Publications by authors named "Mariangela Vanalli"

4 Publications

  • Page 1 of 1

Translation and cross-cultural adaptation of the Clinical Care Classification system.

Int J Med Inform 2021 09 16;153:104534. Epub 2021 Jul 16.

Saint Camillus International University of Health Sciences, Via di Sant'Alessandro 8, Rome 00131, Italy.

Introduction: The Clinical Care Classification (CCC) system is one of the standard nursing terminologies recognized by the American Nurses Association, developed to describe nursing care through electronic documentation in different healthcare settings. The translation of the CCC system into languages other than English is useful to promote its widespread use in different countries and to provide the standard nursing data necessary for interoperable health information exchange. The aim of this study was to translate the CCC system from English to Italian and to test its clinical validity.

Methods: A translation with cross-cultural adaptation was performed in four phases: forward-translation, back-translation, review, and dissemination. Subsequently a pilot cross-mapping study between nursing activities in free-text nursing documentation and the CCC interventions was conducted.

Results: All elements of the CCC system were translated into Italian. Semantic and conceptual equivalences were achieved. Altogether 77.8% of the nursing activities were mapped into CCC interventions.

Conclusions: The CCC system, and its integration into electronic health records, has the potential to support Italian nurses in describing and providing outcomes and costs of their care in different healthcare settings. Future studies are needed to strengthen the impact of the CCC system on clinical practice.
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September 2021

Prevalence and characteristics of chronic pain in survivors of critical illness and impact on daily life and treatment practices.

Prof Inferm 2020 Oct-Dec;73(4):288-295

RN, MSN, Residenza Sanitaria Assistenziale Madonna della Neve Onlus, Premana, Lecco.

Aim: The aim of this study was to evaluate the prevalence and characteristics of Chronic Pain (CP) in survivors of critical illness. The secondary objective was to evaluate the impact of CP on an individual's quality of life and unveiling current pain treatment practices.

Methods: This study was a cross-sectional survey. Twelve months after intensive care discharge, patients were contacted for an interview. Two questionnaires were administered (Brief Pain Inventory and Euroqol 5D instrument) to assess CP and quality of life. Data was obtained between 20 June and 20 December 2019.

Results: 118 patients participated in the study. An overall prevalence rate of 26.3% (n= 31) was found for CP in the study population. The highest prevalence of pain was observed in patients with 40-55 years (41.9%) (n= 13). The prevalence rate in males was 26.3%, similar compared to the rate in females (p=.99). The intensity of pain was similar among females (5.6) and males (5.8) (p=.35). Knees (15.3%), legs (12.7%) and minor joints (12.7%) were the most prevalent sites of pain. The perceived quality of life (EQ VAS) was 74.9 (+9.7) in patients without CP and 58.2 (+9.2) in patients with CP.

Discussion: CP has significant negative consequences for patients. Thus, we want to emphasize the need to adopt a comprehensive and multidisciplinary approach to improving the patient's condition and circumstances, contemplating both pharmacological treatments and non-pharmacological measures.
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March 2021

[Development MPI_AGE and SOSIA classification to evaluate geriatric patients'care needs.]

Recenti Prog Med 2020 Oct;111(10):606-613

PhD Candidate, Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata.

Introduction: Today's healthcare system requires more care for older patients. Aim of this study is to determine the relationships between the SOSIA classification system and the MPI_AGE index (Multidimensional Prognostic Index) based on a Comprehensive Geriatric Assessment (CGA).

Method: The comparison was made by the retrieval of information from the CBA social-health folder, User Management (SOSIA Area) and MPI Computer Archive. The cross-mapping has been developed by a dedicate working group using Delphi process.

Results: From January 2018 to April 2018, 100 geriatric patients were assessed by cross-mapping the two classification systems applied to an Italian Nursing Home. Among these patients, 100% were women (mean age 82 years). SOSIA form 1 was the most frequent classification system with 45% of patients followed by SOSIA form 3 (31%), form 7 (16%), form 8 (5%), form 5 (3%) and (MPI_AGE= 3 with 79% of patients). Using the MPI_AGE system, the patients analyzed in class 1 has MPI= 0.81, with Activities of Daily Living (ADL= 0), Instrumental Activities of Daily Living (IADL= 0), Short Portable Mental Status Questionnaire (SPMSQ= 10), Mini Nutritional Assessement (MNAShort= 12), Exton-Smith= 11, Cumulative Index Rating Scale - Comorbidity Index (CIRS= 8), drugs assumed= 5.

Discussion: The benif of a comparison between different classification systems may be found in a more accurately treatment of older patient with an "individual personalized care plan".
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October 2020

[Assessment of geriatric patients' care needs based on sosia classification: the reality of the lombardy region in nursing home.]

Recenti Prog Med 2016 Nov;107(11):604-606

Coordinatore infermieristico, Istituzioni Don Carlo Botta, RSA Santa Chiara, Bergamo.

The increased demand to care that originates from demographic changes called in Italy a rapid development in Nursing Home with particular emergency the problem of programme the welfare response. It is essential the development of a classification system able to describe the stratification of the case mix on the basis of the care requirements, allowing a remuneration in function of the complexity care. Since 2003, the Lombardy region has introduced a case-mix reimbursement system for nursing homes based on the SOSIA form which classifies residents into eight classes of frailty. In the present study the agreement between SOSIA classification and other well documented instruments, including Barthel Index, Mini-Mental State Examination on the basis of three indicators (mobility, cognition, comorbidity) is evaluated in eight classes of frailty. However, it is not any research project was published in order to assess the agreement between SOSIA classification and other measuring instruments. Although various methods exist by which researchers have attempted to measure the need for nursing care, there is no nationally accepted system for determining the total amount of registered nursing resources required by residents in long-term care. The aim of this study was to evaluate the correlation between SOSIA and filing systems widely used, such as the degree of Barthel disability rating scale, the Mini-Mental State Examination to offer care appropriate for the case-mix. Only the higher complexity care has classified in the first two classes, while the remaining levels has categorized in the lowest paid. Misclassification therefore induces an underestimation of the real care needs and, consequently, inadequate remuneration.
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November 2016