Community Nursing I

This course is designed to help future nurses acquire the necessary skills to critically interpret and analyze community health problems as a result of socio-political, cultural and biological processes.

Block I: CONCEPTS
Topic 1. Concept of Health.
Topic 2. Concept o fPublic Health.

Block II: EPIDEMIOLOGICAL METHODOLOGY
Topic 3. Concept and uses of epidemiology.
Topic 4. Frequency measures. Descriptive epidemiology.
Topic 5. Experimental studies.
Topic 6. Cohort studies.
Topic 7. Case-control studies.
Topic 8. Diagnostic tests evaluation studies.

Block III: ENVIRONMENT AND HEALTH
Topic 9. Ecology and health.
Topic 10. Atmospheric pollution.
Topic 11. Water. Problems and debugging.
Topic 12. Waste management.
Topic 13. Human environment and health.

Block IV: EPIDEMIOLOGY AND PROPHYLAXIS OF COMMUNICABLE DISEASES
Topic 14. General epidemiology of communicable diseases.
Topic 15. General prophylaxis of communicable diseases.
Topic 16. Disinsection and deratization.
Topic 17. Epidemiology and prevention of fecal-orally transmitted diseases. Epidemiology and prevention of airborne diseases.
Topic 18. Epidemiology and prevention of pulmonary tuberculosis and meningococcal meningitis.
Topic 19. Epidemiology and prevention of diseases transmitted by contact: Sexually transmitted infections. Viral hepatitis. HIV AIDS.
Topic20. Hospital-acquired infection.

Program of Interactive Classes

CONCEPTS (2 hours)
Inequalities in Health

EPIDEMIOLOGY (12 HOURS)
Seminar 1 Incidence and Prevalence. Measures of effect.
Seminar 2 Clinical trials.
Seminar 3 Cohort studies I.
Seminar 4 Cohort studies II.
Seminar 5 Case-control studies.
Seminar 6 Diagnostic tests evaluation studies. Other designs.

ENVIRONMENT (4 hours)
Seminar 1 Climatic Change.
Seminar 2 Visit to sewage treatment plant of Santiago.

TRANSMISSIBLES (6 hours)
Seminar 1 Action against an outbreak of food intoxication.
Seminar 2 Role of nursing in the face of tuberculosis.
Seminar 3 HIV / AIDS Program in prostitutes.

Alfonso Roca MT, Alvárez-Dardet Díaz C. Enfermería Comunitaria I. Serie Manuales de Enfermería. Masson Salvat S.A. Barcelona. 1992.
Segura Del Pozo J. Desigualdades sociales en Salud: Conceptos, estudios e interpretaciones. Bogotá: Universidad Nacional de Colombia; 2013.
Hernández-Aguado I, Lumbreras Lacarra B. Manual de Epidemiología y Salud Pública para Grados en Ciencias de la Salud. 3ª ed. Ed Panamericana, Madrid, 2018.
Fernandez-Crehuet J, Gestal Otero JJ, Delgado Rodríguez M et al. Piédrola Gil. Medicina Preventiva y Salud Pública. 12ª ed. Barcelona:Elsevier- Masson; 2015.
Benach J. La salud de todos y sus causas. La salud pública, la equidad y sus causas: ¿de qué depende nuestra salud? Barcelona: Observatorio de la Salud, Universitat Pompeu Fabra; 2012.
Comisión para Reducir las Desigualdades Sociales en Salud en España. Avanzando hacia la equidad. Propuesta de políticas e intervenciones para reducir las desigualdades sociales en España. Madrid: MSPS; 2010.
Gavidia V, Talavera M. La construcción del concepto de salud. Didáctica de las Ciencias Experimentales y Sociales. 2012; 26: 161-75.
Adolfo Figueiras. Manual de Método Epidemiológico. Santiago: Area de Medicina Preventiva e Saúde Pública, 2013.
Escuela Nacional de Sanidad (ENS). Instituto de Salud Carlos III - Ministerio de Ciencia e Innovación. Miguel Ángel Royo Bordonada, Javier Damián Moreno, “Método epidemiológico”. Madrid: ENS-Instituto de Salud Carlos III, Octubre de 2009.
European Environmental Agency. Air quality in Europe — 2020 report. Disponible en: https://www.eea.europa.eu//publications/air-quality-in-europe-2021
Ministerio para la Transición Ecológica. Perfil Ambiental de España 2019. Disponible en:
https://www.miteco.gob.es/es/calidad-y-evaluacion-ambiental/publicacion…
Ministerio de Agricultura, Alimentación y Medio Ambiente. Programa estatal de prevención de residuos 2014-2020. Disponible en: https://www.miteco.gob.es/es/calidad-y-evaluacion-ambiental/planes-y-es…
Ministerio de Agricultura, Alimentación y Medio Ambiente. Plan estatal marco de gestión de residuos (PEMAR) 2016-2020. Disponible en: https://www.miteco.gob.es/es/calidad-y-evaluacion-ambiental/planes-y-es…
Observatorio de la Sostenibilidad. Disponible en: https://www.observatoriosostenibilidad.com/
Red Española de Ciudades Saludables. Disponible en: http://recs.es/
Vida sostenible. Disponible en: http://www.vidasostenible.org/
WHO Regional Office for Europe. Social inequalities and their influence on housing risk factors and health. Copenhagen: WHO Regional Office for Europe; 2014. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/107955/E92729.pdf?sequ…
Xunta de Galicia. Consellería de Medio Ambiente, Territorio e Vivenda. Plan de xestión de residuos urbanos de Galicia (PXRUG) 2010-2020. Disponible en: https://sirga.xunta.gal/c/document_library/get_file?uuid=88abfd7c-9c05-…
U.S. Preventive Services Task Force. Guide to Clinical Preventive Services 2014. Disponible en: https://www.ahrq.gov/professionals/clinicians-providers/guidelines-reco…
WHO guidelines on tuberculosis infection prevention and control2019 update. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/311259/9789241550512-e…

Ability to describe the basics of the primary level of health-related activities to be carried out in order to provide comprehensive nursing care to the individual, the family and the community *.
Understand the function, the activities and the cooperative attitude that a professional must develop in a team of Primary Health Care *.
Promote the participation of the individuals, the family and the groups in their health-disease process.
To identify factors related to health and environmental problems in order to assist people in situations of good health and illness as members of a community *.
Identify and analyze the influence of internal and external factors on the level of health of individuals and groups. Apply the necessary methods and procedures in their area in order to identify the most relevant health problems in a community *.
Analyze the statistical data of population studies and identify the possible causes of health problems *.
Educate and facilitate support to the health and well-being of community members whose lives are affected by health problems, risk, suffering, illness, disability or death *

A) Expository classes in large group: Master class taught by the teacher. The teacher will have the support of audiovisual and computer media.

B) Small group interactive classes: Theoretical / practical classes in which you will work on the different topics of the interactive classes. Stable groups of 5-6 students will be established. Students will actively participate in these classes in different ways: delivery of exercises to the teacher; solving exercises in the classroom, etc. In order to be eligible for continuous assessment, the student must attend the interactive sessions.

For interactive classes in Epidemiological Methodology it is necessary to carry a scientific calculator, and a laptop with Epidat 3.1 installed is recommended.

Epidat 3.1 as well as the "Manual of epidemiological method" are available on the subject's website.

The final exam may include multiple choice questions, short questions and subjective questions of all the topics addressed in the lectures and interactive classes.
The multiple-choice questions of the exam will be corrected ensuring control of the probability of hitting by chance. For this, the correctly answered questions (NR), the number of possible options (NO) and the number of total questions (NP) will be considered, according to the following formula:
Grade=(((NR*NO)-NP)/((NO-1)*NP)))*10

The final exam will be rated from 0 to 10.

2. Continuing Evaluation
For the evaluation of the interactive classes, different criteria will be used: submitting of work done in class, and tests or attendance of the seminars. The continuous evaluation will be rated from 0 to 10.
3. The student's grade will be:
Final Exam*0.7 + Continuous Evaluation*0.3

In the extraordinary evaluation of July, the same evaluation system will be maintained.
The same evaluation system will be applied for students who realize the course in another university via Erasmus and return with it suspended

Contact hours Hours of independent work Total
Theoretical classes 24 36 60
Seminars 30 54 84
Tutorials 3 0 3
Exams 3 0 3
Total 60 90 150

Attendance to the classes is important. The degree to which students understand the subject and their ability to analyze globally the health problems will be fundamentally evalua