# Master's degree in Nursing and Obstetrics (Bolzano)

## Epidemiology, statistics and research (2019/2020)

Course code
4S007231
Credits
7
Coordinator
Simone Accordini

 Teaching is organised as follows: Unit Credits Academic sector Period Academic staff STATISTICA PER LA RICERCA SPERIMENTALE 3 SECS-S/02-STATISTICS FOR EXPERIMENTAL AND TECHNOLOGICAL RESEARCH LMSIO BZ - 1° ANNO 1° SEM. Simone Accordini BASI METODOLOGICHE PER LA RICERCA APPLICATA 2 MED/45-NURSING LMSIO BZ - 1° ANNO 1° SEM. Luisa Saiani EPIDEMIOLOGIA E SANITA' PUBBLICA 2 MED/42-HYGIENE AND PUBLIC HEALTH LMSIO BZ - 1° ANNO 1° SEM. Stefano Tardivo

## Syllabus

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MM: STATISTICA PER LA RICERCA SPERIMENTALE
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DESCRIPTIVE STATISTICS - The measurement process in medicine: measurement scales, validity, precision and accuracy - Statistical variables and frequency distributions - How to summarize the distribution of one or more variables: measures of location and dispersion, contingency tables PROBABILITY THEORY - Definitions of probability - Rules of probability calculation - Independent and conditional probabilities - Random variables - Gauss, Student's T and chi-squared distributions - How to assess the validity of a diagnostic tool: sensitivity and specificity, ROC curves INFERENTIAL STATISTICS - An outline of sampling theory - Sample distribution of an estimator - Confidence interval - The logic of the statistical test: null hypothesis and alternative hypothesis, type I and type II errors, power of a statistical test, p-value, Z test, Student's T test and Pearson's chi-squared test PRINCIPLES OF OBSERVATIONAL EPIDEMIOLOGY: - Definition and objectives of epidemiology - Measures of disease frequency: prevalence, cumulative incidence, incidence rate - Measures of association: attributable risk, relative risk, odds ratio - Design and analysis of an observational epidemiological study: cross-sectional, case-control and cohort designs - Effect modification - Causal interpretation of an empirical association: random variability, systematic variability (selection bias and information bias), confounding
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MM: BASI METODOLOGICHE PER LA RICERCA APPLICATA
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The research process - Selection and definition of the problem, questions research hypotheses, research design - Sample selection - Classification of research studies (experimental and observational studies mixed method ) - Data collection methods
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MM: EPIDEMIOLOGIA E SANITA' PUBBLICA
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EVALUATION TOOLS • indicators of the health status of the population (rates, indices, mortality, morbidity, causes of death, causes of illness, avoidable mortality) • population structure indicators (birth rate, aging index, Lexis curve, family composition, population distribution in the area) • indicators of use of healthcare facilities (number and size of hospital facilities in Italy, hospitalization rates, hospital discharge cards, consumption of drugs, number of services and efficiency of facilities) • performance evaluation indicators (Il Programma Nazionale Esiti (PNE); Sistema di Valutazione delle Performance dei Sistemi Sanitari Regionali) PROGRAMMING TOOLS applied to specific problems: • needs assessment • evaluation of resources • tools for analyzing the effectiveness of resource allocation MANAGEMENT OF CLINICAL RISK IN HOSPITAL AND TERRITORIAL CONTEXTS THE POLICY FOR OBJECTIVES AND THE BUDGET MANAGEMENT HISTORY PROCESS

## Assessment methods and criteria

The final test consists of 3 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 weighted average over credits of the 3 scores.
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MM: STATISTICA PER LA RICERCA SPERIMENTALE
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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.
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MM: BASI METODOLOGICHE PER LA RICERCA APPLICATA
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The final examination will consist of multiple choice and open questions to assess students' understanding of the EBP and research 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: EPIDEMIOLOGIA E SANITA' PUBBLICA
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The final test is a written exam with short answer 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 Pearce N A short Introduction to Epidemiology (Edizione 2) 2005 https://vula.uct.ac.za/access/content/group/9c29ba04-b1ee-49b9-8c85-9a468b556ce2/DOH/Module%202%20(Bio_Epi)/Epidemiology/EPIDEMIOLOGY/Pearce.pdf 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 Hennekens CH, Buring JE Epidemiology in Medicine Lippincott Williams & Wilkins 1987 Verlato G, Zanolin ME Esercizi di Statistica Medica, Informatica ed Epidemiologia Libreria Cortina Editrice, Verona 2000 Polit DF, Beck CT. Edizione italiana a cura di Palese A. Fondamenti di Ricerca Infermieristica (Edizione 2) McGraw-Hill Education 2018 Vincent Charles La sicurezza del paziente Springer-Verlag Mailand 2011 978-88-470-1875-4 GIANFRANCO DAMIANI - WALTER RICCIARDI - MARIA LUCIA SPECCHIA MANUALE DI PROGRAMMAZIONE E ORGANIZZAZIONE SANITARIA IDELSON – GNOCCHI 2018 887947667X W. Ricciardi, L. Palombi Manuale Oxford di sanità pubblica. La guida essenziale per la formazione e la pratica (Edizione 3) Piccin-Nuova Libraria 2015 Rothman KJ, Greenland S, Lash TL Modern Epidemiology (Edizione 3) Lippincott Williams & Wilkins 2008 Glantz SA Statistica per Discipline Biomediche (Edizione 6) McGraw-Hill 2007 9788838639258 Polit D, Beck CT Fondamenti di Ricerca Infermieristica Edizioni Mc Graw Hill 2014 Lo Biondo-Wood G, Haber J. Metodologia della ricerca infermieristica. Ed. Mc Graw Hill, Milano 2003

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