"IPLOS" - Countable Care? Use of Care Mapping for Statistical Purposes in Norwegian Municipalities - What are the Challenges for Nurses?

Introduction: “IPLOS” is a central health register providing the basis for mandatory national statistics on care in Norwegian municipalities. Data are entered in IPLOS under 16 variables, for example “dressing” or “social behavior”. A score reflecting the care level is assigned for each variable. The aim of this study was to explore knowledge, skills and needs for increased competence in IPLOS mapping among care providers and to pilot a collaborative “World Cafe” training intervention. Methods: A three-step sequential approach starting with a questionnaire, followed by field observation of an intervention using the “World Cafe” method. The third step was a follow– up questionnaire. Results: The first questionnaire showed that four IPLOS variables were challenging to map and score. The World Cafe activated the participants through discussions and reflections. The second questionnaire showed no general improvement in mapping skills. Discussion and conclusion: The nurses obtained an insight into their own IPLOS competence and lack of competence, and their motivation for mapping. There seems to be a need for more experience-based learning during everyday practice.