The educational objectives are outlined as the realization of a plan of study designed to present some Sociology of Health and Illness issues as specifically configured on the peculiarities of the training process offered to students of the Bachelor of Science in Nursing. Particular attention will be paid in emphasizing those tools of theoretical and empirical orientation through which develop the analytical sensitivity necessary to identify problems that characterize the delicate relationship between the demand and supply of health resources in contemporary societies.
The aim of the course is to allow the student to acquire legal aspects that characterized, and characterize today, the practice of nursing profession, focusing on the social, cultural evolution of nurses in the transition from the "Servant" condition to that of "Technical Performer" to arrive to "Complete Professional" which is characterized by Responsibility and Autonomy.
1) Medicine and Society. In the heart of the social system.
2) The socio-cultural components of Health-Illness related behavior. The HBM - The HRA. Medical model and moral model.
3) The first ethnographic approaches to health and illness and their overcome.
4) The Parsonsian theory. The sick role and its institutionalization.
5) Somatic disease and mental illness. Roles and tasks. Pathogenic strains between system of personality and social system.
6) The therapeutic process as a form of social control in the doctor-patient dynamics system.
7) Criticism of Parsonsian perspective. The theme of mental illness. Integration Vs adaptation. Psychiatry and anti-psychiatry.
8) The sociology of medicine in the debate on the redefinition of welfare state. The tragic choices in health care.
9) The corporatization of health care and the overcoming of pure medical model.
10) The professionalization of the medical practice. Phases and contents.
11) Modernity and clinical primitivism. Predictive medicine and its protagonists.
The historical evolution of assistance:
- From the concept of service to the concept of Nursing care
- Florence Nightingale’s work
- The evolution of training in Italy
- The process of professionalization and the beginning of discipline thought
- Concepts of Nursing Autonomy and Responsibility
- Nursing competence in a " holistic" meaning
- Professional associations; the professional College and the National Federation of Colleges.
The professional legislation:
- Ministerial Decree 739/1994: "Nurse’s Professional Profile"
- Law 42/1999: "Regulation relating to health and technical professions, rehabilitation, prevention and obstetrical profession.
Ethics and Professional ethics:
- Concept of Ethics of the profession
- Evolution of the Nursing Code of Ethics through the various drafts
- The Code of Ethics of 2009
Health organization
- Art. 32 of Constitution
- National Health Service (L.833 / 78)
- Legislative Decrees 502/92, 517/93; L. 29/99
- Health Plans and Regional Plans
- International Health Organizations (WHO, CRI)
- Article 32 of Constitution
- The N.H.S. (Law 833/78)
- Legislative Decree 502/92
Vignera R., Protagonisti e interpreti della sociologia sanitaria, FrancoAngeli, Milano, 2005, first part, capp. I, III, IV; second part, cap. I.