Competencies Required for Hospital‐Based Wound, Ostomy, and Continence Nurses to Provide PI Care in Home Care in Japan: A Mixed‐Methods Study

Aim To identify the competencies required for hospital‐based WOC nurses to provide direct pressure injury (PI) care in home care settings in Japan. Design Mixed methods convergent design. Methods The qualitative strand used a descriptive design to explore competencies for overcoming barriers faced by hospital‐based WOC nurses when providing PI care at home. The quantitative strand used a cross‐sectional design to assess competencies in organising the hospital PI management system. Results Six competencies were identified: (1) Establish relationships with home healthcare professionals; (2) Promote hospital‐based WOC nurse's expertise to home healthcare professionals; (3) Collaborate with the regional medical liaison office in WOC nurse's hospital; (4) Involve hospital administrators in home PI management; (5) Utilise social media/Information and Communication Technology for patient or home‐visiting nurse communication; and (6) Utilise public or academic support projects to facilitate home‐based activities. The median scoring rate for each medical staff domain on the revised Collaboration Competency Scale for WOC Nurses ranged from 80% to 91%. Conclusion The results of this study can serve as a practical resource to help WOC nurses expand their activities into home‐care settings. Implications for the Profession Their ability to coordinate with staff and manage PI care within hospitals supports active engagement in home care, improving continuity and quality. Impact This study addressed the issue that many hospital‐based WOC nurses cannot visit patients at home. The competencies identified may enable these nurses to expand their role into home care. Reporting Method This study followed EQUATOR guidelines, with the STROBE Statement applied to the quantitative part and the COREQ checklist to the qualitative part. Patient or Public Contribution Patients or the public were not involved in the study's design, conduct, or reporting.