Fabio D'Agostino

Saint Camillus International University of Health Sciences

Purpose This study describes the design, integration, and semantic interoperability process of a minimum data set using standardized nursing language in the caring module of the TEC‐MED care platform. Methods The caring module was developed in three phases (2020–2022): platform concept, functional design and construction, and testing and evaluatio...

Introduction The global population is ageing, and healthcare systems continue to adopt outdated social models of ageing that do not respond to older people's needs. The aim of this study was to explore the experiences of participants in the implementation of the Transcultural social‐ethical‐care (TEC‐MED) model for integrated community care. Metho...

Background/Objectives: The complexity of care requires systematic documentation to fully understand its relationship with medical complexity and its impact on patient outcomes. The Nursing Minimum Data Set (NMDS) plays a crucial role by capturing essential nursing data, enabling a detailed analysis of care and its impact on outcomes, such as length...

Objective To create and evaluate the content validity of educational videos on self‐management of fluid restriction and thirst for individuals with heart failure (HF). Method A psychometric study was conducted in three stages: (1) an integrative literature review to identify strategies for self‐management of fluid restriction and thirst by individ...

Objective To provide an overview of the prevalence of nursing diagnoses in different patient populations and healthcare settings, and on the methods identifying nursing diagnoses. Methods A descriptive review with a systematic method was applied according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All studies...

Resumo Objetivo Fornecer uma visão geral da prevalência de diagnósticos de enfermagem em diferentes populações de pacientes e cenários de cuidado à saúde, e sobre os métodos de identificação dos diagnósticos de enfermagem. Métodos Revisão descritiva com aplicação de método sistemático de acordo com as diretrizes do Preferred Reporting Items for Sys...

Objective To identify the predictors of self-care behaviors in individuals with heart failure. Method A cross-sectional study including 405 patients with heart failure. Self-care behaviors were assessed by the Self-Care of Heart Failure Index. Sociodemographic and clinical characteristics were investigated as predictors of self-care maintenance, m...

Objective To identify the predictors of self-care behaviors in individuals with heart failure. Method A cross-sectional study including 405 patients with heart failure. Self-care behaviors were assessed by the Self-Care of Heart Failure Index. Sociodemographic and clinical characteristics were investigated as predictors of self-care maintenance, m...

Aims To describe the health literacy (HL) levels of hospitalised patients and their relationship with nursing diagnoses (NDs), nursing interventions and nursing measures for clinical risks. Design Retrospective study. Methods The study was conducted from December 2020 to December 2021 in an Italian university hospital. From 146 wards, 1067 electr...

Background: The intensive care unit (ICU) brings together high-risk patients and interventions in a complex environment. Based on this consideration, medication administration error is the most common type of error that occurs in ICUs. Literature confirms that human factors (lack of knowledge, poor practices and negative attitudes) of nurses are t...

Objectives: The goal of this work was to provide a review of the implementation of data science driven applications focused on structural or outcome-related nurse sensitive indicators in the literature in 2021. By conducting this review, we aim to inform readers of on trends in the nursing indicators being addressed, the patient populations and se...

Purpose: The aim of this study is to develop and validate a case study to aid in the diagnostic reasoning of nursing students and nurses. Methods: It is a validation study using a case study based on Lunney's method including (1) content validation of the case study by nurse experts through the Delphi technique, (2) identification of nursing dia...

Introduction In electronic health records (EHRs), standardized nursing terminologies (SNTs), such as nursing diagnoses (NDs), are needed to demonstrate the impact of nursing care on patient outcomes. Unfortunately, the use of NDs is not common in clinical practice, especially in surgical settings, and is rarely included in EHRs. Objective(s) The a...

This analytical, cross-sectional study aimed to analyze the relationship between depressive symptoms, appetite, and quality of life (QoL) in 86 patients hospitalized with heart failure. Patients were assessed for depressive symptoms, appetite, and QoL using the Beck Depression Inventory-II, the Simplified Nutritional Appetite Questionnaire, and the...

Burnout syndrome is widespread among healthcare professionals, causing many physical and mental problems for individuals, and leading to negative outcomes for organizations and the quality of care that they provide. The aim of this study was to assess burnout among master’s degree nursing students and to evaluate its possible relationship with a co...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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-...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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.

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

Introduction: Essential elements of heart failure (HF) self-care include engagement in daily behaviors that maintain physical stability (self-care maintenance) and recognition of symptoms with a timely response (self-care management). Comorbidity decreases self-efficacy or confidence in the ability to perform self-care which, in turn, impairs self-...

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...

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....

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...

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...

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.

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...

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...

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...

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...

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...