This elective subject aims to provide skills to develop nursing leadership, critical ability to analyze our environment and care, management tasks at different levels of responsibility of health organizations from the perspective of Holistic care and Patient Safety Culture. In order to do this, work will be done through the acquisition of knowledge, the union of theory and practice, the development of a socio-critical view of our reality, the improvement of work systems and the optimization and quality assurance of human resources, materials and procedures that contribute to continuous improvement in the management of care and the quality and safety of patients. In summary, this elective subject is closely linked to the management and quality and safety of nursing care, basing it on knowledge, assessment of the environment and clinical judgments to offer higher quality and safety care.



This subject is part of project nr. IKDI3-23-01 authorized within the Call for projects 2021-2022 of Innovation IKDI3 of the Vice-Rector's Office for Innovation, Social Commitment and Cultural Action (UPV-EHU). The subject is oriented to the cooperative and dynamic learning model IKD (UPV-EHU Agreement, April 2010).

Competences to be developed:

CE 1.- Identify the principles of Quality management and Risk Management in the Health sector, for the provision of safe and quality care, contributing to the improvement of the management of own resources to take responsibility for their learning and work autonomous.

CE 2.- Use the various methodologies and improvement tools to facilitate decision-making in the caregiver role. Instruments for the management of nursing care. Patient-centered electronic medical record. Tools to be used Osabide-Global and Osanaia.

CE 3.- Show the importance of informing, registering and documenting, using the appropriate technologies, to achieve continuous improvement through the evaluation and investigation of the care offered. Patient Safety. Health Risk Management. Risk Management Tools.





IKD MODEL - Sustainable development goals (ODS, Agenda 2030, UN) and transversal competences UPV-EHU (2019):

SDG-3: WELLNESS AND HEALTH.

Transversal competences (UPV-EHU, catalog 2019), oriented to SDG-3:

AA01: Self-confidence and Motivation.

BE04: Resilient attitude to difficulties.

PK15: Relate knowledge from different areas to give an interdisciplinary answer.

TL13: Collaborate with other teams in the construction of an interdisciplinary network.

IF08: Organize the information of the interdisciplinary work in online platforms for its retrieval, consultation and later use.





SDG-5: GENDER EQUALITY.

Transversal competences (UPV-EHU, catalog 2019), oriented to SDG-3:

GK06: Incorporate principles of gender equality and temporary accessibility.

EE01: Act respectfully in professional practice without discriminating by gender.





SDG-10: REDUCTION OF INEQUALITIES.

Transversal competences (UPV-EHU, catalog 2019), oriented to SDG-3:

GK01: Identify behaviors of social inequality.

GK04: Propose ways to overcome inequalities and behaviors to serve underprivileged groups

EE01: Act respectfully in professional practice without discriminating for sociocultural reasons.

Unit 1.-ELEMENTS AND CIRCUMSTANCES OF HEALTHCARE ASSISTANCE AND PROFESSIONAL EXERCISE OF NURSING IN HEALTH ORGANIZATIONS

Unit 1.1. The challenges of healthcare.

Unit 1.2. Patient Centered Care (ACP): The relationship of care, Holistic and Invisible Care, culture and gender.

Unit 1.3. The regulation of professional behaviour.



Unit 2.-MANAGEMENT OF QUALITY IN THE PROVISION OF CARE

Unit 2.1. Evolution of the concept of quality care in the nursing discipline.

Unit 2.2. The Advanced Management Model for the provision of quality care.

Unit 2.3. Nursing leadership.



Unit 3.- RISK MANAGEMENT IN THE PROVISION OF CARE

Unit 3.1. The determinants of patient safety.

Unit 3.2. Patient Safety: Public Health problem. Topic 3.3. The adverse event notification, registration and management system.

Unit 3.4. Prevention of adverse events and management of healthcare risk.

Unit 3.5. Patient Safety Culture. Good practices: safe nursing care and attention.

Unit 3.6. First, second and third victims. Topic 3.6. Patient safety in primary care.

Unit 3.7. Research in Patient Safety.

Methodological activities:

- Oral presentation by the teacher, analysis, synthesis and assimilation of the concepts worked on in the classroom.

- Seminars with small groups.

- Group and / or individual works: viewing of videos, improvement plans, etc.

- Group preparation of cases and / or practical exercises.

- Implementation of active methodologies * in the classroom, IKD model:

-- Case Method and Problem Solving.

--IBL Inquiry-Based Learning.

- Historical knowledge and management of the evolution of patients on a platform

interdisciplinary (Health Sciences).

• Continuous Assessment System
• Final Assessment System
• Tools and qualification percentages:
  • Written test to be taken (%): 15
  • Individual works (%): 45
  • Team projects (problem solving, project design)) (%): 30
  • Exhibition of works, readings ... (%): 5
  • Active participation with reflective attitude and commitment to learning process (%): 5

In accordance with the provisions of the Protocol on academic ethics and prevention of dishonest or fraudulent practices

in the evaluation tests and in the academic works at the UPV/EHU, "the Teaching Guide must specify,

sufficiently, with the greatest possible precision and clarity, the materials, means and resources, technological or otherwise

type, the use of which is permitted in the development of the corresponding evaluation tests".



Continuous evaluation system:

CE 1: 40% [Group work (35%) and active participation (5%)]

CE 2: 20% [Group work (15%) and exhibition of works (5%)]

CE 3: 40% [Group work (15%, written test (15%) and individual work (10%)].







It will be an essential requirement to obtain the final grade for the subject that all the specific skills are passed with a grade equal to or greater than 5.



Final evaluation system:

Students will have the right to be evaluated through the final evaluation system, regardless of whether or not they have obtained the evaluation system proposed by the teaching staff. To do this, students must submit their resignation to the assessment proposal in writing to the lecturer responsible for the subject until February 14, 2025.

The single final test will consist of a written test with the following weighting:

CE 1: 40% [Written test]

CE 2: 20% [Written test]

CE 3: 40% [Written test]



CALL RESIGNATION:

Refusal of the call will result in the qualification of not presented or not presented.



In the case of continuous evaluation, in accordance with the provisions of art. 12.2 of the Regulations governing the Evaluation of students in official degree qualifications, if the weight of the final test is greater than 40% of the grade of the subject, for the resignation of the call it will suffice not to present said final test to that the final qualification of the subject is not presented or not presented.



In the case of final evaluation, failure to appear for the test set on the official exam date will mean automatic resignation from the call.

The evaluation of the subject in the extraordinary call will be carried out exclusively through the final evaluation system.

This will be carried out by means of a written test with the same characteristics as that described in the ordinary call.

The note of those competitions that have been approved in the ordinary call will be taken into account.



CALL RESIGNATION:

Failure to take the test set on the official exam date will automatically resign the call.

- Orkaizagirre Gómara, A., Amezcua, M., Huércanos Esparza, I., & Arroyo Rodríguez, A. (2014). El Estudio de casos, un instrumento de aprendizaje en la Relación de Cuidado. Index de Enfermería, 23(4), 244-249.

Basic bibliography

- Donaldson, L., Ricciardi, W., Sheridan, S., & Tartaglia, R. (2021). Textbook of patient safety and clinical risk management.

- Lachman, P., Runnacles, J., Jayadev, A., Brennan, J., & Fitzsimons, J. (Eds.). (2022). Oxford Professional Practice: Handbook of Patient Safety. Oxford University Press.

- Duffy, J. R. (2022). Quality caring in nursing and health systems: Implications for clinicians, educators, and leaders. Springer Publishing Company.

In-depth bibliography

- National Patient Safety Agency. (2004). Seven steps to patient safety: the full reference guide. National Patient Safety Agency.
- Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application. Lippincott Williams & Wilkins.

Journals

- Journal of Patient Safety
- Journal of Nursing Management
- Journal for Healthcare Quality
- Journal of Healthcare Quality Research

Web addresses

- National Institute for Health and Clinical Excellence: http://www.nice.org.uk/
- Agency for Healthcare and Quality: https://www.ahrq.gov/
- John Hopkins, Patient Safety and Quality: https://www.hopkinsmedicine.org/patient-safety
- Josie King Foundation: https://josieking.org/home/
- WHO, Patient Safety actions: https://www.who.int/news-room/fact-sheets/detail/patient-safety