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24.6.2020

Anna Suutarla Head of International Affairs

RN, PHN, M.Sc. Finnish Nurses Association

Community Health Nursing –learning from Finland

Meilenstein-Konferenz 18.6.2020Community Health Nursing in Deutschland

Roots in early 1920s

• Poor country, low health statusPublic health nurses (PHN): primary care nearpeople– Promotion, prevention, families– Free, available for all

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Vitamin D to prevent crickets!• Today• unique front-line key person in primary

health care• independent work in multi-professional teams

Education

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• University of Applied Sciences• 240 ECTS, 4 years• Bachelor degree, EQF 6• Licenced and registered:

nurse + public health nurse• For nurse part:

Dir 2005/36/EC / Dir 2013/55/EU

Total 80 622 Nurses / 15 560 Public Health Nurses (2014)

Public Health Nurse – Expert in Health Promotion

• What?

• Prevention, promotion, health literacy

• When?

• All stages of people’s lives

• Who?

• Individuals, families, communities, occupational groups, whole population

• How?

• Strengthen resources, improve self-care

• Holistic, appreciate peoples' life situations

• Early, targeted - vulnerable groups Picture: Finnish Association of Public Health Nurses

Free, easy access – aim: health and well-being equality

Where?

• Maternity and child health clinics

• Family planning clinics

• Schools, students

• Occupational health care

• Home care

• Health centers

• Elderly care

• Some others

Picture: Finnish Association of Public Health Nurses

Example: Public Health Nurse work at Child Health Clinic - neuvola in Finnish

• Who? • Families with children 0-6 years

• When?• Regularly: fixed-term framework

• What? • Monitor: welfare, growth,

development• Vaccinations• Parenting

• How? • Family living and life-styles• Visits, home, groups, telephone,

eHealth• Continuous, confidential

Picture: Finnish Association of Public Health Nurses

No cost for families, financed by taxes

Topical

• Emphasis of services

• Skills: interaction + networking + independent decision making

– all age groups, mental health

– multi professional cooperation

• Continuous professional development (CPD)

• Future: education Master’s level??

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24.6.2020

During the last centuryMany success stories in public health also challenges remain

24.6.2020

anna.suutarla@nurses.fi

Thank you! Danke! Kiitos!

Where?

• Maternity and child health clinics

• Family planning clinics

• Schools, students

• Occupational health care

• Home care

• Health centers

• Elderly care

• Some others

Picture: Finnish Association of Public Health Nurses

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Nurses/PHNs Physicians

Visits at Child health clinics, 2019

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Public Health Nurses

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Nurses/PHNs Physicians

Primary health care, outpatient visits, 2019

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