39311 - Nursing Internship 2 (IMOLA)

Learning outcomes

At the end of the internship period, the student will be able to identify and meet the care needs of individuals with medium complexity. They will be capable of establishing effective interpersonal relationships to initiate a supportive connection with the individual/family. They will integrate their activities within the service organization, collaborating with the multidisciplinary team while adhering to the ethical principles of the profession.

Course contents

At the end of the internship period, the student will be able to acquire knowledge and technical, relational, and educational skills to identify and meet low and medium complexity care needs of individuals.

Through specific objectives, the student will develop:

1. The capacity for critical thinking and decision-making consistent with the responsibilities of general nursing care as recognized by the profile (DM 739/94).
2. Competencies in intra and interprofessional teamwork with a particular focus on collaboration and multidisciplinary synergies.
3. Relational competence towards individuals, families, and communities.
4. Educational competence towards individuals, families, and communities.
5. The ability to self-train through continuous education and to cultivate a lifelong learning attitude, starting from a solid foundational education.

Throughout the educational journey, the student will develop sensitivity and an attitude aligned with the values expressed in the Nurses' Code of Ethics.

- Regarding the ability to apply knowledge and understanding, the student will:

1. Conduct nursing assessments and identify related care needs in low and medium complexity situations.
2. Provide general, preventive, curative, palliative, and rehabilitative nursing care for health promotion at all stages of life to individuals, families, and communities. Care is directed towards situations of low and medium care complexity in various clinical and care contexts.
3. Establish and promote the therapeutic relationship.
4. Implement technical and educational interventions.
5. Ensure the correct application of diagnostic and therapeutic prescriptions.
6. Apply evidence-based nursing (EBN) to clinical practice.
7. Collaborate with other health and social professions in an integrated manner.
8. Promote the ethical principles of the profession.

The acquisition and application of knowledge will be achieved through internship activities integrated with various forms of tutorial and laboratory work. These activities will allow students to integrate, compare, and apply the knowledge gained through theoretical educational activities and individual study into clinical nursing practice, fostering critical reflection during periodic individual and group meetings.

- Regarding the ability to exercise autonomy of judgment, the student will:

1. Identify specific competence and collaborative problems in low and medium complexity care situations.
2. Define expected care outcomes.
3. Establish appropriate care interventions based on priorities, scientific evidence, and the will of the assisted person.
4. Evaluate the achieved results, including qualitative aspects, and the care process.
5. Identify health needs of the individual, family, and community in collaboration with other professional figures.
6. Recognize situations conflicting with the ethical principles of the profession.

The acquisition and application of knowledge and skills during clinical internship activities will enable students to develop the necessary autonomy of judgment required to practice the nursing profession.

- Regarding communicative skills, the student will:

1. Use verbal and non-verbal communication consciously in nursing care.
2. Work effectively in a group.
3. Utilize technical-scientific language in nursing documentation.

Communicative skills will be developed during clinical internships, specific laboratories, tutoring sessions, and group work.

- Regarding learning skills, the student will:

1. Identify their own learning needs and the methods to fulfill them.
2. Select content congruent with their learning needs.
3. Keep their competencies up-to-date.
4. Apply the legislation concerning the practice of nursing in accordance with ethical principles and the overall regulatory framework.

Learning skills will be developed throughout the entire study program through various activities such as lectures, seminars, laboratories, tutoring, internships, interactions with teachers and professionals, and individual study. Additionally, students may participate in supplementary experiences during internships, such as attending conferences, congresses, and updating initiatives consistent with the contents specified in the Study Plan.

The program mainly refers to integrative activities and laboratories conducted during the academic year, building upon the prerequisites established through theoretical teachings in the study plan and clinical internship experiences.

The laboratory sessions cover various techniques, including those demonstrated in the classroom during different nursing courses. The methodological laboratory refers to individual and group sessions guided by course tutors to apply the nursing care process, particularly focusing on assessment and targeted assessment, as well as defining nursing diagnoses using L.J. Carpenito's Bifocal Clinical Practice Model and/or Gordon's Functional Health Patterns Model, applied to individuals receiving care from the student during the internship.

Access to the Tirocinio 2 exam is conditional upon passing the Tirocinio 1 exam, following the procedures outlined in the Curricular Internship Regulation and the Course of Study Didactic Regulation.

Readings/Bibliography

Operational Instructions, Protocols, Procedures, Didactic Check-lists prepared by the Training Section for the academic year in question, Standard Care Plans.

For the technical content presented by the instructors during theoretical classroom activities, laboratories, and integrative activities, the bibliographic references are the texts identified by the instructor and listed in the specific bibliography.

Teaching methods

Clinical internship experience

Support and guidance during internship activities by internship tutors/guides

Integrated activities of laboratory work and clinical and methodological tutoring

Assessment methods

The procedures for accessing the internship examination are specified in the Internship Regulations of the Degree Course.

The overall assessment of learning takes place during the Internship Examination, where the ongoing evaluations expressed by the internship tutors at the involved sites regarding the achievement of the objectives outlined in the evaluation form are also taken into account. The internship evaluations contribute 40% to the final assessment.

The Internship Examination is structured with various tests that investigate the different expected competency levels:

• A written care plan, focusing on a clinical case with low care complexity, which must be developed within a defined timeframe based on the Conceptual Model referenced in the Training Section.

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

• Two simulations of nursing care techniques related to the program, evaluated using checklists developed within the manual skill laboratories.
• An oral examination assessing the ability to apply knowledge and understanding of scientific content and relevant professional regulations to nursing care, as well as judgment skills regarding proposed low complexity care/organizational situations.

Teaching tools

To support the internship activities, the educational offer is utilized, containing internship objectives consistent with the teachings and laboratories, the technical and practical internship diary, and the care plans developed during the internship.

Office hours

See the website of Orietta Valentini