PROFESSIONAL TRAINING THIRD YEAR
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- ROBERTA VINCENZI
- Credits
- 12
- Didactic period
- Secondo Semestre
- SSD
- MED/45
Training objectives
- Apply the nursing methodology to exercise the care skills in clinical settings with high complexity and in primary care.
Experiencing a gradual intake of autonomy and responsibility under the supervision of experienced professionals of the same profile.
Apply the methodology of educational intervention in the field of promotion of health and therapeutic education.
Provide technical performance proper, effective and appropriate to people of all ages. Prerequisites
- Frequency second year of apprenticeship and certification of laboratories frequency of the third year
Course programme
- - Identify the purpose and organizational peculiarities of services.
- Report and collaboration with the professional care team .
- Identification of health needs pertaining to nursing.
- Planning, implementation and evaluation of nursing care in accordance with the ethical and legal situation faced, considering the expectations and resources of the assisted people and oh significant people for him, in healthcare, in social care and primary care.
Provision of direct nursing care safely to individuals and groups of assisted through the use of a practice based on scientific evidence.
Gradual assumption of responsibility during professional practice in accordance with the profile, code of ethics and ethical and legal standards.
- Collaboration with the nurse in clinical tutoring through the insertion of nursing students of 1st and 2nd year for the learning of nursing techniques. Allocation to the staff of the activities relevant to their profile. Didactic methods
- Internship experiences supervised by tutors (guidance internship) in different contexts and with a gradual assumption of autonomy and responsibility.
Active participation in the sessions of clinical work and debriefing to reflect and build upon the experience of professional practice Learning assessment procedures
- Assessment of the Teaching is integrated for the Internship and Laboratory modules. The Internship examination uses the methodology of the structured objective examination at stations; the Laboratory examination is a written test, both graded in thirtieths. The final grade is the weighted average of the two partials.
INTERNSHIP EXAMINATION
The examination involves the assessment of clinical competence acquired in internship by passing tests addressed in successive stages, called stations.
The first station is cognitive, consisting of the nursing planning of a clinical case and the solution of a nursing care situation.
This test is preparatory to the subsequent stages, termed gestural and relational, in that the student must demonstrate the ability to correctly perform three nursing techniques and to relate effectively to the person being cared for in various nursing situations. The student rotates through the various stations set up with mannequins and/or simulators and mock patients; failure to pass a single station stops the exam and therefore the student must take it again. The cognitive test, which is preparatory to the other stations is kept valid only for the current exam session, so if at the end of the session the student has failed the subsequent gestural and relational stations, he or she will have to re-register for the cognitive test of the next session.
The student is evaluated by means of evaluation grids for the cognitive station, check lists and observation grids for the gestural and relational stations in which all criteria and scores adopted by the examination board are highlighted.
Admission criteria:
- having completed all the hours of internship
- positive final internship evaluation
- participation in clinical reasoning
- completion of the internship evaluation questionnaire.
-- COGNITIVE STATION (TIME 40 MINUTES)
The student plans care by identifying D.I. NANDA-I, NOC and NIC related to a clinical and/or health education situation with respect to the main priority health problems addressed during the year
-- GESTURE STATION (MAX 10 MINUTES PER STATION).
The student must be able to perform all techniques covered in the first-year internship examination and:
1. dress an infected abdominal surgical wound
2. place an SNG
3. replace plaque and pouch of a colostomy
4. perform an ECG
5. perform tracheoaspiration
6. dressing a tracheostomy
7. perform a PICC blood sampling
8. replace chest drainage collection device
9. perform EGA sampling
Minimum score: 7, maximum score: 8
-- RELATIONAL STATION (MINIMUM 7 MINUTES - MAXIMUM 10 MINUTES )
The student demonstrates listening skills and receptivity in relating to the person during
1. an assessment of Gordon's models of health
2. one session of therapeutic education in insulin therapy training
3. a therapeutic education session on training the plaque and pouch change of a colostomy/urostomy
4. triage of the person with moderate pain or anxiety
5. the interview with the foreign person
Minimum score: 4, maximum score: 7
2. Laboratory examination.
The laboratory exam consists of a 40-minute written test with 5 questions on major nursing care activities with open or closed answers, each question is scored with these criteria:
0 points: completely incorrect answer or no answer
3 points: correct answer but partial in content/partially correct
6 points: correct and complete answer with content referring to scientific evidence for a total of 30/30. Reference texts
- Craven - Hirnle, Fundamental principles of nursing, 6th edition, 2019, Ambrosian House ed.
- Brunner, Suddarth, Medical-Surgical Nursing, 3rd ed., vol I and II, Ambrosiana, 2008.
- NANDA, Nursing Diagnoses. Definitions and classification 2021-2023, CEA, 8th Italian edition on the original 12th edition, 2021.
- S.Moorhead, E. Swanson., M. Jonson, M. l. Mass Noc classification of nursing outcomes-measuring health outcomes, CEA, third Italian edition on the seventh English language edition 2020.
- H. k. Butcher, G. M. Bulechek, J. M. Dochteman, C. M. Wagner- Nic classification of nursing interventions, CEA, third Italian edition on the seventh English-language edition 2020.
- Galvagni M., Perini C., The instrumental monitoring in the critical care area, McGraw-Hill, Milan, 2008.
