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. 2018 Dec 20;18:988. doi: 10.1186/s12913-018-3812-4

Table 1.

Data on numbers of staff mix and skill mix per team

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