The model illustrates some challenging areas for improvement within the organisation of 24-hour home care, such as personnel continuity and competence, collaboration, and routines for acute care.
In professional competence, collaboration was self-assessed as the best and development work (referring to self-development, team development, nursing development, and subordinate skill development) as the poorest dimension of competence.
The theoretical model, which is the main result of the study, illustrates some challenging areas for improvement within the organisation of home care, such as personnel continuity and competence, collaboration among care providers, and the development of routines for acute care.
The main topics explored in these focus groups were: the acquisition of basic palliative-care competences, maintaining competences and collaboration with other professionals.
Our findings suggest that flexibility, commitment and skills to work in mental health and primary care, and motivation towards teamwork are staff attributes that help develop competence in collaboration.
In accordance with current strategies of Northern Norway Regional Health Authority and the Ministry of Health and Care Services [ 30, 31], the service also aims to reduce unnecessary, as well as compulsory, admissions in acute psychiatric wards, due to expectations of increased competence and collaboration between levels in health care services.
Trust consists of the belief that partners will have and provide the appropriate resources (including competence) for the collaboration project to succeed, and that partners will have each others' best interests at heart in actions taken during the collaboration project.
Jun et al. [14] suggested that healthcare service quality should be measured based on the patient's perceptions, and presented 11 dimensions: tangibles, reliability, responsiveness, technology, competence, courtesy, communication, collaboration, caring, accessibility, customer understanding, and patient outcomes.
It requires collective competence and group collaboration.
The health care managers or councillors were asked to identify and send contact information of the employee in their municipality with the highest competence related to collaboration and IMC in health care services.
Tools that facilitate competence-based challenges, collaboration, and scheduling.
