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The Norwegian teaching home program: developing a model for systematic practice development in the nursing home
1Professor, Institute of Nursing and Health Sciences, University of Oslo, Oslo, Norway, and Professor, Department of Nursing Science, Aarhus University, Aarhus, Denmark.
International Journal of Older People Nursing
|October 8, 2010
Summary
The Norwegian teaching nursing home (NTNH) program enhanced staff competence and care quality in aged care facilities. This initiative led to the permanent establishment of teaching nursing homes, improving geriatric care and research.
Area of Science:
- Geriatric Care
- Healthcare Quality Improvement
- Nursing Education
Background:
- Critiques of residential aged care quality in Norway and globally highlighted issues with staff recruitment, retention, and low prestige in geriatric care.
- Poor collaboration existed between educational institutions and elderly care facilities, hindering education, competence development, and research.
- The Norwegian teaching nursing home (NTNH) program was initiated to address these systemic challenges in aged care.
Purpose of the Study:
- To enhance the quality of care for frail older individuals.
- To improve staff competence and elevate the prestige of geriatric care.
- To stimulate service development, facilitate research, and create optimal learning environments for students in elderly care.
Main Methods:
- A participatory action research design was employed over seven years to develop the NTNH program.
- The program involved multiple phases and engaged numerous individuals and institutions across Norway.
- Focus on collaborative development between educational bodies and care facilities.
Main Results:
- Significant increase in formal and informal staff competence was observed.
- Numerous practice development projects enhanced care quality in specific problem areas.
- Dissemination of competence development models improved care standards beyond participating institutions, and student learning conditions were enhanced.
Conclusions:
- The NTNH program successfully led to the permanent establishment of teaching nursing homes (TNHs).
- These TNHs are now integral to continuous competence development, practice improvement, and research in Norwegian nursing homes.
- The program fostered enthusiasm and elevated the status of geriatric care institutions.
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