MED/45 A.Y. 2021/2022 - UNIVERSITY OF BOLOGNA CAMPUS OF RIMINI DEGREE COURSE IN NURSING RIMINI AND CESENA DISTRIC
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Alma Mater Studiorum Università degli Studi di Bologna CAMPUS DI RIMINI SCUOLA DI MEDICINA E CHIRURGIA Corso di Laurea in Infermieristica UNIVERSITY OF BOLOGNA CAMPUS OF RIMINI DEGREE COURSE IN NURSING RIMINI AND CESENA DISTRIC GUIDE TO TEACHING PROGRAMS MED/45 A.Y. 2021/2022 The lessons are held in mixed modality: in presence and remotely (on the platform Teams) chosen by the teacher.
1° YEAR TEACHING PROGRAM : General and Applied Nursing Sciences Year of study: First Semester: First Total credits: 7 Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU Hours district General and Applied MED/45 Phylogeny and structure of the nursing Spadola Milena RN 3 36 Nursing Sciences discipline Montalti Sandra CE MED/45 Applied nursing methodology Gabetti Annalisa RN 4 48 Lucchi Casadei Sandra CE 1
Contents of teaching: Phylogeny and structure of the nursing discipline PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING VERIFICATION ITALIAN BIBLIOGRAPHY METHODS METHODS The student has to achieve From the concept of health care to the Interactive frontal The assessment of Processo infermieristico e these goals/target: birth of the nurse teaching the knowledge pensiero critico – (Nursing He/she acquires the methodology acquired by the process and objective knowledge of: (Classroom lessons). student is based on - Hints of health care : evolution of the Group work and 2 tests: thinking) J.M Wilkinson, 3° - the historical path of concept of health care and nursing care exercises for nursing Edizione, 2013 Casa nursing care - Florence Nightingale : thought and care planning -written exam with Editrice Ambrosiana Milano -The historical path of the works 30 multiple-choice birth of the nurse - birth and development of the nurse in questions for access Introduzione alle scienze - the phases of the Italy to the oral exam. infermieristiche (Introduction professionalization - The evolution of nursing education : The test is to Nursing sciences)-P.C. process role and functional considered to be Motta, Carocci Fader, 2002 - the governmental and passed from 21 non governmental correct answers out Roma nursing associationism of 30. The process of professionalization - the ethical and The total agreed Autonomia-Competenza- deontologycal time for the written Responsabilità principles - The evolution of legislation in the test is 30 '. infermieristica (Autonomy- of the nursing practice of nursing Competence- Nursing profession - the concept of profession and -oral exam to Responsibility) – IPAVSI professionalization process evaluate the degree Collegi provinciali Regione - The concepts of - Ethical and deontological aspects of of deepening of the Emilia – Romagna, 2009 responsibility the nursing profession contents addressed - Professional practice : areas of in the program and - The epistemological competence and responsibility the ability to link the Codice deontologico delle aspects of nursing - The nursing associationism and the different contents professioni infermieristiche- discipline professional culture together. It consists (Code of ethics of the - OPI : professional order nurses of the oral nursing professions), 2019 - The informative and presentation of two FNOPI – Roma, Aprile operative tools of the topics, each from a 2019 nursing care and Epistemological aspects of nursing different section of responsibilities of the discipline the program, Il solco dell’assistenza : otto nurse in the compilation randomly extracted lezioni di storia illustrate of the documentation - Definition of discipline, the paradigms from the student dell’assistenza of the nursing discipline from a list of 15 infermieristica dalle origini a - the stages of the birth - The concept of wellness and disease questions. oggi- (The care trail: eight and evolution of the - The concept of a person according to illustrated history lessons of national health care the biomedical, systemic, holistic nursing from its origins to service approach nowadays) – M. Negri, S.
- Theories - models and concepts of Montalti, C. Forni - Bonomo nursing discipline Editore 2021 Bologna From the scientific method to the Nursing: Storia illustrata nursing care process dell’assistenza infermieristica – (Illustrated - the method of nursing discipline: the history of nursing care) M.P scientific method, the problem solving, Donahue, Antonio Delfino the nursing care process Editore , 1991 Roma - the nursing care process and its phases - The initial evaluation according to the Gordon model - The nursing care process and nursing diagnostic taxonomies (NANDA-I, NOC and NIC) Informative and operative tools of nursing care - The medical record, the nursing record, the integrated medical-nursing record, the computerized record. - Guidelines, protocols, procedures - The responsibility of the nurse in the compilation and management of health records Birth and evolution of the national health care service - from mutuals to SSN - reorganization of the health discipline - priority health problems and health needs - health care system planning - hints of the national collective labor agreement - hints of the code of conduct and data protection
Contents of teaching: Applied nursing methodology PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING VERIFICATION BIBLIOGRAPHY METHODS METHODS The student has to achieve Process of the nursing care Interactive frontal the assessment of Trattato di cure these goals/target: teaching the knowledge infermieristiche. Saiani L., methodology acquired by the Brugnolli A., Sorbona, (Classroom lessons). student is carried out Napoli, 2010 He/She has to possess an the relationship in the care process on 2 tests: understanding of functional Craven RF, Hirnle health models and know the - The communication process CJ Henshaw CM 2019 nursing methodology to - The types of communication Principi fondamentali respond progressively to the - The nurse-patient relationship of help written test dell'assistenza different levels of health care - Acquisition of communicative (preparatory to the infermieristica Bologna, complexity that the person / competence in the nursing field oral exam): 29 family / community presents. ( information to the user) multiple choice Zanichelli ed questions (4 options) - Admission and discharge of the + 1 closed question Processo infermieristico e patient pensiero critico, CEA, - The medical examination Milano, 2013 Measurement of vital signs. Hinkle CJ, Cheever KH Brunner-Suddart, Deepen the methods and tools for Infermieristica medico evaluating hemodynamic parameters chirurgica, vol. 1, - arterial pulse Oral exam Ambrosiana, Milano, 2017 - blood pressure - body temperature Daniels R., Grendell R.N., - breath frequency - blood sample Wilkins F.R., Basi dell'assistenza body care and hygiene. infermieristica,Piccin, Padova, 2014 Learn the knowledge to apply nursing Barbara K Timby., care to the person with self-care deficit - social and cultural meaning of body Fondamenti di Assistenza care Infermieristica concetti e - alterations in personal care abilità cliniche di base, Mc - care treatment of self care deficit Graw Hill, Milano, 2013 - guiding principles in body care activities L. Sasso, C. Gagliano, AM. - hygiene and body care in the Bagnasco., Scienze bathroom. - oral and dental hygiene infermieristiche generali e
cliniche, terza edizione , Mc Exercise, mobility and treatment of its Graw Hill, Milano, 2013 alterations Deepen the methods and tools to evaluate physical exercise, tolerance and intolerance to physical activity. Learning the correct procedures for the mobilization of the person with impaired physical function. Definitions of concepts: physical activity, physical exercise and functional status, intolerance to activity / physical exercise - Assessment of tolerance to activity / physical exercize - Mobility and motor skills: its alterations - The caring treatment of the main problems of mobility - Walking with aids: walking frame, stick and crutches. - Positions in bed of the person permanently lying down, aids and grasps - Procedures: of positioning and transfer - Assistance treatment of immobilization or hypokinetic syndrome Respiration and treatment of alterations. Deepen the methods and tools to evaluate an altered breathing - preparatory elements for breathing - pathological breaths - care treatment of the main alterations in breathing Rest, Sleep and night-time nursing assistance.
Learning the knowledge to apply assistance to a person with impaired rest and sleep - neuroregulation of sleep / wake, physiology of circadian rhythm - main sleep disorders: insomnia, disturbances of the circadian rhythm of sleep - sleep assessment, care treatment of the main sleep disorders - problems of sleep in the elderly, noise in care settings, night-time assistance Hydro-electrolytic balance, feeding and treatment of alterations deepen the methods and tools to evaluate compromised hydration and nutrition. - alterations in hydro-electrolyte balance: dehydration and hypovolemia, excess volume of liquid, fluid overload - assessment of the patient's hydration status: the water balance - the factors influencing nutrition: assessment and evaluation of nutritional status - alteration of nutritional status: malnutrition, obesity and overweight, anorexia syndrome and neoplastic cachexia dysphagia - feeding of the non self-sufficient patient - Nutrition as a therapy - the change in the way of feeding: enteral feeding with SNE, SND, PEG, PEJ.
Intestinal elimination and treatment of alterations. Deepening of the methods and the tools to evaluate impaired intestinal elimination. - the main alterations of intestinal function: signs and symptoms more frequent in intestinal disorders - constipation and diarrhea - fecal incontinence - hemorrhoids Assessment and treatment of constipation, diarrhea, faecal incontinence - Procedures: the enema or evacuative enteroclysis - procedure: manual removal of faeces and a fecaloma Urinary elimination and treatment of alterations. deepening of the methods and tools for assessing compromised urinary elimination - the main alterations of urinary function: signs and symptoms more frequent in urinary disorders. - urinary tract infections - urinary incontinence - urinary retention
Assessment and treatment of urinary tract infections, urinary incontinence, acute and chronic urinary retention - Urinary tract infections associated with bladder catheterization: epidemiology and prevention strategies procedure: application of external catheter (condom). - procedure: insertion of short and long-term bladder catheter and closed-circuit system - procedures: collection of sterile urine samples Body temperature and treatment of alterations - preparatory elements of physiology of thermoregulation - alteration of body temperature - care treatment of the person with temperature alteration Treatment of acute and chronic pain - preparatory elements of physiology of pain - pain models: acute and chronic - care treatment of the person with acute and care treatment of the person with acute and chronic pain Treatment of end of life: accompaniment of the person and the family
- hints of end of life care - nursing assistance of the patient in the terminal phase - death and care of the body Learning of the fundamental concepts and procedures to guarantee the correct application of the therapeutic prescriptions - drug and pharmaceutical forms, naming, classification and sources of drug information - responsibility of the nurse in the therapy process - The treatment process of drug therapy - the pharmacological prescription - distribution and storage systems: administration and monitoring of drugs - administration of drugs through the most commonly used routes: oral way with SNG, injective, intravenous, intramuscular, subcutaneous, intradermal and other ways of administration - monitoring of the expected therapeutic effects, calculation skills necessary for the dosage - drugs and psychotropic substances. - clinical risk related to therapy and pharmacovigilance Surgical patient:
Identification of the needs of the person in the pre-operative phase - nursing diagnosis in the preoperative phase - pre-operative interventions (in preparation of the post-operative phase) - physical preparation for the intervention - reception and admission into the operating theatre - role and responsibility of the different nursing figures operating in the operating room: instrumentalist, hall nurse - the clothing and surgical washing of the hands - the surgical instrument - the awakening phase - the planning of nursing care in the post- operative phase
2° YEAR TEACHING PROGRAM : Surgical Medical Nursing Year of study: second Semester: First Total credits: 5 Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU Hours district Surgical Medical MED/45 nursing of the surgical area Ottaviani Marco RN 3 36 Nursing Milandri Susy CE MED/45 nursing of the medical area Sgreccia Marina RN 2 24 Senni Marco CE 1
Contents of teaching: Nursing of the Surgica area PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING VERIFICATION BIBLIOGRAPHY METHODS METHODS Knowledge of the The student has to achieve these General section Interactive frontal Oral examination M.Gulanick, J.Myers “Piani subjects of Anatomy and goals /target teaching di assistenza infermieristica” Physiology He/She has to reach the Nursing care related to the operating methodology CEA knowledge related to the taking in theatre: (Classroom lessons). charge of the person/family in the the surgical area knowing it’s - peri-operative care Brunner-Suddarth priority. - Medical drainages: types, aim, “Infermieristica medico- The student is able to identify, plan indication and managements chirurgica” vol. 1 e 2 and evaluate the assistance - SNG (nasogastric tube): type, aim, CEA interventions and collaborates with indication and managements the other professional figures in the - post-operative complications Craven Hirnle “Principi diagnostic-therapeutic pathways ( complication after operation) fondamentali dell’assistenza - artificial nutrition : role of the nurse infermieristica” vol. 1 e 2 - intestinal ostomies : type, aim, CEA indication and managements - Injury due to malpositioning - Hypothermia Linee Guida ATLS 2014 Abdominal surgery - diagnostic test/screening of the gastrointestinal tract - nursing assistance to the person with: - abdominal hernias - peptic ulcer - gastric cancer - neoplasm of the colon-rectum - diverticulitis - proctological diseases - liver diagnostic tests Nursing care to the person with: - cholelithiasis - pancreatic cancer - peritoneal cancer - PEG (percutaneous endoscopic gastrostomy). - neak and cheast surgery
Nursing care to the person with: - thyroid diseases - laryngeal diseases - breast diseases - pneumothorax - lung cancer Vascular Surgery nursing care to the person with: - carotid stenosis - abdominal aortic aneurysm - chronic obstructive arterial diseases - varicose veins of the lower limbs Emergency surgery nursing care to the person with: - acute abdomen - appendicitis - peritonitis - bowel obstruction - pancreatitis - digestive haemorrhage - intestinal infarction nursing care to the person with: - abdominal trauma - fracture of the femur and pelvis Urological surgery diagnostic examinations of the urological apparatus nursing care to the person with: - Calculoses of the urinary tract - benign prostatic hypertrophy - neoplasm of the prostate , kidney and bladder - urological ostomy: management and nursing care. - gynecological surgery
- hysterectomy Contents of teaching: nursing of the medical area PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING VERIFICATION BIBLIOGRAPHY METHODS METHODS Anatomy of the The course aims to develop the Respiratory pathology Interactive frontal Oral verification Brunner-Suddarth cardiocirculatory, ability of the student to plan and teaching "Infermieristica medico- respiratory, neurological, manage the nursing care of - BPCO (bronco chronic methodology chirurgica" vol. 1 e 2 CEA, gastrointestinal and people with medical conditions obstructive pulmonary disease) (Classroom lessons). renal system 2017 Discussion of clinical Cardiovascular pathology cases Physiology - hypertension Management of venous - heart failure access, oxygen therapy - acute pulmonary edema and aerosol therapy Neurological pathology - ischemic and hemorrhagic stroke - Parkinson's disease - Alzheimer - Delirium Renal pathology - chronic renal failure - renal biopsy Endocrine and metabolic pathology - viral hepatitis - liver biopsy - cirrhosis of the liver - type 1 and 2 diabetes - obesity Hints of onco-haematological pathology Bone marrow biopsy
Immunological pathology - HIV and AIDS Gastrointestinal pathology - constipation - chronic intestinal diseases - colonoscopy and gastroscopy - diverticulitis TEACHING PROGRAM : Community Nursing Sciences Year of study: second Semester: second Total credits: 5 Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU Hours district Community Nursing MED/45 Evidence applied to clinical Nursing Montalti Marilena RN 1 12 Sciences practice Ca Paci Giulia CE MED/45 Nursing of chronicity Dionisi Antonella RN 2 24 Agosta Salvador CE MED/45 Nursing of the community Ottaviani Marco RN 2 24
Caminati Goria CE 1 Contents of teaching: Evidence applied to clinical practice TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION BIBLIOGRAPHY METHODS The student has to achieve these - Definition, methods and tools of EBP Classroom Lesson Searching for a scientific Evidence Based Nursing- goals /target and queries of research article through the Paolo Chiari e Antonella He/She has to: know the decision- Exercises in the computer formulation of a Santullo- McGraw-Hill making model of EBN (evidence - Caracteristics of the biomedical room research question with based nursing). literature PICOM - reflect on the practice and identify - projects of the studies L’infermieristica basata su the areas /camp where there is prove di efficacia. Guida uncertainty and make questions - Strategies for the management of the operativa per l’evidence about them in order to get the right scientific literature Based Nursing- Paolo answers. Chiari; Mosci Daniela; - Research in the main databases of Naldi Enrico, 2006, -know the databases, do research in primary and secondary studies McGraw-Hill the literature to find those studies which can be of help for getting the - Caracteristics of systematic reviews Tutorial PubMed responce to the query - Criteria for defining the quality of a systematic review - Guidelines; characteristics of evidence-based guidelines, criteria for evaluating guidelines
Contents of teaching: Clinical Nursing and rehabilitation in chronicity TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION BIBLIOGRAPHY METHODS The student has to achieve these Definition of chronicity, fragility and disability Classroom Lesson Oral examination Brunner Suddarth goals/target. “Infermieristica medico – The student must possess the - Chronic diseases and their characteristics chirurgica” vol. 1 e 2 Casa knowledge related to the methodology, to organizational and - Innovative aspects for chronicity management Editrice Ambrosiana, clinical care models for the taking Milano; 2006 charge, management and continuity - GNNN system for the assistance planning in of the assistance in situations of chronicity with the use of international terza edizione chronicity . He /She develops the taxonomies knowledge related to the therapeutic Santullo “Le scale di education and also knows the Organizational and clinical-care models for taking valutazione in resources of the family and the charge sanità” Casa Editrice mc community - A paradigm of waiting medicine (hospitalized citizen) graw hill 2009 - and of initiative medicine ( a model of assistance M.Baccini, R. Berardi,N. that meets and helps the citizen before illnesses Marchionni, arise or worsen by focusing on prevention and M.Paci ”Riabilitare la education). persona anziana” Casa - organizational models : self management , disease Editrice Elsevier management and case management , chronical care model, primary nursing Manuale delle procedure infermieristiche – 2° - integrated management of the multidisciplinary team edizione minerva - Concept od empowerment and promotion methods medica – S. Agosta - Principles of the assistance complexity M. Mongardi “l’assistenza Management and continuity of care in situations all’anziano” of chronicity Casa editrice Mc Graw Hill - Acute and protracted needs Ministero della salute, - Hospital and territory integration (home care, health houses , community hospitals) Direzione generale della - Care pathways and nursing skills withing the care programmazione network: PDTA, Intermediate care, core continuity sanitaria "Piano nazionale hospital territory (NUOT)
delle - Care pathways in the elderly person with fracture of Cronicità" maggio 2016 the femur and in the myelolated person, support devices and aids - Palliative care: tools and processes of care NANDA International evaluation DIAGNOSI INFERMIERISTICHE - Assessment tools for taking care of the fragile definizioni e classificazione patient: Braden scale, Barthel, Brass, IADL, Morse 2018-2020 – Casa Editrice Therapeutic Education Ambrosiana, Milano 2018 Marjory Gordon DIAGNOSI - Skills and responsibilities of the nurse in INFERMIERISTICHE therapeutic education Processo e applicazioni – - Pedagogical approach to ETP Casa Editrice Ambrosiana, Milano 2013 - The stages of the educational process: methodology and application J. McCloskey Dochterman, Knowledge of family and community resources G. M. Bulechek CLASSIFICAZIONE NIC - The ICF classification (International classification DEGLI INTERVENTI on functioning, disability and health) INFERMIERISTICI - Casa - Effective relational models for functional Editrice Ambrosiana, Milano relationships 2013 S. Moorhead, M. Johnson, M. Maas CLASSIFICAZIONE NOC DEI RISULTATI INFERMIERISTICI - Casa Editrice Ambrosiana, milano 2013 Piano Nazionale prevenzione 2016- 2018 legge n° 135/2012 regolamento n°70 del 2 aprile 2015 ISTAT, sistema informativo anziani Popolazione e
famiglie, stili di vita e salute, indicatori demografici 2017 M. Koloroutis, a cura di: "CURE BASATE SULLA RELAZIONE", Casa Editrice Ambrosiana, Milano, 2015 P. Chiari, A. Santullo; “l’Infermiere Case Manager”, Edizioni Mc Grow Hill, seconda edizione, Milano 2011 J. Francois d’Ivernois; R. Gagnayre “Educare il Paziente”, seconda edizione, Edizioni McGraw- Hill, Milano, 2006 A. Ferraresi; R. Gaiani; M. Manfredini “Educazione Terapeutica” , Edizioni Carocci Faber, Roma, 2006 legge n°24 dell'8 marzo 2017 G. Nebuloni: "Assistenza infermieristica alla persona anziana", seconda edizione,Casa Editrice Ambrosiana, Milano 2017. B. L. Yoost, Lynne R. Crawford: " Mappe concettuali per l'assistenza infermieristica", Casa
Editrice Ambrosiana, Milano 2018. http://assr.regione.emiliarom agna.it/it/eventi/2013/frattur afemore/ interventi-dei-relatori http://www.quadernidellasal ute.it/im gs/C_17_pagineAree_3685 _listaFile_it emName_5_file.pdf http://www.salute.gov.it/port ale/tem i/p2_6.jsp?lingua=italiano&i d=3764& area=curePalliativeTerapiaD olore&me nu=cure http://salute.regione.emiliaro magna.it/documentazione/m ateriale- informativo/schedeinformati ve/ cure-palliative
Contents of teaching: Nursing of the community TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION BIBLIOGRAPHY METHODS The student has to achieve these - Health as a dynamic, individual, multidimensional Interactive frontal teaching Written test with open M.Gulanick, J.Myers “Piani goals /target and social process in current demographic,social, methodology and closed questions di assistenza He has to reach the knowledge legislative and health policy scenarios. (Classroom lessons). infermieristica”CEA related to the epidemiological aspects, the methodologies and - Priority health problems models of intervention for the Brunner-Suddarth promotion of health, health -Public health models and reference “Infermieristica medico – education for the individual and the figure chirurgica” vol. 1 e 2 CEA community - health care education , prevention, screening Craven Hirnle “Principi and vaccines fondamentali dell’assistenza infermieristica” vol. 1 e 2 CEA - family nurses, community, Mortari I., Filosofia della prison ( the healthcare cura, Raffaello Cortina assistant of the family, Editore, 2015 community, prison). J.F. D'Ivernois. R. Gagnayre. Educare il - hints of dignosis’s NANDA on paziente . Un approccio health and wellness pedagogico. Mc Graw- Hill,2004 - Culture, health and wellness - Health Literacy
TEACHING PROGRAM : Clinical Science of the infant-maternal area Year of study: second Semester: second Total credits: 3 Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU Hours district Clinical Science of the MED/45 nursing of the infant-maternal area Solaroli Manuela RN 3 36 infant-maternal area Spiga Martina CE
Contents of teaching: nursing of the infant-maternal area TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION BIBLIOGRAPHY METHODS The student has to achieve these Obstetrical-ginecological area -Classroom lessons Written and oral “Con ragione e goals/target. assessment of sentimento . Le cure He/She has to reach the knowledge - Birth Path -Tutorials on the proportions knowledge neonatali a sostegno dello related to the child care, help the for the administration of The total time agreed sviluppo”.Grazia Colombo family with the taking charge of the - Definition of: physiological pregnancy , drugs for the exam is of 15 Biomedia, 2011 child and recognize the priority pregnancy at risk minutesfor the written health problems of the infant- -Analysis of clinical cases test and 10 minutes for “Assistenza infermieristica maternal area. - Nursing care to the woman with: gestational the oral examination in pediatria”. Seconda The educational and preventive diabetes and gravid hypertension, detachment of - Evaluation during the path which includes the edizione. P. Badon, S. aspects are of primary importance in placenta and placenta previa, twin pregnancy, calculation of a Cesaro. Casa editrice this area. maternal fetal incompatibility , premature rupture of pharmacological Ambrosiana 2015. The student is able to identify , plan the membranes (PROM), miscarriage, voluntary proportion “Assistenza infermieristica e and evaluate the assistance interruption of pregnancy IVG. The assessment is ostetrica in area materno- interventions and collaborates with based on the analysis of infantile”. Seconda the other professionals in the - Neonatal care in the delivery room: APGAR index, a clinical case, in which edizione . P. Di Giacomo, diagnostic-therapeutic pathways extrauterine adaptation, early breast feeding . the student must define L.A. Rigon. Casa editrice and in the educational project. and develop the main Ambrosiana. 2016 - Diagnostic and prenatal screening : trisomi 18-21, nursing diagnoses, neural tube defects describing the nursing “Diagnosi infermieristiche interventions and the con NOC e NIC”.J. M. - cord blood donation, Rooming in, postpartum expected outcomes Wilkinson. Casa editrice depression, inflammatory diseases of the breat. Ambrosiana 2005 Pediatric- neonatal area “Infermieristica in area materno-infantile” .G. - Nursing care to the healthy newborn, hygiene of Marchioni, S. Salerno, the skin and navel, neonatal screening , neonatal S. Scalorbi, P. Quarella. jaundice, breastffeding and artificial , discharge of McGraw Hill., 2014 the newborn,education of the family on the “Diagnosi Infermieristiche. management of the newborn at home, sudden Definizione e classificazione infant death Syndrome SIDS 2015-2017”. Decima edizione. Casa editrice - Classification of newborns Ambrosiana. 2015 - Nursing care to the newborn at term in neonatal “Saturazione sensoriale : intensive care,respiratory diseases, jaundice, semplice ed efficace contro hypoxic ischemic encephalopathy, hypoglycemia, il dolore procedurale del seizure (convulsion ), presence of bacteria or micro neonato”C. V. Bellieni, M. G. organismsin the blood (sepsis), born from a Alagna, G. Buoncore. diabetic woman, alcoholic, smoker and toxic addict . Dipartimento di Pediatria, Ostetricia e Medicina
- Nursing care to the premature infant in neonatal Riproduttiva, Università di intensive care , physiological characteristics, Siena. monitoring of risks and possible complications, characteristics of environment of care, the care “Il trattamento specifico con and the N.I.D.C.A.P., postural care and cutaneous emla in pediatria”. containment, assistance to the newborn in the Infermiera C. Biavati. incubator, ROP, NEC, BDS, evaluation and control Ospedale Sant’Orsola of pain, communication, involvement and support Malpighi. to the family of the premature neonate, milk bank “Promozione dell’uso di latte materno nelle unità di tin ed - Nursing care to the child, Family-centered care, accesso dei genitori ai reaction of the child to hospitalization, card reparti”. (charter) of the rights of the child in the hospital, Raccomandazione characteristics of pediatric wards, main pathologies congiunta di tavolo tecnico of the respiratory system, gastroenteritis, fever and operativo febrile convulsions, head trauma, burns, type 1 interdisciplinare...ministero diabetes, abuse and mistreatment, assessment della salute and control of pain “Ridurre il dolore da prelievo - Nursing management of drug therapy in neonatal capillare nel neonato: and pediatric fields, dilution of drugs, calculation confronto tra 6 dispositivi of drug dosage and administration of therapy pungidito ( to reduce pain to heel prick in newborn : - Management of vascular systems comparison with 6 lancet devices)”. G.Ballardini, A. - surgical path Spruzzola, L.Boneschi, R.Visentin, L.Boscardini, - Assistance to the oncohematological child M.Barbaglia, A.Guala. Ped. Med. Chir. (Med. Surg. - Planning of nursing care on clinical cases Ped.), 2012, 34: 182-185 “Protocollo di individualized Family-centered developmental care secondo il metodo NIDCAP (ALS, H., 2000)”. A cura di : N. Bertoncelli, Novembre 2008 Gravidanza fisiologica. Aggiornamento 2011. Linee Guida nazionali (www.snlg-iss.it) “L’allattamento al seno:protezione , incoraggiamento e sostegno. L’importanza del ruolo dei servizi per la
maternità”.Dichiarazione congiunta OMS/UNICEF. 3° YEAR TEACHING PROGRAM : Mental health sciences Year of study: third Semester: First Total credits: 2 Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU Hours district Mental health sciences MED/45 Nursing of mental health Pierboni Lara RN 2 24 Floris Romina CE
Contents of teaching: Nursing of mental health PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING VERIFICATION BIBLIOGRAPHY METHODS METHODS Knowledge of The student has to - Mental illness: epidemiological, historical Interactive frontal Written test in Andews G. Hunt C. the signs and achieve these and teaching quiz Jarry M. Morosini P. symptoms of the goals/target. legislative aspects. methodology Roncone R.Ribaldi G., main He/She has to reach the (Classroom Disturbi mentali. psychiatric knowledge related to the - Evolution of the nursing profession in the lessons). Competenze di base, pathologies care pathological addictions and mental health Analysis of cases strumenti e tecniche per of the person and the services. tutti gli operatori, Ed. family in the context of Centro Scintifico Editore, specific priority health - The department of mental health and Torino 2004 problems with particular pathological addictions. regard to the preventive Barelli P., Spagnoli E., rehabilitative and - The main models of reference in the Nursing di salute educational aspects also psychiatric field. mentale, Carocci Faber, within the community. The The bio-psycho-social paradigm in the Roma, 2004. student develops the psychiatry therapeutic relationship. of community: psychiatric rehabilitation and Carozza P., Principi di He /She identifies , plans the riabilitazione psichiatrica, and evaluates assistance concept of recovery. Ed. Franco Angeli, Milano interventions collaborating 2006. with the other professional - The classification of mental disorders. figures in the diagnostic- Chiari P. Santullo A., therapeutic pathways - The nursing process in the field of mental L’infermiere case health manager dalla teoria alla and pathological addictions. prassi, Ed. McGraw Hill, Milano 2011 - Care planning applied to the main clinical cases: Sasso L., et al.,
mood disorders, psychotic disorders and Infermieristica generale e anxiety clinica per problemi disorders. prioritari di salute, McGraw Hill, Milano, - Responsibilities and specific skills of the 2003 nurse in pathological addictions and mental health Straticò E. services. L’empowerment e i servizi di salute mentale . - Taking charge of the person with mental Manuale per gli operatori. disorder Ed. CIC Edizioni the role of the team and case manager. internazionali, Roma 2009. - The helping relationship and the concept of empowerment Tacchini M.G., Professione infermiere - Principles of nursing in aggressive behavior, nei servizi psichiatrici, suicidal behavior and in substance’s abuse. Masson, Milano 1998. Collaborative problems in the use of psychotropic Andewws G. Hunt C. drugs. Jarry M. Morosini P. Roncone R.Ribaldi G., Disturbi mentali. Competenze di base, strumenti e tecniche per tutti gli operatori, Ed. Centro Scientifico Editore, Torino 2004
TEACHING PROGRAM : Critical area Sciences Year of study: third Semester: First Total credits:4 Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU Hours district Critical area Sciences MED/45 Ethics and deontology Di Giacomo Patrizia RN 2 24 Grisanti Erica CE MED/45 Nursing of the critical area Garattoni Denise RN 2 24 Paci Giulia CE 1
Contents of teaching: Critical area Sciences PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION BIBLIOGRAPHY METHODS The student has to achieve - Concept of critical area : Nursing care Interactive frontal Written test with M.g. Balzanelli, A. these in critical area; teaching methodology open and closed Gullo Manuale di goals/target. (Classroom lessons). answers medicina di He/She must develop the - The extra- hospital emergency legislative Emergenza e Pronto skills to plan and manage references and the main regional algorithms; Discussion of clinical Soccorso III edizione the nursing care of a critical cases. CIC Edizioni patient - Organizational aspects of the intra and extra time 30/60 minutes internazionali hospital emergency; the triage process; Use of specific videos and movies Roberto, Cosentini, - Nursing care to the person with polytrauma; Stefano Aliberti , Anna Maria Brambilla ABC - Nursing care to the person with shock; della ventilazione meccanica non - Nursing care to the person with : SCA, stroke, invasiva in urgenza 2° pulmonary embolism, acute pulmonary edema, edizione Ed McGraw acute BPCO and acute renal failure; Hill - Neurological, haemodynamic and respiratory G.D. Giusti, monitoring. EGA M.Benetton Guida al monitoraggio in Area Critica Maggioli Editore www.aniarti.it www.intensiva.it www.simeu.it/lineeguid a.html
Contents of teaching: Ethics and deontology PREREQUISITE TRAINING GOALS PROGRAM/COURSEWORK TEACHING VERIFICATION BIBLIOGRAPHY S METHODS METHODS Contents of the The student has to The professional responsibility from the Interactive frontal The assessment Fry S T & Johnstone M.J. teaching of achieve these application of the rules to ethical and teaching within the integrated (2004) Etica per la pratica phylogeny and goals/target. deontological principles. methodology course provides two infermieristica, Casa structure of the He/She has to be able to (Classroom tests: editrice Ambrosiana Milano nursing highlight the ethical issues lessons) on the discilpline. in situations present in - Contents, method and tools in nursing main theoretical - Ethical analysis of Cattorini P (2011) Bioetica. clinical practice and use responsibility in taking care of and contents. a clinical case Metodo e elementi di base Knowledge of ethical and deontological caring for the person . according to the per affrontare problemi the deontological references. Analysis of methodology clinici Elsevier Milano code of the The student is also able to - Normative references based on the cases and experimented in nurse 2009 apply the ethical principles professional responsibility of the problems through the classroom. Le cure e la persona: and the professional nurse. classroom-led i problemi etici in Di values in the relationship work and group - five open questions Giacomo P., Rigon L. with the person assisted, - The deontological codes, with work with review on the contents of Assistenza infermieristica e with colleagues and in the particular reference to the contents and integration . the course (related ostetrica in area materno- different operating of the deontological code of the to the code of infantile 2 ed. Casa Editrice settings. nursing professions 2019 and of the ethics, normative Ambrosiana. 2016 pp.17- code of ethics INC: references, ethical 24 (dispensa del docente) analysis of values and principles and principles, ethics of their meaning in clinical practice. nursing, end-of-life Mortari L & Saiani L (2013) decisions, Gesti e pensieri di cura. Mc application of Graw Hill Ethics and Bioethics ( in particular) ethical principles or Milano other specific - The main approaches to ethics, the topics) with a time Sala R.(2003) Etica e classical ethical theories and the available of 30 Bioetica per l’infermiere- ethical principles for the decision minutes for the first capitoli 1,2 e 3 Carrocci making in the conflict/ethical trial and 30 editore Roma dilemma. minutes for the second. Sala R. (2014) Filosofia per The evaluation is in i professionisti della cura -The current epistemological debate in thirtieths for each Carocci Faber Professioni bioethics, its influences on the life sciences test and each test Sanitarie and in particular on the beginning and end of must reach at least life. 18/30 to be Fondazione Lanza considered passed Metodologia dell'analisi
- etica dei casi clinici. Il - Methodology and tools for ethical The final evaluation is Protocollo della analysis the average of the Fondazione Lanza and the decision-making process in two tests. https://www.fondazionelanz nursing The student can a.it/documenti practice between the position of the request an oral professional and the autonomy of the examination to assisted person. improve the vote or it Di Giacomo P, Ferri C, e can be proposed by Franzini a cura di (2011) the teacher if he/she autonomia, competenza, thinks it is appropriate responsabilità 2 ed. - Ethical aspects of the research and to facilitate the Coordinamento Collegi The ethics committees. evaluation of the IPAVSI Regione Emilia written test. Romagna Bologna In the event that the escluso Codice assessment of one of Deontologico) The Ethics of “care” the two tests is insufficient the Di Giacomo P.(2008), - The ethical principles for practice student can repeat it Un’analisi della Nursing: in the next appeal responsabilità advocacy, competence, cooperation and keep the infermieristica: riferimenti and caring. evaluation of the test normativi e sufficient. giurisprudenziali Scenario - The ethical meaning of the gestures (valid only for the 25 (3): 35-43 of care. calendar year) Di Giacomo P. (2012) - Welfare aspects of ethical significance Metodi e strumenti per aimed Alternatively, the l’esercizio della at promoting and guaranteeing the protection assessment may responsabilità- area and security of the patient his autonomy and include a written test infermieristica e ostetrica n his rights. (5 questions) and an 3/2012 MaPS – oral test, but it will still Management per le be presented and professioni sanitarie agreed in the classroom with the ICN Codice deontologico students. degli infermieri del consiglio internazionali degli infermieri (ICN) revisione del 2012 www.ipavsi.it Riferimenti bibliografici per approfondimento
Barbieri G & Pennini A. (2015) La responsabilità dell’infermiere 2 ed. Carrocci editore Roma Buzzi Elisa (2013) Etica della cura medica La scuola editrice Milano Di Giacomo P. (2012) Responsabilità professionale fra integrazione, autonomia e attribuzione i n 3/2012 MaPS- Management per le professioni Sanitarie Di Giacomo P.,Lami D, Corsi A.(2010) le decisioni di fine vita: percezione di medici e infermieri, Scenario 2, 26- 36.
TEACHING PROGRAM : Health Organization and caring processes Year of study: third Semester: First Total credits:4 Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU HOURS district Health Organization MED/45 Introduction to research Di Giacomo Patrizia RN 2 24 and caring processes Ceccarelli Paola CE MED/45 Organizational models Ridolfi Luciana RN 2 24 Fabbri Cristina CE 1
Contents of teaching: Introduction to research PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION BIBLIOGRAPHY METHODS Knowledge of the The student has to achieve Introduction to the degree thesis Interactive frontal The assessment, Gaeta L. (2010) contents of the these teaching methodology - The importance of the research in nursing within the integrated Lettura critica degli modules of goals/target. (Classroom lessons) course, includes one studi clini, Aras Evidence applied He/She has to acquire - Purposes and areas of the nursing Presentation of of the 2 underlying edizioni, Fano to the nursing knowledge and skills related problems in plenary; practice and of the to the research process and research individual exercises/in proposals, to be Polit, DF & Beck, CT statistics and to the main study drawings; pairs in the computer shared in the trad it a cura di Palese computer - Identification of the problems from which room. classroom: A. 2 ed. Fondamenti di laboratory. He /She must possess tools it is Work in small groups ricerca infermieristica. and methods for choosing the possible to formulate research questions with sharing in plenary. McGraw Hill Milano thesis topic and the in Bibliographic subsequent elaboration. the field of nursing research report on a Sironi C.Introduzione specific PICOS alla ricerca The student is able to identify - Introduction to the degree thesis identified by the infermieristica . 1° possible problems and edizione. research hypotheses in the teacher on a shared Capitoli : Torino:Casa field of nursing. scheme in the editrice Ambrosiana, The research process classroom; 2010 The student knows how to read, evaluate and use the - knowledge of the research process and research for the purposes of of the Fain J.A. La ricerca its application in nursing main research methods and designs elaboration of a infermieristica : practice and the elaboration available synthesis respect to leggerla, comprenderla of ones thesis. in the literature. the specific research e applicarla. 2° edizione. Milano: question on a McGraw-Hill, 2004 - The research process and its phases predefined scheme Fondamentale and shared in the - Hypothesis and research’s question classroom. The chapters of (PICOS) interest of the indicated texts will be indicated The main research drawings and their by the teacher during characteristics the lesson - The research protocol * Ulteriori riferimenti bibliografici/pubblicazio - Research methods ni saranno fornite dai docenti
- Secondary literature: systematic reviews - The qualitative research - Ethical aspects in research - Use the search - Reading, evaluation and use of research - Bibliographic research - Critical analysis of a scientific article The research project - Preparation of a coherent and consistent research project, developing in particular the structure of the literature revision, oriented to the degree thesis - Methodology to develop a literature review report - Elaboration of a summary
Contents of teaching: Organizational and management models of assistance PREREQUISITES TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION BIBLIOGRAPHY METHODS Main normative The student has to achieve - The Hospital and territorial health organization Interactive frontal Written Santullo A. L’infermiere e references these teaching methodology le innovazioni in sanità 2° concerning the goals/target. (Classroom lessons) assessment ed. McGraw Hill Milano, - The structure of usl Romagna: health profession: He/She must know and be The Nursing/technique Management of test with closed 2005-Cap.9,10 able to identify the main the answer. Professional models of nursing care Pennini A. Modelli profile of the management and the various company; organizzativi in ambito nurse; organizational possibilities n. 15 questions ospedaliero . Innovare that can affect the quality of - hints of accreditation / certification; con l’intensità di cura e la +1 Deontological the care process complessità code of the nurse - The organizational models of assistance: supplementary assistenziale . McGraw 2009, L. The student must acquire functional and professional:case question valid Hill Education, 2015- 42/1999; L. knowledge on the management, CCM, primary nursing, for praise, with Cap.3, 4 251/2001; L. governance and outcome of model 43/2006. the health professions n. 4 possible Santullo A. Le scale di for intensity/complexity of care; choices. valutazione in sanità 1° 1°-2°-3° He/She has to know the ed. McGraw Hill 2009 Health Reform responsibility in the - Intermediate care, Health houses, Milano-Cap. 1 management and use of the nucleus of main information tools; primary care Calamandrei C., nursing folder and Orlandi C. - La dirigenza assessment scales infermieristica. Manuale - Social-health integration; per la formazione The student must also know dell'infermiere con the Nursing Organization and - The components of the organizational funzioni manageriali, 2° the contractual and ed. McGraw Hill, management aspects models Milano 2015 of nursing care:roles and functions, tools for CCNL Maggio 2018 - integration, methods and tools for Contratto Collettivo measuring Nazionale del Lavoro - the intensity and complexity of care; Comparto Sanità - Main aspects of the CCNL considering Formazione continua- the Accordo Stato-Regione Febbraio 2017 new regulatory aspects; L. 151/2001 – Testo unico - The concept of professional competence delle disposizioni and the supporting tools; the path of the legislative in materia di
new tutela e sostegno della employee; maternità e della paternità - The employment relationship in the D.P.R. 2013, N.62 – Codice di comportamento public dei dipendenti pubblici sector: access to public fixed-term and permanent employment, the disciplinary D.Lgs. 30 marzo 2001, n. responsibility, the evaluation. 165 – Norme generali sull’ordinamento del - The employment relationship and the lavoro alle dipendenze main delle amministrazioni regulatory aspects concerning working pubbliche hours; - The continuing education: the state- region agreement year 2017; ELECTIVE TEACHINGS Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU hours district Nursing of pain MED/45 NURSING AND CLINICAL ONCOLOGY AND Grisanti Erica RN 2 24 PALLIATION AREA (C.I) (integrated course)
TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION METHODS BIBLIOGRAPHY 1. Nursing of pain. nteractive frontal Mid-term evaluation: multiple Guido Orlandini La semeiotica The student has to achieve these 2. The right not to suffer teaching methodology choice tests and open questions del dolore 2° edizione Antonio goals/target. o national and regional legislation (Classroom lessons) Delfino Editore He/She must know the o responsibility of the nurse pathophysiological mechanisms in 3. Pathophysiology of pain Clinical case discussion Final verification: multiple choice the transmission of pain and/or its 4. Classification and characteristics of test manifestations and must pain RFCraven C J Hirnle understand the peculiarity and role 5. The pain management process and “Principi di fondamentali of the nurse in the palliativecare relationship with the nursing care process: dell'assistenza “Volume 1 system. capitolo 11;e capitolo 16 pag The student must be able to plan o ascertainment 176; Volume 2- Capitolo 34 nursing care for the person with o treatment pain, to deepen the different o documentation RNAO Assessment & strategies in the pharmacological o Evaluation of efficacy and side effects management of pain and non-pharmacological novembre 2002 e treatment of acute and chronic aggiornamenti successivi pain. 6. Care specificities in pain management traduzione italiana a cura The student has also to know the o oncologic Centro EBN Sant Orsola aids used in analgesic therapy. o in the elderly Malpighi o Post operative and procedural 7. management of the pain in an NANDA International “dagnosi emergency / urgency infermieristiche . Definizioni e classificazione 2018-2020- 11° edizione , Casa editrice Ambrosiana BYUNG-CHUL HAN "LA SOCIETÀ SENZA DOLORE. PERCHÉ ABBIAMO BANDITO LA SOFFERENZA DALLE NOSTRE VITE, EINAU- DI EDITORE, 2021 Orlandini G. "La decisione tera- peutica nella medicina del dolore dalla diagnosi patogenica alla scelta motivata della terapia" An- tonio Delfino Editore, 2020 Paolicchi A. “Il dolore da proce- dura” Pacini Editore, 2017 MERCADANTE S. “IL DOLORE ONCOLO- GICO” PACINI EDITORE, 2014
Teaching Program Scientific disciplinary sector Modules Professor Locality/ CFU hours district Nursing profession MED/45 NURSING PROFESSION AND CLINIC Triani Riccardo RN 2 24 related to the care and OF INFECTIONS RELATED TO THE skin pathologies CARE AND SKIN PATHOLOGIES TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION METHODS BIBLIOGRAPHY The student has to achieve 1. Epidemiology of ICA (care-related infections) Presentation of slides in Profit exam, written with Le principali linee these with reference also to skin and soft tissue power point format multiple choice questions, guida/documenti di riferimento dei goals/target. infections; diagnosis criteria according to together with the other vari argomenti: He/She must be familiar with the ECDC, subjects belonging to the epidemiological aspects of care- 2. Prevention measures and application of the Clinical cases integrated course related infections, precautionary Bundles for the main ICAs (surgical site Compendio CCM 2010 Ministero isolation measures, prevention infections, bacteremia and sepsis related salute and application measures of intravascular device, urinary tract infections, Simulations bundles for the main ICAs. related bladder catheter, VAP Linee Guida OMS-Clean care- The student must identify, plan 3. Patients colonized / infected with multi drug Igiene mani versione italiana and evaluate care interventions resistant microorganisms (MDR): CRE, in managing the patient with MRSA, ESBL, Acinetobacter, Clostridium care-related infection. difficile; measures to prevent the spread of Raccomandazioni MRSA transmission and welfare aspects for the Ministero salute management of colonized / infected patients 4. Role and precautions in the use of Indicazioni sui CRE Ministero detergents and antiseptics for intact skin and salute e RER damaged skin (infant / child, adult); 5. Methods of carrying out blood culture, urine Memo 6 Antisepsi e disinfezione culture aimed at preventing contamination of RER the sample 6. Precautionary measures of standard and Definizioni e criteri di infezione contact insulation delle ICA ECDC 7. Nursing diagnoses NANDA; NIC; NOC; (NNN) concerning the compromise of skin Dossier 190 Infezioni delle vie integrity and the risk of infection urinarie RER 8. Some particular conditions of skin infections and transmissible parasitosis: scabies, Dossier 123 Epidemie di infezioni pediculosis, chickenpox zooster, correlate RER aspergillosis; transmission prevention and control measures
Teaching Program Scientific disciplinary Modules Professor Locality/ CFU hours sector district Holistic Nursing MED/45 HOLISTIC NURSING AND MEDICAL Ciani Giorgia RN 2 24 HUMANITIES C.I. TRAINING GOALS PROGRAM/COURSEWORK TEACHING METHODS VERIFICATION METHODS BIBLIOGRAPHY The student has to achieve these Complexity of human being- Active teaching Written test La testa ben fatta E. Morin; 20 goals/target. Holism (brainstorming, classroom Raffaello Cortina Editore He/She must be able to describe exercises, lectures, case analysis, the philosophical, epistemological - Outline: Systemic theories, group work. and psychological bases of holistic Complexity L'infermiere di famiglia L.Sass nursing, their connection with Gamberoni, A. Ferraresi, L.Tib modern sciences, nursing and - Comparing models: biomedical, ;2005 Mc Graw-Hill complementary therapies. biopsychosocial, holistic Al di là delle cure. Interventi The student must describe the - The holistic approach in nursing complementari e di supporto methodologies and tools applied to oncologia. P.Pantaleo 2011 the fields of communication, Taking charge-empathic and Edizioni Franco Angeli relationship, conscious presence therapeutic relationship aimed at enhancing personal - Taking charge (care process, development and awareness in “Curare chi non può guarire; difficult discharge) taking charge and helping Hospice:cure palliative a relationship within multi- approccio multidisciplinare” - Teamwork: multi-professional professional operating contexts. G. Cavicchioli, Edizioni Franco integration tools Angeli 2015. The student must describe the - The helping relationship methodologies, the assumptions, (educational, therapeutic the areas of application of relationship) Carpenito- Moyet. “Diagnosi complementary therapies in Infermieristiche . Definizioni e holistic practice, in relation to the Complementary care classificazioni 2018-2020”, state of well-being and health as undicesima edizione. Casa well as the scientific evidence and Classifications, diffusion, national Editrice Ambrosiana. efficacy tests from rigorous EBN and international regulations, the and EBM studies. position of the OPI Federation General principles, main techniques, nursing care based on evidence of effectiveness Rimini, 3 Novembre 2020
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