The organisation of community nursing services may impact negatively on safety and the quality of care
Some municipalities gave considerably more prominence to finances and day-to-day operations than safe and secure patient experiences.
Some municipalities gave considerably more prominence to finances and day-to-day operations than safe and secure patient experiences.
Following the introduction of the Coordination Reform, nurses employed by the municipal health service have had to deal with a growing number of complex, patient-focused tasks. The need for professional development is considerable, but there is no overall strategy in place.
When staff in the child health clinic and school health services tell parents that their child is overweight, many feel both a sense of shame and guilt.
When public health nurses use the EPDS screening tool in addition to their gut feeling and clinical judgment, they identify more mothers who need help.
Quality improvement measures led to midwives reducing the use of cardiotocography (CTG) on admission by 47 per cent. Nevertheless, they continued to use CTG more often than necessary.
Anaesthetic nurses found that the children were easier to wake preoperatively and that their awakenings were calmer and less painful.
The organisational form results in RNs working in greater isolation, and this may mean that their professional competence stagnates. The parents become the experts on the child – not the RNs.
The registered nurses demonstrated a higher level of competence than the nursing associates and healthcare assistants. However, scores were too low in all three groups in response to emergency scenarios.
Guided Self-Determination (GSD) can help improve the counselling skills of registered nurses. It can also encourage patients to reflect on their own communication skills.
Participation in cancer and palliative care networks increased the registered nurses’ competence. Staff exchange training schemes and frequent participation in clinical practice days were also highly beneficial.