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110 results on '"Vellone, Ercole"'

10. Remote motivational interviewing to improve patient self‐care and caregiver contribution to self‐care in heart failure (REMOTIVATE‐HF): Rationale, design, and methodology for a multicentre randomized controlled trial

Author

Vellone, Ercole, primary, Rebora, Paola, additional, Iovino, Paolo, additional, Ghizzardi, Greta, additional, Baricchi, Marina, additional, Alvaro, Rosaria, additional, Sili, Alessandro, additional, Barello, Serena, additional, Ausili, Davide, additional, Trenta, Alessia M., additional, Pedroni, Cristina, additional, Dellafiore, Federica, additional, Arrigoni, Cristina, additional, Riegel, Barbara, additional, and Caruso, Rosario, additional

Published
2022
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22. Anxiety, sleep disorders and self‐efficacy among nurses during COVID‐19 pandemic: A large cross‐sectional study

Author

Simonetti, Valentina, Durante, Angela, Ambrosca, Rossella, Arcadi, Paola, Graziano, Giusi, Pucciarelli, Gianluca, Simeone, Silvio, Vellone, Ercole, Alvaro, Rosaria, Cicolini, Giancarlo, 0000-0002-7185-4850, 0000-0003-1034-5988, 0000-0003-1050-4707, 0000-0002-3347-8049, 0000-0001-6915-6802, 0000-0001-9266-0185, 0000-0003-4673-7473, 0000-0002-4659-1569, 0000-0002-2736-1792, Simonetti, V, Durante, A, Ambrosca, R, Arcadi, P, Graziano, G, Pucciarelli, G, Simeone, S, Vellone, E, Alvaro, R, and Cicolini, G

Subjects
Male, Cross-sectional study, efficacy, Anxiety, Nursing Staff, Hospital, Logistic regression, 0302 clinical medicine, nursing, Risk Factors, Pandemic, Health care, Prevalence, COVID‐, 030212 general & internal medicine, General Nursing, 030504 nursing, self‐, COVID‐19 pandemic, General Medicine, Middle Aged, anxiety, Checklist, Self Efficacy, Settore MED/45, 19 pandemic, Italy, Original Article, sleep disorders, Female, medicine.symptom, 0305 other medical science, self-efficacy, Clinical psychology, self‐efficacy, Adult, Sleep Wake Disorders, COVID-19 pandemic, nurses, 03 medical and health sciences, medicine, Humans, Sex Distribution, Self-efficacy, Descriptive statistics, business.industry, COVID-19, Original Articles, Cross-Sectional Studies, business
Abstract

Aim and objectives: To assess the prevalence of anxiety, sleep disorders and self-efficacy and their predicting factors among nurses facing COVID-19. Background: The spread of COVID-19 throughout the world determined a series of modifications of several National Health Service organisations, with a potential series of psychological consequences among nurses, who were particularly afflicted by this situation of changes and precariousness. Design: A cross-sectional study was carried out from February-April 2020. Methods: A total of 1,005 nurses employed in different Italian hospital wards, during the COVID-19 pandemic, were recruited. Analyses were based on descriptive statistics and multivariate logistic regression. The STROBE checklist for cross-sectional studies was used in this study. Results: The prevalence of sleep disturbances, moderate anxiety and low self-efficacy was 71.4%, 33.23% and 50.65%, respectively. We found a positive correlation between anxiety and sleep quality (0.408; p < .0001) and negative correlations between self-efficacy and anxiety (-0.217; p < .0001) and sleep quality and self-efficacy (-0.134; p < .0001). The factor independently associated with all variables was gender. Females were more prone to sleep disturbances, anxiety and low levels of self-efficacy than males (p < .05). Conclusions: The prevalence of anxiety, sleep disorders and low self-efficacy among Italian nurses during the COVID-19 pandemic was high. Healthcare managers should recognise and consider these results to reduce the risk of the onset of major mental problems that could result in post-traumatic stress disorder. Relevance to clinical practice: Nurses facing major incidents as COVID-19 pandemic are among healthcare personnel exposed to a high risk to develop psychological disturbance that should be assessed and recognised, in order to find helpful coping strategies to inform support services and avoid to hesitate in post-traumatic stress disorders

Published
2021
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23. Nursing during the COVID-19 outbreak: A phenomenological study

Author

Arcadi, Paola, Simonetti, Valentina, Ambrosca, Rossella, Cicolini, Giancarlo, Simeone, Silvio, Pucciarelli, Gianluca, Alvaro, Rosaria, Vellone, Ercole, Durante, Angela, 0000-0003-1050-4707, 0000-0002-7185-4850, 0000-0002-2736-1792, 0000-0001-9266-0185, 0000-0001-6915-6802, 0000-0002-4659-1569, 0000-0003-4673-7473, 0000-0003-1034-5988, Arcadi, P, Simonetti, V, Ambrosca, R, Cicolini, G, Simeone, S, Pucciarelli, G, Alvaro, R, Vellone, E, and Durante, A

Subjects
Leadership and Management, media_common.quotation_subject, Face (sociological concept), nurses, Disease Outbreaks, educational need, 03 medical and health sciences, experience, Nursing, COVID‐19, Perception, Health care, Humans, Meaning (existential), Nursing management, Association (psychology), media_common, 030504 nursing, business.industry, SARS-CoV-2, 030503 health policy & services, COVID-19, Original Articles, Settore MED/45, Italy, Compassion fatigue, Original Article, 0305 other medical science, Psychology, business, qualitative research, Qualitative research
Abstract

Aim The aim of this study was to explore the experience of Italian nurses engaged in caring for patients with COVID-19. Background COVID-19 found the health care world unprepared to face an emergency of such magnitude. Italy was one of the most affected European countries, with more than 250,000 cases. Understanding the impact of events of this magnitude on nurses provides a framework of knowledge on which educational training could be based to face similar situations in the future to prevent further breakdown. Methods The hermeneutic approach by Cohen was used. Semi-structured interviews were conducted using a voice-over Internet protocol. Interviews were transcribed, read in depth and analysed. Results Twenty nurses were interviewed. Four themes were extracted: uncertainty and fear, alteration of perceptions of time and space, change in the meaning of 'to care' and changes in roles and relationships. Conclusions Psychological support in association with emergency training prevents stress and helps tackle compassion fatigue. Implications for nursing management Policies to improve nursing science should be developed to ensure better quality of care, a higher number of professionals and, consequently, an increase in the safety of patients.

Published
2021

24. Effects of exergaming on exercise capacity in patients with heart failure: results of an international multicentre randomized controlled trial

Author

Jaarsma, Tiny, Klompstra, Leonie, Ben Gal, Tuvia, Ben Avraham, Binyamin, Boyne, Josiane, Bäck, Maria, Chiala, Oronzo, Dickstein, Kenneth, Evangelista, Lorraine, Hagenow, Andreas, Hoes, Arno W., Hagglund, Eva, Piepoli, Massimo F., Vellone, Ercole, Zuithoff, Nicolaas P. A., Martensson, Jan, Strömberg, Anna, Jaarsma, Tiny, Klompstra, Leonie, Ben Gal, Tuvia, Ben Avraham, Binyamin, Boyne, Josiane, Bäck, Maria, Chiala, Oronzo, Dickstein, Kenneth, Evangelista, Lorraine, Hagenow, Andreas, Hoes, Arno W., Hagglund, Eva, Piepoli, Massimo F., Vellone, Ercole, Zuithoff, Nicolaas P. A., Martensson, Jan, and Strömberg, Anna

Abstract

Aims Exergaming is a new tool to increase physical activity. This study aimed to determine the effects of access to a home-based exergame (Nintendo Wii) in patients with heart failure (HF) on exercise capacity, self-reported physical activity and patient-reported outcome measures. Methods and results We enrolled 605 HF patients in New York Heart Association functional class I-IV, independent of ejection fraction, in an international multicentre randomized controlled trial. Patients were randomized to exergame (intervention) or motivational support (control). The primary endpoint was change in submaximal aerobic exercise capacity as measured by the distance walked in 6 min (6MWT) between baseline and 3 months. Secondary endpoints included long-term submaximal aerobic exercise capacity, muscle function, self-reported physical activity, exercise motivation, exercise self-efficacy at 3, 6 and 12months. At baseline, patients on average walked 403142m on the 6MWT. Patients in the exergame group walked further compared to controls at 3 months (454123 vs. 420 +/- 127m, P = 0.005), at 6 months (452 +/- 123 vs. 426 +/- 133m, P = 0.015) and 12months (456 +/- 122 vs. 420 +/- 135m, P = 0.004). However, correcting for baseline 6MWT values by means of a linear mixed-effects model revealed no main effect for the intervention on 6MWT. Small significant effects on muscle function were found. Statistically significant treatment effects were found for muscle function but after correction for baseline and confounders, only the treatment effect for the heel-rise left at 6 months was significant (P<0.05). No treatment effect was found for exercise motivation, exercise self-efficacy, or self-reported physical activity. ConclusionExergaming was safe and feasible in patients with HF with different profiles in different health care systems, cultures and climates. However, it was not effective in improving outcomes on submaximal aerobic exercise capacity. Subgroup analysis did not ident, Funding Agencies|Swedish National Science Council [K2013-69X-22302-01-3, 2016-01390]; Swedish National Science Council/Swedish Research Council for Health, Working Life and Welfare, VR-FORTE [2014-4100]; Swedish Heart and Lung AssociationSwedish Heart-Lung Foundation [E085/12]; Swedish Heart and Lung FoundationSwedish Heart-Lung Foundation [20130340, 20160439]; Vardal Foundation [2014-0018]; Medical Research Council of Southeast Sweden [FORSS 474681]

Published
2021
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25. Factors associated with lack of improvement in submaximal exercise capacity of patients with heart failure

Author

Jaarsma, Tiny, Perkiö Kato, Naoko, Ben Gal, Tuvia, Bäck, Maria, Chiala, Oronzo, Evangelista, Lorraine, Mårtensson, Jan, Piepoli, Massimo F., Vellone, Ercole, Klompstra, Leonie, Strömberg, Anna, Jaarsma, Tiny, Perkiö Kato, Naoko, Ben Gal, Tuvia, Bäck, Maria, Chiala, Oronzo, Evangelista, Lorraine, Mårtensson, Jan, Piepoli, Massimo F., Vellone, Ercole, Klompstra, Leonie, and Strömberg, Anna

Abstract

Aims Improvement in exercise capacity is the primary goal of physical activity programmes for patients with heart failure (HF). Although activity programmes are effective for some patients, others do not benefit. Identifying factors related to a lack of improvement in submaximal exercise capacity may help us interpret findings and design new interventions. The aim of this study is to identify factors contributing to a lack of improvement in submaximal exercise capacity 3 months after physical activity advice or an exergame intervention in patients with HF. Additionally, we aimed to assess differences in lack of improvement in submaximal exercise capacity of patients whose baseline exercise capacity predicted a worse compared with better prognosis of HF. Methods and results This secondary analysis of the HF-Wii study analysed baseline and 3 month data of the 6 min walk test (6MWT) from 480 patients (mean age 67 years, 72% male). Data were analysed separately in patients with a pre-defined 6 min walking distance at baseline of <300 m (n = 79) and >= 300 m (n = 401). Among patients with a baseline 6MWT of >= 300 m, 18% had deteriorated submaximal exercise capacity. In the multiple logistic regression analysis, lower baseline levels of self-reported physical activity [odds ratio (OR) = 0.77, 95% confidence interval (CI) = 0.60-0.97], lower baseline levels of cognitive function (OR = 0.87, 95%CI = 0.79-0.96) were significantly associated with lack of improvement in exercise capacity at 3 months. Not randomized to exergaming (OR = 0.63, 95%CI = 0.37-1.09) was likely (P = 0.097) to be associated with lack of improvement in exercise capacity at 3 months. Among the 79 patients with baseline 6MWT of <300 m, 41% (n = 32) did not improve 6MWT distance at 3 months. Independent predictors for the lack of improvement for 6MWT were New York Heart Association class III/IV (OR = 4.68, 95%CI = 1.08-20.35), higher levels of serum creatinine (OR = 1.02, 95%CI, Funding Agencies|Swedish National Science Council [K2013-69X-22302-01-3, 2016-01390]; Swedish National Science Council/the Swedish Research Council for Health, Working Life and Welfare, VR-FORTE [2014-4100]; Swedish Heart and Lung AssociationSwedish Heart-Lung Foundation [E085/12]; Swedish Heart and Lung FoundationSwedish Heart-Lung Foundation [20130340, 20160439]; Vardal Foundation [2014-0018]; Medical Research Council of Southeast SwedenUK Research & Innovation (UKRI)Medical Research Council UK (MRC) [FORSS 474681]

Published
2021
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42. Effects of exergaming on exercise capacity in patients with heart failure: results of an international multicentre randomized controlled trial

Author

Jaarsma, Tiny, primary, Klompstra, Leonie, additional, Ben Gal, Tuvia, additional, Ben Avraham, Binyamin, additional, Boyne, Josiane, additional, Bäck, Maria, additional, Chialà, Oronzo, additional, Dickstein, Kenneth, additional, Evangelista, Lorraine, additional, Hagenow, Andreas, additional, Hoes, Arno W., additional, Hägglund, Eva, additional, Piepoli, Massimo F., additional, Vellone, Ercole, additional, Zuithoff, Nicolaas P.A., additional, Mårtensson, Jan, additional, and Strömberg, Anna, additional

Published
2020
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44. A body of work, a missed opportunity: Dyadic research in older adults

Author

Buck, Harleah G., Bekelman, David, Cameron, Jan, Chung, Misook, Hooker, Stephanie, Pucciarelli, Gianluca, Strömberg, Anna, Riegel, Barbara, Vellone, Ercole, Buck, Harleah G., Bekelman, David, Cameron, Jan, Chung, Misook, Hooker, Stephanie, Pucciarelli, Gianluca, Strömberg, Anna, Riegel, Barbara, and Vellone, Ercole

Abstract

n/a

Published
2019
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