Laura Rasero

Laura Rasero
University of Florence | UNIFI · Dipartimento di Medicina Sperimentale e Clinica

About

154
Publications
46,630
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,235
Citations
Citations since 2016
96 Research Items
1073 Citations
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250

Publications

Publications (154)
Preprint
Full-text available
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...
Article
Full-text available
COVID-19 has been associated with a broad range of long-term sequelae, commonly referred to as “long-COVID” or “post-COVID-19” syndrome. Despite an increasing body of literature, long COVID remains poorly characterized. We retrospectively analysed data from electronic medical records of patients admitted to the post-COVID-19 outpatient service of t...
Article
Full-text available
Purpose Hyponatremia occurs in about 30% of patients with pneumonia, including those with SARS-CoV-2 (COVID-19) infection. Hyponatremia predicts a worse outcome in several pathologic conditions and in COVID-19 has been associated with a higher risk of non-invasive ventilation, ICU transfer and death. The main objective of this study was to determin...
Article
In a public health emergency, the psychological stress of nursing staff should be assessed, and nurses who cared for coronavirus disease 2019 (COVID-19) patients were constantly under pressure. Currently, frontline health care workers are experiencing mental health issues. The personal quality of life is directly related to the working environment,...
Preprint
Diagnosing COVID-19 and treating its complications remains a challenge. This review reflects the perspective of some of the Dragon (IMI 2-call 21, #101005122) research consortium collaborators on the utility of bronchoalveolar lavage (BAL) in COVID-19. BAL has been proposed as a potentially useful diagnostic tool to increase COVID-19 diagnosis sens...
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
Full-text available
Background: Clotting is a major drawback of continuous renal replacement therapy (CRRT) performed on critically ill pediatric patients. Although anticoagulation is recommended to prevent clotting, limited results are available on the effect of each pharmacological strategy in reducing filter clotting in pediatric CRRT. This study defines which ant...
Article
Full-text available
Background: During the Coronavirus disease 2019 (COVID-19) pandemic, hospital visits were suspended and video calls were offered to connect patients with their family members, especially toward the end of life (EoL). Aim: The primary aim was to describe EoL care for COVID-19 patients dying in an intensive care unit (ICU). The secondary aim was t...
Article
Full-text available
Aim: Few studies in the literature specifically address the hardiness of nurses during the COVID-19 pandemic. Thus, the primary aim of this study was to assess the impact of COVID-19 on the hardiness levels in an Italian cohort of nurses. The secondary aims were to assess the level of hardiness in nurses directly caring for patients with COVID-19...
Article
. Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). a prospective observational study. Introduction: Measuring the nursing staff workload allows adequate delivery of resources within the intensive care unit and high dependency unit to ensure an adequate nurse to patient ratio. Aim:...
Article
Aims The long-term COVID-19 effects are currently unknown. Whether and for how long symptoms extend beyond the acute phase of the disease is unresolved. Aim of this study was to determine the functional capacity of COVID-19 survivors by cardiopulmonary exercise testing (CPET) and describe its association with dyspnoea, the most frequent symptom aft...
Article
Full-text available
Objective: To investigate the persistence of symptoms compatible with COVID-19 in a real-file prospective cohort of patients at 12 months from hospital discharge. Methods: Longitudinal, prospective, single-center, cohort telephone follow-up (FU) study in a Tertiary Care Hospital. All consecutive patients >18 years admitted for COVID-19 were prospec...
Article
Patients and health workers were at high risk of infection during the Sars-Cov-2 pandemic lockdown. For this reason, other medical and clinical approaches such as Telemedicine were necessary. Despite Telemedicine was born before COVID-19, the pandemic was the opportunity to accelerate a process already underway for at least a decade and to blow all...
Article
Background: Nurses, particularly emergency nurses, are among the health workers most exposed to workplace violence (WPV). Despite WPV recording systems are becoming more common, the under-reporting is still widespread. Studies suggest that the use of simple and easy registration systems could facilitate the reporting of violent events. Aim: To v...
Poster
Full-text available
Background: Nurses, particularly emergency nurses, are among the health workers most exposed to workplace violence (WPV). Despite WPV recording systems are becoming more common, the under-reporting is still widespread. Studies suggest that the use of simple and easy registration systems could facilitate the reporting of violent events. Aim: To veri...
Article
Background & Aims The effect of the COVID-19 infection on nutritional status is not well established. Worldwide epidemiological studies have begun to investigate the incidence of malnutrition during hospitalization for COVID-19. The prevalence of malnutrition during follow-up after COVID-19 infection has not been investigated yet. The primary objec...
Article
Full-text available
Background Intensive care unit diaries are often used to support patients during their psychological recovery. The intensive care unit stay can be upsetting, disturbing and traumatic for both patients and their families especially when the patient does not survive. Aim To investigate the connection between intensive care unit diaries and the griev...
Article
Full-text available
Objectives To assess the association of pre-morbid functional status [Barthel Index (BI)] and frailty [modified Frailty Index (mFI)] with in-hospital mortality and a risk scoring system developed for COVID-19 in patients ≥75 years diagnosed with COVID-19. Design Retrospective bicentric observational study. Setting and Participants Data on consecu...
Article
Full-text available
Background In March this year, most of the routine activities were cancelled during the streaming of the pandemic in Italy. This prompted a pragmatic reorganization of the traditional care model of nursing and medicine, to quickly give an efficient clinical response. During the first phase of the pandemic, outpatient visits dropped by more than 60%...
Article
Objective This multicentre study aimed to develop a measure of the perception of care dependence in patients diagnosed with cancer and to test its psychometric properties. Methods The questionnaire was developed based on findings emerged from a meta‐synthesis and from qualitative studies conducted in three hospitals in Italy. The draft questionnai...
Article
Background: Nurses, particularly emergency nurses, are among the health workers most exposed to workplace violence. Although reporting systems are increasingly used, under-reporting remains high. Recent studies suggest that the use of easy registration systems could facilitate violence reporting. Objectives: To verify if a friendly reporting sys...
Article
Full-text available
Background: Nurses, particularly emergency nurses, are among the health workers most exposed to workplace violence. Although reporting systems are increasingly used, under-reporting remains high. Recent studies suggest that the use of easy registration systems could facilitate violence reporting. Objectives: To verify if a friendly reporting syste...
Article
Full-text available
We evaluated 100 postacute coronavirus disease 2019 (COVID-19) patients a median (interquartile range) of 60 (48-67) days after discharge from the Careggi University Hospital, Italy. Eighty-four (84%) had at least 1 persistent symptom, irrespective of COVID-19 severity. A considerable number of hospital readmissions (10%) and/or infectious diseases...
Article
Objectives The aim of this study is to ascertain systemic sclerosis patients’ preferences regarding the formulations of the medications they use. Methods We undertook questionnaires and interviews aimed at understanding systemic sclerosis patients’ preferences with respect to the medications they used. Results Among 160 systemic sclerosis patient...
Article
Purpose: Neonatal palliative care becomes an option for critically ill neonates when death is inevitable. Assessing nurses' attitudes towards, barriers to, and facilitators of neonatal palliative care is essential to delivering effective nursing care. Methods: This study was conducted from January to September 2015 and involved Italian nurses em...
Article
Full-text available
Purpose Patients with advanced cancer are likely to face increasing levels of care dependence. Adult patients who become care dependent on others can experience this condition as one of suffering and humiliation. The nurse-patient relationship plays a key role in the experience of dependence. Understanding patients’ and nurses’ perceptions of care...
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
RIASSUNTO INTRODUZIONE: La violenza nel settore sanitario è un fenomeno severo e diffuso in tutto il mondo, che richiama sempre più l'attenzione degli studiosi internazionali. Scopo del presente lavoro è quello di analizzare il contributo della ricerca infermieristica italiana sul tema della violenza in sanità. METODO: Partendo da una ricerca nei d...
Conference Paper
Introduction: Exploring the experiences of potential donors’ family members (FM) in a follow up clinic is crucial to analyze the effects of organ procurement (OP) on the bereavement process, to gain insight on the reasons of family refusals (FR), and to improve family care during OP. Methods: A mixed-method study involving FM at 3 and 12 months aft...
Conference Paper
Introduction: Organ procurement (OP) is a complex process in which clinical, organizational and psycho-social issues are at play. Understanding the experiences and related memories of potential donors’ family members (FM) in a follow up clinic is crucial to identify the most relevant factors affecting OP and the associated outcomes. Our aims were t...
Article
Purpose: To review the available literature regarding delirium experiences of family caregivers and healthcare staff, to discuss how caregivers and staff perception can increase delirium detection and to summarize how to address the needs of family caregivers and healthcare providers in delirium care. Methods: "State of the science" paper. Resu...
Article
Background: Oral care represents one of the “fundamental of care”, that is particularly important in critically ill patients with endotracheal devices. The oral care is aimed to maintain the comfort, and above all, to prevent Ventilator Associated Pneumoniae (VAP). Chlorhexidine (CHX) mouthwash or gel is used in the dental fi eld with excellent res...
Article
The concept behind the term “open intensive care unit (ICU)” is to reduce physical, communicative and temporal barriers, if compared to the previous model of critical care. These three key principles of open ICU are currently being joined by new challenges: the participation of family members in nursing activities performed on the patient, and to t...
Article
Background: Weaning is a dynamic and collaborative decision-making process that covers the entire process of patient liberation from mechanical ventilator support and endotracheal device. Clinical, instrumental parameters and indices are elements that allow to evaluate the patient’s ability to cope with weaning from mechanical ventilation and there...
Article
Among the negative interactions between nurses there are the lateral dynamics, exerted between peers, within the working groups. Some authors have theorized the presence of a continuum of behaviors ranging workplace incivility up to the lateral violence, and horizontal bullying. Although these phenomena are widespread and important, currently, reac...
Article
Objectives: The Care Dependency Scale is a theory-based, comprehensive tool widely used in low-intensity care settings to evaluate patients' dependency. This study aimed to test the psychometric properties of the Care Dependency Scale in intensive care units. Research methodology/design: A multicentre cross-sectional validation study was conduct...
Conference Paper
Full-text available
Introduzione La violenza sul lavoro (workplace violence - WPV) in ambito sanitario è un fenomeno di rilevanza mondiale per dimensioni e gravità. Gli infermieri di Pronto Soccorso, soprattutto durante l’attività di triage, sono tra i lavoratori più esposti. Nonostante i sistemi di registrazione (report- keepping) e monitoraggio della WPV siano sempr...
Article
Introduction: Violence in the health sector is a severe and widespread phenomenon worldwide, which increasingly attracts the attention of international scholars. The purpose of this paper is to analyze the contribution of Italian nursing research on the issue of violence in health care. Methods: Starting from a search in the international databa...
Article
Full-text available
Background Cardiac implantable electronic devices (CIEDs) are widely used to treat bradyarrhythmias or improve the prognosis of patients with heart failure (HF). Aims To evaluate age-related (≤ 75 vs. > 75 years) attitudes, worries, psychological effects and needs in an Italian CIEDs population. Methods Patients attending their periodical ambulat...
Conference Paper
Background SSc affects significantly patients functionality and Quality of Life (QoL). Specific Nursing Sensitive Outcomes ( NSOs ) still need to be established in SSc. Objectives This SLR was aimed at identifying NSOs in SSc patients and the related screening tools. Methods Medline, CINHAL, EMBASE and PsycINFO were searched to identify relevan...
Article
Aim To analyse the dimensions and characteristics of Violence towards Emergency Nurses in a national context (Italy). Background Nurses are the most exposed to workplace violence, especially in Emergency Department contexts. Methods A cross‐sectional study was conducted in all Italian regions. Descriptive analyses were used to examine violence fr...
Chapter
The objective of this study is redesigning quality and safety of care in Nursing Homes (NH), through a participatory approach based on human factors and ergonomics principles and techniques. We started with an in-deep qualitative analysis of daily practices in 4 nursing homes, selected on the basis of their performance (good and bad) and location (...
Chapter
The optimal management of SSc cutaneous ulcers should be focused on both pharmacological systemic modalities and local treatment. A preliminary and thorough clinical assessment is always recommended to carry out a rational and efficacious approach to the local treatment of SSc ulcers. It is mandatory to evaluate SSc ulcers’ related pain, their path...
Chapter
Cutaneous fistulas, commonly found in association with skin lesions and gangrene, are a severe complication of SSc patients characterized by long-lasting vascular involvement. Local treatment of fistulas is challenging for nurses due to their clinical presentation and the early involvement of deep structures (bones, muscles, and tendons). Fistulas...
Chapter
Digital ulcers are known as a heavy clinical burden in patients with systemic sclerosis, leading to important limitations to everyday life. Keeping in mind the partial agreement on digital ulcers definition, the assessment of skin lesions is currently focussed on count and the appearance of new ulcers. Conversely, different tools are available to m...
Chapter
The management of ulcers is a real challenge for physicians and nurses. In systemic sclerosis (SSc), the treatment of digital ulcers (DU) should improve tissue integrity and viability, promote ulcer healing, and reduce the formation of new DU. Wound healing is a complex process regulated by a pattern of events including coagulation, inflammation, f...
Article
Background Lateral violence and bullying affect nurses’ professional and health status. Worldwide prevalence ranges from 1 to 87%. Aim To investigate prevalence and risk factors of lateral violence and bullying among Italian nurse peers in different work settings, inside and outside hospitals. Methods Web‐survey using the 17‐item ‘Negative Intera...
Article
Objective: To date, "healed/non-healed" and clinical judgment are the only available assessment tools for digital ulcers (DU) in patients with systemic sclerosis (SSc). The aim of our study is to examine a preliminary composite DU clinical assessment score (DUCAS) for SSc for face, content, and construct validity. Methods: Patients with SSc pres...
Conference Paper
Full-text available
Introduzione Il problema della violenza nel settore sanitario è da anni ai primi posti nell’agenda mondiale di sanità pubblica (Krug, 2002). Il recente insediamento presso il Ministero della Salute dell’Osservatorio Permanente per la garanzia della sicurezza e per la prevenzione degli episodi di violenza ai danni di tutti gli operatori sanitari, ev...
Conference Paper
Violence towards health workers is worldwide spread. Emergency nurses are the most exposed. Despite recording systems (report-keeping) and monitoring of the workplace violence (WPV) are becoming more common, the under-reporting of violent incidents, widely described in the literature and estimated at around 80%, remains today a major obstacle to th...
Article
Background: Negative interactions among nurses are well recognized and reported in scientific literature, even because the issues may have major consequences on professional and private lives of the victims. The aim of this paper is to detect specifically the prevalence of workplace incivility (WI), lateral violence (LV) and bullying among nurses....
Article
Background and aim of the study: The objective of this study is to demonstrate the feasibility of a possible fee system based on the performance of the nursing function, validating the theoretical and methodological assumption of an economic analysis for nursing. Method: The I.C.A. Methodology (Indexes of Complexity of Assistance) was chosen as...
Article
Background: Family refusal (FR) to heart beating donation (HBD) in Intensive Care Unit (ICU) is increasing in recent years with a significant impact on the number of transplantable organs. Fostering setting humanization, quality of relationships, respect for will and family reliance towards ICU could be relevant in containing FR to organ donation...
Article
Introduction Physical and verbal aggression against health professionals, particularly nurses, is globally serious and widespread, with the most vulnerable being nurses working in the Accident and Emergency Department. Most international research into this issue focused on quantifying aggression, describing its nature, identifying perpetrators, str...
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...
Preprint
Full-text available
Background and Aim of the Study: The objective of this study is to demonstrate the feasibility of a possible fee system based on the performance of the nursing function, validating the theoretical and methodo-logical assumption of an economic analysis for nursing. Method: The I.C.A. Methodology (Indexes of Complexity of Assistance) was chosen as a...
Conference Paper
La violenza sul luogo di lavoro in ambito sanitario è un problema di rilevanza mondiale. Gli Infermieri, in particolare quelli di Pronto Soccorso (PS), sono tra i più esposti. Ampiamente affrontato in letteratura questo fenomeno è per alcuni autori ancora poco conosciuto. La maggior parte degli studi riguardano la misurazione dell’entità del fenome...
Article
Dear Editor, We read with interest the paper by Choi and Lee (2017) titled ‘Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention’ published in the Journal of Nursing Management. We were impressed by the high rates of workplace violence (WPV) (95.5% of the respondents, in a time frame of...
Conference Paper
Full-text available
Introduzione: La violenza nei confronti degli operatori sanitari è un fenomeno mondiale sempre più diffuso.1 Gli infermieri di Pronto Soccorso (PS), soprattutto se impegnati nell’attività di triage,2 sono i tra più esposti. Molti modelli concettuali e quadri teorici sono stati elaborati al riguardo3 e partendo da questi stiamo sviluppando una linea...
Article
Introduction: according to available literature workplace incivility, lateral violence and bullying among nurses are widely diffused. Their negative consequences and the outcomes on nurses and healthcare organizations have been well described. However, real pro-active and reactive actions to manage these issues, seem to be poorly recognized and inv...
Article
Introduction Workplace Violence in the health environment is a growing issue worldwide. Emergency department have been identified as a high-risk setting for Workplace Violence and emergency nurses are most exposed to this phenomenon. To address workplace violence in the ED effectively, it is critical to understand frameworks established in the lite...
Conference Paper
Background SSc patients suffer from Raynaud's phenomenon, hand skin hardening and scarring, digital ulcers, esophagus/gastric dysmotility, dysphagia and mucosal dryness. These symptoms significantly reduce patient's life autonomy and impair the capacity to handle their therapy usually made by different modalities of administration: oral, topical, i...
Conference Paper
Full-text available
Background. Negli ultimi anni, all’interno dei sistemi sanitari, è cresciuta sempre più l’attenzione dedicata al processo di handover, letteralmente “consegna” inteso come passaggio di responsabilità e condivisione delle informazioni riguardo ai pazienti. Numerosi studi sono stati fatti su come avviene, sulle conseguenze di uno scarso handover e su...
Poster
Full-text available
Introduzione La violenza nei confronti dei sanitari è un fenomeno mondiale. Gli infermieri di PS sono tra i più esposti.(1) In Italia il Ministero della Salute ha emanato nel 2007 la “Raccomandazione per prevenire gli atti di violenza a danno degli operatori sanitari”,(2) episodi considerati eventi sentinella da segnare al Sistema Nazionale di Moni...
Article
Full-text available
Background and aim of the work: Lots of studies describe High Fidelity Simulation (HFS) as an experience well-accepted by the learners. This study has explored doctors and nurses satisfaction levels during HFS sessions, searching the associations with the setting of simulation events (simulation center or on the field simulation). Moreover, we stud...
Article
Full-text available
Introduction: violence against health workers is a worldwide phenomenon. Nurses, especially those of emergency department (ED), primarily if engaged in triage, are among the most vulnerable workers. In Italy there are no statistical sources can outline a detailed picture of the phenomenon in the specific context of the emergency department. It is p...
Poster
Full-text available
Background & Context: Violence against health workers is a worldwide phenomenon. Nurses, especially those of the Emergency Department (ED), above all if engaged in triage, are among the most exposed workers. Italy is not immune from the problem, so much so that the Ministry of Health issued in November 2007 a specific ’Recommendation to prevent act...
Article
In Systemic Sclerosis (SSc), digital ulcers (DU) are painful, difficult to heal, and frequently infected. To reduce the risk of bacterial infection and to prevent chronicity, it is essential to carefully remove necrotic tissue from DU, with maximum patient comfort. Debridement, although very efficacious, is invasive and causes local pain: lidocaine...
Conference Paper
Background At present patients with rheumatic diseases are mainly assisted in outpatient settings. In our centre more than 150 patients with SSc (Systemic Sclerosis) and more than 100 patients with SPA (Spondyloathritis) are treated monthly. Rheumatic diseases are chronic conditions associated with disability, reduced quality of life and emotional...