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

Autor: Vatnøy TK; Centre for Care Research, Southern Norway and Department of Health and Nursing Science, University of Agder, Box 509, NO-4898 Grimstad, Norway., Sundlisæter Skinner M; Centre for Care Research, Southern Norway and Department of Health Sciences NTNU, Norwegian University of Science and Technology, Box 191, NO-2802 Gjøvik, Norway., Karlsen TI; Department of Health and Nursing Science, University of Agder, Box 509, NO-4898 Grimstad, Norway., Dale B; Centre for Care Research, Southern Norway and Department of Health and Nursing Science, University of Agder, Box 509, NO-4898 Grimstad, Norway.
Jazyk: angličtina
Zdroj: BMC nursing [BMC Nurs] 2020 Jul 22; Vol. 19, pp. 70. Date of Electronic Publication: 2020 Jul 22 (Print Publication: 2020).
DOI: 10.1186/s12912-020-00463-5
Abstrakt: 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.
Competing Interests: Competing interestsThe authors declare that there are no competing interests.
(© The Author(s) 2020.)
Databáze: MEDLINE
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