University of Oulu

Lavander, P., Turkki, L. Suhonen, M., Meriläinen, M. (2017) Challenges and barriers in developing the division of labour between nurses in a Finnish acute hospital. Clinical International Journal of Caring Sciences, 10 (2), 726-735.

Challenges and Barriers in Developing the Division of Labour between Nurses in a Finnish Acute Hospital

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Author: Lavander, Päivi1,2; Turkki, Leena1; Suhonen, Marjo1,3;
Organizations: 1Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu
2Oulu University Hospital
3Medical Research Group Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.1 MB)
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Language: English
Published: Alexander Technological Educational Institute of Thessaloniki, 2017
Publish Date: 2017-09-04


Background: Ageing populations with high demands for healthcare require changes in nursing work. The right division of labour is one of the solutions contributing to efficiency, productivity and quality in healthcare. Objective: To determine challenges and barriers related to the development of division of labour between practical nurses and registered nurses.
: This qualitative study reports as a part of a larger study of nurses (n=260), perceptions of challenges and barriers in developing the division of labour in one hospital district in Finland. The data was derived from an open-ended question and analysed by inductive content analysis.
: The results showed that challenges and barriers in developing the division of labour were related to the individuals` experiences and know-how and organisational factors. The most common factors in all groups were attitudes and prejudices, concern about competence and the limits and ambiguity of division of labour.
: The results were surprisingly similar in all groups (registered nurses, practical nurses, nurse managers). To improve productivity and quality in healthcare, we need uniform guidelines for wards, clear job descriptions, a culture of mutual respect, understanding of each group’s role, information about practical nurses’ education and continuous communication. Most of these issues are linked to management and its challenges.
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Series: International journal of caring sciences
ISSN: 1791-5201
ISSN-E: 1792-037X
ISSN-L: 1791-5201
Volume: 10
Issue: 2
Pages: 726 - 735
Type of Publication: A1 Journal article – refereed
Field of Science: 3141 Health care science
316 Nursing
Copyright information: OPEN ACCESS LICENCE With this license readers can share, distribute, download, even commercially, as long as the original source is properly cited.