Long term care

from Wikipedia, the free encyclopedia
This article or paragraph describes the situation in Switzerland . Help us to describe the situation in other countries.

The long-term care is concerned as a professional career field with more lasting or permanent care and supervision of persons with an increased level of care. Care can be provided on an outpatient basis or in an inpatient or semi-inpatient facility - usually in retirement and nursing homes . On the other hand, there is acute care.

The aim of long-term care is to maintain a good quality of life and the greatest possible degree of independence. The federally regulated professions in long-term care in Switzerland include qualified nurses , long-term nursing and care professionals with a federal certificate, EFZ health and care specialists and assistants in health and social affairs AGS EBA. There is an acute shortage of skilled workers, especially in the first occupational group, for which training or a degree at the tertiary level is necessary, due to the demographic development. The Federal Council has recognized that.

Definitions

Professional care and support

As a member of the International Council of Nurses (ICN), the Swiss Professional Association of Nursing Women and Nursing Specialists SBK supports and adopts its definition of professional care: «Professional care includes the independent care and care, alone or in cooperation with other professionals, of people of all ages, of families or living communities, as well as groups and social communities, whether sick or healthy, in all life situations (settings). Care encompasses the promotion of health, the prevention of diseases and the care and care of sick, disabled and dying people. Other key nursing tasks are the perception of interests and needs (advocacy), the promotion of a safe environment, research, participation in the shaping of health policy and the management of the health system and education. "

Long term care

The term "long-term care" is not protected, so there is no generally applicable definition in German-speaking countries. In Germany, the term is mainly used in everyday language and is usually understood as a counterpart to short-term care. Short-term care in a care facility is limited to a maximum of eight weeks per year and aims to ensure that the patient regains his or her condition before the need for care begins.

In contrast, with long-term care there is a longer-lasting or permanent need for care. Long-term care ensures quality of life in the care and support of people with a physical, psychological or mental impairment, of elderly people with multiple illnesses, of seriously ill or dying people in their last phase of life.

Situation of long-term care in Switzerland

Nursing staff

In 2014, 179,000 caregivers worked in Swiss health institutions, 54% of them in long-term care (36% in retirement and nursing homes, 18% in the Spitex services). In long-term care, the health staff is made up of around 34% qualified nursing staff (tertiary degree at FH and HF level), 36% health and care professionals (secondary level II degree) and 30% nursing assistants (other / no degree).

In terms of staff density, Switzerland is in the OECD average. For every 1000 inhabitants there are 11.4 qualified nursing professionals, 5.5 health and care professionals and 7.7 nursing assistants.

People in need of care

In 2008, an estimated 115,000 - 120,000 people in Switzerland were in need of care, which makes up 10% of the 65+ population (and the trend is rising). The number will increase dramatically by 2030, depending on the forecast, to either 170,000 in the case of a positive development in disability-free life expectancy or to around 230,000 in the case of a negative combination of increased aging and an increase in the number of people suffering from one or more diseases in are restricted in their independent lifestyle (prolonged morbidity).

Training and further education as a nurse

In the Swiss education system there are two conventional ways of training to become a nurse or nurse via the tertiary path. At the universities of applied sciences , graduates acquire the educational title "Bachelor of Science in Nursing". In 2018 there were 927 people, which corresponds to a slight increase compared to the previous year. At the higher technical schools the qualification is called "Dipl. Nursing specialist HF". Around 1900 students successfully completed this training in 2018. In Switzerland, with the training specialist woman and man long-term care and support with federal. Fachausweis an additional regulated qualification at the tertiary level.

Skilled workers shortage

Thanks to increasing life expectancy, the population in Switzerland is getting older, which means that the need for care is constantly increasing. There is a shortage of skilled nursing staff in Switzerland with a tertiary qualification . Less than half (43%) of the professionals required acquire this degree each year. A reference scenario from the Swiss Health Observatory (Obsan) assumes that around 17,000 new jobs (full-time equivalents) will have to be created by 2030 and 25,000 additional specialists will have to be hired. In addition, 60,000 health professionals have to be replaced because of their age, 15,000 alone are in old people's and nursing homes.

The federal government recognized this in 2016 and adopted specific measures. On the one hand, existing staff should be motivated to remain in the professional field. Research has shown that increasing the average length of stay in the job from 15 to 16 years would reduce recruitment needs by 5–10%. On the other hand, thanks to the image campaign “The most important job in Switzerland” by the industry organizations Curaviva Switzerland, Spitex Switzerland and OdASanté, the number of degrees at the tertiary level is to be increased. The campaign is supported by the State Secretariat for Education, Research and Innovation SERI.

Recruiting abroad is not an acceptable alternative, as Switzerland approved the global code of conduct for the international recruitment of health professionals on May 21, 2010. Some Swiss cantons, including z. B. Bern and Zurich , therefore demand a certain number of training positions per year from companies in outpatient and inpatient long-term care.

literature

  • Höpflinger François, Bayer-Oglesby Lucy, Zumbrunn Andrea: Dependency and long-term care in old age. Updated scenarios for Switzerland. In: Series of books by the Swiss Health Observatory. 1st edition 2011, Verlag Hans Huber, Bern 2011, ISBN 978-3-456-84957-7 , p. 10.

Individual evidence

  1. ↑ SERI occupational directory: Vocational and advanced technical examinations , accessed on November 14, 2019
  2. ↑ Careers advice: Health specialist EFZ berufsberatung.ch, accessed on November 13, 2019
  3. ↑ Job profiles: Assistant Health and Social Affairs EBA berufsbilder.ch, accessed on November 13, 2019
  4. ↑ Bundesrat: Assessment and perspectives in the field of long-term care report of the Bundesrat in fulfillment of postulates 12.3604, 14.3912, 14.4165 of May 25, 2016, accessed on November 13, 2019
  5. ^ Definition of care: Official SBK translation concentrated by the professional associations in Germany, Austria and Switzerland , accessed on October 28, 2019
  6. ↑ Definition of short- term care : Short-term care - always well looked after, Pflege.de, accessed on September 12, 2019
  7. ↑ nurses in Switzerland , In: Obsan Bulletin December 2016 p 2, accessed on November 13, 2019
  8. ↑ Nursing staff density: Switzerland not top, but average , SBK News from July 3, 2019, accessed on November 13, 2019
  9. ^ François Höpflinger, Lucy Bayer-Oglesby, Andrea Zumbrunn: Dependency and long-term care in old age . In: Swiss Health Observatory (Ed.): Book series of the Swiss Health Observatory . Hans Huber, Bern 2011, ISBN 978-3-456-84957-7 , pp. 10 . ( PDF file ), accessed November 13, 2019
  10. ↑ Current figures on training in the health sector , OdASanté from June 27, 2019, accessed on November 13, 2019
  11. ↑ nurses in Switzerland , In: Obsan Bulletin December 2016 page 3, accessed on November 13, 2019
  12. ↑ SBK: Perspektive 2020, p. 29 , accessed on September 14, 2019
  13. ^ Page of the image campaign The most important job in Switzerland , accessed on November 13, 2019
  14. ↑ The Federal Council is taking measures against the shortage of skilled workers in nursing , Federal Council media release of December 9, 2016, accessed on August 29, 2019
  15. ↑ Migration of health workers: WHO Codex , Medicus Mundi Switzerland, accessed on August 27, 2019
  16. ↑ Maya, 20 - she is there for the elderly , Tages-Anzeiger of July 25, 2019, accessed on August 29, 2019