Monica Bianchi

University of Applied Sciences and Arts of Southern Switzerland · Department of Business Economics, Health and Social Care (DEASS)

Background The COVID-19 pandemic entailed cutting off the usual access to hospitals, denying patients daily visits from their relatives and friends. The standard communication between medical staff and relatives also suffered, with a perceived negative impact on overall care. We developed an electronic communication solution to re-establish a proac...

Aim/objective To report and synthesize the main strategies for teaching clinical reasoning described in the literature in the context of advanced clinical practice and promote new areas of research to improve the pedagogical approach to clinical reasoning in Advanced Practice Nursing. Background Clinical reasoning and clinical thinking are essenti...

Contemporary practice in interprofessional education (IPE) has evolved predominantly focusing on the competencies for interprofessional collaboration (IPC) that learners must acquire. Competencies that educators need to successfully deliver IPC have been overlooked. This lack of attention is further confounded by a field replete with inconsistent t...

Aims and objectives: To explore the phenomenon of workarounds in clinical practice through the nurses' perspective and identify which factors according to their experience contribute to activities carried forth non-compliantly to procedures, protocols and rules defined by an Institution. Background: A workaround in clinical practice is a non-com...

Objectives To undertake a concept analysis of clinical leadership in nursing students. Design Concept analysis. Data sources A comprehensive search was conducted using the Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline and PsychINFO using the following search terms: clinical leadership AND management AND preregistratio...

Introduction: According to the theory of Self-Regulation, the individual develops self-regulation processes that guide the course of pathology through mental representations of disease. These should be an essential part of nursing in developing the patient's motivation and self-efficacy, and the Illness Perception Questionnaire allows us to unders...

Background Fatigue is a complex and frequent symptom in cancer patients, influencing their quality of life, but it is still underestimated and undertreated in clinical practice. The aims of this study were to detect the presence of fatigue in cancer patients, describe how patients and nurses perceived it and how nurses managed fatigue. Methods Thi...

TITOLO Master of Science in Nursing (MScN) the innovative way to prepare APN in Southern Switzerland Background The evolution of health systems and how users are taken care of, show a progressive increase in the complexity of the conditions for the exercise of the nursing role. A very topical issue at a national and international level is the redis...

La necessità di cure domiciliari rivolte a pazienti con malattia cronica e ai loro famigliari e care-giver è una sfida di questo tempo. Gli infermieri sono tra i professionisti più coinvolti nelle cure a domicilio e hanno la necessità di saper prendere decisioni assistenziali sempre più complesse. Il ragionamento clinico ha necessità di esse-re per...

Introduction Patient advocacy, acting on behalf of patients’ unmet needs, is fundamental to nursing, and the perception of the need for advocacy motivated this study. Nurses experience moral discomfort, which results from a divergent view regarding medical or caregivers’ decisions about patients’ clinical proceedings, in which patients’ involvement...

Background: The population ageing generates new challenges related to the treatment of chronic diseases. The course of the disease makes patients and caregivers (CGs) vulnerable and their ability to self-care is threatened. CGs can be supported by the Advanced Practice Nurse (APN). Objective: The aim is to deepen the CGs' needs of people with ch...

Introduction: Bullying in health care setting has a globally prevalence between 1% and 87% and it's in constant increase described by "WHO" as: "Bullying is a major public health problem". It is defined as a repeated ill-treatment, harmful for the health of one or more individuals by one or more people. There are different types of behaviours and...

Take care of nurses during COVID 19 emergency in Canton Tessin

Background In 2019, a new IPE-collaboration between educational institutions was consolidated in Italian-speaking Switzerland. For the first time it included a learning unit on IPC open to Bachelor students in Nursing, Occupational Therapy, Physiotherapy as well as to Master students in Medicine. Initially didactical planning, modalities and tools...

Aims: To explore the experiences of middle management nurses during COVID-19 pandemic in Switzerland. Background: The outbreak of COVID-19 has placed extraordinary demands upon healthcare systems worldwide, which were found mostly unprepared. In this situation, middle management nurses covered a strategic role because they acted as a link betwee...

Background Fatigue is a complex and frequent symptom in cancer patients, influencing their quality of life, but it is still underestimated in clinical practice and undertreated. The aims of this study were to detect the presence of fatigue in cancer patients, describe the perceptions of patients and nurses regarding it and describe the nursing mana...

Aim The aim of this study was to explore and understand the interprofessional collaboration preparation processes implemented by clinical tutors and students, in various professions, involved in interprofessional education experiences. Design A constructivist grounded theory approach. The study was carried out between 2015‐#2017. Method Semi‐stru...

Introduzione: Il progetto di ricerca nasce da un’esperienza formativa nell’ambito del Master of Science in Cure infermieristiche della Scuola Universitaria Professionale della Svizzera Italiana (SUPSI) che si prefigge di ampliare le competenze professionali nell’ambito della pratica infermieristica avanzata. L’obiettivo é quello di prepara...

ABSTRACT Introduction: This research project stems from a training experience in the Master of Science in Nursing Care of the University of Applied Sciences and Arts of Southern Switzerland (SUPSI) which aims to expand professional skills in the field of advanced nursing practice. The goal is to prepare professionals who reach a high level of compe...

Introduction: Patients' needs and the change of health professionals' roles have led researchers to reflect about the involvement of nurses in care processes development, as well as health policies. Studies confirm how advanced nursing training promotes quality of care and reduces the costs of healthcare. The introduction of the Advanced Practice...

NTRODUZIONE: Nel mese di febbraio 2020 il primo caso di COVID-19 è arrivato in Canton Ticino. A partire da quel momento molte cose sono cambiate a grande velocità soprattutto nelle organizzazioni sanitarie e questi cambiamenti hanno avuto un forte impatto sulla professione infermieristica. L’obiettivo di questa ricerca era: Indagare i vis-suti di i...

Presentazione dell'esperienza di Laboratorio di Ragionamento clinico (sviluppo di competenze a livello avanzato della pratica clinica).

Introduction: In February 2020 the first case of COVID-19 arrived in Canton Ticino. Since then, many things have changed at great speed, especially in health organizations, and these changes have had a strong impact on the nursing profession. The objective of this research was: to investigate the experiences of nurses at different organizational l...

Introduction To improve patient safety, many health care organisations have implemented standards/protocols for different care processes (Mula et al., 2019). Sometimes all of this is viewed by nurses as barriers and they use workarounds to overcome the problem. The workaround is an intentional change to existing work system/procedure to lessen the...

Introduction Transformational leadership focuses on people, inspires and directs them towards shared visions and objectives and aims at taking individual responsibility (Bass, 1990). It is based on the principles of accessibility, visibility, direct communication, effective support (Koloroutis, 2015). Transformational leaders influence followers at...

Background: The increase in the use of oral cancer drugs implies that nurses take on new roles for which education and support to patients and family members become fundamental for promoting therapeutic adherence. Objective: To describe the patients' and nurses' perceptions on the effectiveness of the educational process in oral cancer treatment...

Aim: To explore undergraduate student's preparation for leadership roles upon registration. Background: Effective leadership is vital when promoting positive workplace cultures and high-quality care provision. However, newly registered nurses are not always well-prepared for leadership roles. Evaluation: A scoping review of primary research pu...

Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care (PC) into question. New care models have recently been implemented in Swiss PC and involve interprofessional teams. This paper aimed to investigate the practice of interprofessional collaboration between advanced practice nurs...

Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care (PC) into question. New care models have recently been implemented in Swiss PC and involve interprofessional teams. This paper aimed to investigate the practice of interprofessional collaboration between advanced practice nur...

Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care (PC) into question. New care models have recently been implemented in Swiss PC and involve interprofessional teams. This paper aimed to investigate the practice of interprofessional collaboration between advanced practice nurs...

Objectives We aimed to analyse roles and tasks of advanced practice nurses (APNs), registered nurses (RNs) without advanced practice education and medical practice assistants (MPAs) with regard to chronic care in Swiss primary care (PC). The objective of this study was to explore the potential of new care models, involving these health professional...

Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care into question. New care models have recently been implemented in Swiss primary care and involve interprofessional teams. This paper aimed to analyze the practice of interprofessional collaboration between advanced practice nur...

Background: The increase in the number of chronically ill patients due to ageing is calling existing models of primary care (PC) into question. New care models have recently been implemented in Swiss PC and involve interprofessional teams. This paper aimed to analyse the practice of interprofessional collaboration between advanced practice nurses,...

INTRODUCTION. The visits that patients receive promote feelings of support, help and reassurance. On the other hand, there is little lit- erature regarding the wishes of patients on intensive care unit (ICU) visits. In recent years is the trend to liberalize access for visits to pa- tients admitted to the ICU. Experience has demonstrated that neith...

Background: Developing nursing research skills, awareness and research utilisation are important for improving healthcare outcomes, and are key to ensuring the full understanding and knowledge base necessary for optimal delivery of care. Nevertheless, little is known about research awareness in children's nurses. Aims and objectives: To address...

Structure and program The program is characterised by a highly clinical approach and aims at developing and deepening skills in clinical practice according to the seven roles of the CanMeds model and with the Hamric model. The clinical assessment in the simulation classroom

Interprofessional education (IPE) is essential to prepare future professionals for interprofessional collaboration (IPC). Learning together is essential for students because it is a way to understand the roles of other colleagues, improve their skills, knowledge, competencies, and attitudes to collaborate with the interprofessional teams. To explor...

Aim To analyse through an exploratory descriptive survey how former and current doctoral students’ publications have contributed to the development of evidence between the establishment of the doctoral schools of nursing in 2006–2015. Design An exploratory descriptive survey. Methods We analysed the papers published in peer‐reviewed journals by t...

Interprofessional education (IPE) is essential to prepare future professionals for interprofessional collaboration (IPC). Learning together is essential for students because it is a way to understand the roles of other colleagues, improve their skills, knowledge, competencies, and attitudes to collaborate with the interprofessional teams. To explor...

Purpose: To identify orientations in Italian nursing research regarding nursing practice, highlighting strengths, needs for improvement, as well as suggestions and recommendations for promoting the future development of nursing knowledge. Method: An extensive review of the literature was conducted (scoping review) by consulting the following dat...

Burnout negatively affects nurses’ health and performance. Healthcare managers have an ethical duty to create healthy organizations that reduce burnout, especially within critical settings such as oncology. The aim of this study was twofold: (1) to measure the presence of nurses’ burnout to formulate organizational strategies to prevent the syndrom...

Although no solid evidence supports the effectiveness of Interprofessional Collaboration's (IPC) in improving professional practice and healthcare outcomes (Reeves et al., 2017), the investment of resources to develop interprofessional education (IPE) programs that generate the conditions for its realisation is significant (IPEC 2016). The internat...

Introduction: Interprofessional collaboration in healthcare and its impact on provision of health services are well described in the literature. However, health educators’ views about interprofessional collaboration are less known. This qualitative study explored academics’ perceptions regarding interprofessional collaboration, interactions between...

Aim This integrative review aims to explore how nursing leadership influences evidence‐based practice in contemporary health care settings. Background Although managers and environmental ward culture have long been identified as being among the main barriers to evidence‐based practice, there is little overall conceptualization and understanding of...

This article presents a qualitative research protocol to explore and understand the interprofessional collaboration (IPC) preparation process implemented by clinical tutors and students of different professions involved in interprofessional education (IPE). Many studies have shown that IPE initiatives improve students’ understanding of the roles an...

In our research, data show that knowing about the others’ knowledge can result in: helping not to misjudge what the other does by knowing how his/her knowledge is organized (and its limits), better performing one’s own role (like prescribing treatments), justifying and explaining to other what a professional does (as in example above). Professional...

In acute and primary care, patients report higher levels of satisfaction, acceptance of care, and improved health outcomes when treated by a collaborative team. To adequately prepare healthcare providers for interprofessional collaboration, their exposure to interprofessional collaboration should start from undergraduate education. The aim of this...

Risultati dello studio qualitativo svolto sulle condizioni di qualità della quotidianità della vita delle persone che svolgono emodialisi

Introduction La collaboration interprofessionnelle (IPC) en santé et son impact dans les soins sont bien décrits dans la littérature et porte sur le fonctionnement de l’équipe, le style de communication, la satisfaction des patients et leur prise en charge [1–3]. Qu’en est-il des représentations des formateurs et des professionnels de santé ? Le pr...

Studio qualitativo relativo alla percezione della qualità della vita dei malati dializzati, da parte del personale medico e infermieristico

Aims and objectives: To review the use of mixed-methods research in nursing with a particular focus on the extent to which current practice informs nurse researchers. It also aimed to highlight gaps in current knowledge, understanding and reporting of this type of research. Background: Mixed-methods research is becoming increasingly popular amon...

Introduction: In 2004, the Oncology Institute of Southern Switzerland (IOSI) started a program to improve cancer pain treatment, through training of health professionals and the introduction of monitoring tools . Aim: The aim is to evaluate patient relief from pain (effective pain control), with attention to nursing role (pain assessment, monito...

AimsTo identify patient safety competencies, and determine the clinical learning environments that facilitate the development of patient safety competencies in nursing students. Background Patient safety in nursing education is of key importance for health professional environments, settings and care systems. To be effective, safe nursing practice...

Background: Combined-modality treatment of head and neck cancer is becoming more common, driven by the idea that organ(s) preservation should maintain patient appearance and the function of organ(s) involved. Even if treatments have improved, they can still be associated with acute and late adverse effects. The aim of this systematic review was to...

Interprofessional Education (IPE) Experience in healthcare Bachelor courses in Switzerland: what is the news? Monica Bianchi, Andrea Cavicchioli, Graziano Meli. Background: IPE is becoming increasingly important internationally. The World Health Organization recognizes IPE as strategy that promotes collaboration and teamwork among groups of profess...

Introduction: Α substantial corpus of literature has sought to describe the information-seeking behaviour of patients with cancer. Yet, available evidence comes mainly from cross-sectional studies, which provide ‘snapshots’ of patients’ information needs and information-seeking styles at a single time point. Only a few longitudinal studies currentl...

Our answer is ''Yes, Nursing does have a future''. .. if our society perceives its usefulness, it will ask for its professional services, and if nurses will know how to value their own competences so that they may respond effectively to the new and changing needs of the population. The population's future healthcare demand is increasing due to emer...

Nurses and nursing students appear vulnerable to moral distress when faced with ethical dilemmas or decision-making in clinical practice. As a result, they may experience professional dissatisfaction and their relationships with patients, families, and colleagues may be compromised. The impact of moral distress may manifest as anger, feelings of gu...

Introduction: In spite of the wide spread and availability of the clinical practice guidelines, several problems limit and influence their implementation. Several studies explored how a protocol based care may influence nurses' decision making processes, while only few studies explored how it is used in everyday practice. Aim: This paper explore...

The implementation of recommendations in daily practice: the experience of the nurses of the Oncology institute of Southern Switzerland. Introduction. In spite of the wide spread and availability of the clinical practice guidelines, several problems limit and influence their implementation. Several studies explored how a protocol based care may inf...

To promote the development of a culture and a professional practice based on "evidence of effectiveness", the IOSI Nursing Officer instituted a specific Unit which decided to establish its own lines of action based on the results of an internal investigation conducted among nurses employed within IOSI, with reference to the model of action research...

The introduction of an art-therapy program for oncological patients at the Oncology Institute of Southern Switzerland: a pilot study. AUTHORS Dario Valcarenghi (1) Oncology Institute of Southern Switzerland (IOSI), Bellinzona, Switzerland Carla Pedrazzani (2) Oncology Institute of Southern Switzerland (IOSI), Bellinzona, Switzerland Monica Bianchi...

Paclitaxel is a plant product highly active in numerous cancers, but anaphylactic-like hypersensitivity reactions with it have been reported in about 28% of patients receiving the drug. Thirty to sixty minutes are needed to give a standard premedication with steroids and diphenhydramine, leading to patients and nurses' discomfort and stealing time...

The objects can substantially synthesizes: 1. To reflect on the evolution of the organizational configuration of the nursing function based on the various theoretical contributions; 2. To make a picture of the organizational configurations of nursing function that more frequently appear in the immense and heterogeneous health system; 3. To formulat...

With regards to a modification in the nursing educational curriculum it is necessary to think about the role that the human resources duly trained in various educational levels will take within the nursing research process. Particular attention will be placed mainly on those resources who received a first level education not only to clarify the fut...