Leadership, e direzione dei processi dell'assistenza infermieristica e ostetrica
A.Y. 2024/2025
Learning objectives
- The aim of the teaching is to acquire the advanced organizational nursing and midwifery skills aimed to: -design and evaluate the systematic application of the evidence-based nursing and obstetric care process to the assisted person, the group, the community, taking into account the resources available; -apply and manage organizational models of nursing and midwifery based on the different classes of complexity of people's needs and to manage nursing and obstetric staff; -evaluate, in terms of operational effectiveness and efficiency, the application of the theoretical models of nursing and obstetric assistance of the relative tools in complex situations; -formulate standards of nursing and obstetric care aimed at effectively orienting the professional activity at different levels of complexity; design and test innovative models for the provision of nursing and midwifery care to the person and to the community, in healthcare contexts with highly multi-professional integration functions, in residential, territorial and hospital facilities; -evaluate the classification systems of nursing and midwifery activities, in order to elaborate the standard of the needed resources for the provision of assistance and the related costs; -critically evaluate the quality improvement strategies and frameworks in order to develop systematic plans of nursing and midwifery quality improvement and risk management analyze the models of assessment of nursing and obstetric competence in order to apply them for professional accreditation; - develop methods and tools for the assessment of nursing and obstetric outcomes, the effectiveness and appropriateness of the care, satisfaction and quality of life of the assisted person, taking into account the factors of economic balance. - - Critically analyse and evaluate theories of clinical and managerial leadership and their impact on practice. - - Critically analyse the factors influencing leadership within organisational cultures. - - Critically analyse and evaluate the evidence that supports leadership approaches in advanced practice.
Expected learning outcomes
- The student will be able : - To critically evaluate evidence-based care and organizational models and methods in order to identify possible improvements in patient outcomes in organizational contexts - To critically analyze methods and plans to reduce monitoring and control clinical risk in nursing and midwifery care, managing the functions and resources available to improve the safety of the assisted persons. - to evaluate human resource management models in the various social and health contexts according to criteria of - effectiveness and efficiency - To critically analyse with an advanced professional perspective the theories of clinical and management leadership to identify areas of application and potential outcomes for improvement in advanced practice
Lesson period: year
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Course syllabus
The nursing and midwifery management; Analysis of the professional regulatory evolution Middle management: from abilitation to directional functions to coordination; Law 43/2006 and the new system of organizational and professional assignments; The path of establishment of the direction of the health professions; The classic organizational models of nursing care; Historical evolution of the organizational models of assistance; Functional Nursing Team Nursing Primary nursing Case Management; The new organizational models of assistance Ministerial Decree 70/2015 and the effects on the hospital and territorial care network; Hospitals by intensity of care; The Chronic care model; Community hospitals Measurement methodologies for determining workloads; The classic methods for the determination of the workload: methods based on the activities, on the dependence, on the classifications deriving from the application of the Nursing Process (outline); The evaluation of the results and the effects on the determination of the workforce; The accreditation legislation; The determination of the necessary staff in the different care settings Human resource acquisition systems: constraints and opportunities; The methods of recruiting in private companies and public bodies; Temporary hires Flexible forms of work; The competition law Assessment and development of skills; The interdependence between professional figures both on a clinical and organizational level; Responsibility towards support staff: delegation and attribution; Theories of clinical and management leadership and application in advanced practice; Enablers and barriers to clinical leadership; Application of leadership theories and instruments to advanced clinical nursing and midwifery practice. Co-creation project in small groups.
Prerequisites for admission
None.
Teaching methods
The course is held through traditional lectures, individual and small group activities. The educational activities are supported by the Moodle and Ariel platform of the University of Milan.
Teaching Resources
Destrebecq A, Terzoni S. Management infermieristico. Capitolo 3 - Carocci Faber - Roma Lavalle T. Dirigere le risorse umane. Capitolo 5.2 - Carocci Faber - Roma Orlandi C (a cura di) manuale di management per le professioni sanitarie. Capitolo 5 - Mc Graw Hill - Milano Saiani L et al. Il dibattito sullo sviluppo di competenze specialistiche/avanzate degli infermieri. ASSIST INFERM RIC 2016; 35: 116-12 Laquintana D. La separazione tra clinica e assistenza o tra medici e infermieri? ASSIST INFERM RIC 2015; 34: 93-96 Assistenza Infermieristica e Ricerca - Temi e problemi del management infermieristico parte 1; volume 25(1), gennaio -marzo 2006 - Laquintana D. Le nuove metodologie di valutazione del fabbisogno del personale infermieristico, medico e di supporto: un esempio di - applicazione. ASSIST INFERM RIC 2017; 36: 123-134.
Assessment methods and Criteria
he exam will be based on a written test composed of multiple choice questions (MCQ).
MED/45 - NURSING - University credits: 7
Lessons: 56 hours
Professor(s)