Mauro Parozzi

Ospedale San Paolo

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Stefano Terzoni

University of Milan

Paolo Ferrara

Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo

Marco Sguanci

Università Campus Bio-Medico

Stefano Mancin

Humanitas University

Anne Destrebecq

University of Milan

Sara Morales Palomares

University of Calabria

Gaetano Ferrara

Istituto Ramazzini

Giovanni Cangelosi

Marche Polytechnic University

Maura Lusignani

University of Milan

Roberta Lodini

Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo

Cooperative Institutions

IRCCS Humanitas Research Hospital

University of Milan

Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo

Humanitas University

University of Rome Tor Vergata

Università Campus Bio-Medico

University of L'Aquila

Ospedale San Paolo

Società Italiana di Nefrologia

A. O. Ordine Mauriziano di Torino

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Valutazione infermieristica del sospetto di violenza nei confronti delle persone anziane: dalla letteratura alla pratica

Dissertation Nursing (2024)

Rosa Rita Bucolo Stefano Terzoni Mauro Parozzi Paolo Ferrara Maura Lusignani

INTRODUZIONE: L'abuso sugli anziani rappresenta una problematica critica; finora nessun articolo ha discusso le scale ed i metodi di valutazione esistenti alla luce dei fattori di base (es: famiglia, contesto sociale) e della presentazione clinica delle persone anziane potenzialmente abusate.Obiettivo: fornire una panoramica dei fattori di rischio e protettivi, dei segni, dei sintomi e dei criteri di valutazione che gli infermieri possono seguire per valutare situazioni potenzialmente correlate all'abuso sugli anziani. MATERIALI E METODI: Revisione narrativa su Pubmed, CINAHL e Cochrane Library. RISULTATI: Sono stati rinvenuti 19 strumenti di valutazione disponibili in letteratura, cosa che ha permesso di concentrarsi su quelli dedicati all'assistenza infermieristica. Questo aspetto è fondamentale a causa della natura multiforme dell'abuso sugli anziani, in cui sono coinvolti aspetti infermieristici, medici, legali, sociali ed etici. DISCUSSIONE: Molti degli strumenti recuperati sono stati concepiti per medici o operatori sanitari non infermieri, ed alcuni richiedevano molto tempo (ad esempio, interviste di 2 ore) o l'utilizzo in combinazione con altri strumenti. Gli strumenti EASI e HS-EAST sono gli unici strumenti validati che gli infermieri possono utilizzare. Tuttavia, l'EASI è solo parzialmente validato, in quanto non è stata riportata un'analisi di coerenza interna, il che potrebbe limitare la riproducibilità della valutazione. L'HS-EAST è stato testato solo sulle donne. CONCLUSIONI: La valutazione della persona anziana con segni e sintomi di potenziale violenza rimane un argomento importante nei contesti infermieristici. È necessario condurre studi di validazione per ottenere strumenti affidabili che permettano di identificare con successo le potenziali vittime

10.54103/dn/22562

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COVID‐19 pandemic experiences, ethical conflict and decision‐making process in critical care professionals (Quali‐Ethics‐COVID‐19 research part 1): An international qualitative study

Journal of Clinical Nursing (2023)

Anna Falcó‐Pegueroles A. Bosch-Alcaraz Stefano Terzoni Francesco Fanari Elena Viola

The aim of this study was to explore the sources of ethical conflict and the decision-making processes of ICU nurses and physicians during the first and subsequent waves of the COVID-19 pandemic.Depside several studies exploring ethical conflicts during COVID-19 pandemic, few studies have explored in depth the perceptions and experiences of critical care professionals regarding these conflicts, the decision-making process or which have analysed the complexity of actually implementing the recommendations of scientific societies and professional/healthcare institutions in interdisciplinary samples.A descriptive phenomenological study.Thirty-eight in-depth interviews were conducted with critical care nurses and physicians from five hospitals in Spain and Italy between December 2020 and May 2021. A thematic content analysis of the interview transcripts was conducted by two researchers. Consolidated criteria for reporting qualitative research (COREQ) were employed to ensure the quality and transparency of this study.Two main themes emerged as sources of ethical conflict: the approach to end of life in exceptional circumstances and the lack of humanisation and care resources. The former comprised two subthemes: end-of-life care and withholding and withdrawal of life-sustaining treatment; the latter comprised three subthemes: the impossibility of guaranteeing the same opportunities to all, fear of contagion as a barrier to taking decisions and the need to humanise care.Professionals sought to take their decisions in line with professional ethics and bioethical principles, but, nevertheless, they experienced moral dilemmas and moral distress when not being able to care for, or to treat, their patients as they believed fit.Further education and training are recommended on the provision of end-of-life and post-mortem care, effective communication techniques via video calls, disclosure of bad news and bioethical models for decision-making in highly demanding situations of uncertainty, such as those experienced during the COVID-19 pandemic.

Bioethics

Thematic Analysis

Pandemic

Ethical decision

10.1111/jocn.16633

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Integrating Active Learning Methodologies into Clinical Nutrition Education for Nursing Students: A Quasi-Experimental Study

Nursing Reports (2025)

Stefano Mancin Giovanni Cangelosi Marco Sguanci Sofia Matteucci Emanuela Morenghi

Background: Clinical nutrition is essential in nursing care, with nurses playing a key role in supporting patients’ dietary needs. Aim: To assess the impact of active learning methodologies on clinical nutrition education, focusing on knowledge retention among nursing students. Methods: Using a quasi-experimental research design, we enrolled 131 s-year nursing students. Both groups attended an eight-hour seminar on clinical nutrition, incorporating critical thinking. The experimental group had prior exposure to active learning and ICT in their first-year course, while the control group received traditional teaching. Knowledge was assessed using a validated questionnaire on basic and clinical nutrition. Results: The experimental group scored higher in both basic and clinical nutrition, indicating that active learning improves immediate learning and long-term retention. One year later, they retained significant knowledge, particularly regarding nutrient–disease relationships. Conclusions: Active learning, particularly critical thinking, enhances short- and long-term outcomes in clinical nutrition education. Future studies should refine assessment tools and explore further integration of active learning into nursing curricula.

10.3390/nursrep15030077

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Studio pilota di traduzione in italiano e validazione culturale di uno strumento per valutare il debriefing: il Debriefing Assessment for Simulation in Healthcare (DASH)

Dissertation Nursing (2025)

Sonia Lomuscio Pier Luigi Ingrassia Andrea Mastroieni Mauro Parozzi Michela Bernardini

BACKGROUND: Il debriefing rappresenta una componente essenziale del processo di apprendimento esperienziale; pertanto, è fondamentale disporre di strumenti condivisi per valutarne la qualità e fornire un feedback strutturato agli istruttori. Il Debriefing Assessment for Simulation in Healthcare (DASH) è uno strumento progettato per supportare lo sviluppo e la valutazione delle competenze di debriefing. OBIETTIVO:Tradurre in italiano e adattare culturalmente gli strumenti Debriefing Assessment for Simulation in Healthcare (DASH). MATERIALI E METODI:È stata effettuata la traduzione diretta, la revisione e la retrotraduzione di tutte le schede di valutazione e del Rater’s Handbook – Manuale del DASH. La retrotraduzione è stata esaminata dagli autori originali del DASH e discussa con i traduttori per produrre una traduzione armonizzata approvata. RISULTATI:Le schede di punteggio DASH e il Manuale sono stati sottoposti a tre round di revisioni iterative tra i traduttori e il revisore, che si sono incontrati online per raggiungere un linguaggio comune e replicarlo su tutte le schede di punteggio e sul Manuale. Sono state riscontrate un totale di 9 discrepanze tra la retrotraduzione e la versione originale degli strumenti, tutte affrontate dagli autori della versione italiana. Nella retrotraduzione del Manuale non è stata rilevata alcuna discrepanza. CONCLUSIONI:Si auspica che l'applicazione del DASH nei contesti appropriati consenta di ottenere risultati positivi, offrendo feedback oggettivi ai debriefer e contribuendo così a migliorare la qualità dei debriefing condotti, con ricadute potenzialmente positive sull'efficacia dei risultati di apprendimento. Ricerche future saranno necessarie per valutare la stabilità nel tempo, la robustezza e l'affidabilità dello strumento nella sua versione italiana.

Debriefing

10.54103/dn/27575

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Clinical tutoring for nursing students: analysis of the Barletta-Andria-Trani Health Facility experience

Dissertation Nursing (2024)

Federico Ruta Michele Massaro Beatrice Dibenedetto Valéria Vilhena Lombardi Francesca Biscosi

BACKGROUND: University nursing tutoring from clinical nurses is an essential and necessary component in supporting students to be successful in curricular activities in support of classroom learning. The aim of this study was to describe the experience of the nurse involved in clinical tutoring of students in the Bachelor of Science in Nursing course at an Italian university. METHODS: A survey questionnaire created on the basis of a literature review was sent to all nurses involved in clinical tutoring within the ASL Bt. RESULTS: 67.44% reported that they had never received any kind of specific training despite the fact that 92.51% considered it essential for the correct performance of the role. 82.13% believe that this activity is not adequately valued CONCLUSIONS: The results obtained represent beginning of an educational pathway aimed at standardising the training processes of the clinical tutor, oriented towards improving the learning pathway of the future nursing class.

10.54103/dn/21709

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Transcutaneous electrical nerve stimulation for pelvic pain: A scoping review of treatment protocols, practical indications, and caveats

Neurourology and Urodynamics (2023)

Stefano Terzoni Cristina Mora Constantina Cloconi Giorgia Gaia Maria Chiara Sighinolfi

Abstract Background Neuromodulation (NM) is a family of therapies based on electrical stimulation to target specific nerves that control LUTS (Lower Urinary Tract Symptoms) and pain. The aim is to modulate what is happening within the nervous system to achieve therapeutic effects. A particular type of neuromodulation, called TENS (Transcutaneous Electrical Nerve Stimulation), has proven effective for treating pelvic pain. The available evidence provides indications regarding the many aspects of TENS that influence therapeutic effects, but a comprehensive review has yet to be conducted. Methods Scoping review on Pubmed, CINAHL, Embase, Scopus, and Web of Science, including clinical trials, reviews, case studies or series, and other descriptive studies, according to the Joanna Briggs and PRISMA methodology. Results The 31 papers retrieved allowed the formulation of precise indications about the DOs and DON'Ts of electrode placement, waveform, pulse duration, pulse frequency, amplitude, session duration, and frequency of sessions. This paper also discusses the biochemical and neuro urological mechanisms of TENS. Conclusion TENS effectiveness is influenced by many factors, some self‐evident, others subtle, which this paper elucidates. Pelvic pain requires a multimodal approach, of which TENS is just a part. TENS should therefore be viewed as one of the components of the rehabilitation program in the frame of thorough and continuous patient assessment.

Neuromodulation

Electric stimulation therapy

Functional electrical stimulation

10.1002/nau.25137

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Methodological approach to perform systematic review on nutritional and physical prehabilitation in head and neck cancer patients

Clinical Nutrition Open Science (2023)

Stefano Mancin Giulia De Pasquale Sofia Matteucci Marco Sguanci Mauro Parozzi

Malnutrition is frequently observed among patients with head and neck cancer, adversely affecting overall health and treatment outcomes.Prehabilitation, both nutritional and physical, is emerging as a strategy to optimize the nutritional status of these patients before commencing anti-cancer treatments such as chemotherapy and radiotherapy.This review methodology is designed to guide a systematic review with clear objectives: to analyze the issue of malnutrition in patients undergoing anti-cancer treatments, identify prehabilitative interventions, both nutritional and physical, aimed at promoting an improvement in nutritional status, and ascertain the most effective prehabilitative interventions in the clinical setting.With the publication of this review protocol, the aim is to provide a foundation for future systematic reviews in this emerging discipline.

Prehabilitation

10.1016/j.nutos.2023.12.003

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Adherence and uncertainty during rehabilitation for urinary incontinence: Validation of a scale

International Journal of Urological Nursing (2024)

Stefano Terzoni Mauro Parozzi Cristina Mora Pietro Marconi Eva Wallace

Abstract We sought to create an Italian version of Mishel's Uncertainty in Illness Scale, dedicated to people undergoing conservative rehabilitation for urinary incontinence, for studying uncertainty as a determinant of therapeutic adherence. Urinary incontinence has a high prevalence worldwide, ranging from 25% to 45%. Incontinence is often treatable with conservative interventions but demands a long and intensive commitment from the patient. Results are not immediate, and relapses are possible. These patients can experience uncertainty and difficulty complying with rehabilitation programs, hence the importance of the therapeutic relationship with a healthcare professional. Mishel's theory of uncertainty can be used to measure uncertainty and the effects of such a relationship, but no instrument currently exists for this purpose. Prospective observational study enrolling all male and female adult patients admitted to a nurse‐led outpatient pelvic clinic for non‐neurogenic urinary incontinence, excluding puerpera. A scale named MUIS‐PF (pelvic floor) was created, based on previous versions of Mishel's scale, and administered during the first consultation and at the end of the rehabilitation program. Internal consistency was assessed, and exploratory factor analysis was conducted. A total of 109 patients enrolled (54 M, 55 F) aged 64 ± 5 years, medial initial leakage 245 grams/day, IQR [90; 370]. Seventy‐nine percent obtained continence; there were no dropouts during the study. Internal consistency of the MUIS‐PF was high (93%), and structure analysis yielded a clear separation of the factors. Patient uncertainty decreased significantly at the end of the program compared to the first consultation ( p < 0.001). The MUIS‐PF is valid and reliable. Utilizing the correct approach, the nurse could significantly reduce the uncertainty of persons with incontinence by listening, giving clear information and searching for the best solution for their continence issues.

10.1111/ijun.12426

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Dysgeusia and Chronic Kidney Disease: A Scoping Review

Journal of Renal Nutrition (2024)

Marco Sguanci Gaetano Ferrara Sara Morales Palomares Mauro Parozzi Lea Godino

Dysgeusia is a common altered taste perception in chronic kidney disease patients. The study aims to identify available treatments for educating, screening, and clinically managing dysgeusia in this population. A scoping review was conducted following the protocol of Arksey and O'Malley, incorporating the Joanna Briggs Institute methodology, and adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Among the 424 identified records, 13 studies were included. Screening methodologies, educational strategies, particularly a hospital-based program focusing on salt reduction, showed a significant improvement in dysgeusia (P < .001). The identified clinical treatments exclusively included oral zinc supplementation, with dosages ranging from 50 to 220 mg, reporting heterogeneous results not consistent across different studies. The personalized management of dysgeusia associated with chronic kidney disease is crucial, requiring targeted education and treatment protocols to prevent and address nutritional complications such as malnutrition.

Dysgeusia

10.1053/j.jrn.2024.04.005

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A virtual reality eyes disease experience for undergraduate nursing students: A phenomenological study protocol

MethodsX (2023)

Mauro Parozzi Paolo Ferrara Stefano Mancin Ana Maria Ciorsac Stefano Terzoni

Amongst those responsible for the prevention of ocular diseases, registered nurses certainly play an essential role; however, the literature reports that the awareness/consideration of this type of disease by nurses and nursing students can be improved. It is, therefore, appropriate to carry out educational interventions aimed at increasing consideration/awareness of eye diseases consequences through virtual simulation; moreover, the students' experience during this type of activity still needs to be investigated. Therefore, this study aims to explore the experience of glaucoma and cataract sight virtual simulation among Italian nursing students with a qualitative, multi-centric phenomenological research. Bachelor nursing students from different universities in Italy will explore what it means to live with eye diseases through a virtual reality APP. Colaizzi's approach will be used to assess student experiences, investigated through an interview, a pre-experience questionnaire and side notes on student behavior during the experience and the interviews.

Bachelor

10.1016/j.mex.2023.102493

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Citations (2)