The general objective of the course is to provide knowledge on the meanings of the elements envisaged by the program, their functional/organizational integration with the healthcare reality.
At the end of the course, in accordance with the Dublin Descriptors, in order to pass the exam, the student must demonstrate that:
Knowledge and understanding - Knowing and understanding the meanings of Health, of health education, the models of taking charge of chronic diseases, the meaning of integration and the tools, the role of the Family and Community Nurse.
Applied knowledge and understanding - Knowing how to apply knowledge by describing the mechanisms that guide socio-health policies in the approaches to the health needs of populations and the roles of the professions within these policies.
Making judgments - having developed the ability to reflect on what surrounds the students and what is described in the production of both scientific and everyday life articles.
Communication skills - Knowing how to correctly and appropriately use the technical-professional language to clearly and unambiguously present the knowledge acquired and the reasoning developed.
Ability to learn - Have been able to integrate the information provided in class by independently drawing on authoritative information sources (e.g. textbooks/various articles), as well as being able to self-evaluate one's own level of preparation and one's ability to expression of an organized thought before taking the exam.

Basic elements of clinical nursing in chronic-degenerative diseases

1) Elements of Public Health and Health Promotion
2) Health and Social Welfare Policies in Italy
3) Models for managing chronic degenerative diseases and a global strategy for integrated health services
4) Professional and organizational model of the Family and Community Nurse
5) Elements of health education and useful tools for assessment and implementation
6) Clinical cases in the context of integrated social and health care management

Authors: Prandi – Badon “Assistenza infermieristica di famiglia e di comunità” – Casa Editrice Ambrosiana – Edizione 2025

Elements of Public Health and Health Promotion: Ottawa Charter, Health 21, OneHealth model
Health and social welfare policies in Italy (PNC and PNP 2020-2025, Ministerial Decree 77/2022)
Organizational, predictive, and stratification models for chronic degenerative diseases and a global strategy for integrated health services (national, regional, and local levels), Chronic Care Model – Expanded Chronic Care – Kaiser Permanente – Population Health Management Model
Professional and organizational model of the Family and Community Nurse: role, functions, tools, and responsibilities
Elements of health education: empowerment, self-management, therapeutic adherence, and influencing factors
Mini clinical cases with the production of educational and preventive nursing diagnoses on health promotion

Interactive lectures with the aid of PowerPoint presentations, group work, brainstorming, flipped classroom sessions using materials provided in advance, and a Team Based Learning session shared with the Mental Health and Addiction Nursing module (see Teaching Syllabus).

Power Point presentations, links to films and videos relating to the teaching units will be available on the University IT platforms

The written exam, integrated with the other modules of the course, will consist of 6 multiple-choice questions and 3 open-ended questions. The final grade for the integrated exam will be expressed in thirtieths. Multiple-choice questions will be evaluated with 1 point for each correct answer and 0 points for each incorrect answer. Open-ended questions will be evaluated as follows: 2 points for answers demonstrating in-depth and systematic knowledge of the content, mastery of scientific language, reasoning skills, a level of inference with reality, and evidence of individual study; 1 point for answers demonstrating partial knowledge of the content, limited critical thinking, and approximate use of scientific language; 0 points for answers not provided or demonstrating substantial gaps in the content and use of scientific language.

This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs)