The Biomedical and Health Informatics Recommendation Domains in Relation to the Nurse Competence Scale Categories.

The purpose of this mapping review was to examine the Recommendations of the Medical Informatics Association (IMIA) on Education in Biomedical and Health Informatics (BMHI) in relation to the contents of the Nurses' Competency Scale (NCS). The BMHI domains were mapped to the NCS categories to find analogous competence areas. As a conclusion, a consensus is presented on what each of the BMHI domain could mean on a responding NCS category. The number of the relevant BMHI domains were two for the Helping role, the Teaching and coaching, the Diagnostics functions, the Therapeutic interventions, and the Ensuring quality domains. The number of the relevant BMHI domains was four for the Managing situations and the Work role domains, of the NCS. The essence of nursing care has not changed, however, current means and equipment in practice require updated knowledge and digital skills for nurses. Nurses have a special role in narrowing the view gap between the views related to clinical nursing and informatics practice. Documentation, data analyses, and knowledge management are essential parts in nurses' competence today.

Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study.

BACKGROUND: Pressure injures are a common adverse event in a hospital, and they are one of the most important quality indicators of patient care. Risk assessment is recommended as the first step in the prevention of pressure injuries. A Prevent Pressure Injury Risk Assessment Tool is a new tool for risk assessment that was developed by the Helsinki University Hospital. AIM: The aim of this study was to evaluate the predictive validity and the concurrent validity of the Prevent Pressure Injury Risk Assessment Tool in acute care. METHOD: The prospective observational study was conducted in 19 in-patient wards representing internal medicine, neurology, and surgery during 2017-2018. The participants' inclusion criteria were: age ≥18 years old, no pressure injury on admission to the hospital and consenting to participate. The data collected by physical assessment of patients was combined with data from electronic patient records. Each patient was assessed by two different nurses with the Prevent Pressure Injury Risk Assessment Tool and the Braden Scale at patient admission. Furthermore, skin condition was observed throughout the hospital stay. RESULTS: Of the 637 patients accepted for the study, 10 (1.6%) developed a pressure injury during the hospital stay. Poisson regression analysis showed that pressure injuries were more likely in high-risk patients compared to those with low-risk. The sensitivity of the Prevent Pressure Injury Risk Assessment Tool was adequate (75%), while specificity was poor (40%). A moderate correlation was found between the Prevent Pressure Injury Risk Assessment Tool and the Braden Scale. CONCLUSIONS: The Prevent Pressure Injury Risk Assessment Tool may be useful for identifying the adult pressure injury risk patients in acute care. Further research is needed to evaluate interrater reliability, and usability and validity with different patient populations.

Incidence and risk factors for pressure injuries in adults in specialised medical care: a prospective observational study.

INTRODUCTION: Hospital-acquired pressure injuries are one of the most important indicators of quality patient care. It is important to identify high-risk patients to guide the implementation of appropriate prevention strategies. This can be done by using an assessment tool that covers the main risk factors for pressure injuries. AIM: The purpose of the study was to describe the incidence of pressure injuries and the associated risk factors among patients assessed with the Prevent Pressure Injury (PPI) risk assessment tool developed by the Helsinki University Hospital. METHOD: The study was conducted by selecting six wards from medical, surgical and neurological units. The target group were the patients being treated in the study units who gave their informed consent. The research data were retrieved from electronic patient records. RESULTS: From the target group, 332 patients were eligible to participate in the study. The pressure injury risk was found to increase with longer hospital stays and older age. Surgical patients had an increased risk of pressure injuries compared to other specialty fields. A primary diagnosis of musculoskeletal or connective tissue disease, and secondary diagnoses of hypertension and cerebral haemorrhage, were linked with an increased pressure injury risk. A total of nine pressure injuries occurred in nine patients, with an incidence of 2.5% (stages II-IV). CONCLUSION: The observation and recording of pressure injuries in specialised medical care remain insufficient. Longer hospital stays, older age and surgery increase pressure injury risk. Also, patients' primary and secondary diagnoses may increase the pressure injury risk. DECLARATION OF INTEREST: The authors have no conflicts of interest to declare.

Evidence-informed policymaking: Modelling nurses' career pathway from registered nurse to advanced practice nurse.

AIM: To formulate, validate, and disseminate policy, modelling nurses' career pathway from registered to advanced practice nurse. METHOD: The evidence-informed policy and practice pathway framework was utilized. Multiple methods were used, including scoping review of literature, consultation of key informants, survey study, and expert group round-table discussions during 5-year project between 2013 and 2018. RESULTS: Through (a) sourcing, (b) using, and (c) implementing the evidence, the expert group worked systematically to formulate a policy on a career pathway from registered to advanced practice nurse. The formulated career pathway includes three competence levels: registered nurse, specialized nurse, and advanced practice nurse, which includes the roles of nurse practitioner and clinical nurse specialist. In addition, validation and dissemination of the policy, as well as its effective implementation and the process of integrating it into practice, were examined. CONCLUSION: Evidence-informed policymaking is an effective, interactive way to work collaboratively in achieving consensus and translating knowledge into practice. The formulated policy will contribute to the increased awareness, acknowledgement, and implementation of the registered nurses' traditional and new roles within health care environments. Implementing and integrating the policy in national health care policy, legislation, education, and organizations across the country is a work in progress.