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

Relationship in nursing care [Matricole pari] (2018/2019)

Course code
4S000096
Credits
5
Coordinator
Laura Cunico

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
PRINCIPI E TECNICHE DELLA RELAZIONE ASSISTENZIALE 2 MED/45-NURSING INF VR - 2° anno 1° sem Laura Cunico
EDUCAZIONE TERAPEUTICA 1 MED/45-NURSING INF VR - 2° anno 1° sem Roberta Doro
PSICOLOGIA CLINICA 2 M-PSI/08-CLINICAL PSYCHOLOGY INF VR - 2° anno 1° sem Marco Valentini

Learning outcomes

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MM: PRINCIPI E TECNICHE DELLA RELAZIONE ASSISTENZIALE
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The course introduces the student to a comprehensive understanding of the psychological development of the complexity of the factors that interact with the patient's needs expressed; also, introduces the founding principles of the caring relationship, techniques and management strategies of effective communication. Learning Outcome The teaching contributes to achieving the following learning outcomes:  Use appropriate communication skills (verbal, non-verbal) with patients of all ages and their families in the care process and / or other healthcare professionals;  Know the founding principles of the caring relationship, techniques and management strategies of effective communication;  Understand the relationship dynamics, the defense reactions in the process of adaptation of people in situations of psychological distress, social and physical suffering.
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MM: EDUCAZIONE TERAPEUTICA
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The teaching introduces the student to a global vision of the person's psychological development in his complexity, factors which interact and the comprehension of a help request's necessities expressed, considering life development' steps, skills and required adjustments in the various evolutional stage; it also introduces the student to the fundamental helpful relationship's precepts, to the techniques and strategies needed for an efficient communication's management.
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MM: PSICOLOGIA CLINICA
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The course introduces the student to a comprehensive understanding of the psychological development according to psychoanalytic theory, taking into account the development of the life cycle stages, capacity building and the adjustments required in evolutionary stages. Also it introduces the founding principles of the caring relationship, highlighting the complexity of emotional psychological factors that are present in the relationship with the patient and family members, declined both in the various contexts in which they find themselves (hospital, nursing homes, home), the stage of life cycle that are going through (childhood and adolescence, adulthood, third and fourth age), in relation to the clinical picture presented. Particular attention is paid to the experience of the nurse and the difficulties present in helping relationships.

Syllabus

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MM: PRINCIPI E TECNICHE DELLA RELAZIONE ASSISTENZIALE
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PERCEPTION, PROCESS OF INTERPERSONAL COMMUNICATION, LANGUAGE Interpersonal perception and social communication The filters of perception, the reality is a construction interpersonal perception process The reality and its representations The two structures of language (deep and shallow) The VAK representational systems The massage of the distortion: the distortion arc HUMAN COMMUNICATION The communication process: the elements of the process Linear theory of communication Systemic theory of communication (features) The axioms of human communication of Watzlawick verbal communication (connotative language and denotative) non-verbal communication (gaze, gestures, posture, facial expressions (recall the emotions), para-verbal communication (the role of the voice, voice empathetic and unpleasant voice, vocals) Proxemics: the distance in the social relationship The context of meanings matrix MODELS OF CARE RELATIONSHIP The paradigm of Carl Rogers; principles: non-directivity, the centrality of the person, respect, positive and unconditional acceptance, congruence, authenticity, empathy Disease and illness Empathy, characteristics, its declination in the caring relationship; the Bonino Coco model of empathy and Tani (levels) The instruments of the care relationship: The agenda of the patient to explore the subjectivity (illness) The Calibration Method - Trace - Guide (CRG) as an effective approach in the interaction with the patient communication techniques (below) EFFECTIVE COMMUNICATION TECHNIQUES logical levels of thought, the use of thou killing words and attitudes that do not facilitate communication and understanding of: stereotyped phrases (cliché), judgments, unsolicited advice, change the subject, prejudice, medical jargon, communicative infantilization kissing words verbal techniques: open questions directives, no directives, focused, closed questions, reformulate, reflect, legitimize, comments empathetic, recapitulation; paraverbal techniques (continued): echo, silence, critical listening, empathic listening, vocalizations, of assent sentences ... Touch in nursing care (recommendations) Communication with the aggressive person (talk down techniques) Communication with the person with sensory impairment (blind, deaf, aphasic) The communication with the person in a state of environmental deprivation SOCIAL SKILLS AND THE ROLE OF PROFESSIONAL RELATIONSHIP The privacy and confidentiality in the professional relationship Build a relationship of trust The right distance
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MM: EDUCAZIONE TERAPEUTICA
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Methodology in therapeutic education Educative projection's steps: educative needs' analyses, educative diagnosis, objectives and learnings, surgery's organization, evaluation Educative relations' facilitating precepts and techniques aimed to support, inform and train the patient to comprehend right lifestyle and to manage the therapeutic treatements
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MM: PSICOLOGIA CLINICA
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Clinical psychology: definition, fields of action, relationship with psychiatry. Types of psychological interventions. The emotional reactions in the interview: transference and countertransference. The life cycle and the psychosocial perspective of E. Erikson. The child's psychological development (the psychosexual stages of S. Freud, the attachment theory of J. Bowlby, the development of intelligence of J. Piaget). The theory of personality in psychoanalysis (ego, id, superego, ego ideal, defense mechanisms, psychic conflict). The emotions and the concept of emotional intelligence. Concept of stress, stressor, distress, eustress, coping. stress management. Burnout (definition and symptoms): risk of burnout in the nursing profession. Individual and situational predisposing factors, protective factors. The psychological reactions and defense mechanisms to the disease in the patient, family, nurses. The psychological reactions of the patient hospitalized (internal medicine, chronic, surgical) and the relationship with the nurse. Hospitalization in children: psychological reactions to illness and hospitalization in children and adolescents. The premature nursery and pediatric oncology. The elderly: aging characteristics and personal and relational changes; problem areas with particular reference to physical dependence and cognitive changes (mild cognitive impairment, dementia, confusion syndrome); the relationship with the family. The patient with poor prognosis: the communication of bad news; psychological reactions in the patient, family, nurses. Death in Western culture, places and ways of dying, psychological reactions of the dying, care for the dying and their relatives, death in childhood, mourning and processing phases.

Assessment methods and criteria

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MM: PRINCIPI E TECNICHE DELLA RELAZIONE ASSISTENZIALE
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WRITTEN EXAMINATION: multiple choice questions, short open-ended questions, analysis and interpretation of a relational case, nurse-patient dialogue text.
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MM: EDUCAZIONE TERAPEUTICA
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Writing Test
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MM: PSICOLOGIA CLINICA
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Written examination with open questions and multiple choice questionnaire

Reference books
Author Title Publisher Year ISBN Note
Saiani, L., Brugnolli, A. Trattato di cure infermieristiche (Edizione 2) Idelson-Gnocchi 2014 978-88-7947-576-1
Anna Brugnolli - Luisa Saiani Trattato di cure infermieristiche Sorbona 2011
A. Brugnolli, L. Saiani Trattato di Medicina e Infermieristica "Un approccio di cure Integrate" (Edizione 1) SORBONA 2017 9788879476379
Sommaruga Marinella Comunicare con il paziente Carocci Faber 2015
Nicolino Rossi Psicologia clinica per le professioni sanitarie Il Mulino 2004




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