Sufficient competence in community elderly care? Results from a competence measurement of nursing staff

BMC Nursing
Pia Cecilie Bing-JonssonChristina Foss

Abstract

Multi-morbidity, poly-pharmacy and cognitive impairment leave many old patients in a frail condition with a high risk of adverse outcomes if proper health care is not provided. Knowledge about available competence is necessary to evaluate whether we are able to offer equitable and balanced health care to older persons with acute and/or complex health care needs. This study investigates the sufficiency of nursing staff competence in Norwegian community elderly care. We conducted a cross-sectional survey of 1016 nursing staff in nursing homes and home care services with the instrument "Nursing Older People - Competence Evaluation Tool". Statistical analyses were ANOVA and multiple regression. We found that nursing staff have competence in all areas measured, but that the level of competence was insufficient in the areas nursing measures, advanced procedures, and nursing documentation. Nursing staff in nursing homes scored higher than staff in home care services, and older nursing staff scored lower than younger nursing staff. A reason for the relatively low influence of education and training on competence could be the diffuse roles that nursing staff have in community elderly care, implying that they have poor standards against ...Continue Reading

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Citations

Dec 30, 2016·International Journal of Older People Nursing·Outi KiljunenPirjo Partanen
Jun 7, 2017·Journal of Advanced Nursing·Jessica HöglanderAnnelie J Sundler
Feb 6, 2018·Journal of Clinical Nursing·Anne Marie Lunde HusebøKristin Akerjordet
Jun 16, 2017·Journal of Clinical Nursing·Åsa AnderssonGörel Hansebo
Feb 8, 2019·International Journal of Older People Nursing·Outi KiljunenPäivi Kankkunen
Apr 25, 2019·Journal of Clinical Nursing·Silje Havrevold HenniChristina Foss
Sep 21, 2018·BMC Health Services Research·Malin Knutsen GletteSiri Wiig
Oct 24, 2019·International Journal of Older People Nursing·Annelie J SundlerInger K Holmström
May 16, 2019·Journal of Clinical Nursing·Torunn Kitty VatnøyBjørg Dale
May 31, 2020·Journal of Clinical Nursing·Elisabeth ØstensenRagnhild Hellesø
Jun 23, 2020·Health Services Insights·Maren SogstadMarianne Sundlisæter Skinner
Mar 29, 2019·Nursing Open·Ann-Chatrin Linqvist LeonardsenInga Rutherford
Sep 19, 2019·Journal of Nursing Management·Abeer M ShaheenMuayyad Ahmad
Jan 16, 2020·Research and Theory for Nursing Practice·Elisabeth Holm HansenLisbeth M Fagerstrom
Mar 13, 2018·International Journal of Older People Nursing·Silje Havrevold HenniChristina Foss
Aug 2, 2019·Nursing Open·Hilde SøreideMaj-Britt Råholm
May 1, 2018·Journal of Research in Nursing : JRN·Marit Kirkevold

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Software Mentioned

CET
ESAS
SPSS
LCP
Questback
NOP
Nursing Older People – Competence Evaluation Tool ( NOP - CET
Insulatard

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