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

Relationship in nursing care [Matricole pari] (2020/2021)

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 Michela Rimondini

Learning outcomes

The course aims to provide students with knowledge and methods to develop relational skills declined in professional and help relationships and in educational relationships. It introduces the student to a global vision of the psychological development of the person in the complexity, of the factors that interact and understanding. of the needs expressed in the request for help, taking into account the stages of development of life and the events that can cross it (illness, mourning, chronicity ..); it also proposes a deepening of the psychological implications of development and illness. It introduces the founding principles of the care relationship, the techniques and strategies for the management of effective communication with the person and the family. THERAPEUTIC EDUCATION the module introduces the student to a global vision of the psychological development of the individual in the complexity, of the factors that interact and to the understanding of the needs expressed in the request for help, taking into account the development phases of life, capacities of the adaptation required in the various evolutionary stages; it also introduces the founding principles of the care relationship, the techniques and strategies for managing effective communication. PRINCIPLES AND TECHNIQUES OF CARING RELATIONSHIP Know and apply the principles and basic techniques of the care relationship to communicate effectively with patients and ensure that the patient can describe his problem and the professional listen, enough to grasp the meaning of what the patient says, as well as knowing how to protect himself from excessive involvement with the patient. CLINICAL PSYCHOLOGY The aim of the module is to provide the theoretical and methodological tools that allow to build and maintain a profitable therapeutic relationship with the patient and family members in the context of care. The acquisition of these skills will enable the undergraduate to increase adherence to therapies, patient satisfaction and quality of life. Specifically, the educational objectives include the acquisition of systematic and up-to-date knowledge on biopsychosociological, cognitive and emotional processes; the acquisition of systematic and updated knowledge on communication and relational techniques in health care; adequate knowledge of methods and tools of investigation in psychology; interdisciplinary knowledge useful for completing training in the context of care relationships; and acquisition of the ability to find the sources necessary to develop effective intervention methods and the ability to critically analyze clinical interventions

Syllabus

------------------------
MM: PRINCIPI E TECNICHE DELLA RELAZIONE ASSISTENZIALE
------------------------
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
------------------------
MM: EDUCAZIONE TERAPEUTICA
------------------------
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
------------------------
MM: PSICOLOGIA CLINICA
------------------------
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

------------------------
MM: PRINCIPI E TECNICHE DELLA RELAZIONE ASSISTENZIALE
------------------------
WRITTEN EXAMINATION: multiple choice questions, short open-ended questions, analysis and interpretation of a relational case, nurse-patient dialogue text.
------------------------
MM: EDUCAZIONE TERAPEUTICA
------------------------
Writing Test
------------------------
MM: PSICOLOGIA CLINICA
------------------------
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
Saiani L., Brugnolli A. Trattato di cure infermieristiche Idelson Gnocchi, Napoli 2020




© 2002 - 2020  Verona University
Via dell'Artigliere 8, 37129 Verona  |  P. I.V.A. 01541040232  |  C. FISCALE 93009870234
Statistics  |  Credits