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

- Proximity health care - Health homes, community homes and hospitals, multi-service pharmacies in "fifteen minute" cities, R. Zanello, 2022. Il Pensiero Scientifico publisher, ISBN: 8849007299

- Digital Health, theoretical reflections and application experiences, Vicarelli/Bronzini, 2019. Il Mulino publisher, ISBN: 8815280499

- Family Nursing. A guide to taking care of the family system, Shajani/Snell, Italian edition edited by Brugnolli, Cavada, Longhini, Pedrotti, Saiani, 2021. Il Pensiero Scientifico publisher, ISBN: 9788849007176

- From Health Homes to Community Homes, Brambilla/Maciocco, 2022. Carocci publisher, ISBN: 9788874669271

- Health for all: myths, hopes and certainties of Primary Health Care, Bonaldi/Celotto/Lauriola/Mereu, 2021. Culture and Health Publisher Perugia, ISBN: 978-88-85595-31-6. (Public resource available at link)

- Health seeks a home. Manifesto for a community protagonist of its own well-being
By S. Landra, M. Ravazzini, F. Prandi, 2019. Publisher DeriveApprodi, ISBN: 8865482680


In-depth, recommended readings

• Community building: management logics and tools. Communities, social networks and health, Longo/Barsanti, 2021. Egea Publisher, ISBN: 978-88-238-4725-5 (Public resource available at link)
• Governing Primary Care. Handbook for Public Health Practitioners, Italian Society of Hygiene Working Group, 2017, Mondadori Bruno publisher, EAN: 9788867741762. (Public resource available at the link)
• Educating for Health and Care, Primary Health Care National Working Group of the Italian Society of Hygiene, Preventive Medicine and Public Health, 2018. Bruno Mondadori publisher, EAN: 9788867741878 (Public resource available at link)
• Home care and primary care. The new horizon of the nursing profession, by Marcadelli, Obbia, Prandi, 2018. Edra publisher, ISBN: 8821446514
• Digital health care: the obligatory revolution. For a homogeneous, efficient and fair healthcare model, 2020. LSWR Editions, EAN: 9788868959098
• The Montessori method and the frail elderly. Principles and methods for improving well-being and autonomy, Taddia/Perino/Poi, 2020. Erickson publisher, ISBN: 9788859023302
• The new territorial health care, Bottari/De Angelis, 2016. Maggioli publisher, ISBN: 9788891616845
• Population health management, the case of COPD, Tozzi/Pacileo/Morando/Blasi, 2015. Egea publisher, ISBN: 9788823844674

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