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

Learning outcomes

At the end of the teaching, the student should know: the regulatory guidelines and strategies on which the organization of health and socio-health care supply is based that can respond to the epidemiological, demographic and social transitions that characterize the demand for care; the models of primary care, intermediate care and the network of health and socio-health care supply that ensure integration and continuity of care; the main models of care taking in chronicity; and the principles of co-design and community empowerment.

Course contents

Chronicity and frailty

• Demographic, social and epidemiological transition
• Health for all, a systemic view
• The determinants of health
• The challenge of proximity
• Primary care
• The map of frailty
• National chronicity plan
• Chronic Care Model
• The multidimensional assessment
• Transition management
• Transitional Care
• Population Health Management
• Community building

Organizational standards and models

• NRP - Mission 6 health
• Ministerial Decree 77/2022 - Models and standards for the development of Territorial Care in the National Health Service
• Social and health integration
• Digital Health


Professional Development

• Family and Community Nurse Practitioner
• Family and Community Midwife

Readings/Bibliography

Bibliography/Texts

• Community building: logiche e strumenti di management. Comunità, reti sociali e salute, Longo/Barsanti, 2021. Egea Editore (Publicly available resource at the link: https://cergas.unibocconi.eu/publications/books-research-reports)
• La sanità di prossimità - Case della salute, case e ospedali di comunità, farmacie multi-servizi nelle città dei “quindici minuti”, R. Zanello, 2022. Il Pensiero Scientifico editore
• Sanità Digitale, riflessioni teoriche ed esperienze applicative, Vicarelli/Bronzini, 2019. Editore Il Mulino.
• Infermieristica di famiglia. Una guida per prendersi cura del sistema famiglia, Shajani/Snell, edizione italiana a cura di Brugnolli, Cavada, Longhini, Pedrotti, Saiani, 2021. Il Pensiero Scientifico editore.
• Dalle Case della Salute alle Case della Comunità, Brambilla/Maciocco, 2022. Carocci editore
• Salute per tutti: miti, speranze e certezze della Primary Health Care, Bonaldi/Celotto/Lauriola/Mereu, 2021. Cultura e Salute Editore Perugia (Publicly available resource at the link: https://www.edizioniculturasalute.com/wp-content/uploads/2021/11/ebook_salute-per_tutti.pdf)
• La salute cerca casa. Manifesto per una comunità protagonista del proprio benessere. Di S. Landra, M. Ravazzini, F. Prandi, 2019. Editore DeriveApprodi
• Governare l'assistenza primaria. Manuale per operatori di sanità Pubblica, gruppo di lavoro Società Italiana di Igiene, 2017, Mondadori Bruno editore. (Publicly available resource at the link: https://www.aprirenetwork.it/book/manuale-governare-lassistenza-primaria/)
  

 

In-depth study and recommended readings

• Partecipazione, fondamento per il benessere e la coesione sociale. Di Carlo Sangalli, Marco Trabucchi. 2024. Il Mulino editore
• Engagement. Un nuovo modello di partecipazione in sanità. Di Guendalina Graffigna e Serena Barello. 2017. Il Pensiero Scientifico Editore
• La città dei 15 minuti. Per una cultura urbana democratica. 2020, Carlos Moreno. Add Editore
• Abitare la prossimità. 2021. Elio Manzini. Egea Editore
• Educare alla Salute e all’Assistenza, Gruppo di Lavoro Nazionale Primary Health Care della Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica, 2018. Bruno Mondadori editore (Publicly available resource at the link: https://www.aprirenetwork.it/book/educare-alla-salute-e-allassistenza-manuale-per-operatori/ )
• Position Sanità Digitale FNOPI (2024) Publicly available resource at the link https://www.fnopi.it/wp-content/uploads/2024/09/Approfondimento-al-Position-Fnopi-17_9.pdf
• Il futuro delle professioni. Come la tecnologia trasformerà il lavoro dei professionisti. Richard Susskind, Daniel Susskind. 2023. Rubbettino editore

Teaching methods

Lectures
Group work

Assessment methods

Formative assessment: exercises, cases, laboratory

Summative assessment: discussion of a plan/program/project demonstrating interpretation/reasoning and problem solving/decision-making skills with respect to the topics covered; oral evidence on the content covered

Assessment of the plan/program/project will take into account the completeness and correctness of what is given, the use of scientific language, and the possible presence of errors classifiable as "frequent" that were discussed as part of the lectures.

The evaluation of the oral examination will take into account the completeness and correctness of the content and the use of scientific language, as well as the ability to determine the relationship between different concepts.

The exam will be considered passed if the tests of the remaining modules are also sufficient.

Grading of the final grade

• Failure to apply the indicated Models/Methods, inadequate language, scarcity/absence of content: insufficient
• Mechanical application of the indicated Methods/Methods, overall correct language, presence of major content→ 18-19
• Application of the Methods/Models with sufficient adaptation to the subject matter, expression in correct language presence of contents, ability to determine the main relationships between different concepts.→ 20-24
• Application of Methods/Models adequate to the topic covered, mastery of specific terminology, presence of all content, ability to determine the relationship between different concepts.→ 25-29
• Application of Methods/Models adequate and comprehensive with respect to the topic covered, originality of the topic, full mastery of the specific terminology, ability to argue, self-assessment and self-reflection, in-depth coverage of content, and full ability to determine the relationship between different concepts. → 30-30L
The test will be conducted according to the instructions contained in the University regulations (which you are invited to consult) and according to any other indications provided from time to time by the Academic Bodies

For clarification requests, please contact the Lecturer via Teams or by scheduling an appointment via electronic diary

Teaching tools

PC and video projector, teaching materials

Office hours

See the website of Pietro Giurdanella