Table 1.
Team | Start situation | Changes in staff mix | Changes in skill mix |
---|---|---|---|
1 (retirement home) | 31 team members, mainly nursing assistants level 1 and 2. | − Educating nursing assistants from level 1 to level 2. − Adding 3 nurses (level 4). − Tighter collaboration with other disciplines and clients’ family |
- Role enhancement - Role enlargement |
2 (care at home) | 8 team members: 5 nursing assistants level 2 and 3, 3 nurses level 4. | − Nursing assistants level 1 and 2 gone. Adding 3 nursing assistants level 3. | - Role enhancement - Role enlargement |
3 (nursing home) | 30 team members: nursing assistants level 2 or 3, and nurses (level 4). | − Adding 2 nurses (level 5). − Educating nursing assistants from level 2 to level 3 − Tighter collaborationwith other disciplines and clients’ family |
- Role enhancement - Role enlargement |
4 (care at home) | 14 team members: 1 nurse (level 4), 8 nursing assistants level 2 and 3, 3 casemanagers, 1 geriatric specialist, 1 psychologist. |
− No change in staff mix, but the team members split from 1 into 2 teams. − Tighter collaboration with other disciplines and clients’ family. |
- Role enhancement - Role enlargement |
5 (nursing home) | 51 team members: all nursing assistants level 3. | − Diversifying the team by downgrading nursing assistants to level 1 and 2, by hiring group assistants, and by letting go of some nursing assistants level 3. − Adding nurses (level 4 and 5). − Tighter collaboration with other disciplines and clients’ family. |
- Role enhancement - Role enlargement |
6 (nursing home) | 29 team members: mainly nursing assistants level 2 and 3. | − Adding 4 nurses (level 4). − Educating nursing assistants from level 2 to level 3. − Tighter collaboration with other disciplines. |
- Role enhancement - Role enlargement |
7 (retirement home) | 36 team members: nursing assistants level 1, 2 and 3. | − Adding 2 nurses (level 4). − Tighter collaboration with other disciplines and clients’ family. |
− Role enhancement − Role enlargement |