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					    Carers’ qualifications in Sweden
              Basic level


            A presentation by Octavian Dumitriu for the MECED project




OD for project MECED       Carers' qualifications - basic level         1
                              Introduction (1)
•   This description of qualifications is intended for staff working in social
    services and health care, irrespective of branch or operational form
•   Purpose (1): to aid the development of quality in the nursing and care
                   services by explaining what professional qualifications
                   nursing and care assistants should have
•   Purpose (2): to contribute towards a clearer professional identity for
                   nursing and care assistants.
•   Useful for:
           the development of learning processes in the formal education system and
            in working life, as well as for the framing of statutes in professional training;
           the development of validation methodology and instruments for validating
            professional requirements;
           the development of forms for the recognition of professional competence;
           the development of local descriptions of professional qualifications, as well
            as for recruitment and staff development programmes; and for
           reference in quality and development work, as well as for the following up of
            activities.


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                               Introduction (2)
•    Legal basis: the quality requirements in the social services and
                  health care is embodied in the law
                       1. Social Services Act (SoL in Swedish)
                       2. The Act concerning Support and services for Persons with
                          Certain Functional Impairments (LSS)
                       3. The Health and Medical Services Act (HSL)
•    In municipal nursing, carers’ work is by far the largest share among
     users/patients.
•    The quality of care is determined in the encounters between staff and
     users  carers are a very important factor for the quality achieved in the
     various activities
•    The work done within nursing and care should be firmly based on science
     and tested experience.
•    In 2004, 385 000 persons were employed as carers by municipalities and
     individual providers

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                              Introduction (3)
•   Professional competence is not achieved only through formal training,
    experience-based learning in the workplace is also very significant
•   Real competence = the actual competence that an individual possesses,
    irrespective of how this has been achieved (i.e. “the prerequisites for
    performing the task”).
•   Description base:
     1. Current legislation and other applicable regulations.
     2. Knowledge about the work that nursing and care assistants do, how staff
        perceive their work, and how they believe they should act.
     3. The opinions of users and their kin.
     4. General knowledge about working life and professional qualifications.
     5. Locally produced materials and results of development projects and research
        dealing with professional competence and qualifications requirements.
     6. Material from neighbouring Nordic countries which has been produced in
        connection with the drafting of course syllabuses and validation methods for the
        profession.




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           Carers’ professional qualifications
•   Divided into two main skills categories:
         1. General
         2. Task-related
•   General:
    –   skills which are very important for the nursing and care assistant’s
        ability to perform the tasks at hand with quality
    –   include key competences and job-specific competences
•   Task-related:
    –   skills related to the most common tasks performed by nursing and care
        assistants.
•   The two categories complement each other and together describe
    the full basic qualifications requirements for this occupational
    group.


OD for project MECED       Carers' qualifications - basic level                 5
                             General skills (1)
1.    Professional conduct
     –    the ability to apply an ethics-based code of conduct
2.    Attitudes and ideologies
     –    the ability to pay attention to and respect the importance of attitudes, norms
          and ideologies in nursing and care
3.    Collaboration
     –    use a holistic perspective
     –    work in a group
     –    participate in the resolution of crises and conflict situations.
4.    Plan and develop work
     –    identify and contribute to solving problems in daily work;
     –    individually plan, prioritise and perform his or her work in a target-oriented
          manner
     –    report and document;
     –    participate in quality development programmes;
     –    contribute to the development of work content and methodology
     –    participate in skills development programmes

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                           General skills (2)
5.       Techniques and products
     –      the ability to use the right products and techniques in his or her work, and to
            work in an ergonomically and hygienically correct way
6.       The importance of the environment
     –      the ability to consider the importance of the environment to health and quality
            of life in nursing and care work.
7.       Systems and policies
     –      the ability, with the support of the management, to act in a target-oriented way
            to realise the users’ individual plans




OD for project MECED           Carers' qualifications - basic level                           7
                           Task-related skills
8.        Support for personal care
      –      the ability to support the user’s/patient’s own capacity to perform tasks, and to
             compensate when the user/patient lacks the capacity to do such things
9.        Home support
      –      the ability to support the user’s/patient’s own capacity to perform tasks and to
             compensate personally for any limitations in the user’s/patient’s ability.
10.       Support the user’s/patient’s health and functional ability
      –      The ability to observe changes to the state of the user’s/patient’s health and
             functional ability, asses the user’s/patient’s needs and take appropriate
             measures
11.       Support the user’s/patient’s relationships
      –      the ability, to support the user/patient in his or her relationships in important
             areas of life
12.       Support the user’s/patient’s participation
      –      the ability to understand and support the user’s/patient’s participation in social
             and civic life, based on the user’s/patient’s own wishes, and to heed human
             rights

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                       Final considerations
•   Knowledge of the Swedish language = a prerequisite for carers to fully apply
    his or her interaction with the user/patient
•   Necessary to have the ability to understand, speak, read and write Swedish
    as well as to document his or her work and, in other respects, for the
    fulfilment of the role as professional and employee within nursing and care.
•   The general and task-related skills = two dimensions of professional
    qualifications which could be described in terms of a matrix: they overlap
    and complement each other.
•   Taken together, these skills form the basic professional qualifications that all
    nursing and care assistants should have.
•   The learning processes to acquire the skills described here are designed to
    suit each individual.



OD for project MECED        Carers' qualifications - basic level                  9

				
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posted:11/2/2011
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