Bachelor's degree in Nursing (to qualify as a nurse) (Verona)

Evidence based nursing [Matricole dispari] (2017/2018)

Course code
4S000084
Credits
4
Coordinator
Simone Accordini

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
METODOLOGIA DELL'INFERMIERISTICA BASATA SULLE EVIDENZE 2 MED/45-NURSING INF VR - 3° anno 1° sem Elisa Ambrosi
STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA 2 MED/01-MEDICAL STATISTICS INF VR - 3° anno 1° sem Simone Accordini

Learning outcomes

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MM: METODOLOGIA DELL'INFERMIERISTICA BASATA SULLE EVIDENZE
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This course provides an introduction to Evidence Based Practice principles, with a particolar emphasis on critical appraisal or assessement of research evidence in the health sciences literature. The development of critical appraisal skills is important for informing clinical practice. Students will learn important research skills such as how to define an answerable clinical research question, how to efficiently search for evidence on the most important databases, and develop the skills necessary to critically appraise or assess the validity and the generalizalibilty of a research article or a clinical practice guideline.

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MM: STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA
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The aim of the course "Health statistics and clinical epidemiology" is to provide the theoretical and practical tools for assessing the frequency of diseases in human populations and the associated risk factors. The course therefore aims to provide expertise in epidemiology and bio-statistics. At the end of the course, the student must demonstrate to have understood the basic bio-statistical methods applied to epidemiology and the elements of an epidemiological study.

Syllabus

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MM: METODOLOGIA DELL'INFERMIERISTICA BASATA SULLE EVIDENZE
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Introduction to Evidence –Based Practice (EBP)
The significance of EBP in the development of nursing science
Definition of Evidence Based Nursing (EBN)
Steps of the EBP/EBN
Clinical question formulation using the PICO format
Background and foreground questions
Searching for the best evidence
Designing and conducting the search for evidence in multiple evidence databases
Searching databases: PubMed/Medline, CINAHL, PsycINFO®, Tripdatabase

Main quantitative research designs
Reading a scientific article: definition of research questions, aims and hypothesis,dependent and independent variable, target population, accessible population and study sample, randomization, primary and secondary outcomes.

Instruments of EBP: sistematic review, meta-analysis, guideline, Critical Appraisal Topic

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MM: STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA
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The course is structured in theoretical frontal lessons (24h).

1) Medicine, scientific research and statistics
2) The measurement process in medicine: measurement scales, validity, precision and accuracy
3) Statistical variables and frequency distributions
4) How to summarize the distribution of one or more variables (measures of location and dispersion, contingency tables and correlation)
5) An introduction to probability theory
6) From the sample to the population: the principles of statistical inference (confidence intervals and tests)
7) How to organize an epidemiological study and what is measured
8) How to assess the validity of a diagnostic tool
9) How to measure the frequency of diseases in human populations (incidence and prevalence)
10) How to measure the association between a risk factor and a disease (relative risk, attributable risk, odds ratio)

Assessment methods and criteria

The final test consists of 2 written exams, one for each module. To pass the final test, the student must get a score of not less than 18/30 in each exam. The final mark (in thirtieths) is the average of two scores.

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MM: METODOLOGIA DELL'INFERMIERISTICA BASATA SULLE EVIDENZE
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The final examination will consist of multiple choice and open questions to assess students' understanding of the EBP concepts covered in the course and their ability to apply critical appraisal skills to the assessment and interpretation of clinical evidence.

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MM: STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA
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The final test is a written exam with short answer questions and multiple choice questions. The aim of the test is to verify the knowledge of all the topics discussed. The final evaluation is expressed in thirtieths.

Reference books
Author Title Publisher Year ISBN Note
Lantieri PB, Risso D, Ravera G Elementi di Statistica Medica McGraw-Hill 2007
Jekel JF, Katz DL, Elmore JG, Wild DMG Epidemiologia, Biostatistica e Medicina Preventiva Elsevier-Masson 2009
Verlato G, Zanolin ME Esercizi di Statistica Medica, Informatica ed Epidemiologia Libreria Cortina Editrice, Verona 2000
Paolo Chiari, Daniela Mosci, Enrico Naldi, Centro Studi EBN Evidence-Based Clinical Practice - La pratica clinico-assistenziale basata su prove di efficacia (Edizione 2) Mc Graw Hill 2011
Fowler J, Jarvis P, Chevannes M Statistica per le Professioni Sanitarie EdiSES srl, Napoli 2006




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