Corso di Laurea Magistrale in Scienze Infermieristiche e Ostetriche - Asti

The course aims to provide students with operational and regulatory methods and tools to understand territorial social and health services and to promote their development and functioning. Specifically, the module seeks to give students an in-depth knowledge of the organization of territorial assistance within a Local Health Authority.

The main regulations and directives governing the structure and activities of the district, as well as its connections with hospital activities, will also be introduced.

The main professional figures involved in territorial assistance will be described.

Changes promoted by the National Recovery and Resilience Plan (PNRR) and Ministerial Decree 77 will be discussed, analyzing the evolution of territorial assistance since the pandemic.

Knowledge and Understanding Skills

At the end of the module, the student will be able to know and understand:

• the structure and organizational models of territorial health services;
• methodologies and strategies to ensure coordination between services (hospital and territory / health and social services) and different levels of care;
• the regulations that define the structural, technological, qualitative, and quantitative standards of territorial assistance;
• community nursing and public health midwifery.

Ability to Apply Knowledge and Understanding

By the end of the course, the student will develop the skills to:

• identify the structure and organization of the health district;
• understand whether the services/care pathways/preventive interventions meet the essential levels of care required.

Judgment Autonomy

At the end of the module, the student will develop the skills to:

• identify the areas of responsibility and competence for nursing/midwifery at different operational levels.

Communication Skills

At the end of the module, the student will develop the skills to:

• use technical and managerial terminology to describe the organization and functioning of territorial services.

Learning Skills

By the end of the module, the student will develop the skills to:

• independently source regulatory and contractual materials useful for managing services and resources in the territory.

• Territorial Health Assistance in the National Health Service (SSN): Birth and Evolution
• The Health District: Regulations, Structure, Guaranteed Services (Essential Levels of Care - LEA), Relationships with Institutions
• Relationships between the Territory, Hospital Facilities, Long-Term Care Structures, and Contracted Private Providers
• Primary Care: General Medicine, Continuity of Care, and Home Nursing Assistance (ADI, SID)
• Ambulatory Specialties
• Care Networks (Palliative Care, PSDTA, etc.)
• Ministerial Decree 77: Community House, COT, Community Hospital; Role of the Family or Community Nurse and New Parameters for Individual Care and Assistance

• Lectures
• Group exercises