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1. Impact of a care pathway for COPD on adherence to guidelines and hospital readmission: a cluster randomized trial

Author

Vanhaecht K, Lodewijckx C, Sermeus W, Decramer M, Deneckere S, Leigheb F, Boto P, Kul S, Seys D, and Panella M

Subjects
Chronic Obstructive Pulmonary Disease, care pathway, readmission, quality improvement, cluster randomized controlled trial, Diseases of the respiratory system, RC705-779
Abstract

Kris Vanhaecht,1,2 Cathy Lodewijckx,1 Walter Sermeus,1 Marc Decramer,3,4 Svin Deneckere,1,5 Fabrizio Leigheb,6 Paulo Boto,7 Seval Kul,8 Deborah Seys,1 Massimiliano Panella1,6 1Department of Public Health and Primary Care, Leuven Institute for Healthcare Policy, KU Leuven – University of Leuven, 2Department of Quality Management, University Hospitals Leuven, 3Department of Clinical and Experimental Medicine, KU Leuven – University of Leuven, 4University Hospitals Leuven, Leuven, 5Medical Department, Delta Hospitals Roeselare, Roeselare, Belgium; 6Department of Translational Medicine, University of Eastern Piedmont, Vercelli, Italy; 7Department of Health Services Policy and Management, Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisbon, Portugal; 8Department of Biostatistics, School of Medicine, University of Gaziantep, Gaziantep, Turkey Purpose: Current in-hospital management of exacerbations of COPD is suboptimal, and patient outcomes are poor. The primary aim of this study was to evaluate whether implementation of a care pathway (CP) for COPD improves the 6 months readmission rate. Secondary outcomes were the 30 days readmission rate, mortality, length of stay and adherence to guidelines. Patients and methods: An international cluster randomized controlled trial was performed in Belgium, Italy and Portugal. General hospitals were randomly assigned to an intervention group where a CP was implemented or a control group where usual care was provided. The targeted population included patients with COPD exacerbation. Results: Twenty-two hospitals were included, whereof 11 hospitals (n=174 patients) were randomized to the intervention group and 11 hospitals (n=168 patients) to the control group. The CP had no impact on the 6 months readmission rate. However, the 30 days readmission rate was significantly lower in the intervention group (9.7%; 15/155) compared to the control group (15.3%; 22/144) (odds ratio =0.427; 95% confidence interval 0.222–0.822; P=0.040). Performance on process indicators was significantly higher in the intervention group for 2 of 24 main indicators (8.3%). Conclusion: The implementation of this in-hospital CP for COPD exacerbation has no impact on the 6 months readmission rate, but it significantly reduces the 30 days readmission rate. Keywords: COPD, care pathway, readmission, quality improvement, cluster randomized controlled trial

Published
2016

2. Effects of clinical pathways in the joint replacement: a meta-analysis

Author

Faggiano F, Sermeus W, Van Herck P, Vanhaecht K, Barbieri A, Marchisio S, and Panella M

Subjects
Medicine
Abstract

Abstract Background A meta-analysis was performed to evaluate the use of clinical pathways for hip and knee joint replacements when compared with standard medical care. The impact of clinical pathways was evaluated assessing the major outcomes of in-hospital hip and knee joint replacement processes: postoperative complications, number of patients discharged at home, length of in-hospital stay and direct costs. Methods Medline, Cinahl, Embase and the Cochrane Central Register of Controlled Trials were searched. The search was performed from 1975 to 2007. Each study was assessed independently by two reviewers. The assessment of methodological quality of the included studies was based on the Jadad methodological approach and on the New Castle Ottawa Scale. Data analysis abided by the guidelines set out by The Cochrane Collaboration regarding statistical methods. Meta-analyses were performed using RevMan software, version 4.2. Results Twenty-two studies met the study inclusion criteria and were included in the meta-analysis for a total sample of 6,316 patients. The aggregate overall results showed significantly fewer patients suffering postoperative complications in the clinical pathways group when compared with the standard care group. A shorter length of stay in the clinical pathway group was also observed and lower costs during hospital stay were associated with the use of the clinical pathways. No significant differences were found in the rates of discharge to home. Conclusion The results of this meta-analysis show that clinical pathways can significantly improve the quality of care even if it is not possible to conclude that the implementation of clinical pathways is a cost-effective process, because none of the included studies analysed the cost of the development and implementation of the pathways. Based on the results we assume that pathways have impact on the organisation of care if the care process is structured in a standardised way, teams critically analyse the actual organisation of the process and the multidisciplinary team is highly involved in the re-organisation. Further studies should focus on the evaluation of pathways as complex interventions to help to understand which mechanisms within the clinical pathways can really improve the quality of care. With the need for knee and hip joint replacement on the rise, the use of clinical pathways might contribute to better quality of care and cost-effectiveness.

Published
2009
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5. What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study

Author

Leerstoel Taris, Work and Organizational Psychology: Occupational Health Psychology, Kohnen, D., De Witte, H., Schaufeli, W.B., Dello, S., Bruyneel, L., Sermeus, W., Leerstoel Taris, Work and Organizational Psychology: Occupational Health Psychology, Kohnen, D., De Witte, H., Schaufeli, W.B., Dello, S., Bruyneel, L., and Sermeus, W.

Published
2023

8. A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial

Author

Sermeus, W., Aiken, L. H., Ball, J., Bridges, J., Bruyneel, L., Busse, R., De Witte, H., Dello, S., Drennan, J., Eriksson, L. E., Griffiths, P., Kohnen, D., Köppen, J., Lindqvist, R., Maier, C. B., McHugh, M. D., McKee, M., Rafferty, A. M., Schaufeli, W. B., Sloane, D. M., Smeds Alenius, L., Smith, H., and Magnet4Europe consortium

Subjects
Medicine(all), protocols & guidelines, Nurses, health policy, General Medicine, organisation of health services, RT, Hospitals, human resource management, Mental Health, RA0421, Physicians, Humans, ddc:610, Workplace, mental health, Randomized Controlled Trials as Topic
Abstract

IntroductionThe increasing burden of mental distress reported by healthcare professionals is a matter of serious concern and there is a growing recognition of the role of the workplace in creating this problem. Magnet hospitals, a model shown to attract and retain staff in US research, creates positive work environments that aim to support the well-being of healthcare professionals.Methods and analysisMagnet4Europe is a cluster randomised controlled trial, with wait list controls, designed to evaluate the effects of organisational redesign, based on the Magnet model, on nurses’ and physicians’ well-being in general acute care hospitals, using a multicomponent implementation strategy. The study will be conducted in more than 60 general acute care hospitals in Belgium, England, Germany, Ireland, Norway and Sweden. The primary outcome is burnout among nurses and physicians, assessed in longitudinal surveys of nurses and physicians at participating hospitals. Additional data will be collected from them on perceived work environments, patient safety and patient quality of care and will be triangulated with data from medical records, including case mix-adjusted in-hospital mortality. The process of implementation will be evaluated using qualitative data from focus group and key informant interviews.Ethics and disseminationThis study was approved by the Ethics Committee Research UZ/KU Leuven, Belgium; additionally, ethics approval is obtained in all other participating countries either through a central or decentral authority. Findings will be disseminated at conferences, through peer-reviewed manuscripts and via social media.Trial registration numberISRCTN10196901.

Published
2022

14. Effect of an intervention on the congruence of nurses' and patients' perceptions of patient‐centred care: A pre‐test post‐test study

Author

Castro, E. M., Van Regenmortel, R. F. M., Vanhaecht, K., Sermeus, W., Kiekens, C., Claes, K., Bruyneel, L., Castro, E. M., Van Regenmortel, R. F. M., Vanhaecht, K., Sermeus, W., Kiekens, C., Claes, K., and Bruyneel, L.

Abstract

Aims and Objectives To evaluate measurement invariance of the Individualized Care Scale (ICS) across patients and nurses, and assess the degree of congruence in nurses' and patients' perceptions on patient‐centredness and the impact of an intervention there on. Methods A pre‐post intervention study design with an expert by experience intervention was conducted in 2016 to 2017. Nurses (n = 138) and patients (n = 199) of two hospital departments in Belgium were surveyed. Patient‐centredness was measured using the ICS (ICS‐Nurse and ICS‐Patient). Measurement invariance was evaluated by conducting multiple‐group confirmatory factor analysis. Unpaired t tests and difference in difference analysis were used to evaluate the degree of congruence in nurses' and patients' perceptions on patient‐centredness and assess pre‐post changes in nurses' and patients' scores, respectively. SQUIRE guidelines were followed to report the study. Results There was no evidence of measurement non‐invariance. Nurses perceived the individuality of care more positively than patients both before and after the implementation of the intervention. Pre‐post changes in nurses' and patients' scores were not statistically significant. Conclusion There is a significant gap between the perceptions of nurses and patients regarding the support and provision of individual care: nurses consider provided care as more individualized than patients do. To orient nurses' perspectives more towards their patients' perspective, multicomponent interventions are needed. Researchers and hospital managers may use the ICS to evaluate interventions that have the ability to close the gap in nurses' and patients' perceptions of patient‐centredness. Embedding experts by experience in the professionals' team has the potential to foster patient‐centredness but needs to focus on patients and nurses equally.

Published
2020

30. Patient Outcomes and Hospital Nurses’ Workload: A Cross-Sectional Observational Study in Slovenian Hospitals Using the RN4CAST Survey

Author

SKELA-SAVIČ Brigita, ALBREHT Tit, SERMEUS Walter, LOBE Bojana, BAHUN Mateja, and DELLO Simon

Subjects
work conditions, staffing, rn, patient deaths, mortality, practice environment, bachelor of science, unfinished tasks, quality, management, delovne razmere, zaposlovanje, medicinske sestre, smrti bolnikov, umrljivost, delovno okolje, dodiplomski študij, nedokončane naloge, kakovost, menedžment, Public aspects of medicine, RA1-1270
Abstract

Higher nursing workload increases the odds of patient deaths, as the work environment has a significant effect on patient outcomes. The aim of the study was to explore the relation between patient outcomes and nurses’ working conditions in hospitals.

Published
2023
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33. A call for action to establish a research agenda for building a future health workforce in Europe

Author

Kuhlmann, E., Batenburg, R.S., Wismar, M., Dussault, G., Maier, C.B., Glinos, I.A., Azzopardi-Muscat, N., Bond, C., Burau, V., Correia, T., Groenewegen, P.P., Hansen, J., Hunter, D.J., Khan, U., Kluge, H.H., Kroezen, M., Leone, C., Santric-Milicevic, M., Sermeus, W., Ungureanu, M., Kuhlmann, E., Batenburg, R.S., Wismar, M., Dussault, G., Maier, C.B., Glinos, I.A., Azzopardi-Muscat, N., Bond, C., Burau, V., Correia, T., Groenewegen, P.P., Hansen, J., Hunter, D.J., Khan, U., Kluge, H.H., Kroezen, M., Leone, C., Santric-Milicevic, M., Sermeus, W., and Ungureanu, M.

Abstract

Contains fulltext : 194056.pdf (publisher's version ) (Open Access), The importance of a sustainable health workforce is increasingly recognised. However, the building of a future health workforce that is responsive to diverse population needs and demographic and economic change remains insufficiently understood. There is a compelling argument to be made for a comprehensive research agenda to address the questions. With a focus on Europe and taking a health systems approach, we introduce an agenda linked to the 'Health Workforce Research' section of the European Public Health Association. Six major objectives for health workforce policy were identified: (1) to develop frameworks that align health systems/governance and health workforce policy/planning, (2) to explore the effects of changing skill mixes and competencies across sectors and occupational groups, (3) to map how education and health workforce governance can be better integrated, (4) to analyse the impact of health workforce mobility on health systems, (5) to optimise the use of international/EU, national and regional health workforce data and monitoring and (6) to build capacity for policy implementation. This article highlights critical knowledge gaps that currently hamper the opportunities of effectively responding to these challenges and advising policy-makers in different health systems. Closing these knowledge gaps is therefore an important step towards future health workforce governance and policy implementation. There is an urgent need for building health workforce research as an independent, interdisciplinary and multi-professional field. This requires dedicated research funding, new academic education programmes, comparative methodology and knowledge transfer and leadership that can help countries to build a people-centred health workforce.

Published
2018

34. Healthcare assistants in EU member states: An overview

Author

Kroezen, M., Schäfer, W.L.A., Sermeus, W., Hansen, J., Batenburg, R.S., Kroezen, M., Schäfer, W.L.A., Sermeus, W., Hansen, J., and Batenburg, R.S.

Abstract

Item does not contain fulltext, With many European countries facing health workforce shortages, especially in nursing, and an increasing demand for healthcare, the importance of healthcare assistants (HCAs) in modern healthcare systems is expected to grow. Yet HCAs' knowledge, skills, competences and education are largely unexplored. The study 'Support for the definition of core competences for healthcare assistants' (CC4HCA, 2015-2016) aimed to further the knowledge on HCAs across Europe. This paper presents an overview of the position of healthcare assistants in 27 EU Member States (MSs) and reflects on the emerging country differences. It is shown that most learning outcomes for HCAs across Europe are defined in terms of knowledge and skills, often at a basic instead of more specialized level, and much less so in terms of competences. While there are many differences between MSs, there also appears to be a common, core set of knowledge and skills-related learning outcomes which almost all HCAs across Europe possess. Country differences can to a large extent be explained by the regulatory and educational frameworks in which HCAs operate, influencing their current and future position in the healthcare system. Further investments should be made to explore a common understanding of HCAs, in order to feed discussions at policy and organisational levels, while simultaneously investments in the development and implementation of context-specific HCA workforce policies are needed

Published
2018

35. A call for action to establish a research agenda for building a future health workforce in Europe

Author

Kuhlmann, E. (Ellen), Batenburg, R. (Ronald), Wismar, M. (Matthias), Dussault, G. (Gilles), Maier, C.B. (Claudia B.), Glinos, I.A. (Irene A.), Azzopardi-Muscat, N. (Natasha), Bond, C.M. (Christine), Burau, V. (Viola), Correia, T. (Tiago), Groenewegen, P.P. (Peter), Hansen, J. (Johan), Hunter, D.J. (David J.), Khan, U. (Usman), Kluge, H.H. (Hans H.), Kroezen, M. (Marieke), Leone, C. (Claudia), Santric-Milicevic, M. (Milena), Sermeus, W. (Walter), Ungureanu, M. (Marius), Kuhlmann, E. (Ellen), Batenburg, R. (Ronald), Wismar, M. (Matthias), Dussault, G. (Gilles), Maier, C.B. (Claudia B.), Glinos, I.A. (Irene A.), Azzopardi-Muscat, N. (Natasha), Bond, C.M. (Christine), Burau, V. (Viola), Correia, T. (Tiago), Groenewegen, P.P. (Peter), Hansen, J. (Johan), Hunter, D.J. (David J.), Khan, U. (Usman), Kluge, H.H. (Hans H.), Kroezen, M. (Marieke), Leone, C. (Claudia), Santric-Milicevic, M. (Milena), Sermeus, W. (Walter), and Ungureanu, M. (Marius)

Abstract

The importance of a sustainable health workforce is increasingly recognised. However, the building of a future health workforce that is responsive to diverse population needs and demographic and economic change remains insufficiently understood. There is a compelling argument to be made for a comprehensive research agenda to address the questions. With a focus on Europe and taking a health systems approach, we introduce an agenda linked to the 'Health Workforce Research' section of the European Public Health Association. Six major objectives for health workforce policy were identified: (1) to develop frameworks that align health systems/governance and health workforce policy/planning, (2) to explore the effects of changing skill mixes and competencies across sectors and occupational groups, (3) to map how education and health workforce governance can be better integrated, (4) to analyse the impact of health workforce mobility on health systems, (5) to optimise the use of international/EU, national and regional health workforce data and monitoring and (6) to build capacity for policy implementation. This article highlights critical knowledge gaps that currently hamper the opportunities of effectively responding to these challenges and advising policy-makers in different health systems. Closing these knowledge gaps is therefore an important step towards future health workforce governance and policy implementation. There is an urgent need for building health workforce research as an independent, interdisciplinary and multi-professional field. This requires dedicated research funding, new academic education programmes, comparative methodology and knowledge transfer and leadership that can help countries to build a people-centred health workforce.

Published
2018
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36. A call for action to establish a research agenda for building a future health workforce in Europe

Author

Kuhlmann, E, Batenburg, R, Wismar, M, Dussault, G, Maier, CB, Glinos, IA, Azzopardi-Muscat, N, Bond, C, Burau, V, Correia, T, Groenewegen, PP, Hansen, J, Hunter, DJ, Khan, U, Kluge, HH, Kroezen, Marieke, Leone, C, Santric-Milicevic, M, Sermeus, W, Ungureanu, M, Kuhlmann, E, Batenburg, R, Wismar, M, Dussault, G, Maier, CB, Glinos, IA, Azzopardi-Muscat, N, Bond, C, Burau, V, Correia, T, Groenewegen, PP, Hansen, J, Hunter, DJ, Khan, U, Kluge, HH, Kroezen, Marieke, Leone, C, Santric-Milicevic, M, Sermeus, W, and Ungureanu, M

Published
2018

38. Evolving Role of the Nursing Informatics Specialist

Author

Nagle, L.M., Sermeus, W., Junger, A., Murphy, J, Goossen, W, and Weber, P

Subjects
InformationSystems_GENERAL, ComputingMilieux_COMPUTERSANDEDUCATION, Humans, Nursing Informatics, Professional Role
Abstract

The scope of nursing informatics practice has been evolving over the course of the last 5 decades, expanding to address the needs of health care organizations and in response to the evolution of technology. In parallel, the educational preparation of nursing informatics specialists has become more formalized and shaped by the requisite competencies of the role. In this chapter, the authors describe the evolution of nursing informatics roles, scope and focus of practice, and anticipated role responsibilities and opportunities for the future. Further, implications and considerations for the future are presented. ispartof: pages:212-221 ispartof: FORECASTING INFORMATICS COMPETENCIES FOR NURSES IN THE FUTURE OF CONNECTED HEALTH vol:232 pages:212-221 ispartof: Nursing Informatics (NI) Post Conference location:SWITZERLAND, Geneva date:Jun 2016 status: published

Published
2017

44. Researching Complex Interventions in Health: The State of the Art (vol 16, 101, 2016)

Author

Craig, P., Rahm-Hallberg, I., Britten, N., Borglin, G., Meyer, G., Koepke, S., Noyes, J., Chandler, J., Levati, S., Sales, A., Thabane, L., Giangregorio, L., Feeley, N., Cossette, S., Taylor, R., Hill, J., Richards, D.A., Kuyken, W., von Essen, L., Williams, A., Hemming, K., Lilford, R., Girling, A., Taljaard, M., Dimairo, M., Petticrew, M., Baird, J., Moore, G., Odendaal, W., Atkins, S., Lutge, E., Leon, N., Lewin, S., Payne, K., vanAchterberg, T., Sermeus, W., Pitt, M., and Monks, T.

Published
2016

45. European Academy of Nursing Science 2016 Summer Conference

Author

Sermeus, Walter, primary, Cullum, Nicky, additional, Balzer, Katrin, additional, Schröder, Rhian, additional, Junghans, Anne, additional, Stahl, Ute, additional, Träder, Jens-Martin, additional, Köpke, Sascha, additional, Dichter, Martin N., additional, Palm, Rebecca, additional, Halek, Margareta, additional, Bartholomeyczik, Sabine, additional, Meyer, Gabriele, additional, Holle, Daniela, additional, Graf, Rabea, additional, Rosier, Ute, additional, Reuther, Sven, additional, Roes, Martina, additional, Gouveia, Bruna R., additional, Jardim, Helena G., additional, Martins, Maria M., additional, Freitas, Duarte L., additional, Maia, José A., additional, Rose, Debra J., additional, Gouveia, Élvio R., additional, Bruyneel, Luk, additional, Lesaffre, Emmanuel, additional, Sermeus, Walter, additional, Ball, J. E., additional, Bruyneel, L., additional, Aiken, L., additional, Tishelman, C., additional, Sermeus, W., additional, Griffiths, P., additional, Papastavrou, Evridiki, additional, Andreou, Panayiota, additional, Sasso, Loredana, additional, Bagnasco, Annamaria, additional, Zanini, Milko P., additional, Catania, Gianluca, additional, Aleo, Giuseppe, additional, Spandonaro, Federico, additional, Icardi, Giancarlo, additional, Watson, Roger, additional, Fleischer, Steffen, additional, Burckhardt, Marion, additional, Berg, Almuth, additional, Van Hecke, Ann, additional, Malfait, Simon, additional, Van Daele, Johan, additional, Eeckloo, Kristof, additional, Deschodt, Mieke, additional, Van Grootven, Bastiaan, additional, Milisen, Koen, additional, Flamaing, Johan, additional, Rahn, Anne C., additional, Backhus, Imke, additional, Kasper, Jürgen, additional, Krützelmann, Anna, additional, Kleiter, Ingo, additional, Mühlhauser, Ingrid, additional, and Heesen, Christoph, additional

Published
2016
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47. Shifting tasks from nurses to physicians: CDS needed after introduction of CPOE?

Author

Sermeus, Walter, Procter, Paula M, Weber, Patrick, Sermeus, W ( Walter ), Procter, P M ( Paula M ), Weber, P ( Patrick ), Eschmann, Emmanuel, Karlen, Sascha, Perger, Ludwig, Schneemann, Markus, Blaser, Jürg, Sermeus, Walter, Procter, Paula M, Weber, Patrick, Sermeus, W ( Walter ), Procter, P M ( Paula M ), Weber, P ( Patrick ), Eschmann, Emmanuel, Karlen, Sascha, Perger, Ludwig, Schneemann, Markus, and Blaser, Jürg

Abstract

Unintended effects can occur by introducing computerized physician order entry (CPOE) if responsibilities are shifted from nurses to physicians, e.g. regarding the specification of the duration of intravenous (IV) administrations. The purpose of this quality assessment was to determine the rate of IV prescriptions with too short durations, when the prescribers were not assisted by clinical decision support (CDS).

Published
2016

49. Nurses' shift length and overtime working in 12 European countries: The association with perceived quality of care and patient safety

Author

Griffiths, P. Dall'Ora, C. Simon, M. Ball, J. Lindqvist, R. Rafferty, A.-M. Schoonhoven, L. Tishelman, C. Aiken, L.H. Sermeus, W. Van Den Heede, K. Bruyneel, L. Lesaffre, E. Diya, L. Smith, H. Sloane, D. Jones, S. Kinnunen, J. Ensio, A. Jylhä, V. Busse, R. Zander, B. Blümel, M. Mantas, J. Zikos, D. Diomidous, M. Scott, A. Matthews, A. Staines, A. Holter, I.M. Sjetne, I.S. Brzostek, T. Kózka, M. Brzyski, P. Moreno-Casbas, T. Fuentelsaz-Gallego, C. Gonzalez-María, E. Gomez-Garcia, T. Alenius, L.S. De Geest, S. Schubert, M. Schwendimann, R. Heinen, M. Van Achterberg, T.

Abstract

Background: Despite concerns as to whether nurses can perform reliably and effectively when working longer shifts, a pattern of two 12-to 13-hour shifts per day is becoming common in many hospitals to reduce shift to shift handovers, staffing overlap, and hence costs. Objectives: To describe shift patterns of European nurses and investigate whether shift length and working beyond contracted hours (overtime) is associated with nurse-reported care quality, safety, and care left undone. Methods: Cross-sectional survey of 31,627 registered nurses in general medical/surgical units within 488 hospitals across 12 European countries. Results: A total of 50% of nurses worked shifts of r8 hours, but 15% worked Z12 hours. Typical shift length varied between countries and within some countries. Nurses working for Z12 hours were more likely to report poor or failing patient safety [odds ratio (OR) = 1.41; 95% confidence interval (CI), 1.13-1.76], poor/fair quality of care (OR=1.30; 95% CI, 1.10-1.53), and more care activities left undone (RR = 1.13; 95% CI, 1.09-1.16). Working overtime was also associated with reports of poor or failing patient safety (OR = 1.67; 95% CI, 1.51-1.86), poor/fair quality of care (OR=1.32; 95% CI, 1.23-1.42), and more care left undone (RR=1.29; 95% CI, 1.27-1.31). Conclusions: European registered nurses working shifts of Z12 hours and those working overtime report lower quality and safety and more care left undone. Policies to adopt a 12-hour nursing shift pattern should proceed with caution. Use of overtime working to mitigate staffing shortages or increase flexibility may also incur additional risk to quality. Copyright © 2014 by Lippincott Williams & Wilkins.

Published
2014

50. Challenges associated with the secondary use of nursing data

Author

Hardiker, NR, Sermeus, W, Janson, K, Saranto, K, Weaver, CA, and Chang, P

Abstract

There is a prevailing 'collect once, use many times' view of clinical data and its secondary use. This study challenges this view through an assessment of the degree to which the International Classification for Nursing Practice (ICNP) might be used to provide raw data for the Belgian Nursing Minimum Data Set (B-NMDS). A mapping exercise identified exact matches between ICNP and B-NMDS for just 8% of B-NMDS care descriptions; no matches at all for 23%; possible broader matches in ICNP for 55%; possible narrower matches for 8%; and a possible broader and narrower match for 1%. Refining ICNP content and developing and implementing purposive data sets or catalogues that accommodate both ICNP concepts and B-NMDS care descriptions would lay the foundations for the potential re-use of primary ICNP-encoded data in populating the B-NMDS. One unexpected result of the study was to re-affirm the utility of ICNP as a reference terminology.

Published
2014

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