Nursing Informatics & Technology




The first nursing assessment that adapts to the nursing setting

One of the most important tasks and competences in professional nursing is certainly the observation, assessment and evaluation of nursing-related or nursing-relevant conditions of the patients or residents.

These are always subject to subjective circumstances, such as professional experience or specialised qualifications of the individual care professionals. Therefore, in addition to the professional assessment, a variety of assessment instruments for specific care-related conditions and settings have developed. These have then partly become components of expert standards or billing bases. As a result, nursing professionals today have to use a large number of instruments in order to obtain a holistic and also systematic assessment of nursing-relevant conditions and phenomena. The number of necessary assessment instruments can quickly reach double digits, as at best all life activities should be assessed in an appropriate care setting.

For this reason, more complex, overarching nursing assessments have also developed in recent years. Examples are the outcome-oriented nursing assessment (ePA-CC) or the Basic Nursing Assessment (BAss). Both are oriented towards specific care settings (acute care, paediatric care, etc.). Based on this development and functional history of nursing assessment instruments, from individual to complex assessments and the feedback and experiences of digital use from practice, the NursIT Institute has now developed the first intelligent meta nursing assessment.

SeMPA (self-care meta-care assessment) was consistently designed to today's digital possibilities with intelligent algorithms, artificial intelligence and prediction in order to automatically offer users the right criteria for assessing patients and residents and the subsequent care processes in the respective care setting. For this purpose, the nursing process repository (PPRep) was first developed and implemented. In this PPRep database, nursing expertise and nursing-relevant, valid instruments are broken down into the smallest units of information, ordered and classified. In addition, nursing logics and rules for the stored information are stored as nursing process units. Thus, the nursing process repository is able to digitally create a suitable anamnesis with the appropriate nursing assessment (SeMPA), suitable nursing diagnoses (SeMPA diagnoses) and nursing measures (CarMa - CareIT nursing measures) in individual nursing settings of a patient from the individual process units. This means nothing less than that only one nursing process repository is needed for all nursing settings and adapts the digital process to it in each case. This reduces the documentation effort for nursing professionals by two thirds and provides a basis for nursing decisions. Although SeMPA has only been completed in version 1.0 since mid-2021, it is already being used productively in home care, long-term care, acute care and intensive care. 

The self-care meta-nursing assessment (SeMPA) is not only being further developed for other areas, such as geriatrics, paediatrics, psychiatry or palliative care, but is also being researched and evaluated in nursing science by several universities. Even if the further development and maintenance lies with the NursIT Institute, other system manufacturers can also integrate the nursing process repository with SeMPA into their products via modern interface technology (HL7 FHIR) and make it available to their users. In this way, any software can easily be extended by a modern, innovative meta nursing assessment.

This shows how the competent combination of nursing knowledge, nursing science and state-of-the-art technologies can significantly relieve the burden and reduce bureaucracy in nursing. 

Please find below an introductional video to SeMPA.
You might want to activate subtitles in your preferred language.

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