94174 - Community Nursing and Midwifery and Continuity of Care (RN)

Learning outcomes

At the end of the course, the student must know: the regulatory guidelines and the strategies on which the organization of the health and social-health supply is based, capable of responding to the epidemiological, demographic and social transitions that characterize the demand for assistance; the models of primary care, intermediate care and tha network of health and social-health services that guarantee integration and continuity of care; the main models of taking charge in chronicity; the principles of co_planning and community empowerment.

Course contents

• Key concepts: description and epidemiology of conditions FRAGILITY,CHRONICITY, COMORBILITY, DISABILITY, NOT SELF-SUFFICIENCY
• New healthcare paradigms: initiative healthcare vs at-at healthcare, Chronic Care Model as the backbone of the National Chronicity Plan
• The professionals promoting the taking charge of chronicity: nurses and the role of Care\Case\Disease Manager in the ambit of new territorial and home care pathways, for taking charge and health management
• Description of the concepts of integration of care: the coordination of continuity of care with the model of transitional care
• PNRR and Decree of 23 May 2022, n.77 "Regulation containing the definition of models and standards for the development of territorial assistance in the National Health Service"
• Tools for the multidimensional assessment of the elderly and patients with chronic pathologies
• The construction of the protected discharge pathways of the Romagna Local Health Authority: activities of the NuCOT-Bad Management service
  

Readings/Bibliography

Antonelli D., L'INFERMIERE DI FAMIGLIA E CURE PRIMARIE. ASPETTI GESTIONALI E COMPETENZE CLINICHE, ed. Piccin-Nuova Libraria, 2017

Bauleo F.A., Notargiacomo A., DISTRETTO E CURE PRIMARIE. STARTEGIE ED ESPERIENZE PER LA NUOVA SANITA' PUBBLICA, Cultura e Salute Editore Perugia, 2018

Brambilla A. et al., LE CASE DELLA SALUTE. INNOVAZIONE E BUONE PRATICHE, ed. Carocci, 2016

Chiari P., Santullo A., L'INFERMIERE CASE MANAGER, DALLA TEORIA ALLA PRASSI, 2° edizione, ed. McGraw-Hill Education, 2011

Kathol R.G. et al., MANUALE DI CASE MANAGEMENT INTEGRATO, ASSISTERE LE PERSONE CON PROBLEMI DI SALUTE COMPLESSI, Casa Editrice Ambrosiana, 2019

Marcadelli S. et al., ASSISTENZA DOMICILIARE E CURE PRIMARIE. IL NUOVO ORIZZONTE DELLA PROFESSIONE INFERMIERISTICA, 1° edizione, ed. Edra, 2018

MisleJ M., Paoletti F., L'INFERMIERE DI FAMIGLIA E DI COMUNITA' E IL DIRITTO DI VIVERE A CASA ANCHE QUANDO SEMBRA IMPOSSIBILE.., ed. Maggiori, 2008

Scalorbi S., INFERMIERISTICA PREVENTIVA E DI COMUNITA', ed. McGraw-Hill Education, 2012

Secci E.M. et al., INTRODUZIONE ALLA COMUNICAZIONE STRATEGICA NELLE PROFESSIONI SANITARIE, ed. Bookia, 2019

Shajani Z, Snell D., INFERMIERISTICA DI FAMIGLIA. UNA GUIDA PER PRENDERSI CURA DEL SISTEMA FAMIGLIA, Il Pensiero Scientifico Editore, 2021

Taddia F., TECNICHE DI COUNSELING NEI CONTESTI SOCIO-SANITARI. STRUMENTI E METODI PER UNA COMUNICAZIONE EFFICACE CON UTENTI E CAREGIVER, ed. Erickson, 2021

Vigilante L., SANITA' DI INIZIATIVA: IL CRONIC CARE MODEL. APPLICAZIONE DEL MODELLO NEL SISTEMA SANITARIO NAZIONALE ITALIANO., ed. Accademiche Italiane, 2017

Decreto 23 maggio 2022 , n. 77 “Regolamento recante la definizione di modelli e standard per lo sviluppo dell'assistenza territoriale nel Servizio sanitario nazionale”.

Piano Nazionale di Ripresa e Resilienza

Teaching methods

• frontal lesson
• discussion of clinical cases
  
• group work

Assessment methods

Oral test in small groups

The purpose of the oral test is to verify the student's ability to apply their own knowledge and make the necessary logicla deductive connections inherent to a clinical case.

Gradation of the final grade: analytical ability which emerges only with the help of the teacher, overall correct expression in language= 18-19; independent analysis ability, expression in correct language= 20-24; ability to carry out critical analysis, master specific terminology= 25-29; ability to carry out analysis and connection, full mastery of specific terminology and argumentation and self-reflection= 30-30L

Teaching tools

PC and video projector, didactic material

Office hours

See the website of Susy Milandri