99236 - Modelli organizzativi e gestionali dell'assistenza in ambito ospedaliero e territoriale (BO1)

Learning outcomes

At the end of the module the student knows the main nursing care delivery models in different care settings. Identifies the main competences of other members of the nursing team and relates them to his/her own competences. Identifies the organisational principles of continuity of care, roles and system of responsibilities using the clinical governance approach.

Course contents

From healthcare policies to work organisation

-Organisation of National Health Service (SSN) systems in Italy (Azienda, IRCSS)

- Organisational models for hospital and local meso-systems (hospitals by intensity of care)

- Organisational models for unit care (by tasks, functions, sectors, small teams, primary care, case managers).

- Care models in relation to the needs/expectations of users, operators and services.

- Shift work (regulations and models)

- Definition of care priorities and tools to ensure care (deferrability/non-deferrability of interventions).

- Time management

- Compromised care (Missed Nursing Care/Unfinished Nursing Care)

Roles and figures within the organisation

-Profiles, roles and skills

-Working in a multi-professional team (structure and strategies)

-Assignment and entrusting

From the personalised plan to the care project

- Quality of care

-Planning and management of care based on Nursing Outcomes (nursing-sensitive outcomes)

- Operational tools; care planning and documentation

- Delivery and transfer of information to ensure continuity of care: methodologies, settings, criteria for selecting essential data

New care needs and care fragility, Digital Healthcare

Readings/Bibliography

Saiani L., Brugnolli A. (2020). Trattato di cure infermieristiche. III Ed. Napoli: Sorbona – Idelson-Gnocchi. Capitolo 10 "Organizzazione delle cure infermieristiche

Baldissera A, Palese A, Saiani L. Il lavoro a turno negli ospedali: modelli organizzativi a confronto. Assistenza Infermieristica e Ricerca, 2001;20(4):220-229.

Palese, A., Lavia, B., Masala, O., Moretto, G., Pordenon, M., Santarossa, A., et al. (2008). Esiti sensibili alle cure infermieristiche: analisi critica della letteratura. Assistenza Infermieristica e Ricerca, 27(2), 33-42

Mesaglio M, Vesca R, Rossi A, Narduzzi B, Fregonese F, Pestrin R, Fadone A, Cadorin L, Bressan V, Palese A. Guida operativa per la riprogettazione delle consegne tra turni. Assistenza Infermieristica e Ricerca, 2019;38(4):212-220. doi: 10.1702/3273.32398.

FNOPI (2023) Positional Statement Sanità Digitale

Teaching methods

 Frontal lecture

Individual study of clinical and methodological content in the clinical context

Discussion of cases in subgroups with presentation in plenary sessions

Interactive lecture with unfolding and exercises

Assessment methods

Final eligibility will be determined by an oral exam that will assess knowledge, understanding, reasoning, and decision-making skills.

Teaching tools

Digital tools for innovative teaching.

Handouts and concept maps by the teacher

Office hours

See the website of Luisa Sist