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[Nursing development at the Solothurn hospitals. Towards clinically oriented nursing expertise and practice
Ursi Barandun Schäfer1, Therese Hirsbrunner, Susanne Jäger
1Solothurner Spitäler AG und Universitätsspital Basel.
Pflege
|January 29, 2011
Summary
Academically educated nurses at Solothurn Hospitals improved patient care through expert practice and organizational methods. Advanced Practice Nurses (APNs) integrate leadership and teamwork for enhanced outcomes.
Area of Science:
- Nursing Science
- Healthcare Management
- Clinical Practice Development
Context:
- Solothurn Hospitals (soH) implemented a nursing care development strategy.
- Focus on patient-oriented, effective, appropriate, and economic care.
- Involved 13 academically educated nurses in strategic development.
Purpose:
- To improve nursing care quality and efficiency.
- To implement and evaluate specific nursing strategies.
- To define the role and competencies of expert nurses.
Summary:
- Strategy priorities: expert patient care, organizational methods (primary nursing, nursing process), and practice development projects.
- Positive evaluation of expert care by patients and staff.
- Primary nursing adoption rate: 81-90%; fall rate reduction in geriatric rehabilitation (8.2 to 5.5 per 1000 patient days).
Impact:
- Expert nurses function similarly to Advanced Practice Nurses (APNs), combining bedside care with practice development.
- Successful integration into hierarchical and interprofessional structures is crucial.
- Transformational Leadership competencies are essential for management levels.
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