Publications by authors named "Fabio D' Agostino"

Introduction: Ensuring an appropriate length of stay (LOS) is a primary goal for hospitals, as prolonged LOS poses clinical risks and organizational challenges. Children and adolescents are particularly susceptible to prolonged LOS due to frequent hospitalizations and unique vulnerabilities, including developmental disabilities that may necessitate additional care and monitoring. This study aims to describe the LOS of children and adolescent patients and identify the sociodemographic, organizational, clinical, and nursing care factors contributing to prolonged LOS in this population.

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  • - This study examined microplastics (MPs) and their associated microbial communities in the Sarno River, its estuary, and coastal area during January 2020 using advanced scientific techniques.
  • - Significant differences were found in MP concentrations and microbial compositions across the three locations, with the estuary having particularly high levels of MPs, indicating a potential threat to coastal ecosystems.
  • - The research identified that the Comamonadaceae family dominated in freshwater and MP-attached communities, emphasizing the role of microplastics in facilitating the spread of certain microbes as they travel from river to sea, underscoring the need for effective management strategies.
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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 of stay (LOS). However, despite its potential, the use of NMDS in paediatric care remains limited.

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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 evaluation. Phases involved collaboration among academics, information technology developers, and social/healthcare professionals.

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  • - The study investigates the implementation of the Transcultural social-ethical-care (TEC-MED) model aimed at enhancing community care for the ageing population, as existing healthcare systems often fail to meet their needs.
  • - Data was gathered through interviews and focus groups involving various stakeholders, leading to four main themes that highlighted the model's effectiveness in providing personalized care and improving communication among services.
  • - The conclusion emphasizes the necessity for integrated and adaptable care models like TEC-MED to better address the diverse needs of older adults and their caregivers, suggesting similar research is needed for other healthcare systems.
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  • A study was conducted to examine how medical complexity, defined by chronic conditions, affects nursing diagnoses and actions in pediatric patients at an Italian university hospital.
  • The research analyzed electronic health records from patients admitted between January to December 2022, categorizing them into non-chronic, single chronic, and multimorbid groups, and counted nursing diagnoses and actions accordingly.
  • Results indicated that while the number of nursing diagnoses and actions varied with medical complexity, higher chronic conditions were associated with fewer nursing actions, highlighting a need for further investigation into this relationship and its clinical impact.*
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Aim: To acquire a comprehensive understanding of the international nursing students' clinical learning environments, comparing and contrasting qualitative and quantitative insights.

Background: The influx of international nursing students has increased in Italy and across Europe. These students, diverse in culture and language, encounter significant challenges to their education in clinical learning environments.

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Background: Standardized Nursing Languages (SNLs) have enabled nursing assessments and care to be better documented and visible in electronic health records (EHRs). However, its implementation is challenging and heterogeneous across clinical settings. This study aimed to demonstrate the challenges experienced by members of a European nursing organization, ACENDIO, in implementing SNLs in documentation systems across countries and offer recommendations about its use.

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Background: Work-related quality of life (WRQoL) is a multidimensional concept related to life satisfaction. Evaluating WRQoL is essential in healthcare settings since employee satisfaction affects patient service quality. Only a few studies have focused on the quality of life of rehabilitation health workers.

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The protein, essential amino acid, and fatty acid composition of European pilchard (), European hake (), surmullet (), red mullet (), and deep water rose shrimp () from the central Mediterranean Sea were investigated. All the species showed an essential amino acid content of about 50% of total amino acids, while the protein and total fatty acids content varied from 19.9 to 24.

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  • The study aimed to create and evaluate the content validity of educational videos focused on helping individuals with heart failure manage fluid restrictions and thirst.
  • It followed a three-stage method: reviewing literature for self-management strategies, producing animated videos based on the findings, and analyzing their content with expert evaluations.
  • The results led to ten short videos that met content validity standards, suggesting they can be effective educational tools in nursing practice to help prevent complications from fluid imbalance.
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  • * There is a lack of clarity among nursing stakeholders about the level of data literacy and data science literacy required for effective practice.
  • * The paper reviews existing literature and resources, revealing a gap in comprehensive frameworks and tools for developing these competencies in nursing education, research, and practice.
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  • The study evaluates the nutritional composition and safety of lab-produced snail flour from herbivorous snails, focusing on essential nutrients like moisture, protein, and fat.
  • Contaminant analysis showed no detectable levels of harmful substances like PAHs and PCBs, with heavy metal concentrations comparable to or lower than existing data, indicating the flour's safety for consumption.
  • The findings highlight a significant presence of polyunsaturated fatty acids and essential amino acids, supporting the use of snail flour as a sustainable protein source for both human and animal diets.
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To date, remediation, protection, and restoration of contaminated sites is a global concern. The current technologies to restore sediments characterized by heterogeneous characteristics, several pollutants, fine grains, and low hydraulic permeability are poorly effective; hence their remediation is still challenging. A promising approach for the sediment's remediation could be the electrochemical route since it is a not-expensive, effective and noninvasive in situ technology.

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After decades of industrial exploitation of the coast and consequent contamination of the sites and marine sediments, it became essential to recover the marine ecosystem by remediation methods to remove toxic contaminants. In this work, a remediation method was developed to clean marine sediments contaminated by arsenic (As) and mercury (Hg). The method can be applied to mobile platforms and is based on an environmentally friendly approach designed to minimise further contamination.

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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.

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  • The study aimed to assess health literacy (HL) levels in hospitalized patients and examine how these levels relate to nursing diagnoses (NDs), interventions, and clinical risks.
  • Conducted in an Italian university hospital, the research analyzed 1,067 electronic nursing records using various assessment tools to evaluate HL and associated clinical risks.
  • Findings indicated that patients with low HL had more NDs and higher clinical risks, suggesting that evaluating HL early could enhance care complexity predictions and improve patient outcomes post-discharge.*
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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 the main contributors to the occurrence of medication administration errors in ICUs.

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The well-being of skin and mucous membranes is fundamental for the homeostasis of the body and thus it is imperative to treat any lesion quickly and correctly. In this view, polyphenols might assist and enhance a successful wound healing process by reducing the inflammatory cascade and the production of free radicals. However, they suffer from disadvantageous physico-chemical properties, leading to restricted clinical use.

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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 trends in the nursing indicators being addressed, the patient populations and settings of focus, and lessons and challenges identified during the implementation of these tools.

Methods: We conducted a rigorous descriptive review of the literature to identify relevant research published in 2021.

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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.

Objectives: The aim of the study was to describe the prevalence and trend of NDs in a hospital surgical setting by also analyzing the relationship between NDs and hospital outcomes.

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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 diagnoses (NDs) in the case, (3) evaluation of diagnostic accuracy, and (4) establishment of a priority diagnosis by nurse experts.

Findings: The case study was developed from the findings of a narrative literature review on the cues of the NDs with a prevalence > 50% in patients with peripheral arterial occlusive disease.

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Dairy products represent an important source of beneficial substances for humans. At the same time, they can expose the consumers to environmental contaminants ingested by animals through their diet, influencing their health negatively. This experiment aims to evaluate the risk and benefits related to the consumption of typical stretched cheeses, considering their fatty acid (FA) profile and persistent organic pollutants (POPs) content.

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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 Minnesota Living with Heart Failure Questionnaire, respectively. Relationships between sociodemographic and clinical variables, depressive symptoms, appetite, and QoL were analyzed using bivariate tests and linear regression models, with  < .

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