Competence development of registered nurses in municipal elderly care in Sweden: A questionnaire survey

Josefsson, Karin, Sonde, Lars and Robins Wahlin, Tarja-Brita (2008) Competence development of registered nurses in municipal elderly care in Sweden: A questionnaire survey. International Journal of Nursing Studies, 45 3: 428-441. doi:10.1016/j.ijnurstu.2006.09.009

Author Josefsson, Karin
Sonde, Lars
Robins Wahlin, Tarja-Brita
Title Competence development of registered nurses in municipal elderly care in Sweden: A questionnaire survey
Journal name International Journal of Nursing Studies   Check publisher's open access policy
ISSN 0020-7489
Publication date 2008-03-01
Sub-type Article (original research)
DOI 10.1016/j.ijnurstu.2006.09.009
Open Access Status
Volume 45
Issue 3
Start page 428
End page 441
Total pages 14
Place of publication Oxford, United Kingdom
Publisher Pergamon
Language eng
Subject 1110 Nursing
Formatted abstract
Skilled and specialist registered nurses (RNs) are central to evolving elderly care. The past decades' organisational and structural changes have altered RNs' roles and work situations in municipal elderly care in Sweden. This calls for appropriate educational preparation. However, a substantial proportion of RNs in municipal elderly care lack adequate specialist competence.

The focus of this study was to describe RNs' perceptions of needs and possibilities for competence development in municipal elderly care and compare the perceptions of RNs' who work solely in dementia care (DC) with those who work in general elder care (GC) where older persons have diverse diagnoses.

A non-experimental, descriptive and comparative design was used.

Sixty special housing with subunits in a large city in the middle of Sweden.

Participating RNs were a total of 213, with a response rate of 62.3%. Of the 213 RNs, 95 (44.6%) worked in DC and 118 (55.4%) in GC. Method: A structured questionnaire that was specifically designed for this study and focused on needs and possibilities for competence development in nursing.

The RNs were on average not lacking or were hardly lacking knowledge in examined domains. However, RNs in GC lacked knowledge of dementia, falls, and fall injures to a greater extent than RNs in DC. RNs in DC perceived greater possibilities for competence development at work. Most RNs requested a better organisation for competence development, especially in GC. The majority of RNs had no supervision. The use of RNs' competence was high, although they used their highest competence about half of the working hours. The employers' financial contribution to RNs' continuing education was poor.

A better organisation and greater possibilities for RNs' competence development is needed. The employers need to make a greater contribution financially to RNs' continuing education. It is essential to provide RNs with supervision.
Keyword Competence development
Municipal elderly care
Registered nurse
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Available online 9 November 2006.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Created: Mon, 18 Jan 2010, 21:12:08 EST by Tara Johnson on behalf of Faculty Of Health Sciences