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Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study

BACKGROUND: The primary health care services are becoming increasingly complex, which presents challenges for the municipal nursing services. In Norway, municipal in-patient acute care (MipAC) has been introduced in all municipalities, and the competence at the services has been questioned. Few stud...

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Autores principales: Vatnøy, Torunn Kitty, Sundlisæter Skinner, Marianne, Karlsen, Tor-Ivar, Dale, Bjørg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7374816/
https://www.ncbi.nlm.nih.gov/pubmed/32704236
http://dx.doi.org/10.1186/s12912-020-00463-5
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author Vatnøy, Torunn Kitty
Sundlisæter Skinner, Marianne
Karlsen, Tor-Ivar
Dale, Bjørg
author_facet Vatnøy, Torunn Kitty
Sundlisæter Skinner, Marianne
Karlsen, Tor-Ivar
Dale, Bjørg
author_sort Vatnøy, Torunn Kitty
collection PubMed
description BACKGROUND: The primary health care services are becoming increasingly complex, which presents challenges for the municipal nursing services. In Norway, municipal in-patient acute care (MipAC) has been introduced in all municipalities, and the competence at the services has been questioned. Few studies have examined the nursing services in the units. This study aims to get an overview of the nursing competence in those units across geographical regions, and different groups of organisation and localisation. METHODS: A cross-sectional study was conducted, and an ad hoc questionnaire was distributed to first-line leaders in all the MipAC units in Norway. Data were collected in the period between 6 March 2019 to 6 June 2019. Measures to get an overview of the nursing competence were ratio of registered nurses (RNs) in staff, count of shifts with only one RN on duty and count of RNs with master’s degrees/specialisation. Descriptive comparative statistics were used. RESULTS: Of all 226 first-line leaders invited to participate, 207 (91.6%) responded to the questionnaire. Overall a considerable variance across the sample was revealed. The median ratio of RNs in staff was 56 (IQR = 40–70), the count of shifts with only one RN on duty median 28 (IQR = 5–49), and the count of RNs with a master’s degree or specialisation median 3 (IQR = 0–5). The regions of Northern and Central Norway, MipACs located in nursing home and MipACs organised at long-term care units, showed significantly lower nursing competence in staff compared to the remaining institution and organisations. CONCLUSION: This study generates knowledge that can inform planning, priorities and interventions that may be initiated at all organisational and political levels concerning the MipAC services. An overall conclusion is that advanced nursing competence is lacking. The study also highlights the most urgent direction for improvements regarding nursing competence in the services. It seemed to be MipACs in Northern and Central Norway, and those located at nursing homes organised together with long-term care units, that needed improvements the most.
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spelling pubmed-73748162020-07-22 Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study Vatnøy, Torunn Kitty Sundlisæter Skinner, Marianne Karlsen, Tor-Ivar Dale, Bjørg BMC Nurs Research Article BACKGROUND: The primary health care services are becoming increasingly complex, which presents challenges for the municipal nursing services. In Norway, municipal in-patient acute care (MipAC) has been introduced in all municipalities, and the competence at the services has been questioned. Few studies have examined the nursing services in the units. This study aims to get an overview of the nursing competence in those units across geographical regions, and different groups of organisation and localisation. METHODS: A cross-sectional study was conducted, and an ad hoc questionnaire was distributed to first-line leaders in all the MipAC units in Norway. Data were collected in the period between 6 March 2019 to 6 June 2019. Measures to get an overview of the nursing competence were ratio of registered nurses (RNs) in staff, count of shifts with only one RN on duty and count of RNs with master’s degrees/specialisation. Descriptive comparative statistics were used. RESULTS: Of all 226 first-line leaders invited to participate, 207 (91.6%) responded to the questionnaire. Overall a considerable variance across the sample was revealed. The median ratio of RNs in staff was 56 (IQR = 40–70), the count of shifts with only one RN on duty median 28 (IQR = 5–49), and the count of RNs with a master’s degree or specialisation median 3 (IQR = 0–5). The regions of Northern and Central Norway, MipACs located in nursing home and MipACs organised at long-term care units, showed significantly lower nursing competence in staff compared to the remaining institution and organisations. CONCLUSION: This study generates knowledge that can inform planning, priorities and interventions that may be initiated at all organisational and political levels concerning the MipAC services. An overall conclusion is that advanced nursing competence is lacking. The study also highlights the most urgent direction for improvements regarding nursing competence in the services. It seemed to be MipACs in Northern and Central Norway, and those located at nursing homes organised together with long-term care units, that needed improvements the most. BioMed Central 2020-07-22 /pmc/articles/PMC7374816/ /pubmed/32704236 http://dx.doi.org/10.1186/s12912-020-00463-5 Text en © The Author(s) 2020, corrected publication 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Vatnøy, Torunn Kitty
Sundlisæter Skinner, Marianne
Karlsen, Tor-Ivar
Dale, Bjørg
Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study
title Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study
title_full Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study
title_fullStr Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study
title_full_unstemmed Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study
title_short Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study
title_sort nursing competence in municipal in-patient acute care in norway: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7374816/
https://www.ncbi.nlm.nih.gov/pubmed/32704236
http://dx.doi.org/10.1186/s12912-020-00463-5
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