The aim of this article is to describe the everyday work of registered nurses and their views on what skills they use, require, and wish to develop when caring for persons in the home care system. As regards method, the participants comprised 20 registered nurses. Individual interviews were subjected to content analysis. The results reveal that registered nurses are in effect guests in a person's home. Registered nurses' everyday work comprises advanced nursing care, making difficult decisions, and solving fundamental nursing problems. Registered nurses have a negative attitude to using evidence-based knowledge. The conclusions show that the demand for advanced nursing care competence has increased. As consultants, registered nurses need to delegate and teach the staff basic nursing care. They need to develop competencies in psychiatric and palliative nursing care and improve their handling of specific items of technical equipment.
The results in this piece of research indicate that a relatively small proportion of nurses' working time is used for general and specific nursing. It should be asked whether or to what extent the humanistic and holistic perspective taught in nursing education will be utilized in practical nursing.
This study described the work content of registered nurses (RNs) employed in municipal health care. Diary notes of three working days from 34 RNs were analysed using content analysis, and a total of 3185 activities were identified. Of these, 2807 were analysed further and grouped by comparing similarities and differences. The content of the RNs' nursing activities consisted of assessing health, giving treatments and conducting check-ups, handling pharmaceuticals and teaching. In the administration category, the content comprised planning and reporting, followed by documentation. The RNs' role in municipal health care is consultative, which reinforces their need for competence in advanced nursing, as well as in leadership and pedagogy. RNs mostly work without colleagues and they are responsible for many seriously ill patients. In order to be confident in providing qualified nursing, specialist nursing education in elderly care is needed.
The results in this piece of research indicate that a relatively small proportion of nurses' working time is used for general and specific nursing. It should be asked whether or to what extent the humanistic and holistic perspective taught in nursing education will be utilized in practical nursing.
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