Irumba, Pauline Masereka , Enos Mirembe Kakongi, Nathan Mugerwa , Herbert Kimera, Emmanuel Rugumayo, Charles Kamukama, Robert David Friday, Apuulison Nabawanuka, Brenda Sharps Injuries Needlestick Injuries Biomedical Waste Hospitals Health Personnel Introduction. Uganda’s efforts for sharps handling, and their waste management are restrained due to shortage of equipment and supplies resorting to alternatives that may not meet standards. The aim of this study was to provide a current detailed account of the prevalence of sharp injuries, and independent risk factors for these injuries among healthcare workers in a resource limited setting. Methods. A hospital based cross sectional study was conducted among healthcare professionals offering care in a 333-bed capacity tertiary care facility. A self-administered questionnaire was used. Prevalence, and sociodemographic characteristics were determined using descriptive analysis. Univariate and multivariate binary logistic regression analyses were conducted to explore the independent factors associated with risk of sharp injuries. Results. 147 health professionals participated in this study, and majority (57.14%) were females. The median age in years was 38.48 with an interquartile range of (30.87-47.35). The period prevalence of sharps injuries was 40.14% (1 in 3), and health professionals with at least one training in sharp handling, and disposal a year were less likely to have sharps injuries that year (aOR=0.1, 95% CI=0.01-0.48, p=0.006). Work related stress increased the odds of sharps injuries (aOR=4.3, 95% CI=1.2-9.8, p=0.005). Discussion. The overall prevalence of sharp injuries is high. Multidimensional factors including psychological stress, limited flexibility in hospital policies, and less training on sharps handling and disposal every year were associated with sharps injuries. Feasible hospital interventions including simulation-based training, digital education on sharps handling, and disposal should be implemented by hospital administration. While this training on sharps handling, and disposal may be important, its efficacy should be ascertained through repeated studies. Support through allocation of resources, and capacity building from ministry of health, and partners could be of help. infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3535 10.36253/if-3535 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 227-235 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 227-235 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3535/2304 Copyright (c) 2025 Irumba Pauline, Enos Mirembe Masereka , Nathan Kakongi, Herbert Mugerwa , Emmanuel Kimera, Charles Rugumayo, Robert Kamukama, Apuulison David Friday, Brenda Nabawanuka https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3539 2026-01-11T12:26:20Z if:ART

The Professional Values of Nursing Students: a Systematic Review Cosmai, Simone Ali, Jasmen Allevi, Davide Bergamelli, Giacomo Valsecchi, Alesandra Chiari, Cristina Gibellato, Alberto Mancin, Stefano Lopane, Diego Piredda, Michela Mazzoleni, Beatrice Nursing Student Professional Values Education Systematic Review Professional Identity Introduction. Professional values play a crucial role in nursing practice, as they influence nurese’ care quality and ethical decisions. In an evolving educational and healthcare context, it is essential for students to develop and integrate the professional values necessary to effectively address future challenges. This systematic review aims to identify the professional values declared by nursing students during their academic journey. Methods. A comprehensive literature search was carried out for primay quantitative studies published until december 2024 in the databases PubMed/Medline, Embase, CINAHL, Scopus, and yielded 21,071 records. After screening, 29 relevant studies were included in this review. The process of screening, selection and inclusion of articles was reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic review was conducted following the JBI Manual for Evidence Synthesis. Methodological quality assessment and methodological quality of the included articles were evaluated. Results. The 29 included studies, comprising 3 cohort studies and 26 cross-sectional studies, reported a low methodological quality assessment, ensuring high reliability of the results. The most frequently cited value was Caring, while Activism and Altruism were also important values for students. Additionally, specific studies highlighted values such as the Principle of Work, respect for Human Dignity, Ethical and Moral aspects, as well as Nursing Professionalism. Discussion. The review provided insight into the fundamental values that define nursing students. Furthermore, it enabled an understanding of the multiple variables that shape professional values, highlighting key factors such as academic education and cultural context. These findings offer a foundation for further exploration of the elements that directly influence the development of professional values. infermieristica Editore (iEditore) 2025-07-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3539 10.36253/if-3539 infermieristica journal; Vol. 4 No. 2 (2025): post-ICU pathways; 131-142 infermieristica journal; V. 4 N. 2 (2025): post-ICU pathways; 131-142 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3539/2255 Copyright (c) 2025 Simone Cosmai, Jasmen Ali, Davide Allevi, Giacomo Bergamelli, Alesandra Valsecchi, Cristina Chiari, Alberto Gibellato, Stefano Mancin, Diego Lopane, Michela Piredda, Beatrice Mazzoleni https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3555 2026-01-11T12:26:39Z if:ART

Exploring and Mapping the Lived Experiences of Stigma Among People Living with a Mental Illness: A Scoping Review of Qualitative Studies D'Andrea, Miriana Villa, Giulia Poliani, Andrea Marcomini, Ilaria Rosa, Debora Manara, Duilio F. Mental Disorders Mental Health Nursing Stigma Introduction. Stigma affects a large proportion of people with mental health conditions and it can be a potent social stressor, presenting persistent challenges to individuals’ coping abilities. The present study aimed at mapping and exploring the direct experiences of stigma encountered by individuals with mental health conditions.   Methods. A scoping review was conducted according to Joanna Briggs Institute guidelines. Searches of PubMed, PsycINFO, EmBASE, and CINAHL led to 18 eligible qualitative studies.  Results. Four primary themes emerged: self-stigma, involving the internalization of societal stereotypes; descriptions of social and public stigma; lack of knowledge in mental illnesses’ course; and the consequences of stigma for individuals’ lives.     Discussion. Results highlight the deeply negative and exclusionary impact of stigma surrounding mental disorders, outlining its manifestation and repercussions for social life. Future research is needed to identify a direct approach to the issue and to detect the most appropriate approaches in facing it. To help limiting the experience of stigma, healthcare providers should ensure an individualized care relationship, in a secure and empathetic environment filled with elements of understanding, consent and informativeness. infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/pdf application/pdf https://riviste.fupress.net/index.php/if/article/view/3555 10.36253/if-3555 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 169–183 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 169–183 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3555/2298 https://riviste.fupress.net/index.php/if/article/view/3555/2299 https://riviste.fupress.net/index.php/if/article/view/3555/2300 Copyright (c) 2025 Miriana D'Andrea, Giulia Villa, Andrea Poliani, Ilaria Marcomini, Debora Rosa, Duilio F. Manara https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3562 2026-01-11T12:26:39Z if:ART

Impact of Medication Adherence and Quality of Life in Adults With a Single Chronic Condition or Multimorbidity: A Narrative Review Likaj, Stefano Subashi, Brunilda Kokalla, Erlini Kicaj, Emirjona Mechili, Enkeleint A. Medication Adherence Quality of Life Chronic Disease Multimorbidity Introduction. Medication adherence plays a critical role in the clinical management of chronic conditions and may significantly influence patients' quality of life (QoL). Understanding this relationship is particularly important in populations with multimorbidity. Focusing on the problem of chronic conditions and multimorbidity in young adults is crucial because they represent the active part of society and chronicity is now public health concern due to the high number of incidence and mortality among this group population. Methods. An extensive literature search was conducted in the PubMed/MEDLINE, Scopus, and Web of Science databases for the period 2014–2024. The search strategy used both Medical Subject Headings (MeSH) and keywords related to medication adherence, quality of life, chronic conditions, and adult populations. Original, full-text articles published in English between 2014 and 2024 were included if they involved adults aged 18–65 with one or more chronic conditions (e.g., diabetes, hypertension, COPD), living in community settings. Eligible studies employed RCTs, cohort, cross-sectional, case-control, qualitative, or mixed-methods designs and reported on both medication adherence and quality of life. Studies were excluded if they focused on psychiatric, oncologic, surgical, transplant, or dialysis populations, hospital-based settings, or lacked relevant adherence and quality of life outcomes. This review is in PROSPERO with code CRD42025641905 Results. Eleven studies were included, cross-sectional, randomized control trial, mixed methods, semi directive interview. Most studies demonstrated a positive association between medication adherence and quality of life, with higher adherence linked to better physical, psychological, and social well-being. Pharmacist-led interventions and digital tools emerged as effective strategies for improving adherence. However, heterogeneity in measurement tools and study populations limited comparability. Discussion. Medication adherence is a key modifiable factor influencing quality of life among individuals with chronic conditions and multimorbidity. Multidimensional adherence-enhancing strategies—including education, patient empowerment, and system-level changes—are essential. Future research should adopt robust methodologies and standardized outcome measures to better inform clinical practice and policy. infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3562 10.36253/if-3562 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 199-209 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 199-209 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3562/2302 Copyright (c) 2025 Stefano Likaj, Brunilda Subashi, Erlini Kokalla, Emirjona Kicaj, Enkeleint A. Mechili https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3575 2026-01-11T12:26:39Z if:ART

Validation of a Questionnaire on the Competencies of Middle Nurse Managers in the Financial Field: A Preliminary Investigation Pellegrini, Sofia Panero, Michela Minciullo, Andrea Filomeno, Lucia Competencies Financial Skills Middle Management Nurse Managers Introduction. The role of Middle Nurse Managers has become increasingly complex, encompassing responsibilities that range from personnel recruitment to financial and strategic management. Recently, their tasks have become more focused on administrative activities, reducing direct clinical involvement. This evolution can lead to stress and dissatisfaction, requiring a more empathetic and relational management approach to improve work quality. To conduct a preliminary linguistic validation and evaluate the reliability of the Italian version of the  "360 Degree Evaluation of the Job-Related Skill Perception of Primary Health Care Nursing Managers" questionnaire. Methods. A translation and cultural adaptation study of the cited questionnaire into Italian was conducted. The goal of the linguistic validation was to produce a translated version that maintained the integrity of the original questionnaire. Results. This preliminary study evaluates the validity of the "360 Degree Evaluation of the Job-Related Skill Perception of Primary health care Nursing Managers" scale among Middle Nurse Managers in Italian hospitals. The scale, consisting of 40 items, assesses skills in communication, leadership, personnel management, financial management, planning and priority setting, and problem-solving.  Findings indicate that nurse managers perceive high competencies in communication, leadership, and personnel management, while highlighting gaps in financial management and the implementation of complex plans. Discussion. The study highlights the need for specific, targeted training in financial management to address these gaps. Such training is essential to enhance the competencies of nursing middle managers and support the success of healthcare organizations. Further psychometric validation studies are needed to confirm these preliminary findings. infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3575 10.36253/if-3575 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 211-225 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 211-225 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3575/2303 Copyright (c) 2025 Sofia Pellegrini, Michela Panero, Andrea Minciullo, Lucia Filomeno https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3593 2026-01-11T12:26:39Z if:ART

The Impact of Educational Interventions on Self-Care Behaviors After Cardiac Valve Replacement: A Systematic Review Dollaku, Hamilton Magi, Camilla Elena Rollo, Rebecca Buccione, Emanuele Giuliano, Marika Ferri, Nicole Zipoli, Renato Fabbri, Valentina Grifoni, Camilla Amato, Simone Vellone, Ercole Iovino, Paolo Cardiac Valve Replacement Self-Care Educational Intervention Anticoagulation Therapy Patient Education INR Monitoring Behavior Change Techniques Introduction. Valvular heart disease (VHD) is a growing global health issue, particularly among aging populations. Surgical valve replacement improves survival and cardiac function, yet long-term outcomes rely heavily on patient engagement in self-care. Educational interventions may enhance self-care behaviors and improve clinical and psychosocial outcomes; however, evidence remains fragmented. This systematic review aimed to evaluate the characteristics and effectiveness of educational interventions designed to support self-care in patients following cardiac valve replacement. Methods. Following PRISMA guidelines, a systematic search was conducted in PubMed, Scopus, Web of Science, and CINAHL from databases inception up to February 2024. Only randomized controlled trials (RCTs) assessing educational or behavioral interventions aimed at improving self-care after valve surgery were included. Outcomes were categorized as clinical (e.g., INR stability, complications), behavioral (e.g., medication adherence), or patient-reported (e.g., quality of life). Risk of bias was assessed using the ROB2 tool. Self-care behaviors targeted by interventions were classified according to to Riegel’s Middle Range Theory of Chronic Illness. Results. Six randomized controlled trials involving 537 patients were included in the review. Interventions varied in delivery mode (all face-to-face, some with telephone or digital support), format (individual or group-based), duration, and frequency. All studies targeted self-care monitoring and management, mainly through INR self-monitoring and anticoagulation adherence, while self-care maintenance behaviors such as diet, physical activity, and psychosocial support were less frequently addressed. Interventions improved INR stability, medication adherence, self-efficacy, and psychological well-being, with some evidence for reduced complications and better quality of life. However, reporting was heterogeneous, theoretical frameworks were rarely applied, and cost-effectiveness and long-term sustainability were seldom evaluated. Discussion and conclusion. Self-care interventions after valve replacement surgery appear effective in improving anticoagulation control and enhancing psychosocial outcomes. Yet, most programs focus narrowly on anticoagulation, overlooking lifestyle modification and broader recovery needs. Future studies should adopt standardized, theory-driven, and multidimensional approaches, integrate digital health solutions, and evaluate long-term effectiveness and cost-efficiency to ensure sustainable and equitable self-care support. infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3593 10.36253/if-3593 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 155-168 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 155-168 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3593/2297 Copyright (c) 2025 Hamilton Dollaku, Camilla Elena Magi, Rebecca Rollo, Emanuele Buccione, Marika Giulaino, Nicole Ferri, Renato Zipoli, Valentina Fabbri, Camilla Grifoni, Simone Amato, Ercole Vellone, Paolo Iovino https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3596 2026-01-11T12:26:20Z if:ART

“All Roads Lead to Rome”: a Call to Implementation of ICU Follow-Up Services Bambi, Stefano Lucchini, Alberto Iozzo, Pasquale Intensive Care Unit Patient Outcomes Quality of Life Not available. infermieristica Editore (iEditore) 2025-07-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3596 10.36253/if-3596 infermieristica journal; Vol. 4 No. 2 (2025): post-ICU pathways; 89-92 infermieristica journal; V. 4 N. 2 (2025): post-ICU pathways; 89-92 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3596/2254 Copyright (c) 2025 Stefano Bambi, Alberto Lucchini, Pasquale Iozzo https://creativecommons.org/licenses/by/4.0

oai:ojs.pkp.sfu.ca:article/3747 2026-01-11T12:26:39Z if:ART

Designing Interventions to Promote Self-Care Riegel, Barbara Jaarsma, Tiny Stromberg, Anna Chronic Disease Self-Care Abstract not available. infermieristica Editore (iEditore) 2025-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://riviste.fupress.net/index.php/if/article/view/3747 10.36253/if-3747 infermieristica journal; Vol. 4 No. 3 (2025): learning self-care; 143-146 infermieristica journal; V. 4 N. 3 (2025): learning self-care; 143-146 2785-7018 eng https://riviste.fupress.net/index.php/if/article/view/3747/2294 Copyright (c) 2025 Barbara Riegel, Tiny Jaarsma, Anna Stromberg https://creativecommons.org/licenses/by/4.0