1. Multiplier project 1999-2001 COMMUNITY CARE EDUCATION IN EUROPE - TOWARD SHARED UNDERSTANDING

2. Partners FINLAND Oulu Polytechnic, School of Health and Social Care Mikkeli Polytechnic, School of Social Welfare and Health Care Satakunta Polytechnic, School of Social and Health Care in Harjavalta University of Oulu, Department of Nursing and Health Administration Finnish Federation for Nurses

3. Partners HUNGARY Hungarian Nursing Association THE NETHERLANDS Haagland College POLAND Polish Nursing Association Medyczne Studium Zawodowe Nr 12

4. Project group members: Salla Seppänen, Mikkeli Polytechnic Aini Ojala, Oulu Polytechnic Hanna Hyttinen & Kari A. Sirkka, Satakunta Polytechnic Merja Nikkonen, University of Oulu Katalin Mucha & Zoltan Balogh, Hungarian Nursing Association Halina Ciéslak & Zofia Sienkiewicz, Warsaw Medical Academy, Medyczne Studium Zawodowe nr 1 Elzbieta Chróscicka & Krystyna Szpak-Lipinska, Polish Nursing Association Andre Wénd & Bert Gotink, Mondriaan OnderwijsGroep

5. Aims of the project Disseminate the results of the Leonardo da Vinci pilot project COMMUNITY CARE - Developing an International Degree Programme for Nurse Education Test and develop further philosophy, key skills and content of community care in nursing defined through earlier pilot project

6. The multiplier project aims in European level (FIN, H,NL,P) to specify the competence of nurse working in community care to specify the role, tasks and working discipline of a nurse in community care

7. National seminars were hold to promote discussion of community care in nursing Poland 8.- 9.5.2000, Busko Finland 26.-27.4.2001, Helsinki Hungary, 14.5. 2001, Budapest

8. COMMUNITY CARE IN NURSING - HOW DO THE NURSES IN FINLAND, HUNGARY, POLAND AND THE NETHERLANDS DEFINE COMMUNITY CARE ?

9. QUESTIONNAIRE Community Care - Toward shared understanding The nurses´ perception of community care in Finland, The Netherlands, Hungary and Poland

10. Nationally implemented questionnaire for nurses and public health/ district nurses In Finland, Helsinki In the Netherlands, the Haag In Hungary, Budapest In Poland, Warsaw Aimed for 250 questionnaires / country In primary and specialised care

11. STRUCTURED QUESTIONNAIRES MULTIPLE CHOICES BACKGROUND QUESTIONS 1-7 LIKERT SCALE 1-5 WORK QUESTIONS 8- 15 PERCEPTIONS OF COMMUNITY CARE QUESTIONS 16-22

12. RESULTS FINLAND (N= 224) THE NETHERLANDS (N=91) HUNGARY (N=249) POLAND (N=198) TOTAL (N=747) 89,6 % 36,4% 99,5% 79,2% 74,7%

13. AGE OF NURSES/COUNTRY (N= 747)

14. SEX (%)/ COUNTRY

15. SECTOR OF HEALTH CARE

16. WORKPLACE

17. FACILITIES/PREREQUISITIES OF WORK

18. CONTENT OF WORK

19. CO-OPERATION WITH

20. SECTORS/PARTNERS OF COMMUNITY CARE

21. CO-ORDINATOR OF CARE

22. DEFINITION OF CLIENT

23. SECTORS OF NURSING

25. THE NURSE SHOULD ASSESS

26. MEET THE NEEDS OF

27. OBJECTIVE OF COMMUNITY CARE

28. VALUES AND PRINCIPLES OF COMMUNITY CARE

29. EQUALITY BETWEEN CLIENT AND PROFESSIONAL

30. EQUALITY BETWEEN CLIENTS

31. HOLISTIC CARE

32. RIGHTS OF CLIENT

33. ECONOMY

34. TECHNOLOGY

35. PATIENT’S CULTURAL BACKGROUND

36. RESPONSIBLE OF DEVELOPMENT OF COMMUNITY CARE

37. THEROY BASE FOR COMMUNITY CARE

38. KNOWLEDGE IN COMMUNITY CARE

39. CONCLUSIONS NURSES´ PERCEPTION OF COMMUNITY CARE IS MUCH SAME IN THESE FOUR PARTICIPATING COUNTRIES GROUP OF PEOPLE AND COMMUNITY AS A CLIENT NEED TO BE DISCUSSED MORE THE ROLE OF VOLUNTARY ORGANISATIONS AND VOLUNTEERS IN HEALTH CARE AND NURSING NEED TO BE CLARIFIED HOLISM IS SEEN AS AN IMPORTANT VALUE -HOW IT IS IMPLEMENTED IN PRACTICE? MULTISICENTIFIC THEORY BASE FOR COMMUNITY CARE NEED TO BE DEVELOPED NURSES´ POSSIBILITIES AND SKILLS TO IMPACT OF THE CARE PROVIDING IN LOCAL LEVEL NEED TO BE INCREASED