Pro Care TalentSteps an online tool for career and development in care

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1 Pro Care TalentSteps an online tool for career and development in care Part Italy english and italian 1. Professional Chances The study of nursing is directed on employment as nurse in very different areas, among them general care, geriatric care, health care.the initial vocational education and training for nurses is a Bachelor of Science in Nursing.. It is equal to: Gesundheits- und Krankenpflegerin / Gesundheits- und Krankenpfleger in Germany Infermiere professionale in Italy Diplomierte Gesundheits- und Krankenschwester / Diplomierter Gesundheits- und Krankenpfleger in Austria Pielegniarka in Poland Sestra in Slovakia. Source: DIRECTIVE 2005/36/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 7 September 2005 on the recognition of professional qualifications. (Annex V, point 5.2., nurses. Last update ) The 1 st level specializing master will provide the professional coordinator with competences to manage the planning, the control and analysis of social health organisations, to manage and valorise the human resources, and to use strategies to improve the social health system. The Master of Science in Nursing Sciences has the aim of providing students with an advanced level in order to practise very complex activities. Its duration is 2 years. 2. Your Career Paths Preliminary note We selected two examples of two academic institutions with offers in the relevant qualification areas: a) Corso di Laurea Specialistica in Scienze Infermieristiche ed Ostetriche / Master of Science in Nursing Science - Università degli Studi di Firenze Facoltà di Medicina e Chirurgia / University of Studies in Florence Faculty of Medicine and Surgery b) Master di I livello in Management per le funzioni di coordinamento nelle aree infermieristica, ostetrica e della riabilitazione / 1st level Specialising Master in Management for coordination 1

2 tasks in nursing area - Università degli Studi di Firenze Dipartimento di Sanità Pubblica / University of Studies in Florence Department of Public Health Access to the selected academic offers 2

3 School Leaving Certificate Master Nursing Science High school degree, University Nursing Degree (180 credits, 3 years course) 1st level Specialising Master in Management in nursing area High school degree Professional experience vocational education assessment of the school, university Certificate enabling to practice the profession referred by the academic offer and regulated by the law n. 42/1999. Certified professional experience and competences will be evaluated by a specific Faculty s Commission that define the corresponding credits Competences acquired by certified vocational training courses or other education activities will be evaluated by a specific Faculty s Commission that define the corresponding credits The access to the Master Science in Nursing Science is by exams, defined by the Ministry of Education and is based on numerus clausus. The attendance is obligatory. Former degrees will be evaluated by a specific Faculty s Commission that define the corresponding credits For professional nursing is also required the enrolment in the national nursing register. Certified professional experience and competences will be evaluated by a specific Master s Committee that will deliberate the admission to the course. University Nursing Degree (180 credits, 3 years course) Former degrees will be evaluated by a specific Master s Committee that will deliberate the admission to the course. According to Law 43/2006 the Master s Committee can recognise past qualifications and professional experience on the base of certified curricula in the working area addressed by the course. Preparatory courses No preparatory courses No preparatory courses Crediting (Anrechnung) Other Options for Access According to Ministry Decree 509/99, art. 5 comma 7 the Faculty can recognise past qualifications and professional experience on the base of certified curriculum evaluated by a specific Faculty s Commission that define the corresponding credits to be deducted from the whole course credits. The access to the specialising master is by written and oral exams, defined by the University and is based on numerus clausus. The attendance is obligatory. For those professionals working already as coordinator the admission to the course is based on the assessment of their curricula. According to Law 43/2006, the position of coordinator in social and health care sector shall be given to those professionals holding a 1st level specializing master diploma. For those professionals working already as coordinator before the law entered into force, it is foreseen an assessment of their past qualifications and professional experience on the base of certified curricula in the working area addressed by the course. On the base of this assessment they can enter the course. 3

4 Content and Workload during study 1. Master of Science in Nursing Science - University of Studies in Florence Faculty of Medicine and Surgery The Master of Science in Nursing Sciences has the aim of providing students with an advanced level in order to practise very complex activities in care. Title of content First year Methodology of nursing research (I) Clinic nursing sciences applied to organisational processes and to care paths (I) Human and psycho - pedagogical sciences Medical management Clinic nursing sciences applied to organisational processes and to care paths (II) Clinic, pedagogical and organisational nursing sciences Nursing science applied to work experience (I) Second year Clinic nursing sciences applied to organisational processes and to care paths (III) Law and medical policies for personnel Nursing sciences applied to human and psycho - pedagogical sciences Methodology of nursing research (II) Nursing sciences applied to sociology and didactic Nursing science applied to work experience (II) English Other actives chosen by the student over the 2 years Other training activities over the 2 years Final exam Total Duration (in hours) 1 Credit=25 h 8,5 credits (212,5 hours) 6 credits (150 hours) 6,5 credits (162,5 hours) 8 credits (200 hours) 8 credits (200 hours) 3,5 credits (87,5 hours) 6,5 credits (162,5 hours) 6,5 credits (162,5 hours) 5,5 credits (137,5) 8 credits (200 hours) 5 credits (125 hours) 11 credits (275 hours) 5 credits (125 hours) 3 credits (75 hours) 6 credits (150 hours) 8 credits (200 hours) 15 credits (375 hours) 120 credits/ 3000 hours 4

5 2. 1st level Specialising Master in Management for coordination tasks in nursing area - University of Studies in Florence Department of Public Health Title of content Module 1 Methodologies of organisational analysis and management of the budget Nursing science: analysis of organisations, budget management Internal medicine: health priority problems and development of services Business economics General hygiene: planning, organisation and management of services Module 2 Assessment, management and valorisation of human resources and of technological and structural resources Nursing science : management and assessment of resources Labour and organisations psychology Business organisation Module 3: the strategic levers of clinical governance: quality, training, innovation and research Nursing science: quality, training, research General hygiene: management of clinic risk Social and general pedagogy Medical statistics Internship Final exam Total Duration (in hours) 12 credits (300 hours) 3 credits (75 hours) 3 credits (75 hours) 3 credits (75 hours) 3 credits (75 hours) 13 credits (325 hours) 7 credits (175 hours) 3 credits (75 hours) 3 credits (75 hours) 15 credits (375 hours) 6 credits (150 hours) 3 credits (75 hours) 3 credits (75 hours) 3 credits (75 hours) 20 credits (500 hours) 10 credits (250 hours) 70 credits/ 1750 hours 5

6 Possible Positions Management in nursing areas Professional coordinator with competences: to manage the planning, the control and analysis of social health organisations to manage and valorise the human resources, and to use strategies to improve the social health system. Nursing Positions, requiring to practise very complex activities in care areas 3. Encouraging Cases Career and Development are not only connected with preconditions and criteria, sourced by the educational system and structures. Your motivation and goals have a strong influence on success. That s why we noticed some individual stories stories of learning life. Copycating the person is suggested! Laura Laura since graduating from high school has been developing a strong interest for the health care sector. This is the reason why she decided to became a nurse and attended university. After getting her nurse degree she started working in the public hospital in Livorno (Italy). In her career as nurse she took over various tasks, among which the task to coordinate a group of nurses implementing cancer pain and palliative care. Laura improved constantly her competences by attending training courses organised both by the hospital, the local authorities and private training agencies on the issue of complementary and alternative medicine, and social and health care issues. Following her strive for improvement, Laura decided to go for a further study and to start a master in health management. She discussed her decision with the family, she looked around for the right offer and at the end she decide for a distance learning master lasting one year at the university of Rome. Some of her previous courses could be recognised as credits for some subjects of the master. She enjoyed studying very much, and she loved also the fact that she could study at distance. Nevertheless, it wasn t always very easy to keep the balance between work, family and university. But thanks to her strong will she succeeded in getting the master degree on time. With her new qualification she went back to work, but unfortunately her new competences could be partly applied to her work in the hospital. No adequate position was open for her new qualifications, and it is now evident that career s opportunities are very limited. But Laura doesn t demotivate herself, and keeps on applying in her daily work what she learned, in order to do her job better. She has still the dream of further educating herself to become a trainer in the health care sector. Katja Katia started working as a public officer in the local health authority in Livorno (Italy) right after her high school degree. In her work she dealt with several tasks at administrative level, and in the recent years she worked in the training department for health care staff. She enjoys her work very much, but in the late years she felt the need to improve herself, to acquire more competences, in order to better perform her job. 6

7 Eight years ago she decided to go for a further education in the field of psychology, as many subjects could improve her competences as trainer and counsellor of heath care staff. She enrolled at the faculty of psychology at the University of Florence few years after her third child was born. She was conscious that with a baby, two other teenager children, the family and the work, the study could be an heavy workload. But with the support of her husband and the other two children she want for her study adventure. The difficulties she met during her study were various, mainly related to time management, and this is the reason why she concluded the university career in eight years instead of five. But the satisfaction of being able to get the university degree has been so big that all troubles of the past years have been forgotten. With her psychology degree she can now better counselling her students, can develop training courses and assess outcomes. She knows that career possibilities and recognition of competences in the public health structure are not so many, and this is the reason why she also works with non profit training agency, where her new skills are more appreciated. Tommaso Tommaso got a high school degree in Health assistance, and following his interest in subjects dealing with health prevention and promotion, decided to enrol at university to became a nurse. After the university degree he worked as a nurse in a private residential health care home, dealing with geriatric patients and patients suffering from different traumas. But his passion remains health prevention and promotion. Following his interest, he decided to work more actively as health assistant and he submitted an application to the local health authority in Livorno to promote health at local level. Due to his good qualifications and work experience, Tommaso could be able to change work and to start now a working experience in the public health care sector. In his job as health assistant he has to deal with the promotion of health in schools, in the labour market, among elderly people and the population in general. In his new job he got the position of working unit coordinator, and due to his new responsibility he felt the need to improve his competences. This is the reason why in 2009 he started to attend a 1 st level Specialising Master in Management for coordination tasks in nursing area at the University of Siena. He got a study leave from his work for one year and he managed to conclude his studies in 12 months. With his additional and specialised knowledge Tommaso went back to work and started to apply his new competences in his job. Unfortunately, the carrier possibilities in the public sector are not that many, so his new degree is not valorised with a career advancement. Nevertheless, Tommaso keep on doing his best to apply the learning outcomes in his daily work, in order to improve the quality of his service. 7

8 4. Labour Market in Care Sector in Italy Number of labour force in geriatric care sector: There are no specific statistics at this regard and data are very fragmented. Geriatric care in Italy is provided both by the public sector, by the private sector (profit and non profit organisations, among which volunteering organisations), and by the family and social network. In 2010 the Italian nurses enrolled in the IPASVI (national nurses register) were To this figures we have to add the about badanti (family assistant) providing care assistance also to elderly people in their home. Considering that the Non Profit organisations (social cooperatives, social enterprises, volunteering organisations, NGOs) are those providing the majority of the social and care services to elderly people in Italy, their personnel constitutes a big reference point. According to the last national census (2001) the Non profit organisations active in the social care sector, including geriatric care, employed over people, and involved almost volunteers. Organisation of geriatric the care sector In Italy it is possible to distinguish different ways of health, social and social- medical assistance for the over 65 years old people. First of all it is possible to recognize the informal free care given by relatives, friends, neighbours and volunteer, provided above all in the little villages, and the formal paid care, provided by other people that can be both from the public or the private sector, in the big and medium cities. In spite of the big importance of the public sector, in Italy exists a strong tradition of family care about old people. The family network that take care of the old relatives is quite variegated and it is possible to distinguish between the primary network, composed by the partner and the sons, the enlarged family network, composed by the brothers, the nephews and the other relatives and, finally, the social network, that, of course, is more rare. The most common assistance provided by the family network when the old person cannot live on his own is based on the co- housing. From one side this kind of assistance offers some benefits concerning less moving from one house to another and for sharing costs and works, but, on the other side, it entails a great quantity of extra work for the family, above all for women. Services for elderly care in Italy On the other hand, concerning the assistance provided by the public and private sectors, according to the venue where the service is offered, the kind of the service and the kind of institution or person that is offering the service, it is possible to recognize different assistance categories: ü health services, the hospitals and the health districts that provide primary, specialist and day hospital assistance; ü territorial services, divided in house assistance services, provided by ASL (Azienda Sanitaria Locale, a sort of health district) if they concern health or by local bodies and by municipalities (mainly) if they concern social assistance; semi- house services; allowance, provided by local bodies as municipalities, provinces and regions; 8

9 ü house services, in sort of retirement houses that provide some health services without being a hospital, called Residenze Sanitarie Assistenziali (RSA), Case di Riposo o Comunità Alloggio; ü national subsidies, as old- age and disability pensions. Concerning the house services, the last ISTAT (National Statistic Institute) available data say that in Italy there are about care homes that host almost people and the 77% of those houses are nursing or retirement houses dedicated to elderly people. According to the last available statistics, out of five old persons about two receive assistance exclusively by the family network and other two by the private paid sector. In spite of its big presence in the whole national territory, only 2% of the elderly use exclusively the public assistance and only 3,5% uses it combining it with other ways of assistance. This framework has to be completed by the badanti (family assistant), a special feature of house assistance for old people that has becoming very common in Italy in the last years. A badante, is usually a foreign woman that lives with the old person, has to take care of him or her, gives assistance, company and does some house work. Even if in Italy this phenomenon is very important and widespread, it is very difficult to quantify it because these women often have not the permission to stay in Italy and their wage are paid without taking care of the tax law. However, it is possible to esteem that there are in Italy one million and a half of legal badanti and about illegal ones. In the last months of 2009, the Italian Government adopted a law for the regularization of the foreigner badanti, but the results have not been so good as foreseen and only few thousand people profit from this new law. Concerning the badanti another big problem is related to the competences of these people that are usually very high qualified people, above all if they come from the eastern European countries, but with no or few skills concerning elderly care. Main characteristics/problems of the Labour market? Working in the elderly sector, especially in the elderly care sector, is still regarded as being an unqualified profession, with little or no qualifications required. The revision and progress of the social professions is on- going, and is a complex and long process involving many actors (social system, health system, VET system, third sector, etc.). However, it is still not uncommon for individuals to work in the sector with a very basic education and work as a carer for the elderly, especially home carers. Whereas in other areas of social intervention, for example disability and childcare, greater processes reviewing access competences have taken place. Moreover, the caring job is no longer a question of attitudes and motivation (empathic assumptions) but is, more and more often one of the few jobs available for individuals with low levels of education; this contributes to lower even more the profile of the social professions. 0n the other hand, the profession of nurse is changing its image in the society. According to last research published by CENSIS (national social research institute) in March 2012, the nurse profession has an high appeal, as it is considered very useful for the society and for its employability. The good social reputation and the high employability explain why a high number of young people chose this profession and why the vast majority of Italians (84,2%) judge it as a choice to be supported and encouraged. In the academic year there have been about enrolments at the nursing faculties and the profile of students is very high: 46% of new first year students is coming from high schools and with a high score in the final examination (12,8%). 9

10 Are there any national attempts to enhance the employment in the geriatric care sector? The ageing trend in Italy, together with the increase in life expectancy and improvements in life conditions of the elderly population, has generated new needs and requirements and consequently requires new services. The interest towards the senior sector (in terms of services and job opportunities) is rapidly growing, even if at national and governmental level few policies have been developed. A key requirement is to include, within the revision process of the social profession, a clear identification of transversal competences. It is important to identify new professionalisms and combine the competences of a specific sector (leisure, culture, tourism) with knowledge and skills related to the complex environment of elderly people. 5. Transnational mobility to Italy The care professions are so- called regulated professions mostly due to the Directive 2005/36/EC. A profession is said to be regulated when access and exercise is subject to the possession of a specific professional qualification. Qualified professionals wishing to obtain recognition for establishment or wanting to provide services on a temporary and occasional basis within the EU Member States should seek advice from the relevant Contact Point in the future host country (EU Member States). The contact points are responsible for providing general information on recognition of professional qualifications provided for in Directive 2005/36/EC as well as on competent authorities and national legislation governing the professions. People from EU countries want to work in the care sector of Italy For the professions mentioned above the automatic recognition is applied, following the EU Directive 2005/36/EC If the authorities of the host country find significant differences between the training acquired in your country of origin (including your professional experience) and that required for the same work in the host country, they may ask you to complete a traineeship or aptitude test. In Italy the compensatory measures are applied to all professions different from the professions of doctor, nurse responsible for general care, dental practitioner, veterinary surgeon, midwife, pharmacist, and architect. Compensatory measures means either additional exams or internships. GERIATRIC CARE from Slovakia - Nurses Austria - Diplomsozialbetreuer/innen Schwerpunkt Altenarbeit Germany - Altenpfleger to Italy Automatic recognition according to EU Directive 2005/36/EC General system of recognition, when needed application of compensatory measures as additional exams or internship General system of recognition, when needed application of compensatory measures as additional exams or internship 10

11 France - Nurses Poland - Nurses HEALTH CARE from (please adapt) Slovakia - Nurses Austria - Diplomsozialbetreuer/innen Schwerpunkt Altenarbeit Germany Gesundheit- und Krankenpflegerin/pfleger France - Nurses Poland - Nurses Automatic recognition according to EU Directive 2005/36/EC Automatic recognition according to EU Directive 2005/36/EC to Italy (please adapt) Automatic recognition according to EU Directive 2005/36/EC Automatic recognition according to EU Directive 2005/36/EC Automatic recognition according to EU Directive 2005/36/EC Automatic recognition according to EU Directive 2005/36/EC Automatic recognition according to EU Directive 2005/36/EC People from EU countries want to study in Italy There are any conditions hindering an extra- occupational study of nurses or care professionals from another European country in Italy. National structures, programmes, laws supporting extra- occupational study and career of care specialists/ nurses? structures, programmes, laws regarding Financial support Work- time system description Scholarships at university Voucher given by the regional governments through the European Social Fund for further education like master. The call for selection is launched on a regular basis Possibility to ask for a part- time Possibility to apply for a paid study leave for a maximum of 150 hours according to the article 3 of D.P.R. 395/

12 Italia Management infermieristico e sanitario 1. Opportunità professionali Lo studio infermieristico è finalizzato all impiego come infermiere in diverse aree, tra cui cura generale, cura geriatrica, cura sanitaria. La formazione iniziale dell infermiere è la laurea in Scienze Infermieristiche, comparabile ai seguenti titoli di studio: Gesundheits- und Krankenpflegerin / Gesundheits- und Krankenpfleger in Germany Infermiere professionale in Italy Diplomierte Gesundheits- und Krankenschwester / Diplomierter Gesundheits- und Krankenpfleger in Austria Pielegniarka in Poland Sestra in Slovakia. Source: DIRECTIVE 2005/36/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 7 September 2005 on the recognition of professional qualifications. (Annex V, point 5.2., nurses. Last update ) Il Master di I livello in Management per le funzioni di coordinamento nelle aree infermieristica, ostetrica e della riabilitazione fornisce al professionista coordinatore le competenze per gestire la programmazione, il controllo ed analisi delle organizzazioni socio- sanitarie, di gestire e valorizzare il capitale umano e di utilizzare le leve strategiche del governo clinico. Ha una durata di 1 anno. La Laurea Specalistica nelle Scienze Infermieristiche ed Ostetriche, fornisce agli studenti una formazione culturale e professionale avanzata per intervenire con elevate competenze nei processi assistenziali, gestionali, formativi e di ricerca in uno degli ambiti pertinenti alle diverse professioni sanitarie ricomprese nella classe (infermiere, ostetrica/o, infermiere pediatrico). Ha una durata di 2 anni. 2. Il tuo percorso formativo Nota preliminare Abbiamo selezionato due esempi di istituzioni accademiche che offrono percorsi formativi nelle pertinenti aeree di qualifica. c) Corso di Laurea Specialistica in Scienze Infermieristiche ed Ostetriche - Università degli Studi di Firenze Facoltà di Medicina e Chirurgia d) Master di I livello in Management per le funzioni di coordinamento nelle aree infermieristica, ostetrica e della riabilitazione - Università degli Studi di Firenze Dipartimento di Sanità Pubblica 12

13 3. Accesso alle offerte accademiche prescelte Certificato scolastico Esperienza professionale Laurea Specialistica in Scienze Infermieristiche ed Ostetriche Diploma di maturità e laurea triennale in Scienze infermieristiche (180 crediti, 3 anni) Diploma professionale abilitante alla pratica professionale riferita alla laurea specialistica e regolato dalla legge n. 42/1999. Esperienze e competenze professionali certificate saranno valutate da una commissione di facoltà specifica che definirà i crediti corrispondenti. Master di I livello in Management per le funzioni di coordinamento nelle aree infermieristica, ostetrica e della riabilitazione Diploma di maturità e laurea triennale in Scienze infermieristiche (180 crediti, 3 anni) Per gli infermieri professionali è richiesta l iscrizione all albo nazionale. Esperienze e competenze professionali certificate saranno valutate da una commissione di master specifica che deciderà l ammissione al corso. Formazione professionale Valutazione dei diplomi precedenti Le competenze acquisite durante corsi di formazione professionali certificati o durante altre attività educative saranno valutate da una commissione di facoltà specifica che definirà i crediti corrispondenti. L accesso alla laurea magistrale è per esame, definite dal Ministero dell Università ed è basato sul numero chiuso. La frequenza è obbligatoria. Diplomi precedenti saranno valutati da una commissione di facoltà specifica che definirà i crediti corrispondenti. Laurea triennale in Scienze infermieristiche (180 crediti, 3 anni) Diplomi precedenti saranno valutati da una commissione di master specifica che deciderà l ammissione al corso. Secondo la legge 43/2006 la commissione di master può riconoscere qualifiche precedenti ed esperienze professionali sulla base di certificazioni attestanti la pertinenza alla tematica del corso. Corsi di preparazione Riconoscimento crediti Non sono previsti corsi di preparazione Secondo il decreto 509/99, art. 5 comma 7 la facoltà può riconoscere qualifiche ed esperienze professionali pregresse sulla base di curriculum certificati e valutati da una commissione di facoltà specifica che definirà i crediti corrispondenti da dedurre dai crediti di tutto il corso. Non sono previsti corsi di preparazione 13

14 L accesso al master specializzante è per esame scritto ed orale, definito dall università ed è basato sul numero chiuso. La frequenza del corso è obbligatoria. Altre opzioni di accesso Per quei professionisti che già lavorano come coordinatore, l ammissione al corso è basata sulla valutazione dei loro curriculum. Secondo la legge 43/2006, la posizione di coordinatore nei settori sociali e sanitari deve essere data a quei professionisti che hanno conseguito il diploma del master specializzante di I livello. Per quei professionisti che hanno iniziato a lavorare come coordinatori prima dell entrata in vigore della legge, è prevista la valutazione delle loro esperienze lavorative e delle qualifiche precedenti sulla base del loro curriculum certificato. A seconda della valutazione ricevuta, possono essere ammessi al corso. 4. Contenuti e durata degli studi Corso di Laurea Specialistica in Scienze Infermieristiche ed Ostetriche - Università degli Studi di Firenze Facoltà di Medicina e Chirurgia La Laurea Specialistica in Scienze Infermieristiche ed Ostetriche fornisce agli studenti una formazione culturale e professionale avanzata in uno degli ambiti pertinenti alle diverse professioni sanitarie ricomprese nel corso. Contenuto Durata (in ore) 1 Credito=25 h Primo anno METODOLOGIA DELLA RICERCA INFERMIERISTICA I SCIENZE INFERMIERISTICHE CLINICHE APPLICATE AI PROCESSI ORGANIZZATIVI E PERCORSI ASSISTENZIALI I ì SCIENZE UMANE E PSICOPEDAGOGICHE MANAGEMENT SANITARIO SCIENZE INFERMIERISTICHE CLINICHE APPLICATE AI PROCESSI ORGANIZZATIVI E PERCORSI ASSISTENZIALI II SCIENZE INFERMIERISTICHE CLINICHE, PEDAGOGICHE E DELL'ORGANIZZAZIONE SCIENZE INFERMIERISTICHE APPLICATE NEI CONTESTI DI TIROCINIO I 8,5 crediti (212,5 ore) 6 crediti (150 ore) 6,5 crediti (162,5 ore) 8 crediti (200 ore) 8 crediti (200 ore) 3,5 crediti (87,5 ore) 6,5 crediti (162,5 ore) Secondo anno SCIENZE INFERMIERISTICHE CLINICHE APPLICATE AI PROCESSI ORGANIZZATIVI E PERCORSI ASSISTENZIALI III DIRITTO E POLITICHE SANITARIE DEL PERSONALE 6,5 crediti (162,5 ore) 5,5 crediti (137,5 ore) 14