Gennaro Rocco

Centro di Eccellenza per la Cultura e la Ricerca Infermieristica · Department of Nursing

Background: Competence is an essential concept for measuring nurses' performance in terms of effectiveness and quality. To this end, our analysis highlighted the process of acquiring competencies, their self-evaluation into clinical practice, and how their proficiency levels change throughout the nursing career. In detail, this research explored nu...

Background and aim: Readiness for interprofessional education (IPE) was recognized by international authorities as a key approach for educating students attending healthcare programs. Thus far, there are no descriptions of readiness for IPE in the Albanian context. For this reason, this study aimed to describe readiness for IPE, assessed by measur...

Nurse managers play a vital role in healthcare organizations, wielding the ability to substantially enhance work environments, foster nurses’ autonomy, and bolster retention within workplaces. In this context, this study focuses on the Nurse Manager Actions scale, aiming to evaluate its items’ scalability as well as the scale’s validity and reliabi...

Background and aim of the work: The primary aim of this study was the translation and psychometric validation of the Albanian Nurse Professional Competence Scale Short Form for further application in Albanian healthcare settings. This instrument can be utilised to assess professional nursing competencies. Methods: A convenience sample (n=342) was r...

RIASSUNTO Introduzione: Le cure domiciliari in Italia sono un'opzione di assistenza sanitaria mirata a fornire cure a lungo termine direttamente a casa dei pazienti. Tuttavia, essendo di competenza regionale, possono variare da una regione all'altra. Obiettivi: Descrivere l'organizzazione dell'assistenza infermieristica sul territorio italiano, i...

(1) Background: The assessment and application of registered nurses’ professional skills are essential to providing quality and safe care. Self-efficacy can positively affect the professional competence of registered nurses. This study analysed professional competence and its association with self-efficacy among registered nurses. (2) Methods: A cr...

For decades, scholars have studied leader–member exchange (LMX) relationships to understand and explain the effects of leadership on follower attitudes and performance outcomes within work settings. One available instrument to measure these aspects is the LMX-7 scale. This measurement has been widely used in empirical studies, but its psychometric...

Background and Purpose: Clinical reasoning for nurses is considered a valuable component of clinical nursing competencies, but there are few tools to ascertain this. This study tested the Italian Nurses Clinical Reasoning Scale (I-NCRS) psychometric properties based on Levett-Jones’ theoretical clinical reasoning model. Methods: Content, face, and...

(1) Background: In response to the impact of religious intervention on health outcomes and the importance of documenting how nurses experience the spiritual need of 392 hospitalized patients, it is vital to provide the nursing profession with instruments to evaluate these spiritual aspects. This study describes the development and validation of the...

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 a...

Background: Standard precautions (SPs) are first-line strategies with a dual goal: to protect health care workers from occupational contamination while providing care to infected patients and to prevent/reduce health care-associated infections (HAIs). This study aimed at (1) identifying the instruments currently available for measuring healthcare...

Background: The Trust Me Scale is a widely used instrument to measure trust in healthcare providers. However, no Italian version of the scale exists yet, limiting its use in Italian-speaking populations. The aim of this study is to translate and validate the Trust Me Scale for use in Italian-speaking populations in nurses and nurse managers. Meth...

Chronic illness requires numerous treatments and self-care is essential in the care process. Evaluation of self-care behaviors facilitates the identification of patients’ needs and optimizes education and care processes. This study aimed to test the psychometric characteristics (validity, reliability, and measurement error) of the Albanian version...

Background: Literature on the prevention of medication errors is growing, highlighting that knowledge, attitude and behavior with regard to medication errors are strategic to planning of educational activities and evaluating their impact on professional practice. In this context, the present pilot study aims to translate and validate nursing profe...

Introduction The development of this study protocol occurred in conjunction with the new Regulation defining models and standards for the development of community care in the National Health Service (Ministerial Decree n. 77-2022) with the redefinition of care in the community. Considered the increase in the elderly population, in the complexity of...

Objective Assessing nursing self-efficacy could be strategic to sustain nursing competence. This study aimed to develop and validate the nursing self-efficacy scale for managing cancer treatment-induced cardiotoxicity (NSS-CTC). Data Sources An exploratory mixed-method study was performed by including two main phases. The first comprised the devel...

There are few tools to ascertain self-efficacy, which is a valuable component of nursing skills. This study has tested the psychometric properties of an Albanian translation of the Nursing Profession Self-Efficacy Scale (NPSES), which is based on Bandura's theory of social cognition. Data were collected using questionnaires which were filled out by...

Family Centered Care (FCC) in Neonatal Intensive Care Units (NICUs) included family involvement in the care process of newborns and infants. Staff perceptions of FCC may influence clinical practice and management strategies in NICUs, with an impact on quality and humanization of the care. The Family-Centred Care Questionnaire-Revised (FCCQ-R) was a...

Interprofessional education requires that two or more professionals learn from and with each other to allow effective collaboration and improve health outcomes. Thus far, the interprofessional collaboration of healthcare students might be assessed using the Readiness for Interprofessional Learning Scale (RIPLS), which is currently not available in...

Spirituality is a common theme in the field of healthcare research. This study aimed to examine nurses’ perceptions of spirituality in the context of the religious diversity of patients in pluri-religious settings. We performed a scoping review following the methodology on studies conducted between 2010 and 2020. We searched the following databases...

Background and aim of the work: Professional competence is essential in providing nursing care based on standards. This concept can be measured, among various instruments, with the Nurses' Professional Competence Scale Short Form (NPCS-SF). The main aim of this study was to explore the perceptions of Registered Nurses (RNs) and Student Nurses (SNs...

Background Dignity is a central human value supported by nurses’ professional ethics. In previous studies, nurses in clinical practice have experienced that dignity increased their work well-being and pride of work. Dignity is also strictly interweaved to professional identity in the different nursing’ roles, but little is known about dignity among...

Purpose To develop and psychometrically test an instrument measuring the attitudes and practices towards vital signs (VS) monitoring in nurses caring for children on paediatric wards (Ped-V scale). Design and methods This is a multicentre cross-validation study with a cross-sectional design. The Ped-V scale was developed by adapting the V-scale to...

The worldwide aging and the increase of chronic disease impacted the Health System by generating an increased risk of admission to Long-Term Care (LTC) facilities for older adults. The study aimed to evaluate the admission rate to LTC facilities for community-dwelling older adults and investigate factors associated with these admissions. A secondar...

Objective: The aim of the study was to explore the degree of agreement of intensive care unit nurses working on a set of medication error preventive strategies and to examine possible predictors of nurses' knowledge, attitude and behavior. Materials and methods: Observational, international, and cross-sectional study. Iran, Malta, Spain, Pakista...

Background: Nursing in Albania has grown rapidly over the past decade in response to government initiatives to strengthen primary care. There is limited data on how this expansion has impacted the role of the nurse leadership, the scope of practice, and the characteristics of the workforce. Aim: The purpose of this study is to try to describe th...

Big data have the potential to determine enhanced decision-making process and to personalize the approach of delivering care when applied in nursing science. So far, the literature on this topic is still not synthesized for the period between 2014 and 2018. Thus, this systematic review aimed to identify and synthesize the most recent evidence on bi...

Purpose: Transitions in nursing education and professionalism that align with global nursing standards are elucidated as critical success factors in transforming health professionals and health care in Albania. Progressive educational and regulatory pathways throughout the 2000s (1999-2020) are emphasized for their impact on the Albanian health sy...

Background: To improve outcomes in children and young adults (CYAs) with chronic conditions, it is important to promote self-care through education and support. Aims: (1) to retrieve the literature describing theories or conceptual models of self-care in CYAs with chronic conditions and (2) to develop a comprehensive framework. Methods: A syst...

Purpose: The aim of this study was to develop and test the Self-Care of Osteoporosis Scale (SCOS), a new instrument to measure self-care in postmenopausal women with osteoporosis. Methods: A cross-sectional study was conducted. The SCOS was developed by a panel of experts and it was theory- driven. Confirmatory factor analysis (N = 544) was used to...

The aim of this study was developing and testing a new tool for measuring quality of life (QoL) in patients with osteoporosis who had experienced nonvertebral fractures (NVFXs). Two main phases were carried out. First, the tool was developed based on expert opinion through three focus groups. Second, the tool was tested with exploratory factor anal...

ABSTRACT. Background.Pulmonary rehabilitation in COVID-19patients, since the beginning, has focused the attention ofhealthcare professionals. At the moment, we can state that amultidisciplinary collaboration and a joint action is essential inorder to provide a high quality scientific evidence based support.The aim of this review is to outline respi...

Aims and objectives To understand the experiences and support needs of informal caregivers of patients with Chronic Obstructive Pulmonary Diseases (COPD) who return home following an acute exacerbation. Background The presence of an informal caregiver is important to provide practical and emotional support after an episode of acute exacerbation of...

Aims To describe the image of the female Licensed Nurse in Italy as promoted by the Fascist party from 1939–1943 and to understand how gender stereotypes influenced the construction of this image. Design Mixed methods design. Method The study started in 2016 and ended in 2019. In the qualitative phase, the primary source was analysis, following C...

Introduction: The free-lance nurse, not bound to rigid organizational systems, can offer personalized assistance always respecting the rights of the person and of the profession. More recent graduates have decided to undertake the nursing profession by moving towards the free-lance nursing, considering it both as a career opening and as a professi...

This chapter provides a large picture of the Italian culture not only among Italians in Italy, but also Italians who have migrated to other parts of the world, especially the United States. The changes in the health profession are salient issues, especially as professional nursing has progressed. This chapter follows the dominant values and beliefs...

Lo sviluppo di una disciplina implica il riesame continuo delle teorie e dei concetti che la compongono, anche di quelli ritenuti core o fondamentali. In questo quadro uno dei fenomeni che riscuote oggi un notevole interesse multidisciplinare è quello della resilienza vale a dire dell'"idoneità di una persona ad affrontare le avversità e a superarl...

Introduction: The objective of the study is to identify a pool of professional quality indicators regarding assistance provided in hospices, suitable for both self-evaluation that for the evaluation between hospices. The evaluation of the results relevant to treatment of patient is difficult because reference cannot be made with regard to the outco...

The COVID-19 pandemic has exposed the vulnerabilities of nursing supply flows, domestically and internationally. Its impact at the country-level has further highlighted preexisting nurse supply gaps and the effect of staffing shortages. Internationally, the pandemic has disrupted global supply chains. The world has witnessed the closing of borders,...

Background and Purpose Perceptions toward nursing diagnosis (ND) may represent core drivers of its adoption within clinical practice. Few studies have investigated perceptions toward ND within nursing academic contexts. The study was conducted to validate the Italian version of the Minnesota Nurses’ Perceptions of Nursing Diagnoses (MNPND) scale on...

Background Spirituality has always been present in the history of nursing and continues to be a topic of nursing interest. Spirituality has ancient roots. The term ‘spirituality’ is interpreted as spirit and is translated as breath and soul, whereas spirituality (immateriality) is spiritual nature. Historically, the term spirituality is associated...

Introduction: The clinical reasoning is a process in which nurses collect ideas, process information, they come to understand the problem or the patient's situation by planning and implementing interventions, evaluating the results. Study design: The aim of this study is to perform linguistic and cultural validation for the Italian context of th...

Aim To discuss the development of the family and community health nurse (FCHN) in Italy by focusing on three levels: organisational, political and theoretical. Background The role of the FCHN in Italy is not yet embedded evenly across the Italian National Health System (INHS) and does not have formal recognition, either contractually or organisati...

Introduction Human behavior is usually led by the achievement of personal well-being. Over the years, counseling proved its potentiality as first choice tool for supporting this process. However, given the complexity and multidimensionality of well-being, it becomes imperative to identify its constituent features before planning interventions. The...

Objective: To test the effectiveness of an educational intervention including "face to face" training, compared to a standard information program, to reduce microstomia in women with systemic sclerosis. Design: Single-blind, two-arm, randomized controlled study with a 12-month follow-up period. Setting: Hospital wards of a large Italian dermat...

Background: The increasing burden of chronic diseases associated with the ageing of the European population constitutes one of the main challenges for the welfare systems in developed western countries, especially through its impact on the use of hospital services and the cost of care. This study aims at evaluating the cost of hospital care for ol...

It is strategic to describe and disseminate available examples of how nurses find the modus operandi to being fully integrated in their organizations, including the nurse role in determining improvements in clinical practice, management, education, and/or research. This article describes the recent experiences of Gruppo San Donato International Nur...

Background: The current debate regarding decision-making at the End-of-Life (EoL) is increasing remarkably and has spread all over the world. However, literature has paid little attention to describe choice's differences in EoL care between healthcare professionals and general public. Objectives: The aim of this study was to explore the differen...

This article describes a new concept of health, originally developed and published in 2014. This model offers a new understanding of health, disease and healing that may be very useful for patient care. In fact, the Meikirch model leads to a new comprehension of health as a complex adaptive system. Systems thinking and complex adaptive systems shar...

In this chapter, I first review and assess evidence regarding brain damage or neural abnormalities associated with some psychopathologies and cognitive deficits, such as hemispatial neglect, agnosias, amnesia, somatoparaphrenia, and others. It becomes clear just how closely normal mental functioning and consciousness depend upon normal brain functi...

Up-to-date data on foreign-educated nurses (FENs) in Italy and the recognition of their professional qualifications are pivotal to boost international discussion, and to improve the engagement and involvement of multistakeholders in the nursing profession. Currently, FENs in Italy represent roughly 6% of the total number of registered nurses. FENs...

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...

Aims and objectives To determine the relevance of nursing's professional dignity in palliative care. Background Dignity is a valued concept in the ethical discourse of health disciplines. Nursing's professional dignity, a concept related to professional identity, is not clearly defined nor have its characteristics been delineated for its clinical...

Ahmed is a 40-year-old Moroccan truck driver who has been working in Italy for the last 13 years. Ahmed has a basic level of education and a sufficient conversational skill in the Italian language. Ahmed lives alone, and although is married with two children, his wife and children were left behind in Morocco. He is also financially accountable for...

Objectives: To explore family-centred care practices in Italian neonatal intensive care units and describe areas for improvement. Methods: A cross-sectional, multicentre, survey was conducted using the Italian language version of "Advancing family-centred new-born intensive care: a self-assessment inventory". The instrument is divided into 10 se...

In this study, we described the smartphone work- and non-work-related activities; analysed the differences between smartphone use and nurses’ age, gender and working environment; and observed the influences that personal digital devices have on nurses’ performances. We conducted a cross-sectional and correlational study. A convenience sample of nur...

Introduction: The university educational sphere has many dilemmas. The question of sufficient knowledge and skills for students to acquire abilities to provide care in different clinical setting is one important dilemma. Aim: To measure the level of competencies by nursing students and its application in different clinical environments. Methods...

Objectives: To describe the experience and sources of comfort and discomfort in tracheostomy patients, when they communicate with nurses in the Intensive Care Unit. Research methodology/design: Benner's interpretive phenomenology. Data were collected through: a) semi-structured interviews conducted with the patients after leaving the intensive c...

Background: Lowering mortality and hospitalization of older adults is one of the main goals of public health to improve both health systems' sustainability and older adults' quality of life. The aim of this study is to identify the determinants associated with mortality and the use of hospital services in the population older than 64 years of age....

Aim The aim of this systematic review was to provide a critical synthesis of the factors that historically shaped the advancements of nursing regulators worldwide. Background An in‐depth examination of the different factors that moulded regulatory changes over time is pivotal to comprehend current issues in nursing. Introduction In the light of g...

Introduction: According to the report published by the Italian Ministry Health on sentinel events collected between 2005-2010, 873 events were reported, of which 4% (about 35) led to mortality, coma or serious functional disorders due to drug administration errors made by nurses. The link between interruptions and patient safety has been emphasize...

This systematic review synthesised and described instruments measuring parent satisfaction with the increasing standard practice of family-centred care (FCC) in neonatal intensive care units. We evaluated 11 studies published from January 2006 to March 2016: two studies validated a parent satisfaction questionnaire, and nine developed or modified p...

Aims and objectives: To explore the experience of patients affected by chronic obstructive pulmonary disease following hospitalisation due to an acute exacerbation event. Background: Chronic obstructive pulmonary disease is a progressively debilitating disease, often with very burdensome symptoms such as acute and chronic breathlessness and fati...

Primo studio condotto in Albania sulle conoscenze degli infermieri sulle infezioni correlate all'assistenza e sulla loro prevenzione, anche se è limitato a un solo ospedale.

Aim To explore the experiences of self-care of patients with urostomy and to identify the influencing factors of self-care. Background The creation of a urostomy results in the loss of an important bodily function and an alteration of the body image and causes physical, psychological, and social changes in the lifestyle through the adjustment and...