Learning objectives

Specific learning objectives of the Nursing training programme include the competence to which knowledge, aptitude and practical/applied skills (know-how) contribute.

Specifically, in nursing education, the objectives are to ensure that nursing graduates can:

- manage with autonomy and responsibility preventive and care interventions addressed to the assisted persons, the family and the community;

- manage the nursing care of patients (paediatric, adult and elderly) with acute and chronic problems (respiratory, cardio-vascular, metabolic and rheumatological, renal, gastro-intestinal, hepatic, neurological, oncological, infectious, orthopaedic and traumatological, obstetric-gynaecological, and haematological) as well as people with behavioural and cognitive impairments and psychological disorders;

- manage perioperative nursing care;

- ensure the correct administration of drugs and monitor their effectiveness;

- perform the nursing techniques defined by the standards of the degree course;

- initiate decision-making processes on the basis of the patient's condition, altered vital parameter values in reports of diagnostic investigations and laboratory tests;

- manage diagnostic-therapeutic pathways ensuring patient preparation and post-procedure monitoring;

- integrate nursing care into the multidisciplinary care plan;

- ascertain with structured and systematic techniques and methods the patient's problems through the identification of alterations in activity and exercise, perception and maintenance of health, nutrition and metabolism, elimination pattern, rest and sleep, cognition and perception, self-concept, role and relationships, coping and stress management, sexuality and reproduction, values and beliefs;

- encourage and support the person's residual capacities in order to promote adaptation to the limitations and alterations produced by the disease and to changes in lifestyle;

- identify the person's nursing care needs and his/her reactions related to the disease, ongoing treatments, institutionalisation, changes in everyday activities, perceived quality of life;

- prioritise interventions on the basis of care needs, organisational requirements and optimal use of available resources;

- design and implement, in cooperation with other professionals, informative, educational and risk-factor control interventions targeting individuals and groups;

- evaluate the results of the care provided and readjust the nursing planning on the basis of the development of the patient's problems;

- allocate nursing activities to the support staff with subsequent supervision;

- manage the paper-based and computer-based information systems supporting nursing care and organisation;

- document the nursing care provided;

- prepare the conditions for the discharge of the assisted person, in cooperation with team members.

Learning objectives per area

Learning objectives per area:
HEALTH PROMOTION AND MAINTENANCE
•Manage preventive and care interventions aimed at the persons assisted, the family and the community;
•Design and implement, in cooperation with other professionals, informative and educational interventions to control risk factors for the individual and groups of people;
•Educate people on healthy lifestyles and on changing potentially harmful ones.
ORGANISATION AND CONTINUITY OF CARE
•Define the priorities of interventions on the basis of care needs, organisational requirements and optimal use of available resources;
•Design and manage, in cooperation with other professionals, the nursing care of a group of patients (including at night);
•Assign nursing care activities to the support staff with subsequent supervision;
•Manage the paper and computer information systems supporting nursing care;
•Document the nursing care provided in compliance with ethical and legal principles;
•Assure patients and significant persons receive health information relevant to nursing;
•Prepare the conditions for the discharge or transfer of the assisted person, in collaboration with the members of the team;
•Ensure the continuity of care between different shifts, between different services/structures;
•Use professional integration tools (meetings, team meetings, case discussions, clinical audits);
•Work in an integrated manner within the team by respecting the areas of competence;
•Establish professional relationships and collaborate with other health professionals in the awareness of the specificities of the different roles and their integration with nursing care;
•Take leadership functions towards support staff and/or students;
•Communicate nursing assessments and decisions to team members effectively in verbal, non-verbal and written form.
SAFETY AND RISK CONTROL IN CARING CONTEXTS
•Ensure an effective physical and psychosocial environment for patient safety
•Adopt protective measures against physical, chemical and biological risks in the workplace
•Adopt precautions for the manual handling of loads
•Adopt strategies for the prevention of infectious risk (standard precautions) in hospital and community facilities.
CARE RELATIONSHIP AND ADAPTING/MENTAL HEALTH
•Cultivate and manage a care relationship with the user, his or her family and significant persons of reference;
•Identify and manage, in collaboration with other professionals, the most common and risk-related behavioural changes such as mental confusion, disorientation and agitation;
•Support, in collaboration with the team, the patient and his/her family in the terminal phase of the illness and in bereavement;
•Contribute, in collaboration with other professionals, to the management of situations of psychological distress.
CLINICAL NURSING FOR PATIENTS WITH ACUTE AND CHRONIC PRIORITY HEALTH PROBLEMS (MATERNAL AND CHILD/ADULT/ELDERLY);
•Manage the nursing care of patients (paediatric, adult and elderly) with problems referable to the case history of priority health problems such as acute and chronic respiratory, cardiovascular, metabolic and rheumatological, acute and chronic renal, acute and chronic gastrointestinal, hepatic, neurological, oncological, infectious, orthopaedic and traumatological, obstetric-gynaecological, and haematological problems;
•Account for and managing the nursing care of patients with chronic problems and disabilities;
•Manage perioperative nursing care;
•Activate and supporting the person's residual capacities to promote adaptation to the limitations and alterations produced by the disease and to the modification of lifestyles;
•Identify the person's nursing care needs and his/her reactions related to the disease, ongoing treatments, institutionalisation, changes in activities of daily living and quality of life;
•Supervise the clinical and psychosocial situation of patients, identifying early signs and symptoms of deterioration;
•Make the necessary nursing interventions to manage acute and/or critical situations;
•Identify and prevent the triggering factors of flare-ups in chronic patients.
APPLICATION AND MANAGEMENT OF DIAGNOSTIC AND THERAPEUTIC PATHS;
•Ensure the safe administration of therapy(ies) and monitor their effectiveness;
•Initiate decision-making processes based on the patient's condition, vital parameters, reports and laboratory data;
•Manage, in cooperation with other professionals, diagnostic pathways ensuring adequate preparation of the patient and post-procedure surveillance;
•Integrate nursing care into the multidisciplinary care plan.
PATIENT EDUCATION AND INTERVENTION METHODOLOGIES IN THE COMMUNITY;
•Set up informal care networks to support the caregiver and family in long-term care projects;
•Develop educational projects to develop self-care skills with the person and family;
•Support patients' learning to self-manage problems/therapies/devices;
•Educate caregivers on managing the cared-for person's problems.
CLINICAL METHOD
•Use the nursing process in caring for the person and his or her family;
•Ascertain the nursing care needs by means of assessment techniques and instruments;
•Develop nursing planning on the basis of the evolution of the patient's problems;
•Anticipate the evolution of the person's nursing care needs;
•Evaluate the results of the nursing care provided and readjust the nursing planning on the basis of the observed evolution.
EVIDENCE OF EFFECTIVENESS
•Search the scientific literature for evidence of efficacy based on questions arising in clinical practice;
•Critically analyse the scientific literature;
•Utilize the best evidence in practice by applying it on the basis of values, beliefs, user preferences, available resources and clinical judgement.
SELF-LEARNING
•Account for one's learning needs by comparing with the tutor/mentor;
•Design a self-learning plan for professionalising training activities;
•Require comparison and feedback from the supervisor in clinical learning contexts;
•Draw up a plan for one's elective training proposals (courses and professionalising activities);
•Draw up one's portfolio.
NURSING PROCEDURES;
•Carry out the nursing procedures defined by the course standards.