Nursing REPLICA D - ROMA AZIENDA POLICLINICO UMBERTO I/AERONAUTICA MILITARE

1. THEORY OF ORGANIZATIONS Definition of an organization Basic outline of an organization Outputs and outcomes Control mechanisms of an organization Mutual adaptation Direct supervision Control of inputs Control of internal processes Control of outputs The parts of an organization (Mintzberg) Strategic summit Operational core Middle management Technical structure Support staff (Staff) Organizational configurations (Mintzberg) The simple structure The mechanical bureaucracy 2. HISTORY OF ITALIAN HEALTHCARE Health care before 1978 Law 833/78 and the birth of the National Health Service Law 502/92: the health care reform bis Law 229/99: the health care reform ter From USL to ASL The stages of the nursing profession in Italy Presidential Decree 225/74: the job description Ministerial Decree 739/94: the professional profile The Department of Health Professions Vision and Mission of the Department of Health Professions Functions of the Department of Health Professions 3. ORGANIZATIONAL MODELS Functional or task-based model Small team model Chronic care model Modular model Primary Nursing Case Management Bed Manager Patient-centered care model Competency-differentiated nursing model Shared governance model Advanced Practice Nursing model “Discharge professional” model. 4. THE MODEL BY ASSISTENTIAL COMPLEXITY/INTENSITY OF CARE Effectiveness and efficiency The departmental organization Advantages and limitations of the departmental organization Care by intensity of care Re-engineering the departmental hospital Physician mentor and nurse referrer Integration and working tools Assessing complexity of care The example of S. Chiara Hospital in Trento 5. Conflict management

None.

Annalisa Pennini, Modelli organizzativi in ambito ospedaliero - Innovare con l'intensità di cura e la complessità assistenziale, McGraw Hill

Compulsory attendance for at least 75% of module lessons.

Oral exam.

Frontal lessons using slides, discussion with students.