49 results on '"Alvaro, Rosaria"'
Search Results
2. Chronic Non-cancer Pain Management in a Tertiary Pain Clinic Network: a Retrospective Study
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Latina, Roberto, Varrassi, Giustino, Di Biagio, Ettore, Giannarelli, Diana, Gravante, Francesco, Paladini, Antonella, D’Angelo, Daniela, Iacorossi, Laura, Martella, Cristina, Alvaro, Rosaria, Ivziku, Dhurata, Veronese, Nicola, Barbagallo, Mario, Marchetti, Anna, Notaro, Paolo, Terrenato, Irene, Tarsitani, Gianfranco, and De Marinis, Maria Grazia
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- 2023
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3. Correction to: Chronic Non-cancer Pain Management in a Tertiary Pain Clinic Network: a Retrospective Study
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Latina, Roberto, Varrassi, Giustino, Di Biagio, Ettore, Giannarelli, Diana, Gravante, Francesco, Paladini, Antonella, D’Angelo, Daniela, Iacorossi, Laura, Martella, Cristina, Alvaro, Rosaria, Ivziku, Dhurata, Veronese, Nicola, Barbagallo, Mario, Marchetti, Anna, Notaro, Paolo, Terrenato, Irene, Tarsitani, Gianfranco, and De Marinis, Maria Grazia
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- 2023
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4. Telehealth vs in-person education for enhancing self-care of ostomy patients (Self-Stoma): Protocol for a noninferiority, randomized, open-label, controlled trial.
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Iovino, Paolo, Vellone, Ercole, Campoli, Alessia, Tufano, Carmelina, Esposito, Maria Rosaria, Guberti, Monica, Bolgeo, Tatiana, Sandroni, Cinzia, Sili, Alessandro, Manara, Duilio Fiorenzo, Alvaro, Rosaria, Rasero, Laura, and Villa, Giulia
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OSTOMATES ,TELEMEDICINE ,HEALTH self-care ,TRANSCRANIAL direct current stimulation ,INSTITUTIONAL review boards ,EDUCATIONAL standards ,ALTERNATIVE education - Abstract
Introduction: Postoperative patients with ostomies experience significant changes in their lives as a result of the device implantation. Self-care is important to improve their health outcomes. Telehealth provides an opportunity to expand access to self-care education. Aim: This is a multicenter, non-inferiority randomized, open-label, controlled trial to evaluate the non-inferiority of a telehealth intervention to the standard in-person approach in improving self-care behaviors. Methods and analysis: Three hundred and eighty-four patients aged ≥ 18 years, with a recently placed ostomy, no stomal/peristomal complications, and documented cognitive integrity will be randomly assigned (1:1) to receive either a telehealth intervention (four remote educational sessions) or a standard educational approach (four in-person sessions) delivered in outpatient settings. Every session (remote and in-person) will occur on Days 25, 32, 40, and 60 after discharge. Follow-ups will occur 1, 3, and 6 months after the last intervention session. Primary outcome is self-care maintenance measured using the Ostomy Self-care Index (OSCI). Secondary outcomes include self-care monitoring, self-care management, self-efficacy (OSCI), quality of life (Stoma specific quality of Life), depression (Patient Health Questionnaire-9), adjustment (Ostomy Adjustment Inventory-23), stomal and peristomal complication rates, healthcare services utilization, mobility, and number of working days lost. Analyses will be performed per intention-to-treat and per protocol. Ethics and dissemination: This study has been approved by the Institutional Review Board of the main center (registration number: 119/22). Following completion of the trial, dissemination meetings will be held to share the results of the study with the participants and the health-care team. Adoption of telehealth technologies for ostomy patients can improve service organization by ensuring better integration and continuity of care. If the remote intervention produces comparable effects to the in-person intervention, it would be wise to make telehealth education an alternative treatment for addressing the educational needs of uncomplicated postoperative ostomy patients. Trial registration: ClinicalTrials.gov (identifier number: NCT05796544). [ABSTRACT FROM AUTHOR]
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- 2024
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5. The Health of a Migrant Population: A Phenomenological Study of the Experience of Refugees and Asylum Seekers in a Multicultural Context.
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Arcadi, Paola, Figura, Mariachiara, Simeone, Silvio, Pucciarelli, Gianluca, Vellone, Ercole, and Alvaro, Rosaria
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IMMIGRANTS ,HEALTH services accessibility ,COMMUNITY health services ,MENTAL health ,QUALITATIVE research ,ACCULTURATION ,RESEARCH funding ,PSYCHOLOGY of refugees ,CULTURAL competence ,INTERVIEWING ,DESCRIPTIVE statistics ,LEBANESE ,THEMATIC analysis ,QUALITY of life ,RESEARCH methodology ,MEDICAL needs assessment ,PHENOMENOLOGY ,SOCIAL support ,WELL-being - Abstract
Refugees and asylum seekers bring with them a plurality of cultures, traditions, and values that could prove crucial in influencing perceived health needs, requests for intervention, or willingness to undergo specific health treatments. Although studies have focused on the health consequences of forced migration, in recent years, there has been a lack of information on how refugees and asylum seekers represent their experiences of perceived health needs and elements that influence well-being, in a community context. This study aims to explore the experience of refugees and asylum seekers in an Italian multicultural community about perceived health needs. A qualitative phenomenological study was conducted with an interpretive approach. The data were collected using a semi-structured face-to-face interview. The interviews were transcribed, read thoroughly, and analyzed. Nineteen refugees and asylum seekers were interviewed. Three main themes were extracted: (1) the centrality of the family to feel healthy; (2) feeling part of a community; and (3) stability and security. The results confirm that health needs, experiences, and different cultural representations of health and illness should be read and addressed with a culturally competent vision. This study was not registered. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Abstract 13792: Different Trajectories of Specific-Disease QoL in Stroke Survivors and Their Associations With Caregiver Anxiety, Depression and Burden: A Longitudinal Study
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Pucciarelli, Gianluca, Bartoli, Davide, Vellone, Ercole, Alvaro, Rosaria, Greco, Andrea, and Brugnera, Agostino
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- 2022
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7. Translation and cross-cultural adaptation of the Clinical Care Classification system
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Zeffiro, Valentina, Sanson, Gianfranco, Vanalli, Mariangela, Cocchieri, Antonello, Ausili, Davide, Alvaro, Rosaria, and D'Agostino, Fabio
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- 2021
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8. The sequential antifracturative treatment: a meta-analysis of randomized clinical trials.
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Fassio, Angelo, Gatti, Davide, Biffi, Annalisa, Ronco, Raffaella, Porcu, Gloria, Adami, Giovanni, Alvaro, Rosaria, Bogini, Riccardo, Caputi, Achille P., Cianferotti, Luisella, Frediani, Bruno, Gonnelli, Stefano, Iolascon, Giovanni, Lenzi, Andrea, Leone, Salvatore, Michieli, Raffaella, Migliaccio, Silvia, Nicoletti, Tiziana, Paoletta, Marco, and Pennini, Annalisa
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META-analysis ,CLINICAL trials ,DATA analysis ,EVALUATION ,LANGUAGE & languages - Abstract
Background: Subjects with a fragility fracture have an increased risk of a new fracture and should receive effective strategies to prevent new events. The medium-term to long-term strategy should be scheduled by considering the mechanisms of action in therapy and the estimated fracture risk. Objective: A systematic review was conducted to evaluate the sequential strategy in patients with or at risk of a fragility fracture in the context of the development of the Italian Guidelines. Design: Systematic review and meta-analysis. Data sources and methods: PubMed, Embase, and the Cochrane Library were investigated up to February 2021 to update the search of a recent systematic review. Randomized clinical trials (RCTs) that analyzed the sequential therapy of antiresorptive, anabolic treatment, or placebo in patients with or at risk of a fragility fracture were eligible. Three authors independently extracted data and appraised the risk of bias in the included studies. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation methodology. Effect sizes were pooled in a meta-analysis using fixed-effects models. The primary outcome was the risk of refracture, while the secondary outcome was the bone mineral density (BMD) change. Results: In all, 17 RCTs, ranging from low to high quality, met our inclusion criteria. A significantly reduced risk of fracture was detected at (i) 12 or 24 months after the switch from romosozumab to denosumab versus placebo to denosumab; (ii) 30 months from teriparatide to bisphosphonates versus placebo to bisphosphonates; and (iii) 12 months from romosozumab to alendronate versus the only alendronate therapy (specifically for vertebral fractures). In general, at 2 years after the switch from anabolic to antiresorptive drugs, a weighted BMD was increased at the lumbar spine, total hip, and femoral neck site. Conclusion: The Task Force formulated recommendations on sequential therapy, which is the first treatment with anabolic drugs or 'bone builders' in patients with very high or imminent risk of fracture. Plain language summary: A systematic review to evaluate the sequential therapy of antiresorptive (denosumab and bisphosphonate, such as alendronate, minodronate, risedronate, and etidronate), anabolic treatment (such as romosozumab, teriparatide), or placebo in patients with or at risk of a fragility fracture in the context of the development of the Italian Guidelines Subjects with previous fragility fractures should promptly receive effective strategies to prevent the risk of subsequent events. Indeed, patients with a fragility fracture have a doubled risk of a new fracture. For this reason, it is essential to provide adequate sequential therapy based on the mechanisms and the rapidity of action. A systematic review was performed to identify the sequential strategy in patients at high- or imminent-risk of (re)fracture and to support the Panel of the Italian Fragility Fracture Guideline in formulating recommendations. Our systematic review included seventeen studies mostly focused on women and enabled us to strongly recommend the anabolic drugs as first-line treatment. Specifically, for the sequential therapy from anabolic to antiresorptive treatment, there was a significant reduction in the risk of different types of fractures after the switch from romosozumab to denosumab versus placebo to denosumab. These findings were confirmed at 24 months after the switch. Considering the sequential treatment from antiresorptive to anabolic medications, there was a decreased risk of fracture 12 months after the switch from placebo to teriparatide versus bisphosphonate or antiresorptive to teriparatide. Moreover, a greater bone mineral density increase after the switch from anabolic to antiresorptive medications was shown in the lumbar spine, total hip, and femoral neck. The results of this systematic review and meta-analysis confirm that initial treatment with anabolic drugs produces substantial bone mineral density improvements, and the transition to antiresorptive drugs can preserve or even amplify the acquired benefit. These findings support the choice to treat very high-risk individuals with anabolic drugs first, followed by antiresorptive drugs. [ABSTRACT FROM AUTHOR]
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- 2024
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9. The relationship between caregiver contribution to self-care and patient quality of life in heart failure: A longitudinal mediation analysis.
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Caggianelli, Gabriele, Alivernini, Fabio, Chirico, Andrea, Iovino, Paolo, Lucidi, Fabio, Uchmanowicz, Izabella, Rasero, Laura, Alvaro, Rosaria, and Vellone, Ercole
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HEALTH self-care ,CAREGIVERS ,QUALITY of life ,HEART failure ,HEART failure patients - Abstract
Background: Patients with heart failure may experience poor quality of life due to a variety of physical and psychological symptoms. Quality of life can improve if patients adhere to consistent self-care behaviors. Patient outcomes (i.e., quality of life) are thought to improve as a result of caregiver contribution to self-care. However, uncertainty exists on whether these outcomes improve as a direct result of caregiver contribution to self-care or whether this improvement occurs indirectly through the improvement of patient heart failure self-care behaviors. Aims: To investigate the influence of caregiver contribution to self-care on quality of life of heart failure people and explore whether patient self-care behaviors mediate such a relationship. Methods: This is a secondary analysis of the MOTIVATE-HF randomized controlled trial (Clinicaltrials.gov registration number: NCT02894502). Data were collected at baseline and 3 months. An autoregressive longitudinal path analysis model was conducted to test our hypotheses. Results: We enrolled a sample of 510 caregivers [mean age = 54 (±15.44), 24% males)] and 510 patients [mean age = 72.4 (±12.28), 58% males)]. Patient self-care had a significant and direct effect on quality of life at three months (β = 0.20, p <.01). Caregiver contribution to self-care showed a significant direct effect on patient self-care (β = 0.32, p <.01), and an indirect effect on patient quality of life through the mediation of patient self-care (β = 0.07, p <.001). Conclusion: Patient quality of life is influenced by self-care both directly and indirectly, through the mediation of caregiver contribution to self-care. These findings improve our understanding on how caregiver contribution to self-care improves patient outcomes. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Association between Boarding of Frail Individuals in the Emergency Department and Mortality: A Systematic Review.
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Iozzo, Pasquale, Spina, Noemi, Cannizzaro, Giovanna, Gambino, Valentina, Patinella, Agostina, Bambi, Stefano, Vellone, Ercole, Alvaro, Rosaria, and Latina, Roberto
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HOSPITAL emergency services ,OLDER patients ,GREY literature ,CINAHL database ,MORTALITY - Abstract
(1) Background: Older patients who attend emergency departments are frailer than younger patients and are at a high risk of adverse outcomes; (2) Methods: To conduct this systematic review, we adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. We systematically searched literature from PubMed, Embase, OVID Medline
® , Scopus, CINAHL via EBSCOHost, and the Cochrane Library up to May 2023, while for grey literature we used Google Scholar. No time restrictions were applied, and only articles published in English were included. Two independent reviewers assessed the eligibility of the studies and extracted relevant data from the articles that met our predefined inclusion criteria. The Critical Appraisal Skills Program (CASP) was used to assess the quality of the studies; (3) Results: Evidence indicates that prolonged boarding of frail individuals in crowded emergency departments (Eds) is associated with adverse outcomes, exacerbation of pre-existing conditions, and increased mortality risk; (4) Conclusions: Our results suggest that frail individuals are at risk of longer ED stays and higher mortality rates. However, the association between the mortality of frail patients and the amount of time a patient spends in exposure to the ED environment has not been fully explored. Further studies are needed to confirm this hypothesis. [ABSTRACT FROM AUTHOR]- Published
- 2024
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11. Pediatric nurses in pediatricians’ offices: a survey for primary care pediatricians
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Dall’Oglio, Immacolata, Rosati, Giovanni Vitali, Biagioli, Valentina, Tiozzo, Emanuela, Gawronski, Orsola, Ricci, Riccardo, Garofalo, Antonio, Piga, Simone, Gramaccioni, Simone, Di Maria, Claudio, Vanzi, Valentina, Querciati, Alessandra, Alvaro, Rosaria, Biancalani, Luciana, Buonomo, Ersilia, Doria, Mattia, and Villani, Alberto
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- 2021
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12. Enhancing the performance of predictive models for Hospital mortality by adding nursing data
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Sanson, Gianfranco, Welton, John, Vellone, Ercole, Cocchieri, Antonello, Maurici, Massimo, Zega, Maurizio, Alvaro, Rosaria, and D’Agostino, Fabio
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- 2019
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13. Role of Spirituality on the Association Between Depression and Quality of Life in Stroke Survivor–Care Partner Dyads
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Pucciarelli, Gianluca, Vellone, Ercole, Bolgeo, Tatiana, Simeone, Silvio, Alvaro, Rosaria, Lee, Christopher S., and Lyons, Karen S.
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- 2020
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14. Knowledge, Attitudes, and Practices Related to Schistosomiasis Among Children in Northern Senegal
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Frigerio, Simona, Bert, Fabrizio, Clari, Marco, Di Fine, Giovanni, Riva, Susanna, Bergese, Ilaria, Diouf, Samba Gueye, Alvaro, Rosaria, and Buonomo, Ersilia
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- 2016
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15. Clinical guidelines for the prevention and treatment of osteoporosis: summary statements and recommendations from the Italian Society for Orthopaedics and Traumatology
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Tarantino, Umberto, Iolascon, Giovanni, Cianferotti, Luisella, Masi, Laura, Marcucci, Gemma, Giusti, Francesca, Marini, Francesca, Parri, Simone, Feola, Maurizio, Rao, Cecilia, Piccirilli, Eleonora, Zanetti, Emanuela Basilici, Cittadini, Noemi, Alvaro, Rosaria, Moretti, Antimo, Calafiore, Dario, Toro, Giuseppe, Gimigliano, Francesca, Resmini, Giuseppina, and Brandi, Maria Luisa
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- 2017
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16. Nursing Students’ Perceptions of Virtual Simulation in Nursing Education During the COVID-19 Pandemic: A Proposal for a Validation Protocol and Cross-Sectional Study
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Mazzotta, Rocco, Durante, Angela, Zeffiro, Valentina, Maurici, Massimo, Vellone, Ercole, Alvaro, Rosaria, Bulfone, Giampiera, 0000-0002-1874-5233, 0000-0003-1034-5988, 0000-0002-1701-1879, 0000-0001-5884-161X, 0000-0003-4673-7473, 0000-0002-4659-1569, and 0000-0002-5299-3302
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Virtual simulation ,Nursing Students ,Body interact system ,Virtual Simulation, Nursing Students ,Virtual Simulation ,Nursing student - Published
- 2023
17. Executive summary: Italian guidelines for diagnosis, risk stratification, and care continuity of fragility fractures 2021
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Corrao, Giovanni, Biffi, Annalisa, Porcu, Gloria, Ronco, Raffaella, Adami, Giovanni, Alvaro, Rosaria, Bogini, Riccardo, Caputi, Achille Patrizio, Cianferotti, Luisella, Frediani, Bruno, Gatti, Davide, Gonnelli, Stefano, Iolascon, Giovanni, Lenzi, Andrea, Leone, Salvatore, Michieli, Raffaella, Migliaccio, Silvia, Nicoletti, Tiziana, Paoletta, Marco, Pennini, Annalisa, Piccirilli, Eleonora, Rossini, Maurizio, Tarantino, Umberto, Brandi, Maria Luisa, Corrao, G, Biffi, A, Porcu, G, Ronco, R, Adami, G, Alvaro, R, Bogini, R, Caputi, A, Cianferotti, L, Frediani, B, Gatti, D, Gonnelli, S, Iolascon, G, Lenzi, A, Leone, S, Michieli, R, Migliaccio, S, Nicoletti, T, Paoletta, M, Pennini, A, Piccirilli, E, Rossini, M, Tarantino, U, and Brandi, M
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grade ,systematic review ,Endocrinology, Diabetes and Metabolism ,evidence-based guideline ,fragility fracture ,secondary prevention - Abstract
BackgroundFragility fractures are a major public health concern owing to their worrying and growing burden and their onerous burden upon health systems. There is now a substantial body of evidence that individuals who have already suffered a fragility fracture are at a greater risk for further fractures, thus suggesting the potential for secondary prevention in this field.PurposeThis guideline aims to provide evidence-based recommendations for recognizing, stratifying the risk, treating, and managing patients with fragility fracture. This is a summary version of the full Italian guideline.MethodsThe Italian Fragility Fracture Team appointed by the Italian National Health Institute was employed from January 2020 to February 2021 to (i) identify previously published systematic reviews and guidelines on the field, (ii) formulate relevant clinical questions, (iii) systematically review literature and summarize evidence, (iv) draft the Evidence to Decision Framework, and (v) formulate recommendations.ResultsOverall, 351 original papers were included in our systematic review to answer six clinical questions. Recommendations were categorized into issues concerning (i) frailty recognition as the cause of bone fracture, (ii) (re)fracture risk assessment, for prioritizing interventions, and (iii) treatment and management of patients experiencing fragility fractures. Six recommendations were overall developed, of which one, four, and one were of high, moderate, and low quality, respectively.ConclusionsThe current guidelines provide guidance to support individualized management of patients experiencing non-traumatic bone fracture to benefit from secondary prevention of (re)fracture. Although our recommendations are based on the best available evidence, questionable quality evidence is still available for some relevant clinical questions, so future research has the potential to reduce uncertainty about the effects of intervention and the reasons for doing so at a reasonable cost.
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- 2023
18. Medication holidays in osteoporosis: evidence-based recommendations from the Italian guidelines on 'Diagnosis, risk stratification, and continuity of care of fragility fractures' based on a systematic literature review.
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Migliaccio, Silvia, Moretti, Antimo, Biffi, Annalisa, Ronco, Raffaella, Porcu, Gloria, Adami, Giovanni, Alvaro, Rosaria, Bogini, Riccardo, Caputi, Achille Patrizio, Cianferotti, Luisella, Frediani, Bruno, Gatti, Davide, Gonnelli, Stefano, Lenzi, Andrea, Leone, Salvatore, Nicoletti, Tiziana, Paoletta, Marco, Pennini, Annalisa, Piccirilli, Eleonora, and Michieli, Raffaella
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Background: Noncommunicable, chronic diseases need pharmacological interventions for long periods or even throughout life. The temporary or permanent cessation of medication for a specific period, known as a 'medication holiday,' should be planned by healthcare professionals. Objectives: We evaluated the association between continuity (adherence or persistence) of treatment and several outcomes in patients with fragility fractures in the context of the development of the Italian Guidelines. Design: Systematic review. Data Sources and Methods: We systematically searched PubMed, Embase, and the Cochrane Library up to November 2020 for randomized clinical trials (RCTs) and observational studies that analyzed medication holidays in patients with fragility fracture. Three authors independently extracted data and appraised the risk of bias of the included studies. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation methodology. Effect sizes were pooled in a meta-analysis using random effects models. Primary outcomes were refracture and quality of life; secondary outcomes were mortality and treatment-related adverse events. Results: Six RCTs and nine observational studies met our inclusion criteria, ranging from very low to moderate quality. The adherence to antiosteoporotic drugs was associated with a lower risk of nonvertebral fracture [relative risk (RR) 0.42, 95% confidence interval (CI) 0.20–0.87; three studies] than nonadherence, whereas no difference was detected in the health-related quality of life. A reduction in refracture risk was observed when continuous treatment was compared to discontinuous therapy (RR 0.49, 95% CI 0.25–0.98; three studies). A lower mortality rate was detected for the adherence and persistence measures, while no significant differences were noted in gastrointestinal side effects in individuals undergoing continuous versus discontinuous treatment. Conclusion: Our findings suggest that clinicians should promote adherence and persistence to antiosteoporotic treatment in patients with fragility fractures unless serious adverse effects occur. [ABSTRACT FROM AUTHOR]
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- 2023
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19. Neonatal intensive care parent satisfaction: a multicenter study translating and validating the Italian EMPATHIC-N questionnaire
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Dall’Oglio, Immacolata, Fiori, Martina, Tiozzo, Emanuela, Mascolo, Rachele, Portanova, Anna, Gawronski, Orsola, Ragni, Angela, Amadio, Patrizia, Cocchieri, Antonello, Fida, Roberta, Alvaro, Rosaria, Rocco, Gennaro, Latour, Jos M., and Italian Empathic-N Study Group
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- 2018
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20. Communication with the public in the health-care system: a descriptive study of the use of social media in Local Health Authorities and public hospitals in Italy
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Marina Vanzetta, Ercole Vellone, Alberto Dal Molin, Gennaro Rocco, Maria Grazia De Marinis, and Alvaro Rosaria
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members of the public ,health-care information ,websites ,social media ,Public aspects of medicine ,RA1-1270 - Abstract
INTRODUCTION. In 2010 the Italian Ministry of Health set out recommendations for the use of social technology and Web 2.0, inviting organisations within the Italian national health service (Servizio Sanitario Nazionale, SSN) to equip themselves with instruments. Objectives. 1. to ascertain how many local health authorities (Aziende Sanitarie Locali, ASL) and public hospitals have a presence on the most widely used social media websites in Italy: Facebook, Twitter and YouTube; 2. to find out how well the Facebook, Twitter and YouTube pages of ASLs and public hospitals are known among the general population; 3. to find out how ASLs and public hospitals engage with the general public on social media sites. MATERIALS AND METHODS. The websites of all ASLs and public hospitals across the country were visited to look for the icons of the social media sites under examination. The data considered were publicly available upon access. RESULTS. A total of 245 websites were analysed. 7.34% ASLs and hospitals had social media accounts. 8 organisations had an account on all three of the social media sites considered in the study. CONCLUSIONS. The results show a low presence of ASLs and hospitals on social media. Other studies are needed in this field.
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- 2014
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21. Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke: A Longitudinal Dyadic Analysis
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Pucciarelli, Gianluca, Vellone, Ercole, Savini, Serenella, Simeone, Silvio, Ausili, Davide, Alvaro, Rosaria, Lee, Christopher S., and Lyons, Karen S.
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- 2017
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22. Anxiety, sleep disorders and self‐efficacy among nurses during COVID‐19 pandemic: A large cross‐sectional study
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Simonetti, Valentina, Durante, Angela, Ambrosca, Rossella, Arcadi, Paola, Graziano, Giusi, Pucciarelli, Gianluca, Simeone, Silvio, Vellone, Ercole, Alvaro, Rosaria, Cicolini, Giancarlo, 0000-0002-7185-4850, 0000-0003-1034-5988, 0000-0003-1050-4707, 0000-0002-3347-8049, 0000-0001-6915-6802, 0000-0001-9266-0185, 0000-0003-4673-7473, 0000-0002-4659-1569, 0000-0002-2736-1792, Simonetti, V, Durante, A, Ambrosca, R, Arcadi, P, Graziano, G, Pucciarelli, G, Simeone, S, Vellone, E, Alvaro, R, and Cicolini, G
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Male ,Cross-sectional study ,efficacy ,Anxiety ,Nursing Staff, Hospital ,Logistic regression ,0302 clinical medicine ,nursing ,Risk Factors ,Pandemic ,Health care ,Prevalence ,COVID‐ ,030212 general & internal medicine ,General Nursing ,030504 nursing ,self‐ ,COVID‐19 pandemic ,General Medicine ,Middle Aged ,anxiety ,Checklist ,Self Efficacy ,Settore MED/45 ,19 pandemic ,Italy ,Original Article ,sleep disorders ,Female ,medicine.symptom ,0305 other medical science ,self-efficacy ,Clinical psychology ,self‐efficacy ,Adult ,Sleep Wake Disorders ,COVID-19 pandemic ,nurses ,03 medical and health sciences ,medicine ,Humans ,Sex Distribution ,Self-efficacy ,Descriptive statistics ,business.industry ,COVID-19 ,Original Articles ,Cross-Sectional Studies ,business - Abstract
Aim and objectives: To assess the prevalence of anxiety, sleep disorders and self-efficacy and their predicting factors among nurses facing COVID-19. Background: The spread of COVID-19 throughout the world determined a series of modifications of several National Health Service organisations, with a potential series of psychological consequences among nurses, who were particularly afflicted by this situation of changes and precariousness. Design: A cross-sectional study was carried out from February-April 2020. Methods: A total of 1,005 nurses employed in different Italian hospital wards, during the COVID-19 pandemic, were recruited. Analyses were based on descriptive statistics and multivariate logistic regression. The STROBE checklist for cross-sectional studies was used in this study. Results: The prevalence of sleep disturbances, moderate anxiety and low self-efficacy was 71.4%, 33.23% and 50.65%, respectively. We found a positive correlation between anxiety and sleep quality (0.408; p < .0001) and negative correlations between self-efficacy and anxiety (-0.217; p < .0001) and sleep quality and self-efficacy (-0.134; p < .0001). The factor independently associated with all variables was gender. Females were more prone to sleep disturbances, anxiety and low levels of self-efficacy than males (p < .05). Conclusions: The prevalence of anxiety, sleep disorders and low self-efficacy among Italian nurses during the COVID-19 pandemic was high. Healthcare managers should recognise and consider these results to reduce the risk of the onset of major mental problems that could result in post-traumatic stress disorder. Relevance to clinical practice: Nurses facing major incidents as COVID-19 pandemic are among healthcare personnel exposed to a high risk to develop psychological disturbance that should be assessed and recognised, in order to find helpful coping strategies to inform support services and avoid to hesitate in post-traumatic stress disorders
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- 2021
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23. Nursing during the COVID-19 outbreak: A phenomenological study
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Arcadi, Paola, Simonetti, Valentina, Ambrosca, Rossella, Cicolini, Giancarlo, Simeone, Silvio, Pucciarelli, Gianluca, Alvaro, Rosaria, Vellone, Ercole, Durante, Angela, 0000-0003-1050-4707, 0000-0002-7185-4850, 0000-0002-2736-1792, 0000-0001-9266-0185, 0000-0001-6915-6802, 0000-0002-4659-1569, 0000-0003-4673-7473, 0000-0003-1034-5988, Arcadi, P, Simonetti, V, Ambrosca, R, Cicolini, G, Simeone, S, Pucciarelli, G, Alvaro, R, Vellone, E, and Durante, A
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Leadership and Management ,media_common.quotation_subject ,Face (sociological concept) ,nurses ,Disease Outbreaks ,educational need ,03 medical and health sciences ,experience ,Nursing ,COVID‐19 ,Perception ,Health care ,Humans ,Meaning (existential) ,Nursing management ,Association (psychology) ,media_common ,030504 nursing ,business.industry ,SARS-CoV-2 ,030503 health policy & services ,COVID-19 ,Original Articles ,Settore MED/45 ,Italy ,Compassion fatigue ,Original Article ,0305 other medical science ,Psychology ,business ,qualitative research ,Qualitative research - Abstract
Aim The aim of this study was to explore the experience of Italian nurses engaged in caring for patients with COVID-19. Background COVID-19 found the health care world unprepared to face an emergency of such magnitude. Italy was one of the most affected European countries, with more than 250,000 cases. Understanding the impact of events of this magnitude on nurses provides a framework of knowledge on which educational training could be based to face similar situations in the future to prevent further breakdown. Methods The hermeneutic approach by Cohen was used. Semi-structured interviews were conducted using a voice-over Internet protocol. Interviews were transcribed, read in depth and analysed. Results Twenty nurses were interviewed. Four themes were extracted: uncertainty and fear, alteration of perceptions of time and space, change in the meaning of 'to care' and changes in roles and relationships. Conclusions Psychological support in association with emergency training prevents stress and helps tackle compassion fatigue. Implications for nursing management Policies to improve nursing science should be developed to ensure better quality of care, a higher number of professionals and, consequently, an increase in the safety of patients.
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- 2021
24. Evaluation of the effectiveness of the 360-degree video compared to standard video for nursing students. Preliminary data of a randomized controlled trial
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Gazzelloni, Andrea, Sguanci, Marco, Piredda, Michela, Calandrella, Cristina, Tieri, Gaetano, Piga, Simone, Pizziconi, Valentina, D'Elpidio, Giuliana, Alvaro, Rosaria, and De Marinis, Maria Grazia
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- 2023
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25. Health Literacy in Patients' Clinical Records of Hospital Settings: A Systematic Review.
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Cristofori, Elena, Zeffiro, Valentina, Alvaro, Rosaria, D'Agostino, Fabio, Zega, Maurizio, and Cocchieri, Antonello
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HOSPITALS ,ONLINE information services ,CINAHL database ,SYSTEMATIC reviews ,HEALTH literacy ,DOCUMENTATION ,ELECTRONIC health records ,MEDLINE - Abstract
Introduction: Health literacy (HL) can be defined as the individual's ability to understand and process health information. A low level of HL can be viewed as a stronger predictor of a person's health status than age, education level, and race. Although HL is an important determinant of health, it is often underestimated. This systematic review investigates the evidence on HL assessment in hospital settings. Methods: PubMed Medline, CINAHL, Scopus, Web of Science and Educational Resources Information Centre databases were searched, with the date last searched being 16 March 2020. The PRISMA guidelines were applied, and the protocol of the study was registered with PROSPERO (CRD42021236029). The quality of the included studies was appraised using the STrengthening the Reporting of OBservational Studies in Epidemiology (STROBE) guidelines for cross-sectional studies. Results: Five studies reported HL assessments in hospital patients' clinical records. Four main strategies were used to implement HL routine assessment in hospitals: multidisciplinary teams, stakeholders, training, and monitoring. Different performance measures were used to monitor the feasibility of incorporating HL assessment into electronic health records (EHRs). Conclusion: This review examined how inpatients' HL is recorded in hospital settings. HL is poorly measured in a hospital setting. These results guide hospital leadership in involving nurses in HL assessment implementation in hospitals and support nurses in creating a specific performance measure dashboard to monitor effective HL assessments in hospitals. [ABSTRACT FROM AUTHOR]
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- 2022
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26. Protective Role of Caregiver Preparedness on the Relationship Between Depression and Quality of Life in Stroke Dyads.
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Pucciarelli, Gianluca, Lyons, Karen S., Petrizzo, Antonello, Ambrosca, Rossella, Simeone, Silvio, Alvaro, Rosaria, Lee, Christopher S., and Vellone, Ercole
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- 2022
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27. Effectiveness of motivational interviewing on health‐service use and mortality: a secondary outcome analysis of the MOTIVATE‐HF trial.
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Iovino, Paolo, Rebora, Paola, Occhino, Giuseppe, Zeffiro, Valentina, Caggianelli, Gabriele, Ausili, Davide, Alvaro, Rosaria, Riegel, Barbara, and Vellone, Ercole
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HEART failure patients ,HEART disease related mortality ,MOTIVATIONAL interviewing - Abstract
Aims: Intense health‐care service use and high mortality are common in heart failure (HF) patients. This secondary analysis of the MOTIVATE‐HF trial investigates the effectiveness of motivational interviewing (MI) in reducing health‐care service use (e.g. emergency service use and hospitalizations) and all‐cause mortality. Methods and results: This study used a randomized controlled trial. Patients and caregivers were randomized to Arm 1 (MI for patients), Arm 2 (MI for patients and caregivers), or Arm 3 (control group). Data were collected at baseline and at 3, 6, 9, and 12 months. Face‐to‐face MI plus three telephone calls were performed in Arms 1 and 2. The sample consisted of 510 patient (median age 74 years, 58% male patients) and caregiver dyads (median age 55 years, 75% female patients). At 12 months, 16.1%, 17%, and 11.2% of patients used health‐care services at least once in Arms 1, 2, and 3, respectively, without significant difference. At 3 months, 1.9%, 0.6%, and 5.1% of patients died in Arms 1, 2, and 3, respectively. Mortality was lower in Arm 2 vs. Arm 3 at 3 months [hazard ratio (HR) = 0.112, 95% CI: 0.014–0.882, P = 0.04]; no difference was found at subsequent follow‐ups. Mortality was lower in Arm 1 vs. Arm 3 at 3 months but did not reach statistical significance (HR = 0.38, 95% CI: 0.104–1.414, P = 0.15). Conclusion: This study suggests that MI reduces mortality in patients with HF if caregivers are included in the intervention. Further studies with a stronger intervention and longer follow‐up are needed to clarify the benefits of MI on health‐care service use and mortality. [ABSTRACT FROM AUTHOR]
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- 2021
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28. Pediatric nurses in pediatricians' offices: a survey for primary care pediatricians.
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Dall'Oglio, Immacolata, Rosati, Giovanni Vitali, Biagioli, Valentina, Tiozzo, Emanuela, Gawronski, Orsola, Ricci, Riccardo, Garofalo, Antonio, Piga, Simone, Gramaccioni, Simone, Di Maria, Claudio, Vanzi, Valentina, Querciati, Alessandra, Alvaro, Rosaria, Biancalani, Luciana, Buonomo, Ersilia, Doria, Mattia, and Villani, Alberto
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PEDIATRIC nurses ,OCCUPATIONAL roles ,HEALTH education ,MULTIVARIATE analysis ,PHYSICIANS' attitudes ,NURSES ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,HEALTH promotion - Abstract
Background: The role played by nurses in caring for children in pediatricians' officies in the community is crucial to ensure integrated care. In Italy, pediatricians are responsible for the health of children aged 0–14 years living in the community. This study aimed to describe Italian primary care pediatricians' opinions about the usefulness of several nursing activities that pediatric nurses could perform in pediatricians' offices. Methods: An online survey with pediatricians working in primary care in Italy was conducted between April–December 2018. A 40-item questionnaire was used to assess four types of nursing activities: clinical care, healthcare education, disease prevention, and organizational activities. The answers ranged from 1 (not useful at all) to 6 (very useful). Moreover, three open-ended questions completed the questionnaire. Results: Overall, 707 pediatricians completed the online survey. Participants were mainly female (63%), with a mean age of 57.74 (SD = 6.42). The presence of a pediatric nurse within the pediatrician's office was considered very useful, especially for healthcare education (Mean 4.90; SD 1.12) and disease prevention (Mean 4.82; SD 1.11). Multivariate analysis confirmed that pediatricians 'with less working experience', 'having their office in a small town', and 'collaborating with a secretary and other workers in the office' rated the nurse's activities significantly more useful. Conclusions: A pediatric nurse in the pediatrician's office can significantly contribute to many activities for children and their families in the community. These activities include clinical care, healthcare education, disease prevention, and the organizational processes of the office. Synergic professional activity between pediatricians and pediatric nurses could ensure higher health care standards in the primary care setting. [ABSTRACT FROM AUTHOR]
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- 2021
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29. Living with endometriosis: a phenomenological study.
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Rea, Teresa, Giampaolino, Pierluigi, Simeone, Silvio, Pucciarelli, Gianluca, Alvaro, Rosaria, and Guillari, Assunta
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ENDOMETRIOSIS ,EXPERIENCE ,PHENOMENOLOGY ,RESEARCH methodology ,SUFFERING ,UNCERTAINTY ,WOMEN'S health ,QUALITATIVE research ,SOCIAL support ,THEMATIC analysis - Abstract
Purpose: To explore and understand the lived experiences of women with endometriosis. Method: Qualitative study using Cohen phenomenology. Results: The data analysis identified four main themes and two sub-themes. The main themes are: delay in diagnosis, which includes the sub-theme of the misunderstanding of one's state; worsening of one's life, which includes the sub-theme of a painful life; disastrous intimate life with one's partner; and uncertainty about being able to have one's own children. Conclusions: The themes that emerged represent the starting point for further research and for the implementation of specific educational and support strategies that improve self-care, commitment and quality of life for women with endometriosis. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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30. The influence of work context and organizational well-being on psychophysical health of healthcare providers.
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Zaghini, Francesco, Vellone, Ercole, Maurici, Massimo, Sestili, Cristina, Mannocci, Alice, Ercoli, Elisa, Magnavita, Nicola, Torre, Giuseppe La, Alvaro, Rosaria, and Sili, Alessandro
- Abstract
Copyright of La Medicina del Lavoro is the property of Mattioli 1885 SpA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2020
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31. Motivational interviewing to improve self‐care in heart failure patients (MOTIVATE‐HF): a randomized controlled trial.
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Vellone, Ercole, Rebora, Paola, Ausili, Davide, Zeffiro, Valentina, Pucciarelli, Gianluca, Caggianelli, Gabriele, Masci, Stefano, Alvaro, Rosaria, and Riegel, Barbara
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HEART failure ,CAREGIVERS - Abstract
Aims: Self‐care, an essential component of heart failure (HF) treatment, is inadequate in most patients. We evaluated if motivational interviewing (MI) (i) improves patient self‐care maintenance (primary endpoint; e.g. taking medications), self‐care management (e.g. responding to symptoms) and self‐care confidence (or self‐efficacy) 3 months after enrolment; (ii) changes self‐care over 1 year, and (iii) augments patient self‐care if informal caregivers are involved. Methods and results: Parallel randomized controlled trial (1:1:1). A sample of 510 patients (median 74 years, 58% male) and caregivers (median 55 years, 75% female) was randomized to Arm 1 (MI only for patients), Arm 2 (MI for patients and caregivers), or Arm 3 (usual care). The intervention in Arms 1 and 2 consisted of one face‐to‐face MI session with three telephone contacts. Self‐care was evaluated with the Self‐Care of HF Index measuring self‐care maintenance, management, and confidence. Scores on each scale range from 0 to 100 with higher scores indicating better self‐care; ≥70 is considered adequate. At 3 months, self‐care maintenance improved 6.99, 7.42 and 2.58 points in Arms 1, 2, and 3, respectively (P = 0.028). Self‐care maintenance was adequate in 18.4%, 19.4%, and 9.2% of patients in Arms 1, 2 and 3, respectively (P = 0.016). Over 1 year, self‐care maintenance, management, and confidence scores in Arms 1 and 2 were significantly higher than in Arm 3 in several follow‐ups. Over 1 year, Arm 2 had the best scores in self‐care management. Conclusions: MI significantly improved self‐care in HF patients. Including caregivers may potentiate the effect, especially in self‐care management. ClinicalTrial.gov, identifier: NCT02894502. [ABSTRACT FROM AUTHOR]
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- 2020
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32. The effect of the burden of caregiving for people with spinal cord injury (SCI): a cross-sectional study.
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Maitan, Patrizia, Frigerio, Simona, Conti, Alessio, Clari, Marco, Vellone, Ercole, and Alvaro, Rosaria
- Published
- 2018
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33. The health needs of women prisoners: an Italian field survey.
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Antonetti, Giovanni, D'Angelo, Daniela, Scampati, Paola, Croci, Ileana, Mostarda, Narciso, Potenza, Saverio, and Alvaro, Rosaria
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- 2018
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34. Neonatal intensive care parent satisfaction: a multicenter study translating and validating the Italian EMPATHIC-N questionnaire.
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Dall'Oglio, Immacolata, Fiori, Martina, Tiozzo, Emanuela, Mascolo, Rachele, Portanova, Anna, Gawronski, Orsola, Ragni, Angela, Amadio, Patrizia, Cocchieri, Antonello, Fida, Roberta, Alvaro, Rosaria, Rocco, Gennaro, and Latour, Jos M.
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STATISTICAL correlation ,FACTOR analysis ,MEDICAL cooperation ,NEONATAL intensive care ,PSYCHOMETRICS ,QUESTIONNAIRES ,RESEARCH ,RESEARCH evaluation ,SATISFACTION ,CULTURAL values ,NEONATAL intensive care units ,DISCHARGE planning ,PARENT attitudes ,RESEARCH methodology evaluation - Abstract
Background: In Neonatal Intensive Care Units (NICUs), parent satisfaction and their experiences are fundamental to assess clinical practice and improve the quality of care delivered to infants and parents. Recently, a specific instrument, the EMpowerment of PArents in THe Intensive Care-Neonatology (EMPATHIC-N), has been developed in the Netherlands. This instrument investigated different domains of care in NICUs from a family-centered care perspective. In Italy, no rigorous instruments are available to evaluate parent satisfaction and experiences in NICU with family-centered care. The aim of this study was to translate and validate the EMPATHIC-N instrument into Italian language measuring parent satisfaction. Methods: A psychometric study was conducted in nine Italian NICUs. The hospitals were allocated across Italy: four in the North, four in Central region, one in the South. Parents whose infants were discharged from the Units were enrolled. Parents whose infants died were excluded. Results: Back-forward translation was conducted. Twelve parents reviewed the instrument to assess the cultural adaptation; none of the items fell below the cut-off of 80% agreement. A total of 186 parents of infants who were discharged from nine NICUs were invited to participate and 162 parents responded and returned the questionnaire (87%). The mean scores of the individual items varied between 4.3 and 5.9. Confirmatory factor analysis was performed and all factor loadings were statistically significant with the exception of item 'Our cultural background was taken into account'. The items related to overall satisfaction showed a higher trend with mean values of 5.8 and 5.9. The Cronbach's alpha's (at domain level 0.73-0.92) and corrected item-total scale correlations revealed high reliability estimates. Conclusions: The Italian EMPATHIC-N showed to be a valid and reliable instrument measuring parent satisfaction in NICUs from a family-centered care perspective. Indeed, it had good psychometric properties, validity, and reliability. Furthermore, this instrument is fundamental for further research and internationally benchmarking. [ABSTRACT FROM AUTHOR]
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- 2018
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35. Health-promotion theories in nutritional interventions for community-dwelling older adults: a systematic review.
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Raffaele, Barbara, Matarese, Maria, Alvaro, Rosaria, and De Marinis, Maria Grazia
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- 2017
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36. Nurses' reporting of suspect adverse drug reactions: a mixed-methods study.
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De Angelis, Alessia, Giusti, Angela, Colaceci, Sofia, Vellone, Ercole, and Alvaro, Rosaria
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- 2015
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37. Bone care nurses and the evolution of the nurse's educational function: the Guardian Angel® research project.
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Alvaro, Rosaria, Pennini, Annalisa, Zannetti, Emanuela Basilici, Cittadini, Noemi, Feola, Maurizio, Rao, Cecilia, D'Agostino, Fabio, Vellone, Ercole, and Tarantino, Umberto
- Subjects
- *
OSTEOPOROSIS in women , *BONE fractures in old age , *QUALITY of life , *TREATMENT of fractures , *LIFESTYLES & health , *NURSES , *PATIENT education - Abstract
Osteoporosis mostly affects females over 50 years old, worldwide. The main osteoporosis complication is fragility fractures that reduce quality of life and cause morbidity and mortality. Most patients who have fragility fractures are treated for the fracture. However, patients' adherence to follow-up treatment plans is poor. Therefore, tailored educational interventions are needed to improve medication adherence and healthy lifestyles. In this context, the role of bone care nurses is important, as they can act at different levels of osteoporosis prevention and fracture liaison services, which are se-condary fracture prevention programmes implemented by health care systems to treat osteoporotic patients. In Italy, a research project called Guardian Angel® was developed to provide tailored education to osteoporotic women in order to improve their disease management and reduce related complications. [ABSTRACT FROM AUTHOR]
- Published
- 2015
38. Barriers in the management of cancer-related pain and strategies to overcome them: findings of a qualitative research involving physicians and nurses in Italy.
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Prandi, Cesarina, Garrino, Lorenza, Mastromarino, Paola, Torino, Francesco, Vellone, Ercole, Peruselli, Carlo, and Alvaro, Rosaria
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- 2015
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39. The Evolution of Professional Nursing Culture in Italy: Metaphors and Paradoxes.
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Rocco, Gennaro, Affonso, Dyanne D., Mayberry, Linda J., Stievano, Alessandro, Alvaro, Rosaria, and Sabatino, Laura
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- 2014
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40. Nurses and Stigma at the Time of COVID-19: A Phenomenological Study.
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Simeone, Silvio, Rea, Teresa, Guillari, Assunta, Vellone, Ercole, Alvaro, Rosaria, and Pucciarelli, Gianluca
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SOCIAL stigma ,MENTAL health personnel ,MEDICAL personnel ,COVID-19 ,NURSES - Abstract
The COVID-19 pandemic is putting strain on every country in the world and their health systems. Healthcare professionals struggle on the frontline and they can experience stigma, which can create difficulties in controlling epidemic diseases, influencing the mental health of healthcare professionals, caregivers, families, communities, and the provided quality of care. The aim of this study is to explore the lived experience of Italian nurses about perceived stigma during COVID-19 pandemic with the phenomenological Cohen method. The principal themes that emerged from data analysis were "stigma in the working environment" and "stigma in everyday life". Each of these themes had subthemes: "looks like gun sights", "avoiding closeness to others", "nobody wants to touch you", and "the fault of being your family members". Public health emergencies, such as the COVID-19 pandemic, are stressful events for individuals and communities. Stigma can be more dangerous than the disease, and a major obstacle to appropriate medical and mental health interventions. Understanding how healthcare professionals experience stigma is essential to design and implement specific educational, psychological, and organisational programmes. [ABSTRACT FROM AUTHOR]
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- 2022
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41. Medical humanities in healthcare education in Italy: a literature review.
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Fieschi, Laura, Matarese, Maria, Vellone, Ercole, Alvaro, Rosaria, and De Marinis, Maria Grazia
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- 2013
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42. Development and Psychometric Testing of the Self-Care in COVID-19 (SCOVID) Scale, an Instrument for Measuring Self-Care in the COVID-19 Pandemic.
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De Maria, Maddalena, Ferro, Federico, Ausili, Davide, Alvaro, Rosaria, De Marinis, Maria Grazia, Di Mauro, Stefania, Matarese, Maria, and Vellone, Ercole
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- 2020
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43. The lived experiences of frontline nurses and physicians infected by COVID-19 during their activities: a phenomenological study
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Silvio Simeone, Rossella Ambrosca, Ercole Vellone, Angela Durante, Paola Arcadi, Giancarlo Cicolini, Valentina Simonetti, Rosaria Alvaro, Gianluca Pucciarelli, Simeone, Silvio, Ambrosca, Rossella, Vellone, Ercole, Durante, Angela, Arcadi, Paola, Cicolini, Giancarlo, Simonetti, Valentina, Alvaro, Rosaria, and Pucciarelli, Gianluca
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Male ,phenomenological ,SARS-CoV-2 ,physicians ,Emotions ,nurse ,Nurses ,COVID-19 ,healthcare ,General Medicine ,Middle Aged ,Settore MED/45 ,nursing ,qualitative ,lived experience ,Humans ,Pandemics ,Qualitative Research ,General Nursing - Abstract
In this study, we analysed the lived experiences of frontline nurses and physicians who were affected by COVID-19 through a phenomenological study, using a Cohen's phenomenological methodology. The participants were enrolled in the study in May 2020 during the COVID-19 pandemic in Italy. The inclusion criteria were as follows: (1) was a nurse or physician employed full time caring for COVID-19 patients before falling ill; (2) contracting SARS-CoV-2 during the period from February 2020 to May 2020; and (3) had recovered before enrolment in the study. Sixteen participants (60% nurses) with an average age of 45 years were included in this study. The following main themes were extrapolated from our data analysis: "fear of diagnosis", "loneliness (as isolation)", "touch of nurses" and "feeling guilty of abandonment". From our study several aspects emerge that highlight how strong the emotional impact of COVID was on nurses and physicians infected during their activities, such as, on the one hand, feelings of fear, loneliness, and, on the other hand, the impotence of not being able to help.
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- 2022
44. Nursing Diagnoses as Predictors of Hospital Length of Stay: A Prospective Observational Study
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Federico Spandonaro, Gianfranco Sanson, Massimo Maurici, Maurizio Zega, Antonello Cocchieri, Ercole Vellone, Fabio D'Agostino, Rosaria Alvaro, Barbara Polistena, John M. Welton, D'Agostino, Fabio, Vellone, Ercole, Cocchieri, Antonello, Welton, John, Maurici, Massimo, Polistena, Barbara, Spandonaro, Federico, Zega, Maurizio, Alvaro, Rosaria, and Sanson, Gianfranco
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Adult ,Male ,Diagnosis-related group ,Adolescent ,Nursing Diagnosis ,Length of hospitalization ,hospital length of stay ,Severity of Illness Index ,regression analysis ,Settore MED/45 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE ,Hospitals, University ,03 medical and health sciences ,Nursing care ,Young Adult ,0302 clinical medicine ,Patient Admission ,Nursing ,Medicine ,Electronic Health Records ,Humans ,Clinical significance ,030212 general & internal medicine ,Hospital Mortality ,Prospective Studies ,Medical diagnosis ,Child ,General Nursing ,Nursing (all)2901 Nursing (miscellaneous) ,Aged ,Aged, 80 and over ,030504 nursing ,business.industry ,Regression analysis ,Diagnosis-related groups ,nursing diagnosis ,observational study ,outcome ,Middle Aged ,Length of Stay ,University hospital ,Patient Discharge ,Hospitalization ,Observational study ,Female ,0305 other medical science ,business ,nursing diagnosi ,Nursing diagnosis - Abstract
PURPOSE: To investigate whether the number of nursing diagnoses on hospital admission is an independent predictor of the hospital length of stay. DESIGN: A prospective observational study was carried out. A sample of 2,190 patients consecutively admitted (from July to December 2014) in four inpatient units (two medical, two surgical) of a 1,547-bed university hospital were enrolled for the study. METHODS: Data were collected from a clinical nursing information system and the hospital discharge register. Two regression analyses were performed to investigate if the number of nursing diagnoses on hospital admission was an independent predictor of length of stay and length of stay deviation after controlling for patients' sociodemographic characteristics (age, gender), clinical variables (disease groupers, disease severity morbidity indexes), and organizational hospital variables (admitting inpatient unit, modality of admission). FINDINGS: The number of nursing diagnoses was shown to be an independent predictor of both the length of stay (β = .15; p < .001) and the length of stay deviation (β = .19; p < .001). CONCLUSIONS: The number of nursing diagnoses is a strong independent predictor of an effective hospital length of stay and of a length of stay longer than expected. CLINICAL RELEVANCE: The systematic inclusion of standard nursing care data in electronic health records can improve the predictive ability on hospital outcomes and describe the patient complexity more comprehensively, improving hospital management efficiency.
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- 2019
45. Clinical guidelines for the prevention and treatment of osteoporosis: summary statements and recommendations from the Italian Society for Orthopaedics and Traumatology
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Francesca Marini, Giovanni Iolascon, Francesca Giusti, Emanuela Basilici Zanetti, Cecilia Rao, Luisella Cianferotti, Umberto Tarantino, Eleonora Piccirilli, Rosaria Alvaro, Maria Luisa Brandi, Simone Parri, Antimo Moretti, Francesca Gimigliano, Noemi Cittadini, Dario Calafiore, Gemma Marcucci, Laura Masi, Giuseppe Toro, Maurizio Feola, Giuseppina Resmini, Tarantino, Umberto, Iolascon, Giovanni, Cianferotti, Luisella, Masi, Laura, Marcucci, Gemma, Giusti, Francesca, Marini, Francesca, Parri, Simone, Feola, Maurizio, Rao, Cecilia, Piccirilli, Eleonora, Zanetti, Emanuela Basilici, Cittadini, Noemi, Alvaro, Rosaria, Moretti, Antimo, Calafiore, Dario, Toro, Giuseppe, Gimigliano, Francesca, Resmini, Giuseppina, and Brandi, Maria Luisa
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Male ,medicine.medical_specialty ,Sports medicine ,Osteoporosis ,030209 endocrinology & metabolism ,Traumatology ,Risk Assessment ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Teriparatide ,medicine ,Settore MED/33 - Malattie Apparato Locomotore ,Bisphosphonate ,Humans ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Orthopedic surgery ,business.industry ,Bisphosphonates ,Denosumab ,Fracture ,Fracture liaison service ,Guidance ,Strontium ranelate ,Female ,Osteoporotic Fractures ,Evidence-based medicine ,medicine.disease ,Family medicine ,Physical therapy ,Surgery ,Original Article ,business ,RD701-811 ,medicine.drug ,Tertiary Prevention - Abstract
Background: The Italian Society for Orthopaedics and Traumatology conceived this guidance—which is primarily addressed to Italian orthopedic surgeons, but should also prove useful to other bone specialists and to general practitioners—in order to improve the diagnosis, prevention, and treatment of osteoporosis and its consequences. Materials and methods: Literature reviews by a multidisciplinary team. Results: The following topics are covered: the role of instrumental, metabolic, and genetic evaluations in the diagnosis of osteoporosis; appraisal of the risk of fracture and thresholds for intervention; general strategies for the prevention and treatment of osteoporosis (primary and secondary prevention); the pharmacologic treatment of osteoporosis; the setting and implementation of fracture liaison services for tertiary prevention. Grade A, B, and C recommendations are provided based on the main levels of evidence (1–3). Toolboxes for everyday clinical practice are provided. Conclusions: The first up-to-date Italian guidelines for the primary, secondary, and tertiary prevention of osteoporosis and osteoporotic fractures are presented. Background The Italian Society for Orthopaedics and Traumatology conceived this guidance-which is primarily addressed to Italian orthopedic surgeons, but should also prove useful to other bone specialists and to general practitioners-in order to improve the diagnosis, prevention, and treatment of osteoporosis and its consequences.Materials and methods Literature reviews by a multidisciplinary team.Results The following topics are covered: the role of instrumental, metabolic, and genetic evaluations in the diagnosis of osteoporosis; appraisal of the risk of fracture and thresholds for intervention; general strategies for the prevention and treatment of osteoporosis (primary and secondary prevention); the pharmacologic treatment of osteoporosis; the setting and implementation of fracture liaison services for tertiary prevention. Grade A, B, and C recommendations are provided based on the main levels of evidence (1-3). Toolboxes for everyday clinical practice are provided.Conclusions The first up-to-date Italian guidelines for the primary, secondary, and tertiary prevention of osteoporosis and osteoporotic fractures are presented.
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- 2017
46. Protocol for evaluating quality and safety for the public through home care nursing in Italy: a multicentre cross-sectional descriptive observational study (AIDOMUS-IT).
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Bagnasco A, Alvaro R, Lancia L, Manara DF, Zega M, Rocco G, Rasero L, Mazzoleni B, and Sasso L
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- Humans, Cross-Sectional Studies, Research Design, Sample Size, Observational Studies as Topic, Multicenter Studies as Topic, Hospitals, Home Care Services
- Abstract
Introduction: Considering the increasing complexity of care and workload for home care nurses due to the ageing of the population, it is crucial to describe the work environment and the community care setting. The aim of this study protocol is to map the characteristics and identify gaps of home care in the community to design future interventions aimed at ensuring quality and safety., Methods and Analysis: This is a national cross-sectional descriptive observational study using the survey method. Nurses from all participating community care centres will be recruited through convenience sampling by the coordinators of each centre, who will act as facilitators for this study. All community care recipients and their informal carers during the study period will be invited to complete a survey.To map the characteristics and identify gaps of home care in the community, three sources of data will be collected: (1) organisational characteristics, professional satisfaction, intention to leave and burn-out; (2) experience of care recipients and their informal carers and (3) improper access to the emergency department, readmission to hospital, comorbidities, services offered and users' level of autonomy, and main and secondary diagnoses.Considering the total Italian nursing population of approximately 450 000 registered nurses, a sample size of 1% of this population, equal to approximately 4600 nurses, was hypothesised.This study started in July 2022 and is planned to end in December 2023.Data will be analysed using descriptive and inferential statistics., Ethics and Dissemination: This study protocol was approved by the Liguria Regional Ethics Committee in November 2022. Informed consent will be obtained from participants and confidentiality will be ensured. Data collected for this study will be kept anonymised in a protected database.The results of the study will be disseminated mainly through conferences, publications and meetings with government representatives., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2023
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47. Executive summary: Italian guidelines for diagnosis, risk stratification, and care continuity of fragility fractures 2021.
- Author
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Corrao G, Biffi A, Porcu G, Ronco R, Adami G, Alvaro R, Bogini R, Caputi AP, Cianferotti L, Frediani B, Gatti D, Gonnelli S, Iolascon G, Lenzi A, Leone S, Michieli R, Migliaccio S, Nicoletti T, Paoletta M, Pennini A, Piccirilli E, Rossini M, Tarantino U, and Brandi ML
- Subjects
- Humans, Secondary Prevention, Continuity of Patient Care, Risk Assessment, Osteoporotic Fractures diagnosis, Osteoporotic Fractures epidemiology, Osteoporotic Fractures etiology
- Abstract
Background: Fragility fractures are a major public health concern owing to their worrying and growing burden and their onerous burden upon health systems. There is now a substantial body of evidence that individuals who have already suffered a fragility fracture are at a greater risk for further fractures, thus suggesting the potential for secondary prevention in this field., Purpose: This guideline aims to provide evidence-based recommendations for recognizing, stratifying the risk, treating, and managing patients with fragility fracture. This is a summary version of the full Italian guideline., Methods: The Italian Fragility Fracture Team appointed by the Italian National Health Institute was employed from January 2020 to February 2021 to (i) identify previously published systematic reviews and guidelines on the field, (ii) formulate relevant clinical questions, (iii) systematically review literature and summarize evidence, (iv) draft the Evidence to Decision Framework, and (v) formulate recommendations., Results: Overall, 351 original papers were included in our systematic review to answer six clinical questions. Recommendations were categorized into issues concerning (i) frailty recognition as the cause of bone fracture, (ii) (re)fracture risk assessment, for prioritizing interventions, and (iii) treatment and management of patients experiencing fragility fractures. Six recommendations were overall developed, of which one, four, and one were of high, moderate, and low quality, respectively., Conclusions: The current guidelines provide guidance to support individualized management of patients experiencing non-traumatic bone fracture to benefit from secondary prevention of (re)fracture. Although our recommendations are based on the best available evidence, questionable quality evidence is still available for some relevant clinical questions, so future research has the potential to reduce uncertainty about the effects of intervention and the reasons for doing so at a reasonable cost., Competing Interests: GC received research support from the European Community EC, the Italian Agency of Drug AIFA, and the Italian Ministry for University and Research MIUR. He took part to a variety of projects that were funded by pharmaceutical companies i.e., Novartis, GSK, Roche, AMGEN, and BMS. He also received honoraria as member of Advisory Board from Roche. No other potential conflicts of interest relevant to this article were disclosed. MLB has received i honoraria from Amgen, Bruno Farmaceutici, Calcilytix, Kyowa Kirin, UCB; ii grants and/or speaker: Abiogen, Alexion, Amgen, Bruno Farmaceutici, Echolight, Eli Lilly, Kyowa Kirin, SPA, Theramex, UCB Pharma; and iii honoraria as consultant for Alexion, Amolyt, Bruno Farmaceutici, Calcilytix, Kyowa Kirin, and UCB Pharma. LC has received honoraria as member of the Advisory Board from UCB Pharma and speaking fee of Dynamicom Education and took part to the Italian project for the introduction of Fracture Liaison Service. GA has received honoraria as consultant for Theramex. He took part to a project funded by the Italian Society of Rheumatology. DG has received honoraria as consultant for Eli-Lilly, Organon, and MSD Italia. SG has received honoraria as consultant for UCB Pharma. SM has received honoraria as consultant for UCB, Eli-Lilly, and Amgen. MR has received honoraria as consultant for UCB, Eli-Lilly, Theramex, and Amgen. He took part to a project funded by Savio Pharma Italia and UCB Pharma. RM took part to a project funded by Abiogen Pharma. GI received honoraria as speaker by Eli-Lilly, Menarini, and UCB Pharma. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Corrao, Biffi, Porcu, Ronco, Adami, Alvaro, Bogini, Caputi, Cianferotti, Frediani, Gatti, Gonnelli, Iolascon, Lenzi, Leone, Michieli, Migliaccio, Nicoletti, Paoletta, Pennini, Piccirilli, Rossini, Tarantino and Brandi.)
- Published
- 2023
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48. Family assistants' living and working conditions and their interaction with patient and family caregiver variables.
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Simeone S, Pucciarelli G, Dal Lago E, Botti S, Gargiulo G, Vellone E, and Alvaro R
- Subjects
- Cross-Sectional Studies, Humans, Italy, Caregivers education, Quality of Life
- Abstract
Background and Aim: The progressive and constant aging of the global population together with the economy crises and the social variations within family contexts increasingly leads to the use of external resources (Home Care Workers, HCWs) for health care within one's own family of origin. Purpose of the study is to describe Italian Home Care Workers' (HCWs) living and working conditions and understand the interactions with outcomes of the patients and informal caregiver., Methods: Observational study with cross sectional design to evaluate the interaction of HCWs without specific training on patients and informal caregivers' outcomes., Results: understand Italian HCWs' condition and interaction between these conditions and outcomes of patients and informal caregiver., Conclusions: understanding how HCWs' conditions can affect outcome about patient and informal caregivers, represents a fundamental step in order to increase QoL of these families.
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- 2022
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49. Nurses and Stigma at the Time of COVID-19: A Phenomenological Study.
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Simeone S, Rea T, Guillari A, Vellone E, Alvaro R, and Pucciarelli G
- Abstract
The COVID-19 pandemic is putting strain on every country in the world and their health systems. Healthcare professionals struggle on the frontline and they can experience stigma, which can create difficulties in controlling epidemic diseases, influencing the mental health of healthcare professionals, caregivers, families, communities, and the provided quality of care. The aim of this study is to explore the lived experience of Italian nurses about perceived stigma during COVID-19 pandemic with the phenomenological Cohen method. The principal themes that emerged from data analysis were "stigma in the working environment" and "stigma in everyday life". Each of these themes had subthemes: "looks like gun sights", "avoiding closeness to others", "nobody wants to touch you", and "the fault of being your family members". Public health emergencies, such as the COVID-19 pandemic, are stressful events for individuals and communities. Stigma can be more dangerous than the disease, and a major obstacle to appropriate medical and mental health interventions. Understanding how healthcare professionals experience stigma is essential to design and implement specific educational, psychological, and organisational programmes.
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- 2021
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