Technology Informatics Guiding Education Reform – TIGER

Abstract

Summary Background: While health informatics recommendations on competencies and education serve as highly desirable corridors for designing curricula and courses, they cannot show how the content should be situated in a specific and local context. Therefore, global and local perspectives need to be reconciled in a common framework. Objectives: The primary aim of this study is therefore to empirically define and validate a framework of globally accepted core competency areas in health informatics and to enrich this framework with exemplar information derived from local educational settings. Methods: To this end, (i) a survey was deployed and yielded insights from 43 nursing experts from 21 countries worldwide to measure the relevance of the core competency areas, (ii) a workshop at the International Nursing Informatics Conference (NI2016) held in June 2016 to provide information about the validation and clustering of these areas and (iii) exemplar case studies were compiled to match these findings with the practice. The survey was designed based on a comprehensive compilation of competencies from the international literature in medical and health informatics. Results: The resulting recommendation framework consists of 24 core competency areas in health informatics defined for five major nursing roles. These areas were clustered in the domains “data, information, knowledge”, “information exchange and information sharing”, “ethical and legal issues”, “systems life cycle management”, “management” and “biostatistics and medical technology”, all of which showed high reliability values. The core competency areas were ranked by relevance and validated by a different group of experts. Exemplar case studies from Brazil, Germany, New Zealand, Taiwan/China, United Kingdom (Scotland) and the United States of America expanded on the competencies described in the core competency areas. Conclusions: This international recommendation framework for competencies in health informatics directed at nurses provides a grid of knowledge for teachers and learner alike that is instantiated with knowledge about informatics competencies, professional roles, priorities and practical, local experience. It also provides a methodology for developing frameworks for other professions/disciplines. Finally, this framework lays the foundation of cross-country learning in health informatics education for nurses and other health professionals.

Clinical Information Systems – Seen through the Ethics Lens

“…Furthermore, there is evidence that ethics is an emerging theme, and that it may have even already become an established topic in health informatics education [15,16]. This perspective moves the focus from current debates to actionable consequences with the opportunity of changing the mindset and the attitudes that underly an ethical use of clinical information systems.…”

Osaamisen arviointi ammattikorkeakoulussa - Mittarin kehittäminen sähköisten sosiaali- ja terveydenhuollon palveluiden opetukseen

“…Terveydenhuollon tiedonhallinnan osaamista on määritelty jo 1990-luvulla, erityisesti sairaanhoitajan työn näkökulmasta niin kansallisesti [6,7] kuin kansainvälisesti [8][9][10][11]. Määritelmiä on myös sosiaalityön [12,13] ja siihen kuuluvan lastensuojelutyön [14] näkökulmista.…”

“…Osana tätä projektia kuvattiin myös Developer of Digital Health and Welfare Services (DeDiWe) projektin monialaisten opintojen kokonaisuus [19]. EU*US eHealth Work projektia taustoittaa muun muassa kansainvälinen sairaanhoitajien yhteistyö, Technology Informatics Guiding Education Reform (Tiger), jossa on tuotettu osaamiskuvauksia erilaisiin ammatillisiin rooleihin [11,22], joissa sairaanhoitajan perusosaamisen määrittelynä on käytetty eurooppalaista tietokoneajokorttia (ECDL) [23].…”

“…Nämä ovat kuitenkin perusedellytyksiä sote-tiedon saamiseksi hyötykäyttöön [1,2] ja osaksi älykkäitä järjestelmiä, joissa sote on keskeinen edelläkävijäalue [3]. Esimerkiksi sosiaalityöntekijät [12,13] ja sairaanhoitajat tarvitsevat omassa työssään termistöjä kirjaamiseen [2,4,5,[8][9][10][11]. Kuitenkin kaikki ammattilaiset tarvitsevat yhteistä kieltä sähköisten sote-palvelujen kehittämiseen [4,20,30].…”

“…Sosiaalija terveysministeriön strategia [1] korostaa tiedon toisiokäytön merkitystä. Sosiaali-ja terveydenhuollonammattilaisten tulee hallita soten tiedonhallinnan perusteita ymmärtääkseen tiedon käytön laajemmin kuin vain yksittäisen asiakkaan dokumentaationa [2,[4][5][6][7][8][9][10][11][12][13].…”