Table 1 Data on numbers of staff mix and skill mix per team

1 (retirement home)

31 team members, mainly nursing assistants level 1 and 2.

− Educating nursing assistants from level 1 to level 2.

− Adding 3 nurses (level 4).

− Tighter collaboration with other disciplines and clients’ family

- Role enhancement

- Role enlargement

2 (care at home)

8 team members: 5 nursing assistants level 2 and 3, 3 nurses level 4.

− Nursing assistants level 1 and 2 gone. Adding 3 nursing assistants level 3.

- Role enhancement

- Role enlargement

3 (nursing home)

30 team members: nursing assistants level 2 or 3, and nurses (level 4).

− Adding 2 nurses (level 5).

− Educating nursing assistants from level 2 to level 3

− Tighter collaborationwith other disciplines and clients’ family

- Role enhancement

- Role enlargement

4 (care at home)

14 team members:

1 nurse (level 4), 8 nursing assistants level 2 and 3, 3 casemanagers, 1 geriatric specialist, 1 psychologist.

− No change in staff mix, but the team members split from 1 into 2 teams.

− Tighter collaboration with other disciplines and clients’ family.

- Role enhancement

- Role enlargement

5 (nursing home)

51 team members: all nursing assistants level 3.

− Diversifying the team by downgrading nursing assistants to level 1 and 2, by hiring group assistants, and by letting go of some nursing assistants level 3.

− Adding nurses (level 4 and 5).

− Tighter collaboration with other disciplines and clients’ family.

- Role enhancement

- Role enlargement

6 (nursing home)

29 team members: mainly nursing assistants level 2 and 3.

− Adding 4 nurses (level 4).

− Educating nursing assistants from level 2 to level 3.

− Tighter collaboration with other disciplines.

- Role enhancement

- Role enlargement

7 (retirement home)

36 team members: nursing assistants level 1, 2 and 3.

− Adding 2 nurses (level 4).

− Tighter collaboration with other disciplines and clients’ family.

− Role enhancement

− Role enlargement