Alberto Dal Molin

Alberto Dal Molin
Amedeo Avogadro University of Eastern Piedmont | UNIPMN

RN BSc MSN PhD

About

54
Publications
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523
Citations

Publications

Publications (54)
Article
Full-text available
The aim of the study was to explore the effects of Intentional Rounding, a regular-based proactive patient monitoring, on falls and pressure ulcers in internal medicine units. This is a cluster-randomised controlled study, where units were assigned (1:1) to Intentional Rounding (intervention group) or Standard of Care (control group). The primary o...
Article
Background and aim of the work: Greater evaluations are needed to identify barriers or facilitators in nurses' guidelines adherence. The current review aims to explore extrinsic and intrinsic factors impacting nurses' compliance. Methods: Mixed-method systematic review with a convergent approach, following the PRISMA checklist and the JBI Mixed...
Article
Background: While the multi-organ manifestations of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection are now well-documented, the potential long-term implications of these manifestations remain to be uncovered. The aim was to study the level and predictors of post-traumatic stress, anxiety and depression symptoms, quality of...
Article
Venous access devices are used in health care. To prevent occlusions the evidence confirmed the need for routine catheter flushing before and after infusion as well as at the end of use. To date, the efficacy of heparin has not been demonstrated. The aim of this study was to evaluate the effectiveness of the locking of central venous catheters with...
Article
. Experiences implemented during the Covid period in the Novara, Vercelli, Vallemaggia and Locarno areas. Introduction: The Covid-19 pandemic promoted the organization of several initiatives for the elderly. Aim: To map the local district initiatives for citizens >65 years active during the Covid pandemic in 3 districts of Piedmont and Ticino C...
Article
Background: The Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients - Adult (Munro scale) is a pressure ulcer/injury risk assessment scale for adult surgical patients. It consists of 3 sections relating to the preoperative, intraoperative, and postoperative periods. It is not available in Italian. Purpose: The aim of this study...
Article
Background The indication for implantable cardioverter-defibrillators (ICDs) to prevent sudden death is now consolidated. However, there is no unanimous agreement on how patients experience certain aspects of their lives after an ICD implant. Various clinical studies have evaluated the impact of ICDs on patient mortality, survival, and their benefi...
Article
Aim This study explored the clinical placement experiences of nursing students during the Covid-19 pandemic. Background The health emergency caused by Covid-19 required a rapid reorganisation of care settings. This reorganisation entailed revisiting the clinical placements settings and learning programs of Italian nursing faculties. Some Italian u...
Article
Full-text available
Introduction Depression rates in older people worldwide vary from 10 to 15% of community-dwelling older persons. There are two others problems related to depression in old age, namely the high incidence of falls and the so-called fear of falling (FOF), with a prevalence ranging from 20% to 85%; it was initially considered a post-fall syndrome, whic...
Article
. Nosocomial infections during the COVID-19 outbreak. Observational study in an Italian ICU. Introduction: Infections are common among ICU patients. Aim: The purpose of this study is to examine the incidence of nosocomial infections among patients admitted to the ICU with SARS-CoV-2 infection. Methods: A prospective observational study in adu...
Article
The aim of this systematic review (SR) and meta-analysis was to assess what type of exercise is associated with fall risk reduction among apparently healthy adults aged 50 and older. We conducted a SR by searching for randomized controlled trials (RCTs) included in Cochrane SRs published until October 2019. Five SRs that compared exercise versus an...
Article
Full-text available
Background The rapid evolution of the epidemiological picture and the recent SARS-COV-2 pandemic has expressed the vulnerabilities of health systems and focuses attention on the population’s needs. The nurse’s figure in the care teams is universally identified; however, the implementation of the role within some care settings turns out to be comple...
Article
Full-text available
Introduction Falls among older people are preventable through exercise-based programs. However, scientific evidence must be translated into practice to support professionals who implement such programs. Aim This study aimed to identify physical exercise interventions for fall prevention and to determine the best practice for implementing them in l...
Article
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Aim: The main objective of the study was to document the current knowledge and attitudes towards pain management among Italian nurses working in intensive care unit (ICU). Methods: A multicenter cross-sectional study design was carried out. In order to assess the knowledge and attitudes of pain management, the KASRP questionnaire was used. The q...
Preprint
Full-text available
Background The rapid evolution of the epidemiological picture and the recent SARS-COV-2 pandemic has expressed the vulnerabilities of health systems and focuses attention on the population's needs. The nurse's figure in the care teams is universally identified; however, the implementation of the role within some care settings turns out to be comple...
Article
Aims: the aims of this study were to test the efficacy of a training program in order to reduce pain intensity in surgical ICU patients and improving postoperative pain assessment and management. Methods: longitudinal, before and after experimental study. A total of 261 patients, 126 in Group A (before intervention) and 135 in Group B (after inter...
Article
Background: Flushing and locking of totally implantable venous access devices (TIVADs) is recommended to maintain their patency when not in use. Although manufacturers' recommendations indicate monthly access for TIVAD maintenance, there is a tendency in real life to prolong this interval. Objectives: To assess the effectiveness of prolonged ver...
Article
Full-text available
Aim: This study investigates the incidence of long-term consequences in survivors of critical illness 6 months after ICU care. A retrospective analysis of the risk factors was also completed. Methods: A mixed-method design was used. A qualitative design was used in the questionnaire study (phase 1), and a quantitative design was used for the ret...
Chapter
Drugs administration errors are often used as patient safety indicators in hospitals, being deemed a common and potentially risky event for individual safety. Poor mathematical skills might contribute to medication calculation errors. E-learning is a new training tool that takes advantage of new technology. It constitutes an important development i...
Article
Introduction: The measurement of pain prevalence among the patients admitted to hospital, estimated that pain remains a common problem for patients. Methods: This is a multi-center cross sectional study carried out in Italian Hospitals, where data was collected in only one day. All patients aged at least 18 years, hospitalized able or unable to...
Article
Purpose: Venipuncture generates anxiety and pain in children. The primary aim of the study was to evaluate two non-pharmacological techniques, vibration combined with cryotherapeutic topical analgesia by means of the Buzzy® device and animated cartoons, in terms of pain and anxiety relief during venipuncture in children. Designs and methods: 150...
Article
Totally implantable venous access device (TIVAD) lumen occlusion is a long-term complication of central venous catheters, associated with risks of infection, therapy interruptions and increased healthcare costs. The role of flushing and locking in maintaining TIVAD patency is paramount. Most flushing protocols are based on manufacturers' recommenda...
Article
Background: Accurate pain assessment and management constitute a major challenge for medical and nursing staff in intensive care units (ICUs). A distinct recollection of pain is reported by high proportions of ICU patients. Purpose: A clinical therapeutic intervention directed at improving pain assessment and management in critically ill patient...
Article
Background: Bed rest is prescribed for all patients after cardiovascular implantable electronic device (CIED) placement but to a varied extent. Different clinical protocols exist. Aim: To assess the effects of different lengths of bed rest on complications and patient comfort after CIED implantation. Methods: We searched MEDLINE, EMBASE, Cochr...
Article
Aims and objectives: The aim of this study was to explore the effect of "Primary Nursing" on nursing-sensitive patient outcomes, staff-related outcomes, and organization-related outcomes. Background: Primary Nursing is one example of a care pattern that has recently been implemented in many countries. Design: Before-after study METHODS: This s...
Article
Background: Patients are showing an increasing interest in the use of complementary and alternative medicine (CAM). Most nurses are open to the adoption of CAM into clinical nursing practice, but they may experience a lack of knowledge about the safe and effective use of these therapies. Several studies concerning nurses' knowledge and attitudes t...
Article
Background: Over the past 50 years there was a substantial decrease in the prevalence of smoking in Italy. The objective of this work is to describe attempts to quit and cessation success in Italian smokers. Methods: A surveillance on health-related behaviors (PASSI) was conducted in 2007 -: 13 on a sample of 203 610 Italian adults 25 -: 64 year...
Article
Aims and objectives To review the efficacy and accuracy of tools administered to older people, intended to detect and measure elder abuse. Background The mistreatment of older people represents a widespread problem, with exponential growth risk, especially considering the progressive ageing of the world population. It could have serious consequenc...
Article
Evaluating the implementation of care models such as Primary Nursing requires assessment of both short-term and long-term outcomes. In a hospital in Piemonte, Italy, a mixedmethod time-series study was conducted to assess if and how the organizational culture of nurses changed in relation to the implementation of a new organizational model of care....
Article
Full-text available
Background: The most appropriate lock solution for central venous access devices is still to be defined. GAVeCeLT - the Italian group for venous access devices - has developed a consensus on the evidence-based criteria for the choice and the clinical use of the most appropriate lock solution for central venous catheters (excluding dialysis cathete...
Article
Full-text available
Introduction: The exponential advance of social media has touched all areas of society, no exception for the professional and personal lives of healthcare people. The issue to be considered is not whether or not social media are being used, but how they are used. The line between proper and improper use, and even abuse, of social media is a subtle...
Article
Full-text available
Transfemoral cardiac catheterisation is an invasive medical procedure used for therapeutic or diagnostic purposes. Postoperative bed rest can prevent a number of complications such as bleeding and haematoma formation and can result in side effects such as back pain and urinary discomfort. Currently, there is no consensus regarding the optimal lengt...
Article
Objective: The purpose of this study was to measure the prevalence of pressure ulcers (PrUs) in an older adult population. Design: A cross-sectional study. Setting: The study included all the individuals being cared for in the units of medicine, surgery, intensive care, and medical-surgical specialties of 47 hospitals, 57 public nursing homes,...
Article
Our aim was to determine the non-inferiority of normal saline flushing compared to heparin flushing in maintaining the patency of totally implanted venous access devices (TIVADs). Four hundred and thirty patients were recruited from 14 Italian centres. Patients were randomized to heparin group or to normal saline group. The primary outcome of the s...
Article
Full-text available
Aims: The Revised Geneva Score (RGS), a standardized Clinical Prediction Rule for Pulmonary Embolism (PE), was recently developed. We have measured its predictive accuracy, performing an external retrospective validation in a cohort of Emergency Department (ED) patients, filtered by symptomatology and not by clinical suspicion, to allow its use in...
Article
The "Human Caring" model is a philosophy of care based on individual centrality and which, although developed within nursing discipline, could be used by all professionals who take care of individuals. Nurses who work within the field of Mental Health, is subjected to a considerable emotional burden and it is believed that the introduction of this...
Article
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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...
Article
Introduction: Chemotherapy-induced stomatitis is a major side effect of the treatment. Numerous approaches are described in the literature for the prevention and treatment of this complication. Objective: the aim was assess the effectiveness of Gelclair® in patients undergoing hematopoietic stem-cell transplantation in terms of reducing the inci...
Article
Full-text available
The aim of this systematic review was to assess the efficacy of heparin flushing in the lock of central venous catheters. We searched MEDLINE and CINAHL databases. Eligible studies were randomized controlled trials evaluating the use of heparin versus normal saline or other solution in the flushing of central catheter among adult patients. No langu...
Article
To analyze the predictive validity and reliability of the Blaylock Risk Assessment Screening Score (BRASS) Index in a large group of patients. Prospective multicenter observational study was conducted in six Italian hospitals. Data were collected in three phases. Seven hundred eleven patients were recruited. The mean length of hospitalization for l...
Article
Full-text available
RIASSUNTO Introduzione Sempre più spesso il Web viene utilizzato dalle persone per comunicare, trovare informazioni e condividere esperienze, anche sul tema della salute. Lo sviluppo e la diffusione di Internet ha portato al-l'elaborazione di strumenti multimediali di comunicazione veloci e sofisticati, quali i social media, utilizzabili attraverso...
Article
Constipation is a common problem among oncology patients and requires careful assessment. Use of validated instruments is important to improving its management. The aim of this study was to validate the Italian translation of the Constipation Assessment Scale (CAS). To test construct validity, patients and apparently healthy adults were asked to co...
Article
Full-text available
Purpose: The aim of this study was to assess the incidence of late onset complications of totally implantable venous access devices (TIVAD) in patients with cystic fibrosis (CF) and to investigate possible associations between the rate of complications and different policies of TIVAD management. Methods: A multicenter prospective cohort study wa...
Article
The principal aim of this study is to analyze the incidence of late complications in oncologic patients with totally implanted central venous access ports. A prospective multicenter observational study was conducted in 26 Italian oncologic outpatient clinics. 1076 cancer patients with Totally Implanted Central Venous Access Ports (TIAP) were observ...
Article
Cystic fibrosis (CF) is a genetic disease associated with recurrent lung infections, that represent a major cause of mortality and morbidity. Cystic fibrosis requires frequent antibiotic treatments, sometimes by mouth or via aerosol but often via the intravenous route. Totally implanted venous access devices (ports) allow an easy and safe vascular...
Article
The totally implanted vascular access device (TIVAD) entered in the routine clinical care in oncology. This device, compared with external central venous catheters, offers some important advantages, but some complications may occur. Methods: From I November 2004 to 30th November 2007, 302 records of cancer outpatients with Port have been studied in...
Article
Totally implanted venous access devices (ports) are widely used in all oncology units, because of the many advantages that they offer if compared to external central venous catheters, particularly in terms of safety. Nonetheless, infection, lumen occlusion and venous thrombosis may still occur, and they are often caused or facilitated by inappropri...

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