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Community nurses had the highest levels of generic nursing training in the Netherlands.
137, 138 In the US, higher expert support was more commonly available in the Veterans Affairs affiliated facilities than in the generic nursing homes.
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In Finland, the generic Nurse Competence Scale (NCS) was developed [ 24].
In this trial supervision of the treatment at home is either performed by community based, generic nurses or hospital resourced specialised respiratory nurses (nurse practitioners).
Specific and tailored training for generic nurses working with patients who are early discharge could be a good way to improve disease specific knowledge in generic community nurses and continue their work in the hospital-at-home scheme.
For the purposes of this paper, only the cost of the generic nurse-midwife degree program will be presented and discussed.
In this study both strategies for early assisted discharge (hospital resources or community based) and the different professionals involved in home care (generic nurses or specialised respiratory nurses) are being used.
In addition, another study showed that in post-rehabilitation COPD patients, delivery of home care by specialised nurses showed no superior results over care delivered by generic nurses [ 20].
Of hospital respiratory nurses, generic community nurses and specialised community nurses, 7/9 (78%), 9/15 (60%) and 4/6 (67%) believed their role was different.
According to 5/6 specialised community nurses, generic community nurses did have sufficient knowledge and skills to monitor patients at home.
Response rate was 10/17 in pulmonologists, 10/23 in residents, 9/12 in hospital respiratory nurses, 15/60 in generic community nurses, 6/10 in specialised community nurses and 25/47 in general practitioners.
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