Table 3 Professional nursing competence across institutional locations and geographical regions
From: Nursing competence in municipal in-patient acute care in Norway: a cross-sectional study
Institutional locations | Geographical regions | ||||||||
|---|---|---|---|---|---|---|---|---|---|
Nursing homes (n = 141) | OMS (n = 16) | HH/LMC (n = 26) | Other locations (n = 24) | Northern Norway (n = 56) | Central Norway (n = 42) | Western Norway (n = 32) | South-Eastern Norway (n = 77) | Total (n = 207) | |
Nursing competence in MipAC | Md (IQR) | Md (IQR) | Md (IQR) | Md (IQR) | Md (IQR) | Md (IQR) | Md (IQR) | Md (IQR) | Md (IQR) |
Registered nurses (RNs) (n = 203) | 10 (8–14) | 20 (15–35) | 17.5 (12.7–22.3) | 14 (11–19) | 9 (7.3–11.8) | 10.5 (7–15.7) | 15 (5–50) | 15 (10–20) | 12 (8–17) |
Nurses assistants (NA) (n = 200) | 9 (5–12) | 1.5 (0–6) | 4.5 (1.8–7.3) | 4 (0–6) | 7 (4–12) | 8 (4–11) | 6 (2–8.5) | 7 (3–10) | 7 (3–10.8) |
Staff without formal health care training (n = 200) | 2 (0–5) | 0 (0–0) | 0 (0–1.3) | 0 (0–2) | 2 (0–5) | 3 (0–6) | 0 (0–11) | 0 (0–3) | 1 (0–4) |
Proportion of RNs in staff (n = 203) | 50 (35–63.6) | 92.2 (76.3–100) | 74.5 (58.5–91) | 75 (56.2–100) | 47.4 (34.4–66.6) | 47.2 (33.7–60.8) | 64.7 (55.3–85.7) | 65.7 (49–86.2) | 56 (40–78) |
RNs with less than one years’ experience (n = 200) | 0 (0–1) | 0 (1–2.75) | 0 (0–1) | 1 (0–1) | 0 (0–1) | 0 (0–0) | 0 (0–1) | 0 (0–1) | 0 (0–1) |
RNs with additional education (n = 203) | |||||||||
Emergency nursing | 0 (0–1) | 1 (0–1.75) | 0 (0–1) | 0 (0–2) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) |
Geriatric nursing | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) |
Mental health/psychiatric nursing | 0 (0–1) | 1 (0–1.75) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0 (0–1) |
Total additional educated RNs (n = 199) | 3 (2–4) | 3 (5–7) | 3 (1–5.5) | 4 (2–5) | 3 (0–9) | 4 (2–5) | 4 (1–5) | 3 (1–3) | 3 (0–5) |
Work shifts with one RN on duty over the last four weeks (n = 200) | |||||||||
Daytime | 5 (0–9) | 0 (0–1.75) | 0 (0–0.25) | 0 (0–8) | 8 (0–10) | 4 (0–8) | 0 (0–4.3) | 0 (0–7) | 3 (0–8) |
Evening time | 10 (2–20) | 0 (0–1.75) | 0 (0–3.3) | 1 (0–10) | 12 (2–20) | 10 (2–17) | 2 (0–5) | 1 (0–10) | 5 (0–15.8) |
Nighttime | 28 (5–28) | 0 (0–5.5) | 0 (0–28) | 14 (0–28) | 28 (15–28) | 17.5 (0–28) | 3.5 (0–28) | 12 (0–28) | 20 (0–28) |
Work shifts in total with one RN on duty over the last four weeks | 34 (15–54) | 0.5 (0–10) | 1.5 (0–28) | 16 (0–36) | 43 (25–58) | 33 (2.7–52.8) | 12.5 (0.8–30.3) | 15 (0–42) | 28 (5.3–49) |
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
Nursing competence standard requirements (n = 193) | 68 (50.4) | 13 (81.3) | 16 (61.5) | 11 (47.8) | 18 (35.3) | 20 (51.3) | 20 (66.7) | 50 (68.5) | 108 (56) |
Shift without RNs on duty (n = 200) | |||||||||
- Never | 95 (70.4) | 14 (87.5) | 25 (96.2) | 18 (78.3) | 39 (70.9) | 25 (59.5) | 26 (86.7) | 62 (82.7) | 152 (76) |
- A few times a year | 24 (17.8) | 2 (12.5) | 1 (3.8) | 2 (8.7) | 9 (16.4) | 8 (20) | 3 (10) | 9 (12) | 29 (14.5) |
- Monthly | 10 (7.4) | 0 (0) | 0 (0) | 2 (8.7) | 4 (7.3) | 5 (12.5) | 1 (3.3) | 2 (2.7) | 12 (6) |
- Weekly | 6 (4.4) | 0 (0) | 0 (0) | 1 (4.3) | 3 (5.5) | 2 (4.8) | 0 (0) | 2 (2.7) | 7 (3.5) |
Vacant RNs shift (due to sick leave, etc.) covered by RNs (n = 200). | |||||||||
- Always | 65 (48.1) | 12 (75) | 9 (34.6) | 11 (47.8) | 28 (50.9) | 17 (42.5) | 14 (46.7) | 38 (50.7) | 97 (48.5) |
- Mostly | 42 (31.1) | 3 (18.8) | 15 (57.7) | 8 (34.8) | 20 (36.4) | 14 (35) | 11 (36.7) | 23 (30.7) | 68 (34) |
- Sometimes | 19 (14.1) | 1 (6.3) | 2 (7.7) | 2 (8.7) | 5 (8.9) | 6 (15) | 4 (13.3) | 9 (12) | 24 (12) |
- Rarely | 7 (5.2) | 0 (0) | 0 | 1 (4.3) | 2 (3.6) | 3 (7.5) | 1 (3.3) | 3 (4) | 9 (4.5) |
- Never | 1 (0.7) | 0 | 0 | 1 (4.3) | 0 | 0 | 0 | 2 (2.7) | 2 (1) |