Nursing - Course M - Roma Azienda S. Camillo-Forlanini (S. Camillo)

Flavio Marti
FRANCESCA PLAJA

At the end of the clinical placement, students will be able to progressively manage the nursing process with an appropriate level of professional autonomy across hospital and community healthcare settings. They will perform comprehensive nursing assessments, identify care priorities, plan, implement, and evaluate safe, appropriate, and evidence-based nursing interventions. Students will demonstrate competence in managing patients with complex healthcare needs, ensuring continuity of care, collaborating within multidisciplinary teams, promoting quality improvement and patient safety, and making responsible professional decisions in accordance with ethical, legal, and professional standards.

Students must have successfully completed Clinical Placement I and II and achieved the competencies provided by the core nursing courses of the Degree Programme. They must demonstrate proficiency in applying the nursing process, clinical reasoning, professional documentation, and evidence-based nursing practice. Compliance with occupational health surveillance requirements and Degree Programme regulations is mandatory.

The clinical placement consolidates the application of the nursing process in managing patients with complex healthcare needs across hospital and community settings. Learning activities include advanced nursing assessment, prioritisation of care, planning, implementation and evaluation of nursing interventions, clinical reasoning, professional documentation, continuity of care, multidisciplinary collaboration, clinical risk management, quality improvement, patient safety, evidence-based nursing practice, and professional accountability in accordance with ethical, legal, and professional standards.

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Clinical placement is carried out in affiliated hospital and community healthcare settings characterised by increasing clinical and organisational complexity. Students actively participate in managing the nursing process with responsibilities appropriate to their level of competence under the supervision of qualified clinical tutors. Learning activities include management of clinical cases, briefing and debriefing sessions, interdisciplinary discussions, reflective practice, and continuous assessment of competency achievement.

Attendance is compulsory in accordance with the Degree Programme regulations. Students must complete all scheduled clinical placement hours and make up any absences according to the procedures established by the Degree Programme.

The Traineeship 3 examination consists of a single assessment involving the discussion of a clinical case or the nursing management of a patient throughout the preoperative, intraoperative and postoperative phases, together with the related nursing procedure. Assessment focuses on clinical reasoning, nursing assessment, nursing diagnoses, care planning, scientific terminology, communication skills and confidence during presentation. Technical competence is evaluated through the correct sequence of the procedure, the description of each action and overall professional competence. The final grade is based on practical and technical performance (60%) and clinical placement evaluation (40%). The examination is passed with a minimum score of 18/30.

Analyse the clinical case by identifying nursing problems, nursing diagnoses and priorities of care.
Describe nursing care during the preoperative, intraoperative and postoperative phases.
Explain the nursing procedure related to the clinical case, including indications, implementation and safety measures.
Define the expected nursing outcomes and indicators used to evaluate care effectiveness.
Discuss the main nursing interventions aimed at preventing postoperative complications.

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• Third-year clinical placements are scheduled alternately with classroom teaching. Placements are mainly undertaken in high-acuity settings, including intensive care units and emergency departments, with the aim of consolidating advanced clinical competencies and professional autonomy. Students further develop skills in managing complex clinical situations, setting care priorities, clinical decision-making, interprofessional teamwork and the care of critically ill patients.