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

Evidence based nursing [Matricole pari] (2020/2021)

Course code
4S000084
Credits
4
Coordinator
Federica Canzan

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 Federica Canzan
STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA 2 MED/01-MEDICAL STATISTICS INF VR 3° ANNO 1° SEM Giuseppe Verlato

Learning outcomes

This course aims to develop students’ critical appraisal skills, with a particular emphasis on research articles and guidelines in the nursing literature.

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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INTRODUCTION The role of Statistics in Health Professions. DESCRIPTIVE STATISTICS Different measurement scales – Statistical variables and their presentation through frequency distributions: one-entry or double-entry tables – Measures of central tendency: mean (arithmetic, geometric, weighted), median, mode, percentiles – Measures of dispersion: range, interquartile range, sum of squares, variance (mean square), standard deviation, variation coefficient. PROBABILITY Classic, frequentist, subjective interpretations of probability – Sum and product rules of probability – Independent and dependent events and conditional probability – Sensitivity, specificity, positive and negative predictive value of a diagnostic test – ROC curves – Bayes theorem and its application to differential diagnosis – Random variables – Theoretical probability distributions: normal distribution. SAMPLING Populations and samples - Common sampling designs – Sampling distribution of an estimator (sample mean). STATISTICAL INFERENCE Point and interval estimates: confidence interval – Logical structure of hypothesis testing: null and alternative hypotheses; acceptance and rejection regions; type I and type II error; power of a statistical test – Choice of statistical test. EPIDEMIOLOGY Measures of disease frequency: prevalence, incidence – Measures of association: risk difference, relative risk, etiologic fraction, odds ratio – Study design: cross-sectional, cohort and case-control studies.

Assessment methods and criteria

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MM: METODOLOGIA DELL'INFERMIERISTICA BASATA SULLE EVIDENZE
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Oral examination . The questions focus on theoretical aspects addressed during the lessons aimed at evaluating knowledge and conceptual mastery. Then the carrying out of exercises for applying the guidelines to specific care situations. Reading of parts of scientific articles to evaluate the understanding and interpretation of study methods and results
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MM: STATISTICA SANITARIA E EPIDEMIOLOGIA CLINICA
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The written examination will consist of about 30 multiple choice questions with 5-8 possible answers, and one exercise of Statistical Inference on a simple data set. Some statistical questions will deal with an article dealing with Nursing, chosen by the teacher of Nursing. Wrong answers to the written examination will be orally discussed with the student.

Reference books
Author Title Publisher Year ISBN Note
Polit DF, Beck CT. Edizione italiana a cura di Palese A. Fondamenti di Ricerca Infermieristica (Edizione 2) McGraw-Hill Education 2018
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
Lantieri PB, Risso D, Ravera G Statistica medica per le professioni sanitarie (Edizione 2) McGraw-Hill, Milano 2004
Fowler J, Jarvis P, Chevannes M Statistica per le Professioni Sanitarie EdiSES srl, Napoli 2006




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