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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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During the last centuryMany success stories in public health also challenges remain
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
1015473
256417
0
200000
400000
600000
800000
1000000
1200000
Nurses/PHNs Physicians
Visits at Child health clinics, 2019
1 015 473
256 417
Public Health Nurses
46756384638677
4000000
4100000
4200000
4300000
4400000
4500000
4600000
4700000
Nurses/PHNs Physicians
Primary health care, outpatient visits, 2019
4 675 6384 638 677
