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EPISTEMOLOGY, THEORIES AND RESEARCH OF SCIENCES OF THE HEALTHCARE PROFESSIONS

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
MARGHERITA NERI
Credits
9
Didactic period
Primo Semestre

Training objectives

This Course follows a training program that has a general aim of promoting knowledge to the student the theory and philosophy behind the health professions through a moral and social ethical dimension.

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Modulo: 53707 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE SCIENZE INFERMIERISTICHE E OSTETRICHE
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SOCIAL ETHICS OF THE SCIENCE OF NURSING AND MIDWIFERY
Learn principles and criteria that allow you to manage on a rational and independent basis allocation decisions that compete with nursing and midwifery professions and that have ethic relapse on the individual and on groups of individuals.

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Modulo: 56546 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE PROFESSIONI SANITARIE
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SOCIAL ETHICS OF THE SCIENCE OF HEALTH CARE PROFESSIONS
The course aims to: - learn concepts of "autonomy and proportionality" in health care and in order to specific subjects such as Information and Consent; -identify the "criteria" for the allocation of forms to be entrusted to professionals to various organizational and management categories; - identify the choices in the field of health records according to the roles and functions performed in the organizational field; - evaluate and apply the formulas of information and training with respect to the activity tutorial supervision.

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Modulo: 56690 - TEORIA E FILOSOFIA DELLE SCIENZE INFERMIERISTICHE(1)
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THEORY AND PHILOSOPHY OF THE SCIENCE OF NURSING AND MIDWIFERY
The course will put the student in a position to: know and understand the key stages of evolution of the nursing and midwifery knowledge; understand the fundamentals of nursing discipline such as purpose, method and tools; identify the disciplinary theoretical constructs and application capabilities to the professional reality; describe and internalize the main theoretical elaborations of the discipline of nursing and midwifery from the perspective proposal.
The student will be able to: understand and process the conceptual and syntactic structure of the Discipline Nursing and Midwife, recognizing the abstraction levels of interest in theories of nursing and midwifery and to recognize and understand in their clinical work experiences the principles underlying the act nursing and midwifery.
The student will be able to explain the contents of the training course, starting from the didactic material provided by the teacher;
The student will be able to exhibit an MRT, starting from a bibliographic review;
The student will be able to prefigure a mini-research project of an SST, starting from the welfare characteristics of his / her working context.

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Modulo: 56691 - TEORIA E FILOSOFIA DELLE SCIENZE OSTETRICHE(2)
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THEORY AND PHILOSOPHY OF THE SCIENCE OF NURSING AND MIDWIFERY
The course will put the student in a position to: know and understand the key stages of evolution of the nursing and midwifery knowledge; understand the fundamentals of nursing discipline such as purpose, method and tools; identify the disciplinary theoretical constructs and application capabilities to the professional reality; describe and internalize the main theoretical elaborations of the discipline of nursing and midwifery from the perspective proposal.
The student will be able to: understand and process the conceptual and syntactic structure of the Discipline Nursing and Midwife, recognizing the abstraction levels of interest in theories of nursing and midwifery and to recognize and understand in their clinical work experiences the principles underlying the act nursing and midwifery.
The student will be able to explain the contents of the training course, starting from the didactic material provided by the teacher;
The student will be able to exhibit an MRT, starting from a bibliographic review;
The student will be able to prefigure a mini-research project of an SST, starting from the welfare characteristics of his / her working context.

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Modulo: 65400 - STORIA DELLA SCIENZA E DELLA MEDICINA
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HISTORY OF SCIENCE AND MEDICINE
1. Knowledge of the main stages in the history of Western medicine; 2. understanding of the origins of the biomedical paradigm, including the treatment of gender issues; 3. ability to analyze the fundamental concepts of contemporary medicine (health, disease, therapeutic relationship) in a long-term perspective

Prerequisites

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Modulo: 53707 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE SCIENZE INFERMIERISTICHE E OSTETRICHE
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Knowledge and understanding of the main study designs. Knowledge and understanding of medical statistics. Knowledge and understanding of the potential bias of the various types of studies.
Knowledge and skills of bibliographic research acquired in the Degree in Nursing and/or in Obstetrics.

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Modulo: 56546 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE PROFESSIONI SANITARIE
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Knowledge and understanding of the main study designs. Knowledge and understanding of medical statistics. Knowledge and understanding of the potential bias of the various types of studies.
Knowledge and skills of bibliographic research acquired in the Degree in Nursing and/or in Obstetrics.

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Modulo: 56690 - TEORIA E FILOSOFIA DELLE SCIENZE INFERMIERISTICHE(1)
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Knowledge and understanding of the main study designs. Knowledge and understanding of medical statistics. Knowledge and understanding of the potential bias of the various types of studies.
Knowledge and skills of bibliographic research acquired in the Degree in Nursing and/or in Obstetrics.

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Modulo: 56691 - TEORIA E FILOSOFIA DELLE SCIENZE OSTETRICHE(2)
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Knowledge and understanding of the main study designs. Knowledge and understanding of medical statistics. Knowledge and understanding of the potential bias of the various types of studies.
Knowledge and skills of bibliographic research acquired in the Degree in Nursing and/or in Obstetrics.

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Modulo: 65400 - STORIA DELLA SCIENZA E DELLA MEDICINA
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Knowledge and understanding of the main study designs. Knowledge and understanding of medical statistics. Knowledge and understanding of the potential bias of the various types of studies.
Knowledge and skills of bibliographic research acquired in the Degree in Nursing and/or in Obstetrics.

Course programme

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Modulo: 53707 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE SCIENZE INFERMIERISTICHE E OSTETRICHE
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SOCIAL ETHICS OF THE SCIENCE OF NURSING AND MIDWIFERY
Contribution of the ethical paradigms of distributive justice to nursing and midwifery sciences. Notes on the criteria of equality, fairness and need and their applicability in health care. Ethical defensibility of the concepts of equality and inequality at different levels of management of nursing and midwifery sciences.
Perception of social identity: the choice of the "right policies" for the destination of the various categories of professionals organizational and management.
Values relevant for membership to the organization and management categories.
Allocation decisions: some scenarios and contribution of nursing and midwifery professions.
Equality, fairness, and optimal use of resources in the Codes of Conduct.

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Modulo: 56546 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE PROFESSIONI SANITARIE
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SOCIAL ETHICS OF THE SCIENCE OF HEALTH CARE PROFESSIONS
Discussion of specific topics and current affairs for the growth of the professional.
Concept of medical procedure and medical act.
Patient autonomy regarding the availability of the right.
Professional autonomy in respect of the proportionality of the act.
Concept of consent formally expressed.
Health records in the evolution of the digital age.
Strategic aspects of the tutorial function.

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Modulo: 56690 - TEORIA E FILOSOFIA DELLE SCIENZE INFERMIERISTICHE(1)
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THEORY AND PHILOSOPHY OF THE SCIENCE OF NURSING AND MIDWIFERY
Scientific knowledge: epistemological and historical aspects.
The concept of theory and conceptual models, the implication of nursing and midwifery.
The disciplines of nursing and midwifery: what they do and do not involve, why it is useful to understand this for the practice of nursing and nursing research.
Various theories and their relevance for practice and research.
Classification of nursing theories: main “classic” international authors and Italian authors
Middle -range theory: importance for nursing, similarities to and differences from standard practice.
Examples of nursing mid-range theory: K. Barnard (parent-child interaction), K.Kolkaba (comfort theory), Ruland & Moore (theory of paceful end of life).
What happens when midwifery practice is governed by grand theory: Paradigms of the Midwifery Discipline . The model of Midwifery partnership.
Analysis of the one-to-one midwifery healthcare assistance .continuity of care from birth
Theories of healthcare assistance in midwifery and american models: Ernestine Wiedenbach and “Family Centered Maternity Nursing” midwifery led care from Britain to Italy.
Case Management in midwifery: The Shein model as a universal support model for change.

Elements of epistemology, theoretical lexicon, on the theoretical model and the basic theory according to different theoretics over time, on the hermeneutic conflict between theory and practice over time, on the epochs of the development of basic knowledge according to different theoretics, on the different types of classification of nursing theories over time, on MRT and SST and their qualities, on the construction of a theory from practice, on the problem of the demarcation between sciences and pseudosciences according to different theorists over time.

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Modulo: 56691 - TEORIA E FILOSOFIA DELLE SCIENZE OSTETRICHE(2)
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THEORY AND PHILOSOPHY OF THE SCIENCE OF NURSING AND MIDWIFERY
Scientific knowledge: epistemological and historical aspects.
The concept of theory and conceptual models, the implication of nursing and midwifery.
The disciplines of nursing and midwifery: what they do and do not involve, why it is useful to understand this for the practice of nursing and nursing research.
Various theories and their relevance for practice and research.
Classification of nursing theories: main “classic” international authors and Italian authors
Middle -range theory: importance for nursing, similarities to and differences from standard practice.
Examples of nursing mid-range theory: K. Barnard (parent-child interaction), K.Kolkaba (comfort theory), Ruland & Moore (theory of paceful end of life).
What happens when midwifery practice is governed by grand theory: Paradigms of the Midwifery Discipline . The model of Midwifery partnership.
Analysis of the one-to-one midwifery healthcare assistance .continuity of care from birth
Theories of healthcare assistance in midwifery and american models: Ernestine Wiedenbach and “Family Centered Maternity Nursing” midwifery led care from Britain to Italy.
Case Management in midwifery: The Shein model as a universal support model for change.

Elements of epistemology, theoretical lexicon, on the theoretical model and the basic theory according to different theoretics over time, on the hermeneutic conflict between theory and practice over time, on the epochs of the development of basic knowledge according to different theoretics, on the different types of classification of nursing theories over time, on MRT and SST and their qualities, on the construction of a theory from practice, on the problem of the demarcation between sciences and pseudosciences according to different theorists over time.

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Modulo: 65400 - STORIA DELLA SCIENZA E DELLA MEDICINA
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HISTORY OF SCIENCE AND MEDICINE
Origins of western medicine and medical ethics; the transition from modern medicine to contemporary biomedicine; the evolution of the curator-patient relationship

Didactic methods

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Modulo: 53707 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE SCIENZE INFERMIERISTICHE E OSTETRICHE
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Frontal lessons, class discussion and group work. Self-managed exercise.

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Modulo: 56546 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE PROFESSIONI SANITARIE
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Frontal lessons, class discussion and group work. Self-managed exercise.

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Modulo: 56690 - TEORIA E FILOSOFIA DELLE SCIENZE INFERMIERISTICHE(1)
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Frontal lessons, class discussion and group work. Self-managed exercise.

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Modulo: 56691 - TEORIA E FILOSOFIA DELLE SCIENZE OSTETRICHE(2)
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Frontal lessons, class discussion and group work. Self-managed exercise.

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Modulo: 65400 - STORIA DELLA SCIENZA E DELLA MEDICINA
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Frontal lessons, class discussion and group work. Self-managed exercise.

Learning assessment procedures

HISORY OF SCIENCE AND MEDICINE
Written test composed of several multiple choice questions and some open questions

THEORY OF THE PHILOSOPHY OF SCIENCE OF NURSING AND MIDWIFERY: written paper on the critical analysis of the applicability of theoretical models in which will be assessed the knowledge and understanding of the topics covered in the lectures The goal is to verify not only the acquisition of knowledge but also the processing capacity criticism of the same with the application of nursing theories and midwives in the working reality. The work will be evaluated based on the clarity, depth of applicative assumptions and bibliographic analysis method.

Construction (also in progress) of individual and/or group papers, on behalf of the teacher, and / or final exam chosen by the student between the types: oral, written with open answers, multiple choice written, bibliographic review of an MRT, mini-design for SST.

SOCIAL ETHICS OF THE SCIENCE OF HEALTH CARE PROFESSIONS: written work to free choice of three topics covered during the course. The assessment will be based on the quality according to the completeness and correctness of the answer submitted.
ETHICS OF THE SCIENCE OF NURSING AND MIDWIFERY: Multiple choice test. Minimum 30 questions. One minute to answer. Or: A final written analysis and application of at least one of the theoretical paradigms treated. Evaluation criteria: synthesis, clarity, creativity.
The final grade is a weighted average of the marks obtained in each tests.

Reference texts

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Modulo: 53707 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE SCIENZE INFERMIERISTICHE E OSTETRICHE
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ETHICS OF THE SCIENCE OF NURSING AND MIDWIFERY
G.Bert, Gli uomini sono erba. Conversazioni sulla cura., 2017, Il Pensiero scientifico Editore
Benci et alt., Sicurezza delle cure e responsabilità sanitaria.Commentario Legge 24/2017,Quotidiano Sanità edizioni
L.Sabatino,G.Rocco, R.Alvaro, A.Stievano, Il concetto di Dignità nella Professione Infermieristica,2017, EdiSES
C.Viafora,A.Gaiani,A lezione di bioetica, temi e strumenti,2015,seconda edizione Franco Angeli
E.Furlan,Comitati Etici in sanità, 2015, Franco Angeli
L.Mortari,L.Saiani, Gesti e pensieri di cura,2013, McGrawHill
G.Marini, L.Arreghini, Medicina narrativa per una sanità sostenibile,2012, Lupetti Collana Fondazione ISTUD, Milano
G. Marini, Medicina Narrativa. Colmare il divario tra cure basate sulle evidenze e Humanitas scientifica, 2019 Edizioni Effedì
S.Spinsanti, la Medicina vestita di Narrazione, 2016, Il Pensiero Scientifico Editore
Lattarulo,Bioetica e deontologia professionale, 2012, Feltrinelli
G.Fornero, Bioetica cattolica e bioetica laica,2009 Bruno Mondadori
P.Cattorini,BIOETICA.Metodo ed elementi di base per affrontare problemi clinici, terza edizione, Biblioteca Masson
S.T. Fry, M. J. Johnston ETICA PER LA PRATICA INFERMIERISTICA, 2004,

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Modulo: 56546 - DIMENSIONE MORALE ED ETICO SOCIALE DELLE PROFESSIONI SANITARIE
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SOCIAL ETHICS OF THE SCIENCE OF HEALTH CARE PROFESSIONS
Codes of Conduct of the classes of membership

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Modulo: 56690 - TEORIA E FILOSOFIA DELLE SCIENZE INFERMIERISTICHE(1)
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THEORY OF THE PHILOSOPHY OF SCIENCE OF NURSING AND MIDWIFERY
Marriner Tomey A., I teorici del nursing e le loro teorie, McGraw Hill
Zanotti R., Filosofia e teoria del nursing nella moderna concettualità del nursing professionale, Piccin 2010
Manara D., L'inquadramento epistemologico della disciplina infermieristica, Nursing Oggi, n. 1, 1999
Hatem M, Sandall J, Devane D, Soltani H, Gates S., Midwife-led versus other models od care for childbearing, Cochrane review, The Cochrane collaboration library, 2008 Issue 4
M. Guana, R. Cappadona, A.M. Di Paolo, M.G. Pellegrini, M.D.Piga, M. Vicario, La disciplina ostetrica. Teoria, pratica e organizzazione della professione, McGraw-Hill 2011
P.A. Marphy, Prescriptive autorithy for nurse-midwife, Journal of nursing, vol 27 N.2 April 1992
M. R. Allegood, A.M. Tomey, La teoria del nursing. Utilizzazione e applicazioni, Ed. a cura di C. Calamandrei, MacGrawHill 2007
Various articles from the Nursing Philosophy and Advance in Nursing Science electronic journals, provided by the teacher;
N. Abbagnano «Dictionary of philosophy» 3rd ed. UTET, 2013;
A.I.Meleis «Nursing Theoretics: Development and Progress of Nursing Philosophy and Theories» ed. Italian Ambrosiana, 2013 (original title «Theoretical nursing: Development and progress», 5th ed. 2011 Linppincott.

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Modulo: 56691 - TEORIA E FILOSOFIA DELLE SCIENZE OSTETRICHE(2)
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THEORY OF THE PHILOSOPHY OF SCIENCE OF NURSING AND MIDWIFERY
Marriner Tomey A., I teorici del nursing e le loro teorie, McGraw Hill
Zanotti R., Filosofia e teoria del nursing nella moderna concettualità del nursing professionale, Piccin 2010
Manara D., L'inquadramento epistemologico della disciplina infermieristica, Nursing Oggi, n. 1, 1999
Hatem M, Sandall J, Devane D, Soltani H, Gates S., Midwife-led versus other models od care for childbearing, Cochrane review, The Cochrane collaboration library, 2008 Issue 4
M. Guana, R. Cappadona, A.M. Di Paolo, M.G. Pellegrini, M.D.Piga, M. Vicario, La disciplina ostetrica. Teoria, pratica e organizzazione della professione, McGraw-Hill 2011
P.A. Marphy, Prescriptive autorithy for nurse-midwife, Journal of nursing, vol 27 N.2 April 1992
M. R. Allegood, A.M. Tomey, La teoria del nursing. Utilizzazione e applicazioni, Ed. a cura di C. Calamandrei, MacGrawHill 2007
Various articles from the Nursing Philosophy and Advance in Nursing Science electronic journals, provided by the teacher;
N. Abbagnano «Dictionary of philosophy» 3rd ed. UTET, 2013;
A.I.Meleis «Nursing Theoretics: Development and Progress of Nursing Philosophy and Theories» ed. Italian Ambrosiana, 2013 (original title «Theoretical nursing: Development and progress», 5th ed. 2011 Linppincott.

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Modulo: 65400 - STORIA DELLA SCIENZA E DELLA MEDICINA
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HISTORY OF SCIENCE AND MEDICINE
Provided by the teacher and available starting from the end of the lessons