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  1. Article: Review of literature on instruments measuring health professionals' knowledges, attitudes, and perceptions of antimicrobial stewardship programs.

    Zainaghi, Irene / Lusignani, Maura / Cilluffo, Silvia

    Professioni infermieristiche

    2023  Volume 75, Issue 1, Page(s) 3–16

    Abstract: Introduction: The establishment of multi-disciplinary antimicrobial stewardship programmes means that there is a need to study how well healthcare personnel are able to deal with the problem on a daily basis. This study therefore aimed to identify and ... ...

    Title translation Revisione della letteratura sugli strumenti che misurano le conoscenze, atteggiamenti e percezioni dei professionisti sanitari rispetto ai programmi di antimicrobial stewardship.
    Abstract Introduction: The establishment of multi-disciplinary antimicrobial stewardship programmes means that there is a need to study how well healthcare personnel are able to deal with the problem on a daily basis. This study therefore aimed to identify and critically examine existing tools to measure knowledge, attitudes and practices with respect to antimicrobial stewardship among physicians and nurses.
    Methods: After a literature review of biomedical databases such as PUBMED, EMBASE, SCOPUS, CINAHL, a total of 14 instruments were identified between May and November 2021, the purpose, theoretical framework and statistical validity of which were analysed and described.
    Results: The theoretical framework and validation process vary widely between instruments and are not described in all of them. The pilot study was not always conducted or well detailed. The questionnaires varied in length and were mostly answered on a 5-7 point Likert scale. The work of Baraka et al 2019 together with that of Ashiru-Oredope et al 2021 appear to be the best from the point of view of statistical validity. Baraka has the high number of questions.
    Conclusion: The literature review and the use of already existing instruments, even by the same author, are the basis of all the identified studies even if the explanation with respect to the reason for this choice is missing. The validation process was not described for all instruments. When selecting and adapting instruments, attention should be paid to the domains within the scale, the number of items and the theoretical-cultural fit.
    MeSH term(s) Humans ; Antimicrobial Stewardship ; Health Personnel ; Surveys and Questionnaires
    Language Italian
    Publishing date 2023-03-28
    Publishing country Italy
    Document type Review ; Journal Article
    ZDB-ID 1217777-5
    ISSN 0033-0205
    ISSN 0033-0205
    DOI 10.7429/pi.2022.751003
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  2. Article ; Online: Knowledge, attitudes, and practices related to antibiotic resistance among physicians and nurses in Italian intensive care: A multicenter cross-sectional survey.

    Zainaghi, Irene / Cilluffo, Silvia / Lusignani, Maura

    Journal of global antimicrobial resistance

    2023  Volume 36, Page(s) 460–465

    Abstract: Objectives: The aim of this study is to investigate the knowledge, attitudes and practices of Italian intensive-care physicians and nurses with respect to antibiotic resistance.: Methods: A multicenter cross-sectional survey was conducted of 20 ... ...

    Abstract Objectives: The aim of this study is to investigate the knowledge, attitudes and practices of Italian intensive-care physicians and nurses with respect to antibiotic resistance.
    Methods: A multicenter cross-sectional survey was conducted of 20 Italian intensive care units, supported by an online validated questionnaire.
    Results: A total of 143 participants took part, mainly nurses (79.7%). Most respondents were between 26 and 45 y old (62.9%), with more than 6 y of service (about 71%). Some 90% of those who took part stated that they were aware of the problem of antibiotic resistance and had easy access to guidelines and information materials on the subject. On the other hand, a high level of disagreement, mostly among nurses, emerged in relation to knowledge of the existence of national plans for the fight against AMR (62.9%) or the presence of international information campaigns (80%). A majority (76%) said they had received no specific training in the past 12 months. Most physicians (70%-90%) showed faith in their ability to prescribe, trusted guidelines, and recognized their role in antibiotic resistance by considering it while prescribing antimicrobial therapy.
    Conclusions: The study highlights the need for targeted training interventions, especially for nurses, and the importance of involving all healthcare professionals in the fight against antibiotic resistance.
    MeSH term(s) Humans ; Critical Care ; Cross-Sectional Studies ; Drug Resistance, Microbial ; Health Knowledge, Attitudes, Practice ; Italy ; Physicians ; Adult ; Middle Aged
    Language English
    Publishing date 2023-11-15
    Publishing country Netherlands
    Document type Multicenter Study ; Journal Article
    ZDB-ID 2710046-7
    ISSN 2213-7173 ; 2213-7173
    ISSN (online) 2213-7173
    ISSN 2213-7173
    DOI 10.1016/j.jgar.2023.10.022
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  3. Article ; Online: Development and validation of two versions of the Nurse-Patient Mutuality in Chronic Illness scale.

    Cilluffo, Silvia / Bassola, Barbara / Iovino, Paolo / Lusignani, Maura

    Journal of advanced nursing

    2023  Volume 79, Issue 8, Page(s) 3170–3182

    Abstract: Aims: The aim of the study was to develop and psychometrically test the Nurse-Patient Mutuality in Chronic Illness (NPM-CI) scale in two versions, one for nurses and one for patients.: Method: A multiphase methodological study was conducted. In the ... ...

    Abstract Aims: The aim of the study was to develop and psychometrically test the Nurse-Patient Mutuality in Chronic Illness (NPM-CI) scale in two versions, one for nurses and one for patients.
    Method: A multiphase methodological study was conducted. In the first phase, a qualitative investigation was conducted through interviews and an analysis of the content; inductively, the items of two instruments were generated, one for nurses and one for patients. In the second phase, the content and face validity were assessed through the expert consensus method. In the third phase, exploratory factor analysis (EFA), Cronbach's alpha test, intraclass correlation and Pearson correlation coefficients were conducted to estimate construct, criterion validity and instrument reliability. For each phase, the sample included nurses and patients recruited from a large hospital in Northern Italy. Data collection was conducted between June and September 2021.
    Results: Nurse and patient versions of the NPM-CI scale were developed. Two rounds of consensus reduced the items from 39 to 20; content validity index ranged between 0.78 and 1, content validity ratio was 0.94. Face validity indicated clarity and comprehensibility of the items. EFA identified three latent factors for both the scales. Internal consistency was satisfactory, with Cronbach's alphas ranging between .80 and .90. Test-retest stability was suggested, with an intraclass correlation coefficient of .96 (nurse scale) and .97 (patient scale). Predictive validity was established, with a Pearson correlation coefficient of .43 (nurse scale) and 0.55 (patient scale) between the mutuality scales and satisfaction in providing and receiving care.
    Conclusion: The results suggest that the NPM-CI scales are sufficiently valid and reliable for the clinical practice among chronic illness patients and the nurses caring for them. A more in-depth exploration of this construct in the context of nursing and patient outcomes is warranted.
    Patient or public contribution: Patients were involved in all study phases.
    Impact: Mutuality is fundamental in the relationship between nurse and patient, based on trust, equality, reciprocity, and mutual respect. The NPM-CI scale was developed and psychometric estimated through a multiphase study in both nurse and patient versions. The NPM-CI scale measures the factors of 'developing and going beyond', 'being the point of reference' and 'deciding and sharing care'. The NPM-CI scale allows us to measure mutuality in clinical practice and research. Expected outcomes and influencing factors for patients and nurses could be associated.
    MeSH term(s) Humans ; Reproducibility of Results ; Trust ; Nurse-Patient Relations ; Personal Satisfaction ; Psychometrics/methods ; Chronic Disease ; Surveys and Questionnaires
    Language English
    Publishing date 2023-02-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15594
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  4. Article ; Online: The Perspective of Cancer Patients in Palliative Care on Unmet Needs: A Qualitative Synthesis Using Meta-Ethnography.

    Basile, Ilaria / Consolo, Letteria / Rusconi, Daniele / Arba, Laura / Rampichini, Flavia / Caraceni, Augusto / Lusignani, Maura

    The American journal of hospice & palliative care

    2024  , Page(s) 10499091231226429

    Abstract: Background: As cancer patients approach the end of life, their needs become more complex, increasing the demand for palliative care. Advanced-stage cancer patients encounter increasing unmet psychological, physical, autonomy, and communication needs, ... ...

    Abstract Background: As cancer patients approach the end of life, their needs become more complex, increasing the demand for palliative care. Advanced-stage cancer patients encounter increasing unmet psychological, physical, autonomy, and communication needs, reflecting the difference between patients' perceived requirements and the support from health care professionals. The objective of this study was to synthesize qualitative evidence on unmet needs in palliative cancer care among inpatient and outpatient adults.
    Methods: We conducted a meta-ethnographic review according to Noblit and Hare's framework and the operationalized guidelines developed by Sattar. The eMERGe Reporting Guidance was followed. A literature search was conducted in Cinahl, Embase, Medline, Scopus, Web of Science, PsycINFO and Google Scholar for gray literature. For all the studies, direct quotes from the participants and authors' results were identified, coded and analyzed in NVivo 1.7.1 and extracted as I and II order constructs from which higher third-order themes originated.
    Results: Eight studies were included. Four new themes emerged, representing areas where palliative cancer care patients expressed a need for help:
    Conclusions: Palliative care patients require a secure, suffering-free end-of-life journey with informed decision-making and team support. Ensuring continuity of care, validating their suffering, and allocating sufficient time are crucial aspects of care. This involves maintaining a consistent care plan, respecting patients' emotions and experiences, and providing services tailored to individual needs.
    Language English
    Publishing date 2024-01-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1074344-3
    ISSN 1938-2715 ; 1049-9091
    ISSN (online) 1938-2715
    ISSN 1049-9091
    DOI 10.1177/10499091231226429
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  5. Article ; Online: Mutuality between nurses and patients with chronic illnesses: A cross-sectional descriptive study.

    Cilluffo, Silvia / Bassola, Barbara / Pucciarelli, Gianluca / Vellone, Ercole / Clari, Marco / Dimonte, Valerio / Lusignani, Maura

    Scandinavian journal of caring sciences

    2024  

    Abstract: Background and aim: Mutuality is a process in which the patient participates and is involved in decision-making and care interventions. The aim of this study was to measure mutuality in the relationship between nurses and chronic illness patients.: ... ...

    Abstract Background and aim: Mutuality is a process in which the patient participates and is involved in decision-making and care interventions. The aim of this study was to measure mutuality in the relationship between nurses and chronic illness patients.
    Methods: This study had a cross-sectional design; the sample included 249 patients and 249 nurses. Mutuality was measured with the Nurse-Patient Mutuality in Chronic Illness scale.
    Results: Patients had higher scores in almost all items (p < 0.001). Patients demonstrate high reciprocity towards nurses and the ability to express and share their emotions. Patients consider nurses their point of reference and share with them their health goals. Nurses show more difficulty in being mutual with the patient, especially in the aspects related to the sharing of emotions, objectives, and planning. The egalitarian relationship score was low in both patients and nurses.
    Conclusion: These findings are important to consider at clinical, educational, organisational, and policy levels. Nurse education and organisation must push towards respect for the wishes of patients, the possibility of expressing their choices, and their involvement in the care plan.
    Practice implications: In clinical practice, it is necessary to put the patients more at the centre, involving them in the identification of objectives and in making decisions.
    Language English
    Publishing date 2024-03-08
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 639217-9
    ISSN 1471-6712 ; 0283-9318
    ISSN (online) 1471-6712
    ISSN 0283-9318
    DOI 10.1111/scs.13251
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  6. Article ; Online: Perceived knowledge on the ICNP© in undergraduate nursing students: the development of a scale.

    Tommasi, Valentina / Bassola, Barbara / Alfieri, Sara / Cilluffo, Silvia / Lusignani, Maura

    International journal of nursing education scholarship

    2023  Volume 20, Issue 1

    Abstract: Objectives: To develop and validate an instrument to assess nursing students' perceived knowledge on the International Classification for Nursing Practice.: Methods: The study design is an initial development of a scale by a longitudinal, prospective, ...

    Abstract Objectives: To develop and validate an instrument to assess nursing students' perceived knowledge on the International Classification for Nursing Practice.
    Methods: The study design is an initial development of a scale by a longitudinal, prospective, monocentric study. An instrument, including a final pool of 6 items, was developed and through a Content Validity approved by experts. Cronbach's alpha coefficient, Exploratory Factor Analysis and Confirmatory Factor Analysis were calculated in a sample of nursing students.
    Results: The instrument demonstrated a CVI of 1.0. Cronbach's alpha coefficient was 0.879. Exploratory Factor Analysis indicated one component, with a saturation of items in the range between 0.594 and 0.856. Confirmatory Factor Analysis confirmed the structure.
    Conclusions: Although further studies are needed, the preliminary analyses of the instrument suggest satisfaction in terms of content validity, factorial structure, and reliability. This instrument may rise interest in international nursing educational context.
    MeSH term(s) Humans ; Students, Nursing ; Reproducibility of Results ; Education, Nursing, Baccalaureate ; Prospective Studies ; Psychometrics ; Surveys and Questionnaires
    Language English
    Publishing date 2023-12-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2162109-3
    ISSN 1548-923X ; 2194-5772
    ISSN (online) 1548-923X
    ISSN 2194-5772
    DOI 10.1515/ijnes-2023-0021
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  7. Article ; Online: Efficacy, effectiveness, usability and acceptability of devices for female urinary incontinence: A scoping review.

    Cilluffo, Silvia / Terzoni, Stefano / Destrebecq, Anne / Lusignani, Maura

    Journal of clinical nursing

    2022  Volume 32, Issue 13-14, Page(s) 3361–3377

    Abstract: Aims and objectives: Investigate evidence available on the efficacy, safety and acceptability of devices for the management of female urinary incontinence, in which clinical settings and specific female populations they have been tested. Learn more ... ...

    Abstract Aims and objectives: Investigate evidence available on the efficacy, safety and acceptability of devices for the management of female urinary incontinence, in which clinical settings and specific female populations they have been tested. Learn more about healthcare professionals' perspectives and experiences regarding female urinary incontinence devices.
    Background: Urinary incontinence is defined as the involuntary leakage of urine, estimated to affect 25%-45% of women. Urinary incontinence predisposes the skin to urinary incontinence dermatitis, it is one of the most common documented causes of inappropriate urinary catheterisation, favouring catheter-associated infection. Several products for managing female urinary incontinence are available, no accurate and systematic data on usability, effectiveness and associated outcomes of these products are available.
    Design and methods: A scoping review was conducted, using a methodological framework including the following five steps: identification of the research question; identification of relevant documents; selection of documents included in the review; tracking of information and data; synthesis and reporting of results. Twenty-one articles were selected. PRISMA-ScR Checklist was followed.
    Results: The devices explored in the studies were as follows: female external urinary catheter; disposable sanitary pads, diapers or sanitary pads used to manage urinary incontinence in women; mechanical devices; a new prototype of underwear that tracks where pads lose; reusable underwear for light incontinence; a new intelligent system pad.
    Conclusions: New smart pads, urine suction systems and female external catheters appear to be effective in preventing and reducing urinary incontinence dermatitis. The female external catheter reduces the days of indwelling catheterisation and could reduce the incidence of catheter associated urinary tract infection; therefore, it should be recommended.
    MeSH term(s) Female ; Humans ; Dermatitis ; Incontinence Pads/adverse effects ; Urinary Catheterization/adverse effects ; Urinary Incontinence/complications ; Urinary Tract Infections/etiology ; Urinary Tract Infections/prevention & control
    Language English
    Publishing date 2022-07-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.16457
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    Zs.A 3764: Show issues Location:
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  8. Article: Risk of skin tears associated with nursing interventions: A systematic review.

    Cilluffo, Silvia / Bassola, Barbara / Beeckman, Dimitri / Lusignani, Maura

    Journal of tissue viability

    2022  Volume 32, Issue 1, Page(s) 120–129

    Abstract: Background: Skin tears are a significant problem for patients and healthcare professionals. They can cause pain, impact quality of life, and become chronic and infected. The risk of skin tears is associated with dependence in daily life activities and ... ...

    Abstract Background: Skin tears are a significant problem for patients and healthcare professionals. They can cause pain, impact quality of life, and become chronic and infected. The risk of skin tears is associated with dependence in daily life activities and with nursing interventions.
    Objectives: To examine which nursing interventions increase the risk of skin tears.
    Design: Systematic review.
    Data sources: The MEDLINE, CINAHL, Scopus, and Cochrane Library databases were searched in March 2022.
    Publication years: Publications included were from 2012 to 2022.
    Results: Seventeen articles were included in the final analysis reporting nursing interventions associated with the risk of skin tears. Hygiene with cold water and soap, not applying leave-on products to moisten/protect dehydrated skin, and wearing short sleeves were found to be associated with skin tears. Transferring patients into and out of bed in a rough manner and wearing jewelry or long nails can increase the risk of skin tears. Removal of adhesive dressings or bandages can also cause skin tears.
    Conclusion: Nursing staff need to know which interventions put their patients at risk of skin tears and which interventions are recommended to prevent skin tears. Nursing care can affect the health of the patient's skin.
    MeSH term(s) Humans ; Quality of Life ; Skin/injuries ; Lacerations ; Soft Tissue Injuries ; Health Personnel
    Language English
    Publishing date 2022-11-30
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1282604-2
    ISSN 0965-206X
    ISSN 0965-206X
    DOI 10.1016/j.jtv.2022.11.006
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  9. Article: Analisi delle conoscenze sulla donazione delle cornee popolazione adulta residente in una provincia della Puglia.

    Ruta, Federico / Lusignani, Maura

    Professioni infermieristiche

    2020  Volume 72, Issue 4, Page(s) 253–259

    Abstract: Ntroduction and aim: The spread of the donation culture is a crucial element in promo- ting solidarity and altruistic ideas necessary for meeting the needs of tissue transplants present on the territory. The research intends to assess the knowledge, the ...

    Title translation Knowledge on the corneas donation in the adult population in a province of Apulia Region.
    Abstract Ntroduction and aim: The spread of the donation culture is a crucial element in promo- ting solidarity and altruistic ideas necessary for meeting the needs of tissue transplants present on the territory. The research intends to assess the knowledge, the values, the attitude and the willingness to donate their corneas of adults, residents in the Province of Barletta - Andria - Trani (BT).
    Method: The sample was composed of 815 adults aged between 18 and 70 years and it was selected with simple random sampling among population residents in the Province of Barletta - Andria - Trani. All participants were interviewed by means of a questionnaire formulated and sent via Google modules. Their knowledge, values and attitudes were evaluated to deter- mine their willingness to donate their corneas.
    Results: The participation rate was 64.4% (525/815). 68.4% (359/525) of participants would agree to donate their corneas. 89% (467/525) of participants know the theme of dona- tion. Asking specific questions to the participants on the donation path, the correct answers are on average 80%. This percentage increases to 86.2% considering only those who are willing to donate. Greater knowledge and an increase in altruistic values can be associated with an increase in willingness to donate.
    Conclusion: A good percentage of participants, about at 68,4% (359/525), is willing to donate their corneas. The awareness in this regard turns out to be very high, but the specific knowledge of the entire process should be further increased anyway.
    MeSH term(s) Adolescent ; Adult ; Aged ; Corneal Transplantation/psychology ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Italy ; Male ; Middle Aged ; Surveys and Questionnaires ; Tissue Donors/psychology ; Tissue and Organ Procurement ; Young Adult
    Language Italian
    Publishing date 2020-08-07
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1217777-5
    ISSN 0033-0205
    ISSN 0033-0205
    DOI 10.7429/pi.2019.724253
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  10. Article ; Online: The role of body mass index in the development of thromboembolic events among cancer patients with PICCs: a systematic review.

    Simonetti, G / Bersani, A / Tramacere, I / Lusignani, M / Gaviani, P / Silvani, A

    Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing

    2021  Volume 40, Issue 1, Page(s) 11–16

    Abstract: Objective: Peripherally inserted central catheters (PICC) guarantee a stable and safe vascular access to administer irritants or vesicants therapies. However, they may occasionally be affected by relevant thrombotic complications especially in patients ... ...

    Abstract Objective: Peripherally inserted central catheters (PICC) guarantee a stable and safe vascular access to administer irritants or vesicants therapies. However, they may occasionally be affected by relevant thrombotic complications especially in patients with hypercoagulability such as oncological patients. Among the identification of independent risk factors, the role of body mass index (BMI) ≥25 kg/m
    Data sources and review methods: A scientific literature review was performed in Pubmed, Embase and Cinahl from Jan 1, 2010 to September 10, 2020 in which we identified 100 records. Of these, 88 were excluded and 14 were reviewed in full text. Among the reviewed records, 6 articles satisfied the inclusion criteria for analysis. These criteria included the English language, oncological patients with PICCs, the evaluation of catheter-related thrombosis as well as the stratification of patients according to BMI. Studies off topic and lacking data on PICC related complications among overweight and underweight patients were excluded. The includedstudies, judged with Newcastle-Ottawa Scale, was fair-lower quality. The primary endpoint was the relative risk (RR) of PICC-related thrombosis of overweight/obese vs normal weight/underweight (i.e., BMI ≥25 vs <25 kg/m
    Results: A total of 2431 patients were included in the analysis. Overall, 15.1% of patients developed PICC-related thrombosis within a median time of 23.2 days (range 11.0-42.5) after PICC implantation. Concerning BMI, 52.6% of the entire population was overweight/obese. We assessed the proportion of patients with PICC-related thrombotic events in the two groups, with 28% (95% CI, 12%-45%) of events registered in the overweight/obese patients cohort, and 13% (95% CI, 6%-19%) in the normal weight/underweight cohort. The pooled relative risk (RR) was 2.06 (95% CI, 1.21-3.49, p<0.001) in overweight/obese vs normal weight/underweight patients.
    Conclusion: This review showed a two-fold risk of thrombosis in overweight/obese compared to normal weight/underweight oncological patients with PICCs. Underweight condition could also play a role in thrombosis development, especially in nasopharyngeal and digestive system cancer. Future prospective studies are needed to achieve reliable results and produce useful conclusion.
    MeSH term(s) Body Mass Index ; Catheterization, Central Venous/adverse effects ; Catheterization, Peripheral/adverse effects ; Humans ; Neoplasms/complications ; Obesity/complications ; Overweight/etiology ; Retrospective Studies ; Risk Factors ; Thinness/etiology ; Thromboembolism/etiology
    Language English
    Publishing date 2021-10-26
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 1083367-5
    ISSN 1532-6578 ; 1062-0303
    ISSN (online) 1532-6578
    ISSN 1062-0303
    DOI 10.1016/j.jvn.2021.10.001
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