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

Evidence based nursing [Matricole dispari] (2019/2020)

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 Jessica Longhini
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). 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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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
Fowler J, Jarvis P, Chevannes M Statistica per le Professioni Sanitarie EdiSES srl, Napoli 2006




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