Nurses. Five European guidelines for e-Health arrive – Quotidiano Sanità

Highlighting the potential of eHealth for health and the social ecosystem: these are the prerequisites of the 5 ENS4Care guidelines for electronic health services developed with a view to professional integration. From prevention to clinical practice, from integrated assistance to continuity of care, up to ePrescribing.

12 DIC – Highlight the potential of eHealth in supporting health and the social ecosystem. These are the assumptions that prompted the partners of the EU ENS4Care project – for Italy CNAI and Cittadinanzattiva collaborated – to develop five guidelines for electronic health services relating to prevention, clinical practice (COPD), integrated care, continuity of care and nursing ePrescribing, focusing on the design of advanced and highly qualified roles on both the health and social sides of the EU workforce.

Through eHealth, according to the project, it is possible to move the traditional way of managing care towards an integrated system that reduces the “front line” workload, focuses more and more on the person, improving patient empowerment , and ensuring continuity across the primary and secondary health and social care sectors.

The digital single market is a real opportunity to realize the potential of integrated assistance for citizens and the key messages that emerged during the discussion that took place in Brussels for the official presentation in the EU Parliament of the results of the ENS4Care project were:

– eHealth and interprofessional work are key components of health systems reform;
– a multi-stakeholder approach that includes not only health professionals, but whoever takes care of the patients is necessary for the development of social and health policies;
– Data privacy concerns should not call into question the value eHealth can bring to improving the daily lives of patients and citizens.

In this sense, other clear messages arrive from Brussels:

– Nursing research is key to the development of evidence-based e-health guiding public health policies;
– the development of digital health literacy among professionals as well as among patients is fundamental for the empowerment of both nurses and the patient himself;
– the EFN 3 + 1 Matrix workforce (the 3 + 1 matrix, includes the three categories of nurses: generalist, skilled and advanced) and the EFN Competency Framework (to be used nationally and regionally to ensure that the nursing curriculum is compliant with the minimum training requirements, currently being translated by CNAI) provide the tools to guide the implementation of eHealth in daily practice.

The meeting in Brussels highlighted that in order to redesign the health system and the orientations of social policies, transforming the current traditional medical-centric health care system into an innovative and sustainable integrated care model, research and implementation is necessary. evidence-based policies with a high ‘fit for purpose’.

“It was important – he said Cecilia Sironi, president of CNAI and present at the final event of 8 December also representing the National Federation of Ipasvi Colleges, which supported the initiative by helping in the collection of national data through its portal – be present and concretely show that it is possible to work together between several professional figures from different countries: nurses, social workers and doctors. It is the first time that a project of this magnitude has been led and managed by nurses with the EFN as a leader. The future of nursing research involving multiple disciplines and professionals is having new impetus and we hope that through the Foundation (European Nursing Research Foundation, ENRF) strongly supported by EFN, this is just a beginning ”.

“Computerization – he declared Barbara Mangiacavalli, president of the National Federation of Ipasvi Colleges – helps and guarantees professional integration, puts professionals in direct contact with each other in the most correct way and makes it possible to reduce the clinical risks that today, amid misunderstandings, possible errors and wild rationalizations, are always lurking . But computerization does more. It makes it possible to make visible all the managerial and clinical skills of the nursing profession, enabling it to make its own choices for patients and their care pathways, interacting with other levels of assistance in an autonomous and coordinated way so that it guarantees and manifests all the professionalism of nurses. finally, computerization can promote continuity of care not only between the different hospital settings but also between the hospital and the territory because if the patient’s clinical documentation accompanies him throughout his journey and the professionals, each for his own professional mandate, can interact on a computerized platform, it improves the appropriateness of the care process and the care pathway. The guidelines developed as part of ENS4Care – concludes Mangiacavalli – demonstrate this, highlighting the management capacity of the profession, which aim to solve the care needs of patients. In other words, enhancing the correct union between supply and demand which, thanks also to the network, allows us to reduce the time needed to respond to the needs of citizens, guaranteeing safer and more effective treatments, an internationally recognized prerogative of our professionalism “.

12 December 2015
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