Corso di laurea in Infermieristica - sede Orbassano Polo Medicina Orbassano e Candiolo

- Describe the methods of operation of the NHS
- Describe the structure of the Health Authorities
- Describe the methods of financing the NHS
- Describe the characteristics of regional health systems
- Describe the main information flows of the Health Authorities
- Define the different departmental organizations
- Describe the organization by process
- Describe the organization by intensity of care
- Distinguish the situations that, in the exercise of the professional activity, involve the protection of privacy, as contemplated in the rules provided for in Legislative Decree 196/2003 and subsequent amendments. and in the GDPR 2016/679.
- List the behaviors aimed at safeguarding the patient's privacy through the procedures provided for by Legislative Decree 196/2003 and subsequent amendments. and in the GDPR 2016/679 so as not to incur the sanctions provided for by it.
- Draw up a report to the Judicial Authority in the cases provided for by law in an understandable and comprehensive form.
- Know the main normative sources of social welfare legislation.
- Explain the rules concerning the health worker, in particular professional secrecy, personal injury, legal professional liability, legal figures in the exercise of the profession as required by the jurisdiction in force.
- Identify the rights and duties of the health worker in dependency and self-employment
Outline the main tools with which it is possible to identify and manage the Clinical Risk
- Participate in the budget management of an Organizational Unit
- Identify tools for the definition of health problems
- Outline the design of quality improvement interventions in a Structure / Service
- Participate in the formulation and discussion of the quality plan of an Operating Unit / Structure / Service
- Define the various organizational methods of the Directorate of Health Professions (DiPSa), the hierarchical and functional relationships, the advantages and disadvantages that characterize them
- Decline the stages of the professionalization process, with particular attention to the evolution of the nurse's competence, responsibility and autonomy
- Define the concepts of organization of global Nursing Care, coordination, delegation and control of activities and support staff
- Identify, in relation to emblematic clinical-assistance situations, the organizational variables that must be considered to define a work plan
- Discuss the characteristics of the organizational models of care and the relative responsibilities of the nurse in relation to the complexity of care, workloads, available or activatable resources
- Describe the main survey methods, such as those attributable to the fragmentation of work processes and those carried out in a team
- Recognize the main social dynamics within groups, as well as the interaction of the actors.

KNOWLEDGE AND UNDERSTANDING

At the end of the course the student will have to demonstrate knowledge and understanding in the following fields:

• general and clinical nursing sciences for understanding the fields of nursing intervention, the clinical method that guides an effective approach to assistance, the operational techniques of intervention and the evidence that guides decision making;

• ethical, legal and sociological sciences for understanding the organizational complexity of the Health System, the importance and usefulness of acting in compliance with legislation and directives as well as with respect for the values and ethical dilemmas that gradually arise in daily practice ; they are also aimed at promoting the understanding of professional autonomy, of the areas of integration and interdependence with other operators in the care team;

ABILITY TO APPLY KNOWLWDE AND UNDERSTANDING

At the end of the course, the student will have to demonstrate the ability to apply knowledge and understanding in the following areas:

• use theoretical models and role models within the care process to facilitate growth, development and adaptation in the promotion, maintenance and recovery of citizens' health;

• facilitate the development of a safe environment for the patient by ensuring constant nursing supervision;

• manage a variety of activities that are required to deliver nursing care to patients in a variety of hospital, community and residential care settings.

COMMUNICATION SKILLS

Communication skills At the end of the course the student will have to develop the following communication skills:

• use appropriate communication methods in the team in order to: manage and facilitate the resolution of conflicts arising from different positions

• Facilitate coordination of care to achieve designed outcomes of care

LEARNING SKILLS

At the end of the course the student will have to develop the following self-learning skills:

• develop independent study skills

• demonstrate the ability to cultivate doubts and tolerate the uncertainties deriving from study and practical activity by asking suitable and pertinent questions to resolve them

• demonstrate the ability to self-assess one's own skills and outline one's own development and learning needs

• demonstrate collaborative learning and knowledge sharing skills within work teams

During the course the following topics will be addressed:

• Main features of health systems 

• The Italian National Health service

• Essential Levels of Care (Livelli Essenziali di Assistenza - LEA)

• Organisation of commuiny services: (1) screening, (2) health district

• Organisation of a central service: the National Prevention Plan 

• Organisation of an hospital service: Accidents&Emergency ward

• Governance organisation: clinical evaluation and audit 

• Equity in health: the role of the nurse

• Professionalization process

• Ethics and professional deontology: The Deontological Code in organizational context

• Documentation of care

• Coordination, delegation, and control methods of support staff activities in relation to nursing care planning and organization

• Care organization models in relation to complexity, workload, and available or activatable resources

• The concept of clinical risk and its management

• Organizational climate and well-being: Workplace safety

• Defining a work plan within the framework of care organization Process management: Health models

• Direction of Health Professions (DiPSa): Objectives, organizational forms, and relationships with other business units

Introduction to the Constitution and sources of law

• Hierarchy of sources and constitutional principles

• Public employment relationship and liberal profession: differences

• Access through competition and career development

• Establishment of the employment relationship

• Enrollment in the register

• Code of conduct

• Strike

• The responsibility of the civil servant

• Civil liability profiles (Article 7 of the Biano-Gelli Law):

• Criminal liability profiles (art 6)

• Treasury liability and insurance obligation

• Privacy protection and professional secrecy

• Office secrecy and the obligation to report

• Disciplinary proceedings in public employment

• Administrative procedure rules under Law 241/1990

• Procurement procedures in Healthcare Companies

• The National Health Service and the privatized model established by Healthcare Companies

• The "corporatization" process

• The teaching is structured in 75 hours divided as follows:

- Organization of assistance 30 hours

- Organization of health services 30 hours

- Administrative Law 15 hours

• Distance lessons (via Webex) or lectures in plenaria (according to the persistence of the Covid-19 
  emergency and according to the directives of the University, constantly updated)

• Case analysis and / or simulation

• Work in small groups by order

• Reading of some socio-demographic databases and company reports

the "Organization of assistance"  (Prof.ssa Finiguerra) module provides for a written exam with 12 closed-answer test 
 and 3 questions will be asked in open way.The time available is 30 minutes

The service organization module (Prof Di Girolamo) provides for a written exam in which
 you will be asked to read data regarding the organization of services and to 
interpret them on the basis of the topics covered in class. 
The questions will be asked in an open way. 
The time available is one hour.
The Administrative Law module (Prof.ssa Poggio) provides a closed-answer test 
of 15 questions to be completed in 15 minutes, which is passed with 10 correct answers.
The final grade will be defined by the average of the grades of the three courses
weighted with respect to the number of credits.
Insufficient students in a module will be insufficient for the whole
integrated course, even if the grade point average is sufficient.

Calamandrei C, Orlandi C. ”Nursing Management” 4th edition McGraw Hill

Benci L. "Legal Aspects of the Nursing Profession" Mc Graw Hill 2019

Damiani G, Specchia ML, Ricciardi W. "Sanitary Planning Manual" 3rd edition Idelson-Gnocchi 2018

Ipercompendio "Diritto Amministrativo" XXIII Edizione - Edizioni Giuridiche Simone (some parts) and handouts provided by the Tacher

CCNL 2018