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 health policies to work organisation

-Organisation of the NHS Health Systems in Italy (Company, IRCSS)
- Organisational models of meso-system hospital and territory (hospitals by intensity of care)
- Organisational models of 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.

_Definition of care priorities and tools to ensure care (deferability/indifferentiability of interventions).

Time management

Missed Nursing Care

Roles and figures in the organisation


Attribution and entrusting

- Reliability of activities: the areas of entrustment and delegation in the care process.
- OSSC/OSS: role profile and competences based on the contents of the State-Regions Conference (2003/2005).
- Differences between GI profile and OSS/OSSC/Nursing Assistant
- Care complexity of patients and deciding on the reliability of activities.
- Supervision processes (regulatory, training and support) of support workers

From the personalised plan to the nursing project
- Care planning and management from Nursing Outcomes
- Care planning tools: the personalised plan, the standard plan, clinical pathways
- The Nursing Minimum Data Set concept and its relevance
- Delivery and transfer of information to ensure continuity of care: methodologies, settings, selection criteria for essential data

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.

Barelli, P., Pallaoro, G., Perli, S., Strimmer, S., Zattoni, L. (2006). Modelli di organizzazione dell'assistenza: sono efficaci? Assistenza Infermieristica e Ricerca, 1, 35-42.

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.

Palese, A., Cabarcas, R., Dotti, R., Riboli, O. (2006). Documentazione scritta (consegne e piani di assistenza). Assistenza Infermieristica e Ricerca, 25(2), 109-115.

Wallace, P.J., Haber, J.J. (2020). Top 10 evidence-based countermeasures for night shift workers. Emergency Medicine Journal, 37, 562–564.
Bulfone, G., Sumathy, M., Grubissa, S., Palese, A. (2012). Trasferire efficacemente informazioni e responsabilità attraverso le consegne: revisione della letteratura. Assistenza Infermieristica e Ricerca, 31(2), 91-101.

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

The final qualification will be achieved by passing a preparatory written and oral test where knowledge, comprehension, reasoning and decision-making will be measured.

Teaching tools

Digital tools for innovative teaching.

Handouts and concept maps by the teacher

Office hours

See the website of Luisa Sist