Nursing REPLICA ASL ROMA 2

Module 1: Context and Tools of Healthcare Management (4 hours) ● The Regulatory and Organizational Context: ○ Principles and structure of the National and Regional Health Service. ○ The Healthcare Company: mission, vision, and organizational models (departments and operational units). ○ Clinical Governance as a strategy for quality and safety. ● The Management of Healthcare Professions and the Role of Nursing Management: ○ Structure, functions, and responsibilities of the Manager and Coordinator of healthcare professions. ● Principles of Resource Management: ○ Human capital management: notes on determining personnel needs and shift planning. ○ The appropriate use of structural and technological resources: principles of efficiency, effectiveness, and cost-effectiveness. Module 2: Organizational Models and Care Team Management (4 hours) ● Organizational Models of Nursing Care: ○ Comparative analysis of the main models: functional (by task), small-team (team nursing), and sector-based (modular nursing). ○ Person-centered models: primary nursing and case management as tools for care management and continuity. ● Team Management and Professional Integration: ○ Care support roles (e.g., nursing assistant) with a focus on the regulated role of the Social Health Worker (OSS): the process of assignment and delegation, areas of integration, and the responsibilities of the nurse. ● Tools for Planning and Process Management: ○ The importance of integrated clinical documentation (nursing records, care plans) for planning, continuity, and evaluation of care. Module 3: Risk Management and Patient Safety (4 hours) ● Introduction to Risk Management: The concept of error in healthcare (human and system error) and the relevant regulations for healthcare safety. ● The risk management process: The phases of risk identification, analysis, assessment, and risk treatment strategies. ● Nurses' professional responsibility: Legal and ethical implications for managing errors and adverse events. ● From error management to improvement: Safety culture, incident reporting, and organizational learning for prevention. Professional Standards ● Ministerial Decree of September 14, 1994, No. 739: Regulations concerning the identification of the role and related professional profile of the Nurse. ● Law of February 26, 1999, No. 42: Provisions regarding healthcare professions, which repeals the job description and defines the scope of activity and responsibilities. ● State-Regions Agreement of February 22, 2001: Identification of the role and related professional profile of the Social-Health Worker and definition of the educational structure of training courses. ● Law of August 10, 2000, No. 251: Regulation of healthcare professions and establishment of healthcare management. ● Law of March 8, 2017, No. 24: Provisions regarding the safety of care and the patient, as well as the professional liability of healthcare professionals (Gelli-Bianco Law). ● Law No. 219 of December 22, 2017: Rules regarding informed consent and advance treatment directives. ● State-Regions Agreement of October 3, 2024: Establishment of the professional profile of Nurse Assistant and revision of the profile of Social-Health Worker. ● Code of Ethics for Nursing Professions (2025): Reference text for the ethical and professional practice of the profession.

Mandatory: Orlandi, C., Pennini, A., Porcelli, B., Casati, G. (a cura di). (2025). Manuale di management per le professioni sanitarie (5ª ed.). Milano: McGraw-Hill Education. ● Modulo 1: capitoli 1, 2, 3, 6, 7, capitolo 12, capitolo 17, capitolo 18 ● Modulo 2: capitoli 8, 9, 17, 25, 26 ● Modulo 3: capitoli 30,31

For further information, we recommend reading: ● Agostinelli, V. (2023). Caring: dalla visione agli esiti assistenziali. Riformare le prassi dell'infermiere. Milano: Maggioli Editore. ○ Modulo 1: ■ Capitolo 2 ("Envisioning: il focus sulla 'vision del Caring'") ■ Capitolo 1 (Riflessioni per riorientare la rotta: il focus sul contributo apportato da una Direzione Assistenziale) ■ Capitolo 9 ("Pratica gestita dalle risorse: il focus sull'ambiente") ○ Modulo 2: ■ Capitolo 7 ("Assistenza alla persona: il focus sui 'comportamenti'") ■ Capitolo 8 ("Lavoro di squadra: il focus su 'capacità' e 'comportamenti'") ■ Capitolo 6 ("Pratica professionale: il focus su 'capacità'") Programma Corso “Organizzazione dei Processi Assistenziali” - A.A. 2025/2026 Docente Barbara PORCELLI 4 ● Buscemi, A. (a cura di). (2015). Il risk management in sanità. Gestione del rischio, errori, responsabilità professionale, aspetti assicurativi e risoluzione stragiudiziale delle controversie. Milano: Franco Angeli. ○ Modulo 3: ■ capitolo di Antonino Buscemi, La gestione del rischio in sanità ■ Antonella Turco, Eventi, errori e soluzioni. ■ Antonino Buscemi, La responsabilità professionale.