Angela Peghetti

Scopus Publications

Enhancing Radiation Therapy Technologists’ (RTTs) autonomy in IGRT through structured training: a Protocol for a Quality Improvement Project
Michela Boriani, Irene Maran, Marta Assenza, Angela Peghetti, Gaia Angelini, Elisa Gilli, Filippo Casarotti, Alessio Giuseppe Morganti, Lidia Strigari, Stefano Durante
Radiation Oncology, 2026
IGRT has become an essential component in delivering precise and effective radiotherapy (RT) treatment. However, in many healthcare institutions, the responsibility for online image matching remains within the exclusive domain of Radiation Oncologists (ROs). This can result in workflow inefficiencies and delays in patient treatment. In light of increasing technological capabilities and evolving professional roles, there is growing interest in expanding the scope of Radiation Therapy Technologists (RTTs) to take on more autonomous responsibilities within the IGRT process. This study’s protocol integrates educational content, performance metrics and integration into institutional development plans, aiming to evaluate RTT’s autonomy and to assess the feasibility of a standard training model. Structured training is expected to empower RTTs to contribute autonomously to IGRT processes, improving workflow and potentially reducing treatment times. A quality improvement initiative will assess RTT autonomy in IGRT. Twenty RTTs will complete 33 h of training, including theory and practice, under RO supervision. Competence will be evaluated using pre- and post-course assessments, as well as a pilot phase in which selected RTTs will perform CBCT image matching independently: concordance with RO offline reviews will be used as the benchmark. The project is designed to explore three key challenges: the need for clear protocols, staff engagement and interprofessional collaboration. Structured training could empower RTTs to perform IGRT image matching independently, reducing their reliance on ROs and streamlining workflows, promoting more efficient resource allocation. Wider adoption of this approach could improve the quality and efficiency of RT delivery.
Exploring the intention to leave the nursing profession: a descriptive qualitative study in Italy
Martina Saraga, Silvio Quirini, Angela Peghetti, Stefano Durante, Manuela De Rosa, Angela Vetromile, Lucia Golfieri, Andrea Turolla, Stefano Benini
Frontiers in Public Health, 2026
Introduction Nurses and nursing assistants working in high-intensity hospital settings are exposed to demanding workloads, organizational pressure, and substantial emotional strain, factors commonly associated with job dissatisfaction and an increased intention to leave the profession. Intention to leave is a recognized predictor of actual turnover and is particularly relevant in high-intensity cardio-thoracic-vascular units, where care complexity and emotional burden are especially pronounced. This study aimed to explore the experiences, perceptions, and motivations of nurses and nursing assistants working in a high-intensity cardio-thoracic-vascular setting with regard to their intention to leave. Methods A descriptive qualitative study was conducted at an Italian university hospital in accordance with the Consolidated Criteria for Reporting Qualitative Research. Four focus groups were carried out between May and June 2025 and involved nurses and nursing assistants employed in a high-intensity cardio-thoracic-vascular unit. All discussions were audio-recorded, transcribed verbatim, and analyzed using inductive thematic analysis. Methodological rigor was ensured through researcher triangulation and participant validation. Results Five main themes emerged from the analysis: (1) motivation and professional identity, (2) working in high-intensity care, (3) interprofessional relationships, (4) symbolic representation of professional roles, and (5) intention to leave and job dissatisfaction. Participants described emotional exhaustion, workload imbalance, and a perceived lack of professional recognition as primary drivers of intention to leave. Conversely, strong teamwork, supportive peer relationships, and empathetic leadership were identified as protective factors. Discussion Intention to leave among nurses and nursing assistants arises from the interaction of emotional, relational, and organizational dimensions. These findings highlight the need for interventions focused on supportive leadership, structured communication, and staff wellbeing initiatives to strengthen motivation, reduce attrition, and enhance the sustainability and quality of care in high-intensity clinical settings. Conclusion These findings deepen understanding of intention to leave in high-intensity care and may inform future retention strategies.
Current trends in therapeutic radiographers' research: A scoping review
Irene Maran, Marta Assenza, Angela Peghetti, Federico Tabarrini, Gaia Angelini, Gabriele Spoltore, Elisa Gilli, Filippo Casarotti, Laura Chierico, Alessio Giuseppe Morganti, Stefano Durante
Journal of Medical Imaging and Radiation Sciences, 2025
Clostebol detection after transdermal and transmucosal contact. A systematic review
Vincenzo Giannicola Menditto, Giulia Rossetti, Alessia Ferrarini, Angela Peghetti, Maria Domenica Camerlingo, Giovanni Pomponio
Clinical Chemistry and Laboratory Medicine, 2025
Introduction To analyze the available evidence about the correlation between the presence of detectable amounts of clostebol metabolites in urine and the transdermal or transmucosal contact of clostebol. Content A systematic review was performed. A systematic search was conducted in PubMed/MEDLINE, Scopus, Web of Science and the Cochrane library databases. Criteria for including studies were clinical studies reporting: (i) adult subjects; (ii) detection of urine clostebol metabolites derived from transdermal or transmucosal contact of clostebol. Summary Seven papers pertinent to our questions were found: 3 case reports, one experimental study and 3 case reports with an experimental section for a total of 32 subjects. The median concentration of urine clostebol’s metabolite 4-chloro-androst-4-en-3α-ol-17-one, M1 was 0.5 ng/mL (range 0.086–4.000 ng/mL; 25%–75 % IQ: 0.5–0.9 ng/mL) and 8.1 ng/mL (range 1.0–36.6 ng/mL; 25%–75 % IQ: 2.8–22.0 ng/mL), in subjects with indirect and direct exposure of clostebol, respectively (p=0.005). Outlook We found consistent data that the detection of M1 in urine can be reconcilable with a transdermal or transmucosal contact of clostebol. In the cases of indirect exposure, the urine concentrations of M1 seem to be far lower than the concentrations found in case of direct exposure.
IdentIRCCS. The description of healthcare professionals employed within IRCCS University Hospital of Bologna
Martina Giusti, Silvio Quirini, Angela Peghetti, Stefano Durante
Frontiers in Public Health, 2025
Globally research centres in healthcare sector express the excellence in the translational medicine, from the evidence-based medicine to the evidence-based practice. In Italy, Institutes of Hospitalization and Healthcare with Scientific Goal (called IRCCS) are recognized as the driving force of innovation within healthcare sector. It is reasonable to expect that health professionals working within IRCCS institutions should embody professional excellence in a setting characterized by technological and organizational excellence. Nevertheless, in Italian public IRCCS, the personnel are selected by public competitions without any specific requirements in relation with the specific working context. According to the current state-of-art, this research aims to investigate the characteristic of healthcare professionals currently employed within Italian IRCCS facilities. IRCCS University Hospital of Bologna was chosen as suitable case study due to the enlargement of top management within the Healthcare Professions Directorate, that manifests a particular sensibility toward healthcare professionals growing. Dataset on personnel included sociodemographic information (age, sex, place of birth, residence, domicile), professional details (job category, role, working hours, training, allowances, contribution), and training status (household composition, number of children, number of dependents, physical limitations). The detailed description of healthcare professionals employed within the case study supports evidence-based decision-making for the development of corporate welfare policies and of targeted management strategies, useful and applicable in each healthcare research centre worldwide.
Optimization of nursing staff standards in the perioperative settings of the IRCCS University Hospital of Bologna. An improvement project
Chiara Cenacchi, Martina Giusti, Angela Peghetti, Silvio Quirini, Francesco Tinelli, Sabina Giorgi, Salvatore Mineo, Manuela De Rosa, Stefano Durante
Frontiers in Public Health, 2025
IntroductionThe organization of healthcare staff within operating block settings, which accommodate various surgical specialties, must consider the growing shortage of personnel and the need for resource optimization. For these reasons, we hypothesized that reorganizing the nursing staff could help reduce patient waiting lists, improve efficiency, and ensure patient safety.MethodsWe conducted a review of the existing literature on Nursing Staff Standards in the Operating Rooms in relation to surgical procedures. IRCSS University Hospital of Bologna (Italy) hospital’s operating blocks (excepted pediatric surgical rooms) were chosen as experimental contexts due to the achievement of excellence according with the research mission of this hospital. Here, all implemented surgical procedures were classified and coded using ICD-9-CM codes. For each procedure, a reclassification process was applied based on the required nursing care intensity.ResultsResults of literature review on Nursing Staff Standards in the Operating Rooms were applied, implementing a nursing roles’ reorganization. The reorganization moved from the incorporation of input from nurses and surgeons to identify areas for improvement and develop organizational solutions.DiscussionThe reorganization process allowed for a redefinition of surgical schedules and staff allocation, leading to the reallocation of nursing units that were reassigned to support the opening of a recovery room.
Malignant fungating wounds assessment in palliative care: a scoping review
Daniela Nigrelli, Francesca Gambalunga, Giuliano Anastasi, Angela Peghetti, Stefano Durante, Martina Giusti, Valentina Biagioli, Silvio Quirini, Laura Iacorossi, Roberto Latina
Frontiers in Public Health, 2025
IntroductionMalignant fungating wounds (MFWs) are secondary chronic wounds resulting from malignant cell proliferation and migration, compromising skin integrity in patients with cancer. These wounds present a range of signs and symptoms. Although several instruments are used in their assessment, it is still unclear which tool is most appropriate for comprehensive evaluation and wound healing.AimTo review the existing instruments for MFW assessment, highlighting their strengths and limitations.MethodsA scoping review was conducted following the Arksey and O’Malley framework (2005), the Joanna Briggs Institute guidelines (2020, 2021), and the PRISMA-ScR checklist (2018). The search was performed on four databases: Web of Science, Scopus, PubMed, and EBSCO.ResultsForty studies were included, describing 22 instruments. They described half targeted general symptoms, and half wound-related signs and symptoms. Four instruments were specifically designed for MFWs, all based on the Malignant Wound Assessment Tool (MWAT). These were: MWAT – Clinical; MWAT– wound bed status; MWAT– Perception; MWAT – Research. However, only the Clinical and Research versions were validated in English, but neither was subjected to psychometric validation, and lacked a comprehensive assessment, such as key symptoms.ConclusionDespite the existence of specific tools for MFW assessment, a comprehensive, validated, and standardized tool is still lacking. While the Clinical and the Research versions of the MWAT offer a broad assessment of MFWs, they require refinement to address overlooked symptoms and validation in other languages. Establishing standardized, multidimensional measures could enhance clinical decision-making and improve outcomes for patients living with MFWs.
Experiences, perceptions and unexpressed needs of patients undergoing heart and lung transplantation in intensive care unit: a qualitative phenomenological study
Nikita Valentina Ugenti, Silvio Quirini, Marianna Aleandri, Vittorio Di Filippo, Stefano Durante, Alice Ferretti, Carolina Guerrieri, Carmela Martella, Angela Peghetti, Silvia Sgarzi, Sara Valentini, Angela Vetromile, Elena Lia
Frontiers in Psychology, 2025
IntroductionPatients in intensive care units require advanced clinical care as well as attention to psychological social and emotional needs, often overlooked. Heart and lung transplant recipients experience a particularly complex postoperative journey, marked by physical fragility, emotional vulnerability, and identity transformation. Communication barriers caused by sedation, intubation, and disorientation, combined with a focus on physiological stability, hinder understanding of their lived experience. A lack of qualitative research in this topic limits the development of person-centered care and mismatches between professional priorities and patient needs may lead to depersonalization and dissatisfaction. This study aimed to explore ICU experiences of transplant patients through the richness and complexity of their individual journey.MethodsA descriptive phenomenological study was conducted at IRCCS University Hospital of Bologna. Semi-structured interviews were performed with 21 heart (average ICU stay: 6 days) and lung (average ICU stay: 13 days) transplant recipients, 2–4 days post-ICU discharge. Interviews aimed to capture patients’ recollections while ensuring clinical stability. Thematic content analysis was used to identify key themes.ResultsSix main themes emerged: (1) care environment, (2) sensory perceptions, (3) person’s empowerment, (4) lived experiences, (5) transplant path, and (6) quality of care. Patients reported feelings of isolation, disorientation, frustration and impaired communication due to sedation and intubation. Emotional experiences ranged from fear and loneliness to hope and gratitude. Reflections on the donor revealed ambivalent emotions including guilt and appreciation. Personalized care, empathetic communication, and supportive relationships with healthcare professionals were seen as essential for emotional well-being and recovery.DiscussionHeart and lung transplantation is a deeply transformative experience. Beyond clinical care, patients need emotional and psychological support. Personalized, empathetic interventions and improved communication strategies are crucial to enhancing both recovery outcomes and the overall ICU experience.Clinical trial registrationClinicalTrials.gov, identifier NCT06773052.
Pain Management
Pearls and Pitfalls in Skin Ulcer Management, 2024
The management of endoscopic retrograde cholangiopancreatography related infections risk: results of an italian survey at regional level
V. Cennamo, S. Landi, G. Aragona, A. Colecchia, R. Conigliaro, D. Di Lorenzo, M. Di Marco, C. Fabbri, P. Falcone, F. Gaiani, M. Manno, A. Merighi, A. Mussetto, A. Peghetti, R. Sassateli, V. Solfrini, R. Zagari, R. Arena, H. Bertani, C. Binda, V. Boarino, A. de Padova, V. Feletti, L. Fuccio, V. Iori, G. Nervi, G. Prati, P. Soriani, R. De Palma
Annali Di Igiene Medicina Preventiva E Di Comunita, 2023
Background and aim Among the Endoscopic retrograde cholangiopancreatography (ERCP) adverse events, an increasingly arising problem is the transmission of Multi Drug Resistant (MDR) Bacteria through duodenoscopes. The aim of this survey was to evaluate the current clinical practice of management of ERCP associated infections in Emilia-Romagna, Italy. Methods An online survey was developed including 12 questions on management of ERCP associated infections risk. The survey was proposed to all 12 endoscopy centers in Emilia Romagna that perform at least > 200 ERCPs per year. Results 11 centers completed the survey (92%). Among all risk factors of ERCP infections, hospitalization in intensive care units, immunosuppressant therapies, and previous MDR infections have achieved a 80 % minimum of concurrence by our respondents. The majority of them did not have a formalized document in their hospital describing categories and risk factors helpful in the detection of patients undergoing ERCP with an high-level infective risk (9/11, 82%). Most centers (8/11, 72%) do not perform screening in patients at risk of ERCP infections. Post procedural monitoring is performed by 6 of 11 centers (55%). Conclusion Our survey showed that, at least at regional level, there is a lack of procedures and protocols related to the management of patients at risk of ERCP infections.
Pillars for prevention and control of healthcare-associated infections: an Italian expert opinion statement
Vincenzo Puro, Nicola Coppola, Andrea Frasca, Ivan Gentile, Francesco Luzzaro, Angela Peghetti, Gabriele Sganga
Antimicrobial Resistance and Infection Control, 2022
Hypericum and neem oil for dehisced post-surgical wounds: a randomised, controlled, single-blinded phase III study
Journal of Wound Care, 2022
Prevalence of pressure ulcers in hospitalised patients: A cross-sectional study
Stella Olivo, Cristina Canova, Angela Peghetti, Maurilio Rossi, Renzo Zanotti
Journal of Wound Care, 2020
Design and validation of a “Peristomal Lesion Scale” for peristomal skin assessment
Giulia Menin, Gabriele Roveron, Maria Barbierato, Angela Peghetti, Renzo Zanotti
International Wound Journal, 2019
Improving the quality of clinical research on chronic wound infection treatment: Expert-based recommendations
Giovanni Pomponio, Silvia Tedesco, Angela Peghetti, Tommaso Bianchi, Sara Rowan, Alessandro Greco, Keith Cutting, Patricia Price, Zena Moore, Armando Gabrielli, Randall Wolcott
Journal of Wound Care, 2019
Early mobility, skin, and pressure ulcer risk assessment
Gian Domenico Giusti, Angela Peghetti, Irene Comisso, Stefano Bambi
Nursing in Critical Care Setting an Overview from Basic to Sensitive Outcomes, 2018
Measuring disability of women with systemic sclerosis: Validation of the Italian version of the Systemic Sclerosis Questionnaire
Giornale Italiano Di Dermatologia E Venereologia, 2016
Recommendations for the management of biofilm: A consensus document
T. Bianchi, R.D. Wolcott, A. Peghetti, D. Leaper, K. Cutting, R. Polignano, Z. Rosa Rita, A. Moscatelli, A. Greco, M. Romanelli, S. Pancani, A. Bellingeri, V. Ruggeri, L. Postacchini, S. Tedesco, L. Manfredi, Maria Camerlingo, S. Rowan, A. Gabrielli, G. Pomponio
Journal of Wound Care, 2016
Effect of a wound cleansing solution on wound bed preparation and inflammation in chronic wounds: A single-blind RCT
A. Bellingeri, F. Falciani, P. Traspedini, A. Moscatelli, A. Russo, G. Tino, P. Chiari, A. Peghetti
Journal of Wound Care, 2016
Biofilm: It is time for consensus
Tommaso Bianchi, Angela Peghetti, Giovanni Pomponio
Journal of Wound Care, 2015
Multicenter prospective cohort study to validate the italian braden q for the assessment of the risk of pressure sores in infants and children up to 8 years
P. Chiari, M. Poli, Claudia Magli, E. Bascelli, R. Rocchi, S. Bolognini, Piero Tartari, Roberta Armuzzi, G. Rossi, A. Peghetti, C. Biavati, M. Fontana, Domenica Gazineo, Simona Cordella, E. Tiozzo, G. Ciliento, G. Carta, Patrizia Taddia
Assistenza Infermieristica E Ricerca, 2012

Angela Peghetti

RESEARCH, TEACHING, or OTHER INTERESTS

Scopus Publications