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

Evidence based nursing (2018/2019)

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 BZ - 3° anno 1° sem Maria Luisa Cavada
STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA 2 MED/01-MEDICAL STATISTICS INF BZ - 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 focused on the elements of evidence-based practice. Focus is placed on the cyclical process of identifying clinical questions, searching and appraising the evidence for potential solutions/innovations. Integration of the existing evidence with clinical judgment, patient preferences, inter-professional perspectives, and other resources forms the basis for the clinical decision-making process that is inherent in improving patient, population, and organizational outcomes.
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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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• The model and the elements of EBP process • Formulating an Answerable Question using the ‘P I C O’ principle • Searching evidence in scientific databases (eg. PubMed) to identify and to propose solutions/ innovations to clinical • Understanding results from quantitative evidence: RCT’s, cross.-sectional and observational studies, systematic reviews and meta-analysis • Understanding results from qualitative studies • Understanding the Clinical Practice Guidelines and their relevance in the nursing practice • Integrating clinical judgment, patient preferences and other available resources as a basis for clinical decision-making • The Evidence Hierarchy: definitions and examples
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MM: STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA
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The course is structured in theoretical frontal lessons (24h). Collection and organization of biomedical data: - stages of a statistical research; - population, sample and statistical units; - measurement process and measurement scales; - validity, accuracy and precision of a measuring instrument; - absolute, relative and cumulative frequencies; - one and two-way frequency tables. Graphical representation of biomedical data: - pie chart; - bar chart; - histogram; - cumulative frequency polygon. Measures of location and dispersion: - mode; - percentiles and median; - simple and weighted arithmetic mean; - range; - interquartile range; - deviance, variance and standard deviation; - coefficient of variation. An introduction to probability theory: - definition of probability; - axiomatic theory of probabilities; - rules of probability calculation; - independent and conditional probabilities; - Bernoulli and Gauss distributions. Diagnostic and screening tests: - sensitivity and specificity. The objects of epidemiology: - outcome; - measures of disease frequency (prevalence, cumulative incidence, incidence rate); - determinant. The occurrence relationship: - measures of absolute effect (attributable risk); - measures of relative effect (relative risk, odds ratio). The epidemiological studies: - ecological study; - cross-sectional study; - case-control study; - cohort study; - clinical trial. An introduction to statistical inference: - point estimate; - confidence interval; - statistical test.

Assessment methods and criteria

The final test consists of 2 written exams, one for each unit. 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 the 2 scores.
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MM: METODOLOGIA DELL'INFERMIERISTICA BASATA SULLE EVIDENZE
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Written exam composed by different kind of questions such as open and close question to test: • evidence based nursing knowledge • critical thinking skills Appraising a research article using open questions
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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
Fowler J, Jarvis P, Chevannes M Statistica per le Professioni Sanitarie EdiSES srl, Napoli 2006




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