39341 - Nursing Internship 3 (IMOLA)

Learning outcomes

At the end of the internship period, the student will be able to identify and meet the high complexity care needs of individuals. They will possess the ability to establish effective interpersonal relationships to activate a helping relationship with the individual/family. Furthermore, the student will be capable of integrating their activities into the service organization, collaborating with the multiprofessional team while adhering to the ethical principles of the profession.

Course contents

Through the specific objectives, the aim is to develop the following:

• Capacity for critical thinking and decision-making consistent with the responsibility of general nursing care recognized by the profile (DM 739/94).
• Competencies in the field of intra and interprofessional teamwork with a particular focus on collaboration and multidisciplinary synergies.
• Relational competence towards individuals, families, and communities.
• The ability to self-educate through continuous learning and to cultivate a cultural attitude based on a lifelong learning approach, starting from a solid foundational education.

Transversally throughout the educational path, the intention is to develop sensitivity and an attitude grounded in the values expressed in the Nurse Deontological Code.

-Capacity to apply knowledge and understanding:

• Perform nursing assessment and identify related care needs in low, medium, and high complexity situations.
• Provide general, preventive, curative, palliative, and rehabilitative nursing care for health promotion, across all life stages, to individuals, families, and communities. Care is directed at situations of low, medium, and high complexity and in different clinical-care settings.
• Establish and promote the helping relationship.
• Implement technical and educational interventions.
• Ensure the correct application of diagnostic and therapeutic prescriptions.
• Apply evidence-based nursing (EBN) and research content to clinical practice.
• Appropriately utilize support personnel.
• Act in an integrated manner with other health and social professions.
• Assist other students in the course of their learning process.
• Promote the ethical principles of the profession.

The ability to comprehend and apply acquired knowledge is achieved through the internship activity, integrated with various forms of tutorial and laboratory activities. These activities allow the student to integrate, compare, and apply knowledge gained through theoretical lessons and individual study into clinical nursing practice, fostering critical reflection on activities carried out during periodic individual and group meetings.

-Capacity for autonomy in judgment:

• Identify problems of specific competence and collaboration in low, medium, and high complexity care situations.
• Define expected care outcomes.
• Establish appropriate nursing interventions based on priorities, scientific evidence, and the individual's wishes, involving their family where necessary.
• Evaluate achieved outcomes, both qualitatively and the care process.
• Identify health needs of individuals, families, and communities in collaboration with other healthcare professionals.
• Identify the involvement of individuals in the care process (caregivers/family/support personnel/other professionals/community resources) in relation to the care complexity.
• Identify situations conflicting with the ethical principles of the profession.

All this is expressed through the exercise of critical thinking and a reflective attitude.

The acquisition of knowledge and the ability to apply it consciously and responsibly in clinical internship activities enable the student to develop the essential capacity for autonomous judgment required to practice nursing.

-Communication skills:

• Use verbal and non-verbal communication channels consciously in nursing care.
• Work in groups and promote collaborative working methods.
• Utilize technical-scientific language in the use of nursing documentation.

Communication skills are developed during clinical internships, specific laboratories, tutoring meetings, and group work.

- Learning skills:

• Identify personal learning needs and the means to satisfy them.
• Select content consistent with individual learning needs.
• Keep competencies up-to-date.
• Contribute to the dissemination and cultural development of the nursing profession.
• Correctly apply legislation related to nursing practice in accordance with ethical and regulatory standards.

Learning skills are developed throughout the entire study path through various proposed activities: lectures, seminars, laboratories, tutoring, internships, interaction with professors and professionals, individual study, and the final thesis elaboration. Additionally, integrative experiences during internships, such as participation in conferences, congresses, and relevant updating initiatives as outlined in the Study Plan, can be added.

The program mainly refers to integrative activities and laboratories conducted during the academic year, building on the prerequisites of theoretical teachings and clinical internship experiences.

In addition to the techniques addressed in gesture laboratories, all others presented in the various Nursing subjects' lectures are included. The methodological laboratory refers to individual and group meetings guided by course tutors for the application of the care process, particularly in the assessment and targeted assessment phases and definition of nursing diagnoses. This process adopts L.J. Carpenito's Bifocal Model of clinical practice and/or Gordon's Model of Functional Responses, applied to individuals assisted by the student during the internship.

Access to the 3 internship examination is subject to passing the 2 internship examination according to the methods specified in the Curricular Internship Regulation and the Course of Study Didactic Regulation.

Readings/Bibliography

Operative Instructions, Protocols, Procedures from the "Mercurio" Manual of the AUSl (Local Health Authority) of Imola, Checklists for didactic use prepared by the training section of Imola for the academic year of reference, Standard Care Plans.

For the technical content presented by the teachers during theoretical classroom activities, laboratories, and integrative activities, the bibliographic references are the texts identified by the teacher and listed in the teacher's bibliography.

Teaching methods

Clinical internship experience

Guidance and support in internship activities by tutors/supervisors

Integrated activities of laboratory, clinical tutoring, and methodology tutoring.

Assessment methods

The access modalities to the internship examination are stated in the Internship Regulation of the Degree Course.

The overall learning assessment takes place during the Internship examination, where the in-progress evaluations expressed by the internship tutors from the involved sites are considered regarding the achievement of the objectives outlined in the evaluation form. The evaluations expressed during the internship contribute 50% to the final evaluation.

The Internship examination consists of several tests that investigate the different expected competency levels:

• A written care plan, which also includes an educational plan if required by the case, focusing on a clinically complex scenario, to be developed within a defined timeframe based on the Conceptual Model provided by the Training Section.

Successful completion of the written test allows access to the remaining tests, which include:

• Two simulations of nursing care techniques related to the program, evaluated using the checklists developed in the Gestural Laboratories.

• An oral examination that assesses the ability to apply knowledge and understanding of scientific content and professional regulations relevant to nursing care, as well as the capacity for judgment regarding proposed low/medium/high-complexity care/organizational situations.

Teaching tools

For the support of the internship activity, the training offer containing the internship objectives consistent with the teachings and laboratories is utilized, along with the technical-practical and internship activity diary.

Office hours

See the website of Orietta Valentini