ArticleBMC nursing2020
Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study.
Article in BMC nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Providing effective and efficient hospital admission avoidance inpatient care: a systematic realist review of Norwegian municipal inpatient acute care services.BMC health services research · 2026Pooled it
- Municipal intermediate care services in Denmark and Norway: a cross-country comparative analysis.Scandinavian journal of primary health care · 2026Article
- If not us, then who? Ethnographic insights into nurses' role in redesigning a rural health service to meet changing demands.BMC health services research · 2025Article
- Facility and Regional Variations in Admission and Discharge Patterns Within Step-Up Intermediate Care: A Cross-Sectional Study of Municipal Inpatient Acute Care Services in Norway.Health services insights · 2024Article
- Understanding registered nurses' career choices in home care services: a qualitative study.BMC health services research · 2023Article
- Dysphagia Care and Management in Rehabilitation: A National Survey.Journal of clinical medicine · 2022Article
- Associations between nurse managers' leadership styles, team culture and competence planning in Norwegian municipal in-patient acute care services: A cross-sectional study.Scandinavian journal of caring sciences · 2022Article
- Finding good alternatives to hospitalisation: a data register study in five municipal acute wards in Norway.BMC health services research · 2022Article
- Article
- Organizing work in local service implementation: an ethnographic study of nurses' contributions and competencies in implementing a municipal acute ward.BMC health services research · 2021Article
- Nurses in the lead: a qualitative study on the development of distinct nursing roles in daily nursing practice.BMC nursing · 2021Article
- The Causal Effect of Community Hospitals on General Hospital Admissions. Evaluation of a Natural Experiment Using Register Data.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
methodsA 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.
resultsOf 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.
conclusionThis 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.
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