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Fabio D'Agostino

Fabio D'Agostino
Saint Camillus International University of Health Sciences

RN, PhD

About

77
Publications
19,607
Reads
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1,203
Citations
Additional affiliations
November 2018 - present
UniCamillus - Saint Camillus International University of Health Sciences
Position
  • Professor (Assistant)
Description
  • Nursing Information System
July 2013 - July 2016
University of Rome Tor Vergata
Position
  • Research Associate
Description
  • Interventions to improve Self Care of Heart Failure patients
January 2010 - present
University of Rome Tor Vergata
Position
  • Nursing Information System
Education
January 2010 - November 2014
University of Rome Tor Vergata
Field of study
  • Nursing
October 2006 - April 2009
Sapienza University of Rome
Field of study
  • Nursing

Publications

Publications (77)
Article
Background The term “data science” encompasses several methods, many of which are considered cutting edge and are being used to influence care processes across the world. Nursing is an applied science and a key discipline in health care systems in both clinical and administrative areas, making the profession increasingly influenced by the latest ad...
Article
Full-text available
Background: Nurses record data in electronic health records (EHRs) using different terminologies and coding systems. The purpose of this study was to identify unstructured free-text nursing activities recorded by nurses in EHRs with natural language processing (NLP) techniques and to map these nursing activities into standard nursing activities us...
Article
Aims and objectives: To analyse the Primary Nursing Model's effect on nursing documentation accuracy. Background: The Primary Nursing is widely implemented since it has been considered as the ideal model of care delivery based on the relationship between the nurse and patient. However, previous research has not examined the relationship between...
Article
Full-text available
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 inve...
Article
Background: The term "data science" encompasses several methods, many of which are considered cutting edge and are being used to influence care processes across the world. Nursing is an applied science and a key discipline in health care systems in both clinical and administrative areas, making the profession increasingly influenced by the latest...
Article
Introduction The Clinical Care Classification (CCC) system is one of the standard nursing terminologies recognized by the American Nurses Association, developed to describe nursing care through electronic documentation in different healthcare settings. The translation of the CCC system into languages other than English is useful to promote its wide...
Article
Data science continues to be recognized and used within healthcare due to the increased availability of large data sets and advanced analytics. It can be challenging for nurse leaders to remain apprised of this rapidly changing landscape. In this article, we describe our findings from a scoping literature review of papers published in 2019 that use...
Conference Paper
Full-text available
Background: Different standardized nursing languages (SNLs) are used all over the world but despite the differences their use makes it possible to compare nursing diagnostics within and across settings and countries. Each healthcare setting and/or patient population has paragraphs dedicated to a summary of results with very little interpretation, i...
Article
Full-text available
Aims: To identify the main diagnostic features of SARS-CoV-2 positive patients at the time of hospitalization and their prevalence. Background: Since the COVID-19 outbreak in China in December of 2019, several studies attempted to identify the epidemiological, viral and clinical characteristics of SARS-CoV-2. Given the rapid widespread transmiss...
Chapter
Negotiation emerges in our lives whenever a decision needs to be made together with someone else. In the nursing field, negotiation is well represented in the relationship between the nurse and the patient. For this reason, it is important to help nurses to develop their communication skills, starting from the training period. The aims of this stud...
Article
Objective To identify and meta-synthesize results of qualitative studies on the needs of women cared for by midwives during childbirth in hospitals. Data Sources MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and the Cochrane Library. Study Selection We restricted the bibliographic search to articles published...
Article
Aims and objectives: To describe the care provided to patients admitted into a community Nursing-Led inpatient unit and to identify factors predicting a length of stay exceeding an established threshold. Background: Few studies have been conducted to describe the care provided in a Nursing-Led unit. No studies have investigated factors affecting...
Article
Background: Mortality is the most considered outcome for assessing the quality of hospital care. However, hospital mortality depends on diverse patient characteristics; thus, complete risk stratification is crucial to correctly estimate a patient's prognosis. Electronic health records include standard medical data; however, standard nursing data, s...
Chapter
While the nursing process provides a framework for documenting nursing practice and delivering patient-focused care, nurses often have difficulty applying the nursing process in clinical practice. Fortunately, electronic nursing documentation using clinical decision support systems (END-CDSS) can improve the accuracy of recorded nursing process. To...
Article
Objectives Testing the influence of heart failure (HF) caregiver preparedness on anxiety and depression, and the influence of HF caregiver anxiety and depression on caregiver physical and mental QOL. Methods In this cross-sectional study, we used the Caregiver Preparedness Scale (CPS), the Hospital Anxiety and Depression Scale (HADS) with the an...
Article
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-...
Article
Aim To identify clusters of nurses in relation to the utilisation and attitude towards nursing diagnosis and to compare their profiles considering demographics, professional characteristics and nursing practice environments. Background Nursing diagnosis has benefits for both patients and nurses, and the attitude of nurses towards nursing diagnosis...
Article
Background: The complexity of care can be described through a clinical nursing information system, in particular through the Professional Assessment Instrument -PAI-, encoding each health care activity in time units and analysing the relationship of observed time to patient characteristics in relation to the functional models of care needs. Desig...
Article
Chronic diseases require continuous healthcare that is not fully guaranteed by the Italian Health System which is more oriented towards acute care. In the Lazio region (city of Palombara Sabina), a Nursing-Led in-patient unit is present with the aim to care for patients affected by chronic diseases. The aim of this study was to describe the type of...
Article
The Professional Assessment Instrument (PAI) is a clinical nursing information system used in the adult inpatient units of the A. Gemelli university hospital in Rome (Italy). The PAI allows for the systematic collection of nursing care data in order to improve the quality of care. So far, few clinical nursing information systems have been developed...
Article
Introduction: midwifery records currently do not systematically collect data regarding midwifery care provided. Midwifery Minimum Data Sets (MMDS) have been developed to perform uniform and standardized data collection. Aim: to describe features, purposes and use of MMDSs in obstetrical care. Method: a literature review was conducted using Med...
Article
Background: Oncological diseases affect the biopsychosocial aspects of a person's health, resulting in the need for complex multidisciplinary care. The quality and outcomes of healthcare cannot be adequately assessed without considering the contribution of nursing care, whose essential elements such as the nursing diagnoses (NDs), nursing interven...
Article
Aims: To: (1)identify clusters of nurses in relation to their beliefs about nursing diagnosis among two populations (Italian and Spanish); (2) to investigate differences among clusters of nurses in each population considering the nurses' sociodemographic data, attitudes towards nursing diagnosis, intentions to make nursing diagnosis and actual beh...
Article
Purpose: To evaluate if nursing diagnoses, interventions, and outcomes, as recorded by nurses in Italian hospitals, were semantically equivalent to the NANDA-I, NIC, and NOC (NNN) terminology. Methods: A cross-mapping study using a multicenter design. Terms indicating nursing diagnoses, interventions, and outcomes were collected using the D-Catc...
Article
Purpose: To document the prevalence of the nursing diagnosis of anxiety in hospital patients, based on its level of severity, defining characteristics (DCs), and other related factors, and to identify the key DCs that serve as predictors of clinically significant anxiety (CSA). Design: Cross-sectional study. We enrolled 116 consecutive adult pat...
Article
Background: The costs of nursing staff amounts to approximately 50% of the total budget of the health workforce and accounts for 20% to 30% of the total costs incurred by the health care companies. The goal of the study, by analyzing the complexity of care, is to provide a quantification of the assistance delivered, through the assessment of the t...
Article
Well-prepared informal caregivers play an important role in heart failure (HF) care, so an instrument to evaluate their preparedness to care is important. To date, HF caregiver preparedness has been rarely investigated quantitatively. The Caregiver Preparedness Scale (CPS) has been used in other chronic condition populations, but its psychometric c...
Article
Background: Preventing hospitalization and improving event-free survival are primary goals of heart failure (HF) treatment according to current European Society of Cardiology guidelines; however, substantial uncertainty remains in our ability to predict risk and improve outcomes. Although caregivers often assist patients to manage their HF, little...
Poster
Full-text available
Chronic diseases are a public health problem and need a continuous care. In Italy, a community Nursing-Led Unit (c-NLU) was born for providing care to these patients.
Article
Aims: To describe the prevalence of nursing diagnoses on admission among inpatient units and medical diagnoses and to analyze the relationship of nursing diagnoses to patient characteristics and hospital outcomes. Background: Nursing diagnoses classify patients according to nursing dependency and can be a measure of nursing complexity. Knowledge...
Article
Background: A better understanding of caregiver burden and its determinants is essential to support caregivers. Many instruments have been developed to measure caregiver burden in various illness contexts, but few have been psychometrically tested for caregivers of heart failure patients. Aims: The aim of this study was to test the validity (fac...
Article
Aims: Heart Failure (HF) self-care improves patient outcomes but trials designed to improve HF self-care have shown inconsistent results. Interventions may be more effective in improving self-care if they mobilize support from providers, promote self-efficacy, increase understanding of HF, increase the family involvement, and are individualized. A...
Article
Aim and objectives: To investigate the impact of nursing diagnoses on patient and organisational outcomes in any field of healthcare where nurses are involved. Background: In healthcare systems, descriptions of patient complexity and outcomes and payment criteria are primarily based on medical diagnoses and procedures. Other aspects of patient c...
Article
Osteoporosis has a significant impact on affected patients. Healthcare providers should encourage postmenopausal women to improve self-care maintenance behaviors and quality of life following a fragility fracture. The aims of this study were to a) develop two new instruments for measuring, respectively, self-care maintenance and quality of life, in...
Article
Self-care improves patients' outcomes in heart failure (HF). In this article we report the main results of a 7-year research program conducted in Italy. First, we established validity and reliability of the Self-Care of HF Index v.6.2 and the Caregiver Contribution to Self- Care of HF Index in the Italian population. Second, we tested the situation...
Conference Paper
INTRODUCTION. The Nursing-Led Unit of Palombara Sabina (Rome, Italy) is a community care center led by nurses. The Nursing-Led Unit provides nursing care for chronic patients who do not require hospitalization and who, at the same time, cannot be safely cared at home. In the Nursing-Led Unit, a Nursing Information System (NIS), which is based on t...
Article
Introduction: The learning models used in traditional education are not very effective for the continuing education of healthcare providers. Fieldwork learning is an active learning method that is feasible in the workplace and is also suitable for professionals who possess a style of experiential learning. Guardian Angel 2.0® is a fieldwork learni...
Article
Complexity of nursing care represents an important indicator in the planning and management of nursing resources and healthcare management. However, the term is not clearly defined in the literature. The aim of this article is to outline the main concepts associated with complexity of nursing care, trying to shed light on the different variables th...
Article
BACKGROUND: Self-care is important in heart failure (HF) treatment, but patients may have difficulties and be inconsistent in its performance. Inconsistencies in self-care behaviors may mirror patterns of self-care in HF patients that are worth identifying to provide interventions tailored to patients. OBJECTIVES: The aims of this study are to ide...
Article
Aim: To identify nursing diagnoses and theoretical frameworks used in neonatal units through a literature review. Method: Cinahl, Medline and Lilacs, database were used to perform this study. The descriptors used were: "Nursing Diagnosis" AND "Models, Nursing" OR "Nursing Theory" AND "Infant" OR "Newborn". The search was limited to articles publ...
Article
Purpose: To evaluate the psychometric properties of the D-Catch instrument. Methods: A cross-sectional methodological study. Validity and reliability were estimated with confirmatory factor analysis (CFA) and internal consistency and inter-rater reliability, respectively. Findings: A sample of 250 nursing documentations was selected. CFA showe...
Article
Poor adherence to medication and an unhealthy lifestyle increase risk of fracture, hospitalization, and medical costs in osteoporotic individuals. Therefore, a literature review was conducted using PubMed, CINAHL, Cochrane Library, and Scopus databases to identify educational interventions that improve adherence to medications and healthy lifestyle...
Article
Disease self-management is a critical component of maintaining clinical stability for patients with chronic illness. This is particularly evident in the context of heart failure (HF), which is the leading cause of hospitalization for older adults. HF self-management, commonly known as HF self-care, is often performed with the support of informal ca...
Article
Aim: To study the psychometric properties of the Positions on Nursing Diagnosis (PND) scale. Background: The PND is a scale to measure nurses' attitudes toward nursing diagnosis. In previous studies, reliability of the scale was supported but its construct validity is still unclear with studies reporting both one-factor and three-factor models....
Article
The majority of heart failure (HF) self-care research remains focused on patients, despite the important involvement of family caregivers. Although self-care confidence has been found to play an important role in the effectiveness of HF self-care management on patient outcomes, no known research has examined self-care confidence within a dyadic con...
Article
Full-text available
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 edu...
Article
Full-text available
Caregivers play an important role in contributing to heart failure (HF) patients' self-care but no prior studies have examined the caregivers' contributions to HF patients' self-care and no prior studies have examined potential determinants of the caregivers' contribution to HF patients' self-care.
Article
Full-text available
Background:Self-care improves outcomes in patients with heart failure; however, no studies have been conducted on this topic in Italy.Aims:We aimed to describe self-care in Italian adults with heart failure and to identify sociodemographic and clinical determinants of self-care.Methods:A cross-sectional design was used to study 1192 heart failure p...
Article
Describe the development and validation of the Nursing Assessment Form (NAF), within a clinical nursing information system, to support nurses in the identification of nursing diagnoses. Content validity and consensus on NAF contents were established using a panel of experts in nursing diagnosis and Delphi rounds. Expert consensus was achieved to va...
Article
The Self-Care of Heart Failure Index Version 6.2 (SCHFI v.6.2) is widely used, but its psychometric profile is still questioned. In a sample of 659 heart failure patients from Italy, we performed confirmatory factor analysis (CFA) to test the original construct of the SCHFI v.6.2 scales (Self-Care Maintenance, Self-Care Management, and Self-Care Co...
Article
Full-text available
Background: The implementation of adequate clinical information systems helps to deal with the immense flow of health data to ensure the continuity of care and access to a safe and high-quality healthcare system. Currently there is an increasing awareness of the importance of evaluating and measuring the impact of such systems in clinical practice...
Article
Aim: To test the situation-specific theory of heart failure self-care with structural equation modelling. Background: Several authors have proposed theories on heart failure self-care, but only the situation-specific theory of heart failure self-care by Riegel and Dickson is focused on the process that patients use to perform self-care. This the...
Article
Full-text available
Background and aims Fatigue is described as one of the most frequent and distressing symptoms of cancer therapy but in children and adolescents it has received limited clinical attention. The aim of the study was to assess the change in fatigue scores during cancer treatment according to children’s, adolescents’ and parents’ perspectives and to des...
Article
Full-text available
Background and Aims Many studies show that cancer-related fatigue is one of the most common symptoms experienced by children as a side effect of cancer therapy. This problem has recently grown considerably. Nurses envolve in assisting children and parents to face illness and treatment procedures. The aim of this study was to investigate whether clo...
Article
Full-text available
The aim of a nursing data set is to provide useful information for assessing the level of care and the state of health of the population. Currently, both in Italy and in other countries, this data is incomplete due to the lack of a structured nursing documentation , making it indispensible to develop a Nursing Minimum Data Set (NMDS) using standard...
Article
Background: Caregivers make an important contribution to the self-care of patients with heart failure (HF), but few instruments are available to measure this contribution. Objective: The objective of this study was to test the psychometric properties of the Caregiver Contribution to Self-care of Heart Failure Index (CC-SCHFI), an instrument deri...
Article
Full-text available
Aim. To test the situation-specific theory of heart failure self-care with structural equation modelling. Background. Several authors have proposed theories on heart failure self-care, but only the situation-specific theory of heart failure self-care by Riegel and Dickson is focused on the process that patients use to perform self-care. This theory...