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Revising the TIGER 2018 Health Informatics Competency Framework: Updated Core Competency Areas for Nurses in a
Ursula Hertha Hübner1, Nicole Egbert1, Kaija Saranto2
1Osnabrück University of Applied Sciences, School of Business Management and Social Sciences, NDS, Germany, Osnabrück.
Methods of Information in Medicine
|July 30, 2026
Summary
The TIGER International Recommendation Framework for Health Informatics for Nurses was updated to reflect digital health advancements. Key findings emphasize AI, patient safety, and electronic health records for all nursing roles.
Area of Science:
- Nursing Informatics
- Digital Health Education
- Global Health Competencies
Background:
- The 2018 TIGER International Recommendation Framework provided global guidance for health informatics in nursing education.
- Evolving digital health necessitates a revision of the existing framework to maintain relevance.
Purpose of the Study:
- To update the TIGER International Recommendation Framework of Core Competencies in Health Informatics for Nurses.
- To align nursing informatics education with current digital health trends and future needs.
Main Methods:
- A three-step process mirroring the 2018 framework development: global expert survey (117 experts), regional workshops, and educational case studies.
- Maintained a role-based structure (Clinical Nursing, Nursing Management, Quality Management, Interprofessional Care Coordination, IT Management) for comparability.
- Assessed the relevance of 43 core competency areas across different nursing roles.
Main Results:
- Health informatics is highly relevant across all nursing roles, each with a distinct informatics pattern.
- Clinical Nursing emphasizes patient issues, digital proficiency, and ethical/legal understanding.
- Nursing Management integrates clinical skills with management knowledge; Quality Management blends clinical and management competencies.
- Interprofessional Care Coordination focuses on teamwork; IT Management requires technical and problem-solving skills.
- Artificial Intelligence (AI) integration is recommended across all nursing domains and roles.
Conclusions:
- The updated framework guides focus on priority areas like patient safety, electronic health records (EHRs), data utilization, and AI.
- Retains essential core components of health informatics education for nurses.
- Provides a contemporary roadmap for nursing informatics curriculum development worldwide.
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