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5 FACTS ABOUT

• 1.5 hours south of

• Shortest route to

was born there

• Biggest onion producer in

• 49 000 inhabitants www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Expertise to ensure quality and public health in a demographic perspective “to grow as a grownup”

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Why did we need to do something? And why do we need to continue?

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Social educators

Nurses

Health care assistants

From a presentation by Steinar Barstad, Social and health dep. www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune What are the benefits?

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Individual benefits:

 Increased competence - greater chance for employment  Permanent employment - not just temporary jobs  An increased probability to remain in the job  Expanded job content, more challenges  Increased pride in their own work  Increased insight into the scope of service  Improved living conditions for participants and their families

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune  Increased variation - unilaterally reduced strain  Increased job satisfaction  Increased sense of achievement  Increased medical expertise –  Less risk of acute injuries  Less heavy lifting and uncomfortable working positions  Violence and threats of violence from users  Medication errors, etc..

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Benefits for the Municipality of Larvik and it’s services

 More educated nurse’s assistants

 Increased quality of services

 Fewer undesirable incidents

 More positive reviews

 Improved dialogue with users and relatives  Improved professional documentation of services

 Greater predictability for users of the services

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune  Important health, safety and environmental aspects  Decreased turnover  Employees have greater expertise in preventing violence and threats of violence from users  Fewer negative comments in the media about the health - care sector  Increase recruitment for the health-care sector  Contributions to a learning organization

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Benefits for county and Norway

 Positive influence on disability and absence statistics  Unskilled; more likely to (or remain) on a disability pension than those with education  Unskilled; greater representation on injury statistics than higher educated  Unskilled; demands exceed coping skills  Unskilled; greater stress experienced I relation to job changes than for those with education

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune  Unskilled workers are at a disadvantage in a competitive labour market  Contribution to improving the quality of care  Contributions to positive reputation  Good examples  «IT WORKS!»

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Project organisation

Top leaders in health care services Project team members Board NAV, the Norwegian Labour and Welfare members Administration

Reference Reference group 1 group 2 Project Vestfold County Council, group Department of education Assistant Leader from the upper leaders from secondary, vocational school working RepreseUnion areas representatives from the municipality of Larvik leader of adult learning in the municipality of Larvik www.larvik.kommune.no working commities www.twitter.com/larvik www.facebook.com/larvikkommune Our experiences:

• Establish support and accept with administrative and political leaders • Use that support

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune And remember to celebrate!!!!

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Sucess factors for Larvik:  Immediate supervisor ALWAYS chooses their candidate (s) – To be seen, accepted and supported during the process  All education occurs with in the municipality of Larvik – Follow up of those with low skills in written and spoken language  Educating coaches for on the job follow-up / coaching Students receive theoretical instruction that can be tried out on the job.... and to show that they are on the way toward gaining their certificate as an assistant nurse.

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune Nurse assistant education 2008 - 2013

80 70 "fagbrev" 72 60 Born 1959-69 22 50 Born befor 1959 7 40 72 30 56 20 In Education 56 22 10 14 Born 1959-69 14 7 2 0 Born befor 1959 2

www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune We told her it wasn’t possible, but she didn’t listen! www.larvik.kommune.no www.twitter.com/larvik www.facebook.com/larvikkommune