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

Health organizations and care processes (2019/2020)

Course code
4S000087
Credits
5
Coordinator
Alberto Zanutto

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
ORGANIZZAZIONE DEL SISTEMA SANITARIO E LEGISLAZIONE SANITARIA 1 MED/42-HYGIENE AND PUBLIC HEALTH INF TN - 3° anno 1° sem Armando Borghesi
ORGANIZZAZIONE DEI PROCESSI ASSISTENZIALI 1 MED/45-NURSING INF TN - 3° anno 1° sem Marisa Dellai
SOCIOLOGIA DEI PROCESSI ORGANIZZATIVI 1 SPS/07-GENERAL SOCIOLOGY INF TN - 3° anno 1° sem Alberto Zanutto
DIRITTO DEL LAVORO 2 IUS/07-LABOUR LAW INF TN - 3° anno 1° sem Marina Pecoraro

Learning outcomes

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MM: ORGANIZZAZIONE DEL SISTEMA SANITARIO E LEGISLAZIONE SANITARIA
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To acquire a good knowledge about the organization of the National Health Service for operating effectively in the complex environment of the Health System. To learn methods and acquire expertise for performing an appropriate professional role towards the customers and the NHS’s staff.
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MM: ORGANIZZAZIONE DEI PROCESSI ASSISTENZIALI
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The teaching introduces the students to the comprehension of healthcare services's organization's, studying their management precepts. It focused on dynamics and fundamental elements wich allow the caring's organization integrating different multidisciplinary caring process, choosing the intervention's priorities and guaranteeing caring continuity.
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MM: SOCIOLOGIA DEI PROCESSI ORGANIZZATIVI
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Providing elements of awareness of the health institution complexity, minding to organizational services such as hospitals, territorial services, MMGs, the class will put attention on the professional diversity as a plurality of different points of view about organisational life. Promoting interdisciplinary work and introducing the logic of organisational power, the class will develop the issue of the new technologies as an opportunity for organizational learning. Starting from general conceptualizations, we will analyze some of the issues related to organizational life in health institutions by promoting a proactive logic of nursing staff. In particular, in the 12 hours the class will deal with questions relating to organizing, organizational culture, gender and management of organizational errors.
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MM: DIRITTO DEL LAVORO
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Syllabus

Module: ORGANIZZAZIONE DEI PROCESSI ASSISTENZIALI
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Syllabus
- Infomation's transmission aim to guaratee continuity through various assignments
- Care document healthcare papers
- Caring priorities
- Lead and control OSSs (support staff)
- Shift work
- Giving good and safe care
- Care giving's madalities


Module: SOCIOLOGIA DEI PROCESSI ORGANIZZATIVI
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The curse topics are: introduction to organisational theory; the representation of organisational functionalities; the organisational culture and one more about organisational risk. Documents and slides are provided referring to the local and the national health systems.


Module: ORGANIZZAZIONE DEL SISTEMA SANITARIO E LEGISLAZIONE SANITARIA
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 The determinants of Health-:
­ - The concept and the meaning of health; the “determinants” of health; the constitutional right to the health.
­ - The role and the contribution of the Health Systems for attaining health.

 The Health Systems and the Italian National Health Service (NHS)-:
­ - The different models of the world’s Health Systems, particularly the “National Health Service” [NHS].
­ - The Italian legislation and the development of the Health System in Italy: from a health insurance scheme to the National Health Service model. The central Government’s responsabilities and the regional and provincial Authorities’ duties in the health matters.
­ - The principles, objectives and duties of the National Health Service according to the Law No 833/1978 that established it.
­ - The need for health and the request for health services.
­ - Community diagnosis (ascertain the health of the population and the health services provided).
­ - Criteria and methods for priority setting.

 The establishment of the health trusts in the NHS (Legislative Decrees No. 502/92, No. 517/93, No. 29/99): organizational setup and management of the Local Health Trusts (LHT)-:
­ - Organizational models of the LHTs.
­ - Methods for the organization of work and for integration: structural and functional departments; multidisciplinary/ multiprofessional teams; guidelines and procedures; organization of the activities into processes.
­ - Appropriateness, effectiveness and efficiency of the health services provided.
­ - Essential Health Services.
­ - Health information System: use of data and indicators for ascertaining the hospital performance and the population health.
­ - Health planning: national, regional and at health trust’s level.
­ - Monitoring and evaluation of the performance attained.
­ - Compulsory (institutional) accreditation of the health services according to the legislation in force.
­ - Integration between health and social security (welfare) activities.
­ - Hospital and Primary Health Care integration.
­ - The Medical records and the Discharge hospital form (SDO): legislative and operational issues.
­ - DRG (Diagnoses Related Groups): system for financing hospitals; coding system of the diagnosis and the procedures according to the ICD9-CM.



Module: DIRITTO DEL LAVORO
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types of profession in nursing Caring
• Font of regulation in business relationship:
• - legislation
• - Collective labour agreement
• Working relation’s discipline
• Worker’s rights and obligations
• Nurse’s responsibilities
• Anti-corruption Law: contents and values

Assessment methods and criteria

Module: ORGANIZZAZIONE DEI PROCESSI ASSISTENZIALI
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Writing test


Module: SOCIOLOGIA DEI PROCESSI ORGANIZZATIVI
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The exam required the correct answer to three specific question about the training devoted through the course.
The book suggested for the exam is: Catino, M. Capire le Organizzazioni, Il Mulino 2012.


Module: ORGANIZZAZIONE DEL SISTEMA SANITARIO E LEGISLAZIONE SANITARIA
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Written examination with multiple choice questions together with open questions.
Oral exam at the students’ request or after failure of written exams.


Module: DIRITTO DEL LAVORO
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Writing test/Oral exam if few students entered to the exam

Reference books
Author Title Publisher Year ISBN Note
Giovanna Vicarelli Cura e Salute Carocci 2013 978-88-430-7011-4
corso di Sociologia e corsi collegati notizie sui programmi dei corsi di Sociologia e corsi collegati alla URL: psico.univr.it/ulfo/  
Attila Bruni, Silvia Gherardi Studiare le pratiche lavorative Il Mulino 2007 978-8-815-11627-7
Mooney G. Economics, Medicine and Health Care Prentice Hall, London 2002
Iandolo C., Hanau C. Etica ed Economia nella Azienda Sanità Franco Angeli, Milano 1994
Iandolo, Hanau Etica ed economia nell’azienda sanità. Ed. Franco Angeli 1994
Casati G., Vichi M.C. Il percorso assitenziale del paziente in ospedale Mc Graw Hill, Milano 2002
Francesconi A. Innovazione organizzativa e tecnologica in sanità. – Il ruolo dell’Health Technology Assessment Franco Angeli, Milano 2007
Destro C., Sicolo N. La continuità di cura e assistenza al paziente complesso. – Manuale pratico sull’organizzazione dei percorsi di cura integrati C.G. Edizioni Medico Scientifiche, Torino 2009
Cicchetti A La progettazione organizzativa Franco Angeli, Milano 2004
Mascia D. L’organizzazione delle reti in sanità Franco Angeli, Milano 2009
Lega F., Mauri M., Prenestini A. L’ospedale tra presente e futuro. – Analisi, diagnosi e linee di cambiamento per il sistema ospedaliero italiano Egea, Milano 2010
Brenna A. Manuale di economia sanitaria CIS - Milano 2003
Drummond M.C., Sculpher M.J., Torrance G.W., O’Brien B.J., Stoddart G.L. Metodi per la valutazione economica dei programmi sanitari Il Pensiero Scientifico Editore, Roma 2010
Detels R., Beaglehole R., Lansang M.A, Gulliford M. Oxford Textbook of Public Health Oxford University Press, New York 2011




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