Evidence map›Paper›PMID 42017654›Full record

ArticleJournal of nursing management2026

Future Training and Competency Needs in Hospital-at-Home Care: A Mixed-Methods Study From the Perspective of Healthcare Administrators and Managers.

Isakov Terhi-Maija, Härkönen Henna, Jansson Miia

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Isakov Terhi-MaijaResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland, oulu.fi.ORCID https://orcid.org/0000-0003-2990-0654
Härkönen HennaResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland, oulu.fi.ORCID https://orcid.org/0000-0001-6819-9392
Jansson MiiaResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland, oulu.fi.ORCID https://orcid.org/0000-0001-5815-0325

Funding

FinELibGovernment's analysis, assessment, and research activities, Prime Minister's Office, Finland VN/31368/2022Oulun Yliopisto
6 · The paper itself

Abstract

backgroundThe growing complexity of hospital-at-home care highlights the pressing need for continuous professional development to enhance specialized skills.

aimThis study aimed to describe the future training and competency needs in hospital-at-home care from the perspective of healthcare administrators and managers.

designA mixed-method convergent design was used to integrate quantitative and qualitative data on similar topics simultaneously, providing a more comprehensive understanding of system-level competency requirements than either method alone.

methodsThe data were collected through a nationwide survey (n = 25) and interviews (n = 46), covering all wellbeing services counties in Finland in 2023. Descriptive statistics were used for quantitative data and inductive content analysis for qualitative data.

resultsQuantitative results indicate needs for additional training in RAI assessment (68%), mental health care (60%), substance abuse expertise (48%), and managing disruptive behaviors (44%). Qualitative findings highlight broader future competence needs, including digital health; cultural and linguistic competence; interprofessional collaboration; managerial competence; home-environment quality and safety; clinical competence; and autonomy in evidence-based practice. Overall, the mixed-method findings differ yet complement one another: quantitative data identify concrete skill gaps, while qualitative insights emphasize wider, system-level competencies to meet the evolving demands of home-based care.

conclusionTaken together, these complementary findings indicate that advancing the workforce will require a dual approach: addressing concrete skill deficits while simultaneously developing the broader competencies needed to meet the evolving demands of home-based care. IMPLICATIONS FOR NURSING MANAGEMENT: This study informs the creation of structured competency frameworks, enabling nursing leaders to meet the evolving demands of home-based care.

Indexed as

Clinical CompetenceHome Care Services, Hospital-BasedFemaleFinlandHumansMaleQualitative ResearchSurveys and Questionnairescompetencyhealth care professionalshome-based healthcarehospital-at-homemixed-methods research

Identifiers

PMID42017654
PMCPMC13101448

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.