Publications by authors named "Cinzia Gradellini"

8 Publications

  • Page 1 of 1

Cultural Competence and Cultural Sensitivity Education in University Nursing Courses. A Scoping Review.

Front Psychol 2021 29;12:682920. Epub 2021 Sep 29.

Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.

When assessing the fragility that characterizes the health of an immigrant person, a culturally competent transformation of the nurse-patient teaching-learning process is necessary. Therefore, it is considered essential to incorporate cultural competence and intercultural communication in higher nursing education.

Objective: To determine the content and knowledge of cultural competence and intercultural communication offered in higher education in nursing courses.

Design: The Campinha-Bacote model of cultural competence was used as the primary reference.

Method: A scoping review was conducted about studies published in the period 2003 and 2020. The research was conducted between May and October 2020. More than a hundred documents (books, chapters, articles, conference proceedings) have been consulted.

Results: Undergraduate nursing courses and postgraduate education move toward promoting cultural competence and sensitivity through teaching strategies.

Conclusions: Teaching projects that combine multiple competencies are more effective, including teacher training. A predominant element is a need for continuous and transversal projects. University nursing education must adapt culturally competent curricula.
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September 2021

Sexual Competence in Higher Education: Global Perspective in a Multicentric Project in the Nursing Degree.

Healthcare (Basel) 2021 Feb 4;9(2). Epub 2021 Feb 4.

EdSex Project, Comprehensive Health Research Centre Integrated Researcher, Nursing Department, University of Evora, 7000-811 Evora, Portugal.

Sexuality is an important issue in the university careers of nursing students to ensure that they provide comprehensive care. It is necessary according to the recommendation of the World Health Organization. However, research reveals deficiencies and the need for further development. The aim of the study is to describe the perspective of teachers and students on the content of sexuality in nursing education. The project aims to analyze the attitudes and beliefs of the students about the sexuality of their patients. Furthermore, the experience and sexual lives of the future nurses, as well the teaching of sexuality content in the curriculum, will be analyzed. As for the educators, their level of knowledge about sexuality and vision of sexuality education in undergraduate nursing education will be analyzed. This study is an exploratory and descriptive study with a quantitative-qualitative approach in a multi-center context. The sample is composed of students and professors of nursing courses from five universities (Portugal, Spain, Italy and United States). Questionnaires and semistructured interviews will be used for data collection. The results of the study will allow the inclusion of sexual competence in the curriculum from the beginning in higher education. This article describes the research protocol.
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February 2021

Online Education for Vaccination Competence Among Health Sciences Students.

Stud Health Technol Inform 2020 Jun;272:267-271

Department of Public and Community Health, Laboratory of Hygiene and Epidemiology, School of Public Health, University of West Attica, Athens, Greece.

The EDUVAC project aims to develop and implement a web-based course on educating vaccination competence among health sciences students. In the current study students' feedback and evaluation is assessed which guided the partners' efforts to improve the final course content and learning material that will be available for open access. After completing the web-based course, most of the students (N=103, 75.1%) perceived their vaccination knowledge was up to date and their overall participating experience was "above average or excellent (N=119, 86.9%). While, almost all of the students (N=127, 92.7%) found that the web-based course has benefitted them and their future career. Our findings support that the web-based courses can provide satisfactory learning experience to University students and offer flexibility when needed especially in times that remote education is the only option.
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June 2020

[The linguistic and cultural validation of a tool to evaluate the cultural competence in nurses].

Prof Inferm 2018 Apr-Jun;71(2):89-94

di Reggio Emilia/Corso di Laurea in Infermieristica di Reggio Emilia, Università di Modena e Reggio Emilia, Pad. De Sanctis, via Amendola 2, 42123 Reggio Emilia Tel. 0522 522514 Correspondence. Email:

Introduction: Cultural competence is described as a complex process of elements useful to work in an intercultural context. It could be evaluated with several different tools. In literature different English scales are available, and all of them start from the operator's perception. The Physician's Cultural Competence for Patient Satisfaction (PCCPS), by Ahmed and Bates (2012), is the only scale that consider the perception of the person.

Objective: validation and linguistic-cultural adaptation of the PCCPS at the nursing Italian context.

Method: the study used Beaton e Valmi's models, that expect five phases to elaborate a pre-final version of the tool, this has to be dispensed to a sample of experts and to target population.

Results: at the third administration to the expert group, the tool got the face's validity (clearness 70%), the content's validity (I-CVI), and the index of content's validity (S-CVI). The reliability of internal's consistency has been confirmed by an alpha di Cronbach's value of 0.8-0.9. The fidelity of the reliability confirms the tool's stability in the time (correlation inter item 0.8; Sperman- Brown's coefficient 0.9; Guttman's index 0.9).

Discussion: the validation path resulted really complex: major problems were related to the adaptation to the nursing context and to the sample population, who has a limited knowledge of the Italian language. These elements have been requested the necessity to reformulate the tool several times, but even working to get clearness, it has been looked to maintain the semantic and conceptual equivalence to the original version.
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August 2019

[Multicenter validation of an evaluation tool for clinical training activities (SVAT) of the nursing students].

Prof Inferm 2017 Apr-Jun;70(2):85-92

Presidente Corso di Laurea in Infermieristica - sede di Reggio Emilia Professore Associato Scienze Infermieristiche generali, cliniche e pediatriche, Università degli Studi di Modena e Reggio Emilia. Correspondence:

Objective: To evaluate the psychometric characteristics of the Scheda di Valutazione delle Attività di Tirocinio (SVAT).

Method: The degree courses in Nursing of the University of Modena and Reggio Emilia, site of Reggio Emilia, the University of Bologna Formative Section BO1, Imola and training center of Cesena, the University of Ferrara training centers of Ferrara and Codigoro were all enrolled in the research. For the content validation the reactive Delphi method was chosen. The panel of experts expressed a qualitative-intuitive judgment on the adequacy of language and on the stimulus material (SVAT). For internal consistency Cronbach's alpha was calculated the. The test-retest method was used for the reliability of stability.

Results: all indicators of the SVAT have achieved a degree of consensus not less than 80% demonstrating its content validity. The face validity is demonstrated by an average score equal to or greater than 7 obtained by all indicators. The reliability of internal consistency of the SVAT was appraised by Cronbach's alpha that was 0.987 for the entire instrument. The reliability of the stability has been calculated through the correlation's coefficient expressed by Pearson's r that was 0.983 (p = 1.3E-198).

Discussion: in Italy there is no a "gold standard" tool to evaluate the clinical performance of nursing students during and at the end of their clinical training. The SVAT proves to be a valuable and reliable tool it furthermore could stimulate the discussion and the debate among educators and nurses, so that also in our country, it may be possible develop and refine tools that support the evaluation of clinical skills of nursing students.
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March 2018

[Planning With Nanda, Noc, Nic Taxonomies In Neurologic Rehabilitation. A clinical study].

Prof Inferm 2015 Jul-Sep;68(3):163-8

Tutor e docente Corso di laurea in Infermieristica, Università di Modena e Reggio Emilia (sede di Reggio Emilia).

Introduction: Nursing classifications identify a specific professional responsibility, increase nursing visibility, according with nursing evolution of these last years.

Objective: To evaluate care planning with NANDA taxonomy in neurologic rehabilitation context.

Method: Care plan managing with NANDA taxonomy, regarding diagnosis of constipation and impaired skin integrity, using a computerized tool for systematically observation, organized in check list.

Results: Registered data with taxonomy planning are higher in quantitative and qualitative terms. For most of patients (87%) one diagnosis has been opened, both diagnosis for 60% of them.

Conclusion: Nursing care plan with NANDA taxonomy can be considered a valid methodology of care for neurologic patient, this since it requests a deep and complete registration of first assessment a systematically registration of each monitoring, it increases visibility of nursing job, and it underlines specific autonomy and responsibility in prevention and management of problems.
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August 2016

[Nursing between ethic and aesthetic. Profession described by media].

Prof Inferm 2013 Jan-Mar;66(1):32-8

Infermieristica di Reggio Emilia, Università di Modena e Reggio.

Unlabelled: Nurse's role, according to the media, does not fit the role and evolution that nursing had in these last years: nursing remains unknown to public. Objective of research is to define how nurse's image is described by media.

Method: analysis of two newspapers, at national and local level with respect to articles about nurses, taking into account numbers of articles, position, topic (malpractice, frauds/crimes, job/economical cuts, praise). A second part of research has been focused on online newspapers, by using key words. Analysis of television medical dramas about presence of nurse, competences, relationship with physician/patient, social elements, context of work (acute or chronic), impact on patients welfare, and eventually ethical-deontological aspects has been carried out.

Results: on three hundred articles related health context, thirty-nine talk about nurse; five of those are in first page. 39% of articles regards frauds/crimes, 19% job/economical cuts, 15% malpractice. With respect to online articles, 66% concerns frauds/crimes. In medical dramas there is small attention to nurse who has generic competence as well as other health professional but doctor. The nurse character is played only by women.

Discussion: a low level of professionalism comes out both from newspaper and television. A specific professional identity is often absent furthermore nurses are relegated to a role of weakness in work and private circumstance.
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July 2013

[Study to assess the level of knowledge of the Security Law in nurses].

Prof Inferm 2012 Jul-Sep;65(3):133-6

Università di Modena e Reggio.

Proposal of the recent Security Law, which regulates access of irregular immigrants to health services , provoked much debate and uprising. However, little attention was paid to its approval, after substantial modification. This study was performed to assess how much nurses know about this law, by means of a questionnaire issued to 200 nurses working in one hospital. Results showed that they had been informed by the media, 51% were aware that the law regards both physicians and nurses and 40% stated that immigrants were not obliged to present identification. Only 19% of the sample correctly stated that denouncement to the authorities is not obligatory; the remaining 81% believed the contrary to be true . A need for greater information was expressed by 72%. The outcome of the study confirmed the need for greater information on this topic.
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April 2013