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  1. Article ; Online: Impact of telehealth on stroke survivor-caregiver dyad in at-home rehabilitation: A systematic review.

    Bartoli, Davide / Petrizzo, Antonello / Vellone, Ercole / Alvaro, Rosaria / Pucciarelli, Gianluca

    Journal of advanced nursing

    2024  

    Abstract: Aim: To examine studies involving the impact of telerehabilitation (TLR), tele-training and tele-support on the dyad stroke survivor and caregiver in relation to psychological, physical, social and health dimensions.: Design: A systematic review was ... ...

    Abstract Aim: To examine studies involving the impact of telerehabilitation (TLR), tele-training and tele-support on the dyad stroke survivor and caregiver in relation to psychological, physical, social and health dimensions.
    Design: A systematic review was conducted.
    Data sources: The following electronic databases were consulted until September 2023: PsycInfo, CINAHL, Eric, Ovid, PubMed, Scopus, Cochrane Central and Web of Science.
    Review methods: It was conducted and reported following the checklists for Reviews of PRISMA 2020 Checklist. Critical evaluation of the quality of the studies included in the review was performed with the Joanna Briggs Institute Checklists.
    Data synthesis: A total of 2290 records were identified after removing duplicates, 501 articles were selected by title and abstract and only 21 met the inclusion criteria. It included 4 quasi-experimental studies, 7 RCTs, 1 cohort study and 9 qualitative studies. The total number of participants between caregivers and stroke survivors was 1697, including 858 stroke survivors and 839 caregivers recruited from 2002 to 2022. For a total of 884 participants who carried out TLR activities in the experimental groups,11 impact domains were identified: cognitive/functional, psychological, caregiver burden, social, general health and self-efficacy, family function, quality of life, healthcare utilization, preparedness, quality of care and relationship with technology.
    Conclusions: The results support the application of telehealth in the discharge phase of hospitals and rehabilitation centres for stroke survivors and caregivers. TLR could be considered a substitute for traditional rehabilitation only if it is supported by a tele-learning programme for the caregiver and ongoing technical, computer and health support to satisfy the dyad's needs.
    Impact: Designing a comprehensive telemedicine programme upon the return home of the dyad involved in the stroke improves the quality of life, functional, psychological, social, family status, self-efficacy, use of health systems and the dyad's preparation for managing the stroke.
    Patient or public contribution: No patient or public contribution.
    Language English
    Publishing date 2024-04-02
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.16177
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  2. Article ; Online: Effectiveness of a smartphone-enabled dyadic self-care programme (SDSCP) for stroke survivors and caregivers: study protocol for a randomised controlled trial.

    Wang, Wenna / Wang, Xiaoxuan / Vellone, Ercole / Zhang, Zhenxiang

    BMJ open

    2023  Volume 13, Issue 9, Page(s) e073016

    Abstract: Introduction: The promotion of self-care has begun to serve as a central response strategy to the rising burden of stroke. In fact, stroke self-care can be recognised to be a dyad phenomenon having an effect on the health of stroke survivors and their ... ...

    Abstract Introduction: The promotion of self-care has begun to serve as a central response strategy to the rising burden of stroke. In fact, stroke self-care can be recognised to be a dyad phenomenon having an effect on the health of stroke survivors and their caregivers. While studies have confirmed the effectiveness of smartphone-based interventions in improving self-care among stroke survivors, there remains a lack of evidence specifically regarding dyadic self-care interventions for both patients and caregivers.
    Aim: The present single-blinded, two-arm, randomised controlled trial aims to verify the effectiveness of a smartphone-enabled dyadic self-care programme (SDSCP) for stroke survivors and their caregivers.
    Methods and analysis: The estimated sample size is 152 stroke survivor-caregiver dyads. The participants will be randomly classified (1:1) into either a control (N=76) or an experimental group (N=76) through block randomisation. The participants classified into the experimental group will be provided with SDSCP, and during the initial home visit, the research team members will provide instructions to all patients and caregivers on how to download and use the smartphone application. While the participants in the control group will be given the existing stroke standard care. The main outcome measures of stroke survivors will consist of the Self-Care of Stroke Inventory and a short version of the Stroke Specific Quality of Life Scale. The outcome measures of stroke caregivers will primarily cover the Caregiver Contribution to Self-Care of Stroke Inventory and Zarit burden interview. The data of this study will be collected at three time points, including baseline, 1 month and 6 months from the baseline.
    Ethics and dissemination: This study has been approved by the Ethics Committee of Zhengzhou University (ZZUIRB 2021-115) in January 2021. The results achieved in this study will facilitate the clinical practice to improve self-care of stroke survivors and promote dyadic health outcomes for stroke patients and caregivers.
    Trial registration number: The study was registered with the Chinese Clinical Trial Registry and the registration number is ChiCTR2100053591.
    MeSH term(s) Humans ; Smartphone ; Caregivers ; Quality of Life ; Self Care ; Stroke/therapy ; Survivors ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2023-09-04
    Publishing country England
    Document type Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-073016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Middle-Range Theory of Social Isolation in Chronic Illness.

    Iovino, Paolo / Vellone, Ercole / Cedrone, Nadia / Riegel, Barbara

    International journal of environmental research and public health

    2023  Volume 20, Issue 6

    Abstract: Chronic illnesses and social isolation are major public phenomena that drive health and social policy worldwide. This article describes a middle-range theory of social isolation as experienced by chronically ill individuals. Key concepts include social ... ...

    Abstract Chronic illnesses and social isolation are major public phenomena that drive health and social policy worldwide. This article describes a middle-range theory of social isolation as experienced by chronically ill individuals. Key concepts include social disconnectedness, loneliness, and chronic illness. Antecedents of social isolation include predisposing factors (e.g., ageism and immigration) and precipitating factors (e.g., stigma and grief). Outcomes of social isolation include psychosocial responses (e.g., depression and quality of life), health-related behaviors (i.e., self-care), and clinical responses (e.g., cognitive function and health service use). Possible patterns of social isolation in chronic illness are described.
    MeSH term(s) Humans ; Quality of Life ; Social Isolation/psychology ; Loneliness/psychology ; Chronic Disease
    Language English
    Publishing date 2023-03-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20064940
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  4. Article ; Online: First Steps Toward a Theory of Caregiver Contribution to Self-care in Heart Failure.

    Vellone, Ercole

    The Journal of cardiovascular nursing

    2017  Volume 32, Issue 6, Page(s) 584–586

    MeSH term(s) Caregivers ; Heart Failure/nursing ; Humans ; Self Care
    Language English
    Publishing date 2017-03-17
    Publishing country United States
    Document type Editorial
    ZDB-ID 639335-4
    ISSN 1550-5049 ; 0889-4655
    ISSN (online) 1550-5049
    ISSN 0889-4655
    DOI 10.1097/JCN.0000000000000404
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    Zs.A 2315: Show issues Location:
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  5. Article ; Online: Cognitively impaired patients with heart failure may not perceive weight gain as a risk for decompensation.

    Vellone, Ercole

    Evidence-based nursing

    2017  Volume 20, Issue 4, Page(s) 115–116

    Language English
    Publishing date 2017-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425988-6
    ISSN 1468-9618 ; 1367-6539
    ISSN (online) 1468-9618
    ISSN 1367-6539
    DOI 10.1136/eb-2016-102597
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    Zs.A 5184: Show issues Location:
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  6. Article ; Online: Perceptions of nursing staff and students regarding attrition: a qualitative study.

    Mazzotta, Rocco / Durante, Angela / Bressan, Valentina / Cuoco, Angela / Vellone, Ercole / Alvaro, Rosaria / Bulfone, Giampiera

    International journal of nursing education scholarship

    2024  Volume 21, Issue 1

    Abstract: Objectives: This research aims to explore the perceptions of nursing students and directors of bachelor of nursing degree courses regarding reasons for attrition amongst nursing students.: Methods: A qualitative descriptive study was conducted using ... ...

    Abstract Objectives: This research aims to explore the perceptions of nursing students and directors of bachelor of nursing degree courses regarding reasons for attrition amongst nursing students.
    Methods: A qualitative descriptive study was conducted using inductive thematic analysis. The study included a purposeful sample of 12 students and 4 directors of bachelor of nursing degree courses.
    Results: As reasons for attrition, the directors highlighted a lack of preparation for nursing studies and students' limited awareness of possibilities for support and learning. The students emphasized insufficient support from academic staff and poor course organization. Economic and family issues and a misunderstanding of the professional role of a nurse were cited as reasons by both directors and students.
    Conclusions: The findings provide important insight into attrition in the nursing programme. Further research is warranted, particularly in other contexts. Addressing student attrition requires a comprehensive approach that includes the provision of adequate support systems, mentorship, and resources for students.
    MeSH term(s) Humans ; Education, Nursing, Baccalaureate ; Qualitative Research ; Nursing Education Research ; Students, Nursing ; Nursing Staff
    Language English
    Publishing date 2024-02-02
    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-2023-0081
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  7. Article ; Online: Living in a multicultural context: Health and integration from the perspective of undocumented Mediterranean migrants, residents, and stakeholders in Italy. A qualitative-multimethod study.

    Figura, Mariachiara / Arcadi, Paola / Vellone, Ercole / Pucciarelli, Gianluca / Simeone, Silvio / Piervisani, Loredana / Alvaro, Rosaria

    Journal of advanced nursing

    2024  

    Abstract: Aim: To catch a representative view of a multicultural population's needs.: Design: Qualitative study.: Methods: Semi-structured interviews were conducted from July 2022 to January 2023 with the project's stakeholders, migrants, and residents. ... ...

    Abstract Aim: To catch a representative view of a multicultural population's needs.
    Design: Qualitative study.
    Methods: Semi-structured interviews were conducted from July 2022 to January 2023 with the project's stakeholders, migrants, and residents. Data analysis was performed using a multimethod textual analysis technique.
    Findings: Territorial barriers, lack of social network, and specific professionals' training emerged as healthcare delivery obstacles. For migrants, language improvement emerged as a health priority. A deep relationship with migrants emerged as a deficiency for residents.
    Conclusion: A welcoming project equipped with solid leadership and the right resources can be fundamental in mediating health promotion and integration. In this process, the involvement of the resident population is essential.
    Implications for the profession and/or patient care: Analysing the migrants' needs and the strengths and limitations of a reception system could help identify the challenges for professionals in delivering culturally competent care. In this context, the nurse's role becomes relevant, being responsible for taking charge and caring for the population and the link between professionals and the population. WHAT PROBLEM DID THE STUDY ADDRESS?: The study addressed the problem of improving the overall health of migrants, refugees, and asylum seekers, mainly focusing on reception and integration into a new society process. WHAT WERE THE MAIN FINDINGS?: Worse health was identified with adaptation, integration, and family problems. Territorial barriers emerged, hindering good health. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: These research findings can be valuable for health professionals who want to improve the reception process and enhance a care model integrated with residents.
    Patient or public contribution: No patient or public contribution.
    Reporting method: To describe the research report, we referred to the COREQ checklist (Tong et al., 2007).
    Language English
    Publishing date 2024-01-07
    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.16036
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    In stock of ZB MED Cologne/Königswinter

    Zs.B 1851: Show issues Location:
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  8. Article ; Online: The Role of Spirituality in Stroke Survivors and Their Caregivers: A Systematic Review.

    Ambrosca, Rossella / Bolgeo, Tatiana / Zeffiro, Valentina / Alvaro, Rosaria / Vellone, Ercole / Pucciarelli, Gianluca

    Journal of religion and health

    2024  

    Abstract: Although several studies have analyzed the effects of spirituality on stroke survivors' physical functioning and their caregiver's outcomes, no systematic review or meta-synthesis was found to identify the lived experiences of stroke survivors and ... ...

    Abstract Although several studies have analyzed the effects of spirituality on stroke survivors' physical functioning and their caregiver's outcomes, no systematic review or meta-synthesis was found to identify the lived experiences of stroke survivors and caregivers regarding spirituality. For these reasons, this study aimed to analyze quantitively and qualitatively research relating to stroke survivors' and caregivers' experiences. The included studies were RCT studies, quasi-experimental studies, qualitative, descriptive, ethnographic, and phenomenological studies, and cross-sectional studies (n = 37), with a total of 6850 stroke survivors and 1953 caregivers enrolled. Spirituality appears to play an important role in improving the quality of life and decreasing anxiety and depression of both stroke survivors and their caregivers.
    Language English
    Publishing date 2024-04-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2017250-3
    ISSN 1573-6571 ; 0022-4197
    ISSN (online) 1573-6571
    ISSN 0022-4197
    DOI 10.1007/s10943-024-02029-0
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  9. Article ; Online: Reliability and validity of the training satisfaction questionnaire for family members (TSQ-FM) entering the ICU during an isolation disease outbreak.

    Trotta, Francesca / Petrosino, Francesco / Pucciarelli, Gianluca / Alvaro, Rosaria / Vellone, Ercole / Bartoli, Davide

    Heart & lung : the journal of critical care

    2024  Volume 66, Page(s) 37–45

    Abstract: Background: The presence of family members in an isolated ICU during an isolation disease outbreak is restricted by hospital policies because of the infectious risk. This can be overcome by conferring to family members the skill and the ability to ... ...

    Abstract Background: The presence of family members in an isolated ICU during an isolation disease outbreak is restricted by hospital policies because of the infectious risk. This can be overcome by conferring to family members the skill and the ability to safely don and doff the personal protective equipment (PPE) through a nurse-led training intervention and assess their satisfaction, to respond to the need to define a safe, effective and quality care pathway focused on Family-Centered Care (FCC) principles.
    Objective: the study aimed to build a valid and reliable instrument for clinical practice to assess family members' satisfaction to allow ICU nurses to restore family integrity in any case of infectious disease outbreak that requires isolation.
    Methods: A cross-sectional study was conducted to test the psychometric properties. The questionnaire was constructed based on a literature review on the needs of family members in the ICU. 76 family members were admitted to a COVID-ICU. Cronbach's coefficient, Geomin rotated loading, and EFA were applied to assess the reliability and validity of the instrument.
    Results: The Kaiser-Mayer-Olkin (KMO) measure was 0.662, the Bartlett sphericity test showed a significant p-value (χ²=448.33; df=45; p < 0.01), Cronbach's alpha coefficient was.896. A further CFA analysis confirmed that all fit indices were acceptable. The results showed satisfactory validity and reliability, which could be generalized and extended to any outbreak of isolation disease.
    Conclusions: This study provides a valid and reliable instrument for clinical practice to maintain family integrity in the dyadic relationship between the patient and the family member, even during an emergency infectious disease outbreak that requires isolation.
    Language English
    Publishing date 2024-04-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 193129-5
    ISSN 1527-3288 ; 0147-9563
    ISSN (online) 1527-3288
    ISSN 0147-9563
    DOI 10.1016/j.hrtlng.2024.03.004
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    Zs.A 1035: Show issues Location:
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  10. 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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