Competence needs of integrated care in the transition of health care and social services in Finland

IF 0.8 Q4 NURSING
Olli Nummela, Soile Juujärvi, T. Sinervo
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引用次数: 17

Abstract

Introduction This study investigates future integrated care competencies among workforce in health and social service sectors in the context of the national health and social services reform in Finland. Methods The sample was drawn from the registers of competent workforce in the social and health sectors in Finland in three different forerunner areas. Eight working sectors were identified. A total of 1943 participants represented a 16% of the sample (N = 12,250). Factor analyses were conducted on ratings from the COPE scale measuring integrated care competences. Logistic regression analyses were used to examine the associations between background variables and competence factors. Results The present study identifies three factors about the competences of future integrated care competencies. The factors were client-oriented needs assessment, holistic service guidance, and ensuring service path. The sectors of services for older people and administration indicated the highest level of competence needs, whereas the sector of social services indicated the lowest level. Variations between sectors and background variables are remarkable. Discussion The study points out three dimensions of generic competence needs perceived by employees that are required to secure client-oriented integrated care processes in the future. New competencies and targeted processes in organizations and between sectors are crucial in developing the quality and effectiveness of integrated care by improving future care processes. Professional education and training should advance the learning of generic competences shared by all professionals and sectors in accomplishing integrated care.
芬兰保健和社会服务转型中综合护理的能力需求
本研究在芬兰国家卫生和社会服务改革的背景下,调查了卫生和社会服务部门劳动力未来的综合护理能力。方法从芬兰三个不同的先行领域的社会和卫生部门的合格劳动力登记册中抽取样本。确定了八个工作部门。1943名参与者共占样本的16% (N = 12,250)。对综合护理能力的COPE量表评分进行因素分析。运用逻辑回归分析检验背景变量与能力因子之间的关系。结果本研究确定了未来综合护理能力的三个因素。以客户为导向的需求评估、整体服务引导和确保服务路径。老年人服务部门和行政部门显示出最高水平的能力需求,而社会服务部门则显示出最低水平的能力需求。行业和背景变量之间的差异是显著的。该研究指出了员工感知到的三个通用能力需求维度,这些需求是确保未来以客户为导向的综合护理流程所必需的。组织和部门之间的新能力和有针对性的流程对于通过改进未来的护理流程来发展综合护理的质量和有效性至关重要。专业教育和培训应促进所有专业人员和部门在实现综合护理方面共享的一般能力的学习。
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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