慢性疾病預防與處置

Course Description The specific objective of this course is to enable students to develop an innovative and systemic perspective of care to improve chronic illness prevention and management that is evidence-based, theory driven and client-centered. Course Objectives Upon completion of the course, the student will be able to: 1. Identify the complex behavior and psychosocial challenges for people living with chronic illness, their families, care givers, aggregates, and communities. 2. Review and discuss the evidence related to the nursing practice of a range of chronic illness. 3. Identify theoretical models for prevention and managements of chronic illness. 4. Examine the challenges and contextual issues within the cultural, social and health care environment for people living with chronic illness, their families, care givers, aggregates, and communities. 5. Put and discus innovative ideas of prevention and management for chronic illness. 6. Critically appraise the effective prevention and management of clients with chronic illness based on a systemic approach 7. Translate evidence knowledge and innovative ideas into practice in prevention and management of chronic illness (Proof of Concept, Proof of Service, and Proof of Business). Course Content The general concepts of chronic illness 1. The concept of chronicity and impact of chronic illness 2. Illness experience, loss, and psychosocial adjustment for people and their families living with chronic illness 3. Adherence, consultation, and behavioral modification 4. The theoretical model and system approach of chronic illness management and prevention (1) The ecological system model (2) The asset-based approaches Design thinking and innovative approaches in preventing and managing chronic illness 1. Overview of design thinking 2. Innovative development: Proof of concept, proof of service, proof of business (PoC, PoS, PoB) The prevention and management approach of chronic illness 1. The self-management and self-regulation 2. The case management 3. The technologies strategies 4. The active life 5. Healthy aging

Course Evaluation 1. Class participation (10%) 2. Topic preparation (20%): Doctor students *2, Master students *1 times 3. Report and discussion on innovative ideas of chronic illness care/design thinking (20%) 4. Prepared presentation in comprehensive profiles of preventing and managing selected chronic illness (20%) (1) The impacts and trend of the specific chronic illness (2) The profiles of theory-driven and systemic approach of the specific chronic illness (3) The gaps and chances of needs and unmet demands of the specific chronic illness (4) A management and/or prevention products (services, processes, and/or strategy) designed with evidence for the specific chronic illness by a selected system model (5) This approach brings together what is desirable from a human point of view with what is technologically feasible and economically viable. (6) Creativity and innovation. 5. Final written paper (30%) (6/29) (1) Use the format required by the particular professional journal which you plan to submit your manuscript. (2) Use the PICOT format (3) Attach a confirmation letter of submission from the selected journal is encouraged. 6. Participating in greatest ideas competitions and/or innovation challenge are encouraged.

Textbooks 1. Larsen, P. D. (2019). Lubkin’s Chronic Illness: Impact and Intervention (10th). Burlington MA: Jones and Bartlett Learning. https://capitadiscovery.co.uk/bolton-ac/items/184977 2. Chang, E. & Johnson, A. (2017). Living with Chronic Illness and Disability: Principles for Nursing Practice (3rd.). Elsevier. Paperback ISBN: 9780729542616, eBook ISBN: 9780729586238 eBook ISBN: 9780729586245 https://books.google.com.tw/books?id=SLAnfxQGdkoC&printsec=frontcover&hl=zh-TW&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false 3. 楊仁達(2011)。創新筆記。財團法人資策會創新應用服務研究。 4. 吳莉君譯(2010)。設計思考改造世界 / 提姆.布朗(Tim Brown)原著。臺北市 : 聯經出版。 5. Agency for Healthcare Research and Quality, U.S. Department of Health & Human Services. (https://innovations.ahrq.gov/)