Lifelong learning in community healthcare: Testing competence after learning activities in a blended learning space.
assistant nurses
blended learning
community healthcare
competence measurement
learning activities
nursing staff
Journal
Scandinavian journal of caring sciences
ISSN: 1471-6712
Titre abrégé: Scand J Caring Sci
Pays: Sweden
ID NLM: 8804206
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
revised:
13
03
2023
received:
23
01
2023
accepted:
30
04
2023
medline:
7
11
2023
pubmed:
19
5
2023
entrez:
19
5
2023
Statut:
ppublish
Résumé
This study reports from a municipality in Norway that implemented a competence enhancement programme for all its institutional nursing staff during the COVID-19 pandemic to fill identified competence gaps. Many Norwegian municipalities are experiencing a demand for expanded community healthcare services due to an increase in elderly patients and patients with extensive and complex needs. At the same time, most municipalities are striving to recruit and keep competent health personnel. New ways of organising and increasing the competence of the workforce may help ensure that the healthcare delivered corresponds to patients' changing needs. Nursing staff were encouraged to complete targeted competence enhancing activities with the aim of enhancing their competence in identified areas. The learning activities were blended and consisted of e-learning courses, lectures, supervision, vocational training and meetings with a superior. Competence was measured before and after the competence enhancing activities (n = 96). The STROBE checklist was applied. The results provide insight into the competence development of registered nurses and assistant nurses in institutional community health services. They show that the implementation of a workplace-based blended learning programme improved competence significantly, especially for assistant nurses. Offering workplace-based competence enhancing activities seems to be a sustainable way of facilitating lifelong learning among nursing staff. Facilitation of learning activities in a blended learning space may enhance accessibility and increase the potential for participation. A combination of reorganisation of roles and simultaneous competence enhancing activities can ensure that both managers and nursing staff prioritise filling competence gaps.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
This study reports from a municipality in Norway that implemented a competence enhancement programme for all its institutional nursing staff during the COVID-19 pandemic to fill identified competence gaps.
BACKGROUND
BACKGROUND
Many Norwegian municipalities are experiencing a demand for expanded community healthcare services due to an increase in elderly patients and patients with extensive and complex needs. At the same time, most municipalities are striving to recruit and keep competent health personnel. New ways of organising and increasing the competence of the workforce may help ensure that the healthcare delivered corresponds to patients' changing needs.
DESIGN AND METHODS
METHODS
Nursing staff were encouraged to complete targeted competence enhancing activities with the aim of enhancing their competence in identified areas. The learning activities were blended and consisted of e-learning courses, lectures, supervision, vocational training and meetings with a superior. Competence was measured before and after the competence enhancing activities (n = 96). The STROBE checklist was applied.
RESULTS
RESULTS
The results provide insight into the competence development of registered nurses and assistant nurses in institutional community health services. They show that the implementation of a workplace-based blended learning programme improved competence significantly, especially for assistant nurses.
CONCLUSIONS
CONCLUSIONS
Offering workplace-based competence enhancing activities seems to be a sustainable way of facilitating lifelong learning among nursing staff. Facilitation of learning activities in a blended learning space may enhance accessibility and increase the potential for participation. A combination of reorganisation of roles and simultaneous competence enhancing activities can ensure that both managers and nursing staff prioritise filling competence gaps.
Types de publication
Journal Article
Langues
eng
Pagination
1057-1066Informations de copyright
© 2023 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.
Références
WHO U. Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens. World Health Organization, the United Nations Children's Fund (UNICEF); 2022.
WHO. WHO guideline on health policy and system support to optimize community health worker programmes. World Health Organization; 2018.
Rasmussen I, Holden MBM, M. S. Losers and winners in the municipal health and care service. Equal services of good quality, regardless of age and place of residence? Report 2022/12. Norwegian Nurses' Association. VISTA Analyse 2022.
OECD. Task shifting and health system design. Report of the expert panel on effective ways of investing in health EXPH. European Union; 2019.
Blay N, Roche MA. A systematic review of activities undertaken by the unregulated nursing assistant. J Adv Nurs. 2020;76(7):1538-51.
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923-58.
Gagné M, Deci EL. Self-determination theory and work motivation. J Organ Behav. 2005;26(4):331-62.
Ryan RM, Deci EL. Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol. 2000;25(1):54-67.
Yu F, Raphael D, Mackay L, Smith M, King A. Personal and work-related factors associated with nurse resilience: a systematic review. Int J Nurs Stud. 2019;93:129-40.
Søbstad JH, Pallesen S, Bjorvatn B, Costa G, Hystad SW. Predictors of turnover intention among Norwegian nurses: a cohort study. Health Care Manage Rev. 2021;46(4):367-74.
De Simone S, Planta A, Cicotto G. The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses' turnover intention and patient satisfaction. Appl Nurs Res. 2018;39:130-40.
Lai L, Kapstad JC. Perceived competence mobilization: an explorative study of predictors and impact on turnover intentions. Int J Hum Resour Manag. 2009;20(9):1985-98.
Norwegian Ministry of Education and Research. Report No 14 to the Storting (2019-2020) The skills reform-Learning throughout life. In: Research MoEa, Editor. Ministry of Education and Research 2020.
Gautun H. A development that must be reversed. Staffing and expertise in nursing homes and in home care. NOVA report 14/20. Welfare research institute NOVA, OsloMet-the metropolitan university; 2020.
Bing-Jonsson PC, Hofoss D, Kirkevold M, Bjørk IT, Foss C. Nursing older people-competence evaluation tool: development and psychometric evaluation. J Nurs Meas. 2015;23(1):127-53.
Bing-Jonsson PC, Hofoss D, Kirkevold M, Bjørk IT, Foss C. Sufficient competence in community elderly care? Results from a competence measurement of nursing staff. BMC Nurs. 2016;15(5):5.
Bing-Jonsson PC, Bjørk IT, Hofoss D, Kirkevold M, Foss C. Competence in advanced older people nursing: development of nursing older people-competence evaluation tool. Int J Older People Nurs. 2015;10:59-72.
Cohen J. Statistical power analysis. 2nd ed. Hillsdale NJ: Erlbaum; 1988.
Jackson L, Jowsey T, Honey MLL. In-service education: evolving internationally to meet Nurses' lifelong learning needs. J Contin Educ Nurs. 2019;50(7):313-8.
King S, Damarell R, Schuwirth L, Vakulin A, Chai-Coetzer CL, McEvoy D. Knowledge to action: a scoping review of approaches to educate primary care providers in the identification and management of routine sleep disorders. J Clin Sleep Med. 2021;17(11):2307-24.
Mlambo M, Silén C, McGrath C. Lifelong learning and nurses' continuing professional development, a metasynthesis of the literature. BMC Nurs. 2021;20(1):62.
Oermann MH. Technology and teaching innovations in nursing education: engaging the student. Nurse Educ. 2015;40(2):55-6.
Swedberg L, Chiriac EH, Törnkvist L, Hylander I. From risky to safer home care: health care assistants striving to overcome a lack of training, supervision, and support. Int J Qual Stud Health Well Being. 2013;8(1):20758.
Swedberg L, Michelsen H, Hammar Chiriac E, Hylander I, Chiriac EH. On-the job training makes the difference: healthcare assistants perceived competence and responsibility in the care of patients with home mechanical ventilation. Scand J Caring Sci. 2015;29(2):369-78.
Zeytinoglu IU, Denton M, Brookman C, Plenderleith J. Task shifting policy in Ontario, Canada: does it help personal support workers' intention to stay? Health Policy. 2014;117(2):179-86.