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Table 3 Overview of registered nurses’ (n = 29) suggestions for improvement of their leadership close to older adults

From: Registered nurses’ challenges and suggestions for improvement of their leadership close to older adults in municipal home healthcare

Sub-categories

Categories

Work according to person-centred care

Adjusting the work to the older adult

Increase staff continuity at the older adult

Depart from detailed scheduling

Illuminate healthcare provided in ordinary housing

Clarifying the registered nurses’ responsibility

Delimit registered nurse’s nursing responsibility

Clarify registered nurse’s role in relation to managers for social care

A sustainable number of patients within the registered nurse’s responsibility

Balancing demands and resources

Be able to deny care request when lacking registered nurses

Improve staffing of registered nurses

A balance between demands and resources

Expand time for patient visits to increase patient safety

Setting time aside

Time for collegial support

Time to lead for the registered nurse

Time to delegate to care staff

Registered nurses with experience

Improving staff’s competence

Language skills requirements for care staff

Education requirements for care staff

Increase competence of care staff to improve collaboration

Improve instruments to validate knowledge and competence

Education in leadership for registered nurses

Ensuring staff’s competence development

Education for care staff

Education in conversation techniques

Improve work environment for care staff

Improving the work environment

Improve communication between staff

Improving the cooperation between professions in the municipality

Increase team collaboration between professions

Improve managers’ leadership

Increase physicians’ availability in the municipality

A common journal record system

Improving cooperation between healthcare organizations

Improve communication between healthcare organizations

One head principal for health care