Nursing competencies for integrated home and community care: Developing resources to support workforce stabilization
Notice bibliographique
Résumé
Background: Workforce stabilization is critical to sustainability and expansion of home and community care, given rising demand for care outside facility-based settings. Continuous knowledge and skill-building, rooted in up-to-date and evidence-based competencies and resources, is central to ensuring home health nurses are equipped to deliver care in dynamic community care contexts that include: increasing use of digital health tools, rising complexity of client needs, and evolving models of integrated care. This presentation will feature two examples of applied health research projects focused on identifying and optimizing knowledge and skills needed by the nursing workforce to support delivery of integrated home and community care including: () updating Canadian Home Health Nursing (HHN) competencies, and (2) developing evidence-based tools to build key integrated care competencies among home health nurses working in transitional care programs. Approach: To update the HHN competencies, a modified e-Delphi study was completed with a diverse expert panel of home health nurses (n=43) across Canada working in point-of-care, leadership, and education roles. Additional feedback was obtained during consultations with an advisory working group of home health nursing leaders (n=28), home health nurses (n=4), and interdisciplinary home care team members (n=2). To develop practical tools and resources to support continuous knowledge and skill-building in the nursing workforce related to integrated care competencies, nurses working in community-based transitional care models will be interviewed about their experiences, challenges and opportunities related to the use of standardized assessment data to support evidence-informed, person-centred and goal-oriented care planning with clients, families and interdisciplinary teams. Results: A total of 93 competencies were recommended for inclusion in the updated HHN competencies based on feedback from home health nurses, including Registered Nurses and Registered / Licensed Practical Nurses from 0 provinces and territories in Canada. Key competencies which may be of particular importance to integrated care settings focus on data-informed decision making (e.g., using assessment tools to inform care planning, use of technology to facilitate data collection), and communication and information sharing among interdisciplinary home care team members. Interviews with transitional care nurses are anticipated to provide important context to understanding current practices related to operationalization of data generated from standardized assessments to support capacity-building practice initiatives among the nursing workforce in integrated home and community transitional care settings. Preliminary interview results will be presented at the conference. Implications: Engaging in the collaborative development of HHN competencies with point-of-care providers, operational leaders, funders, and policy makers is critical to creating a purpose-built nursing workforce for integrated care, as competencies serve as the foundation for workforce training and development initiatives. Developed competencies can be used to support skill-building and knowledge uptake, including informing pre-service education curriculum as well as professional development opportunities available to home health nurses. Intentional inclusion of competencies which support integrated care ensures the home health nursing workforce will be equipped with the skills necessary for effective integrated care delivery. Next steps in this work includes the co-design of practical tools and resources with experts-by-experience to support nursing workforce capacity building based on competencies related to data-informed and goal-oriented care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,013 | 0,022 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,002 | 0,001 |
| Études des sciences et des technologies | 0,005 | 0,002 |
| Communication savante | 0,003 | 0,003 |
| Science ouverte | 0,002 | 0,010 |
| Intégrité de la recherche | 0,002 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».