Fabiola Mane

Background: Work-related quality of life (WRQoL) has become a critical indicator of healthcare professionals’ (HCPs) well-being in increasingly demanding healthcare systems. Recent research highlights the role of individual psychological resources in shaping work outcomes. However, limited evidence exists on how these resources interact within a mediation framework, particularly in South-Eastern European contexts characterized by workforce shortages, migration, and unequal distribution of healthcare staff. Objective: To examine the associations between leadership self-efficacy, self-leadership, work-related quality of life (Pos-WRQoL), and stress at work (SAW) among Albanian HCPs, and to test whether self-leadership statistically mediates the associations between leadership self-efficacy and these work-related outcomes within the proposed model. Methods: A cross-sectional observational study was conducted between November 2025 and March 2026 among 394 healthcare professionals. Data were collected via an online survey using instruments assessing leadership self-efficacy, self-leadership, and WRQoL. Structural equation modelling was used to examine the cross-sectional mediation model, with indirect effects estimated via bootstrapping and model fit assessed using standard indices. Results: Leadership self-efficacy was positively associated with self-leadership (β = 0.549, p < 0.001), Pos-WRQoL (β = 0.265, p < 0.001), and SAW (β = 0.154, p < 0.05). Self-leadership was positively associated with Pos-WRQoL (β = 0.494, p < 0.001) and SAW (β = 0.295, p < 0.001). Mediation analysis indicated statistically significant indirect associations through self-leadership between leadership self-efficacy and both Pos-WRQoL (indirect β = 0.271, p < 0.001) and SAW (indirect β = 0.162, p < 0.001). Model fit indices indicated an acceptable fit (CFI = 0.991; TLI = 0.991; RMSEA = 0.074; SRMR = 0.043). Conclusions: Leadership self-efficacy and self-leadership were positively associated with Pos-WRQoL among HCPs; however, their positive association with SAW suggests that higher levels of individual psychological resources do not necessarily coincide with lower perceived stress. These findings highlight the potential relevance of considering individual psychological resources alongside organisational conditions when examining workforce well-being and sustainability in resource-constrained healthcare systems such as Albania.

Background/Objectives: Telemedicine has substantial potential to improve access and continuity of care, but implementation depends on professional, organizational, technological, and governance readiness. This cross-sectional study examined healthcare professionals’ perceptions of telemedicine implementation in Albania as an exploratory needs-assessment phase informed by Living Lab principles. Methods: An online survey was completed by 1213 healthcare professionals. The study used a questionnaire developed for this project; its multi-item domains are therefore treated as exploratory rather than established constructs. Descriptive statistics, exploratory factor analysis, Spearman correlations, and multivariable linear and logistic regression were used. Two supplementary open-ended questions were analyzed using content-oriented thematic coding and integrated with the structured survey findings to identify preliminary priorities for later participatory co-design. Results: High future willingness to use telemedicine was reported by 67.4% of participants. Continuous training (84.7%), adaptation of traditional healthcare delivery (65.8%), limited digital skills (64.7%), and lack of clear protocols/guidelines (61.5%) were frequently endorsed implementation issues. Perceived usefulness showed the strongest adjusted statistical association with future willingness in the linear model (B = 0.665, 95% CI 0.602–0.727, p < 0.001) and logistic sensitivity model (OR = 5.41, 95% CI 4.32–6.79, p < 0.001). Professional confidence was positively associated with willingness, whereas workflow and relational barriers were negatively associated. Conclusions: The findings describe the perceptions of this non-probability sample and should not be interpreted as national estimates of telemedicine readiness. They provide exploratory evidence that may inform subsequent stakeholder consultation, instrument validation, and participatory Living Lab activities focused on training, workflow integration, infrastructure, governance, and patient engagement.

Background/Objectives: The rapid expansion of telemedicine has reshaped healthcare delivery, positioning telenursing as essential for continuity of care and patient management. This scoping review maps current evidence on telecare nursing practices, examining organizational models, professional roles, and key clinical and organizational outcomes. Methods: The review was conducted across five international databases, following the methodological framework proposed by Arksey and O’Malley, the interpretive extension by Levac et al., and the Joanna Briggs Institute guidelines, with reporting aligned to PRISMA-ScR recommendations. The search identified 1760 records, of which 1219 remained after duplicate removal. After title and abstract screening and full-text evaluation, 25 studies met the inclusion criteria. Results: Telenursing was implemented across diverse clinical contexts, particularly in chronic disease management, oncology, postoperative care, and emergency settings. Evidence indicates improvements in symptom management, therapeutic adherence, quality of life, and complication reduction, suggesting positive clinical and organizational impacts. The literature highlights the need for advanced digital, communication, and relational competencies, emphasizing the importance of targeted professional training. Cross-cutting trends include enhanced continuity of care, greater patient autonomy, improved integration between hospital and community services, and reduced healthcare costs. Conclusions: This review provides an updated overview of telenursing applications, highlighting their adaptability across clinical settings and the expanding strategic role of nurses in digital care. The findings indicate a rapidly evolving field and emphasize the need for further research to strengthen organizational frameworks, define advanced competencies, and support the sustainable integration of telenursing into healthcare systems.

Background/Objectives: The rapid expansion of telemedicine has reshaped healthcare delivery, positioning telenursing as essential for continuity of care and patient management. This scoping review maps current evidence on telecare nursing practices, examining organizational models, professional roles, and key clinical and organizational outcomes. Methods: The review was conducted across five international databases, following the methodological framework proposed by Arksey and O’Malley, the interpretive extension by Levac et al., and the Joanna Briggs Institute guidelines, with reporting aligned to PRISMA-ScR recommendations. The search identified 1760 records, of which 1215 remained after duplicate removal. After title and abstract screening and full-text evaluation, 27 studies met the inclusion criteria. Results: Telenursing was implemented across diverse clinical contexts, particularly in chronic disease management, oncology, postoperative care, and emergency settings. Evidence indicates improvements in symptom management, therapeutic adherence, quality of life, and complication reduction, suggesting positive clinical and organizational impacts. The literature highlights the need for advanced digital, communication, and relational competencies, emphasizing the importance of targeted professional training. Cross-cutting trends include enhanced continuity of care, greater patient autonomy, improved integration between hospital and community services, and reduced healthcare costs. Conclusions: This review provides an updated overview of telenursing applications, highlighting their adaptability across clinical settings and the expanding strategic role of nurses in digital care. The findings indicate a rapidly evolving field and emphasize the need for further research to strengthen organizational frameworks, define advanced competencies, and support the sustainable integration of telenursing into healthcare systems.