Nursing qualifications needed in municipal emergency inpatient units. A qualitative study

Abstract Background Providing care to older individuals with complex needs and patients with chronic illness is a concern worldwide. In Norway, this situation led to the transfer of responsibility for care and treatment to the municipalities. Providing emergency care at the municipal level – thereby...

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Autores principales: Bodil J. Landstad, Torstein Hole, Aasta-Marie Sveino Strand, Marit Kvangarsnes
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/fca559f8536c4dceb8e96e833b716b9d
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spelling oai:doaj.org-article:fca559f8536c4dceb8e96e833b716b9d2021-11-14T12:09:32ZNursing qualifications needed in municipal emergency inpatient units. A qualitative study10.1186/s12912-021-00733-w1472-6955https://doaj.org/article/fca559f8536c4dceb8e96e833b716b9d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12912-021-00733-whttps://doaj.org/toc/1472-6955Abstract Background Providing care to older individuals with complex needs and patients with chronic illness is a concern worldwide. In Norway, this situation led to the transfer of responsibility for care and treatment to the municipalities. Providing emergency care at the municipal level – thereby reducing the need for emergency hospital admissions – is part of the Coordination Reform in Norway. This reform from 2012 warrants a reconsideration of which nursing qualifications are needed in the municipalities. The aim of the study is to explore which professional qualifications nurses need to provide emergency care in municipal emergency inpatient units. Method A qualitative design with a hermeneutic approach was employed. Interviewing physicians about nursing qualifications may be considered inappropriate. We believe that this is important for developing knowledge that can strengthen interprofessional cooperation in emergency situations. Three focus groups were conducted. Physicians with experience in municipal emergency inpatient units were interviewed. Results We synthesised three themes from the data: (1) broad medical knowledge; (2) advanced clinical skills; and (3) ethical qualifications and a holistic approach. The first theme is about knowledge, the second is about skills, and the third conveys the need for overall competence. Conclusions Nurses working in municipal emergency inpatient units need advanced ethical qualifications, which integrate broad medical knowledge, advanced clinical skills and the ability to take a holistic approach. They have a considerable responsibility to work independently and safely in a setting where both the patient and the patient’s family play important roles. Establishing arenas for collaborative practice between physicians and nurses on clinical issues may be a way of strengthening patient safety and nurses’ clinical judgement.Bodil J. LandstadTorstein HoleAasta-Marie Sveino StrandMarit KvangarsnesBMCarticleEmergency medicine, nursing educationPrimary care, qualification frameworkCommunity of practiceNursingRT1-120ENBMC Nursing, Vol 20, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Emergency medicine, nursing education
Primary care, qualification framework
Community of practice
Nursing
RT1-120
spellingShingle Emergency medicine, nursing education
Primary care, qualification framework
Community of practice
Nursing
RT1-120
Bodil J. Landstad
Torstein Hole
Aasta-Marie Sveino Strand
Marit Kvangarsnes
Nursing qualifications needed in municipal emergency inpatient units. A qualitative study
description Abstract Background Providing care to older individuals with complex needs and patients with chronic illness is a concern worldwide. In Norway, this situation led to the transfer of responsibility for care and treatment to the municipalities. Providing emergency care at the municipal level – thereby reducing the need for emergency hospital admissions – is part of the Coordination Reform in Norway. This reform from 2012 warrants a reconsideration of which nursing qualifications are needed in the municipalities. The aim of the study is to explore which professional qualifications nurses need to provide emergency care in municipal emergency inpatient units. Method A qualitative design with a hermeneutic approach was employed. Interviewing physicians about nursing qualifications may be considered inappropriate. We believe that this is important for developing knowledge that can strengthen interprofessional cooperation in emergency situations. Three focus groups were conducted. Physicians with experience in municipal emergency inpatient units were interviewed. Results We synthesised three themes from the data: (1) broad medical knowledge; (2) advanced clinical skills; and (3) ethical qualifications and a holistic approach. The first theme is about knowledge, the second is about skills, and the third conveys the need for overall competence. Conclusions Nurses working in municipal emergency inpatient units need advanced ethical qualifications, which integrate broad medical knowledge, advanced clinical skills and the ability to take a holistic approach. They have a considerable responsibility to work independently and safely in a setting where both the patient and the patient’s family play important roles. Establishing arenas for collaborative practice between physicians and nurses on clinical issues may be a way of strengthening patient safety and nurses’ clinical judgement.
format article
author Bodil J. Landstad
Torstein Hole
Aasta-Marie Sveino Strand
Marit Kvangarsnes
author_facet Bodil J. Landstad
Torstein Hole
Aasta-Marie Sveino Strand
Marit Kvangarsnes
author_sort Bodil J. Landstad
title Nursing qualifications needed in municipal emergency inpatient units. A qualitative study
title_short Nursing qualifications needed in municipal emergency inpatient units. A qualitative study
title_full Nursing qualifications needed in municipal emergency inpatient units. A qualitative study
title_fullStr Nursing qualifications needed in municipal emergency inpatient units. A qualitative study
title_full_unstemmed Nursing qualifications needed in municipal emergency inpatient units. A qualitative study
title_sort nursing qualifications needed in municipal emergency inpatient units. a qualitative study
publisher BMC
publishDate 2021
url https://doaj.org/article/fca559f8536c4dceb8e96e833b716b9d
work_keys_str_mv AT bodiljlandstad nursingqualificationsneededinmunicipalemergencyinpatientunitsaqualitativestudy
AT torsteinhole nursingqualificationsneededinmunicipalemergencyinpatientunitsaqualitativestudy
AT aastamariesveinostrand nursingqualificationsneededinmunicipalemergencyinpatientunitsaqualitativestudy
AT maritkvangarsnes nursingqualificationsneededinmunicipalemergencyinpatientunitsaqualitativestudy
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