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Background Providing care to older individuals with complex needs and patients with chronic illness is a concern worldwide. In Norway, this situation led to the transfer of responsibility for care and treatment to the municipalities. Providing emergency care at the municipal level – thereby reducing the need for emergency hospital admissions – is part of the Coordination Reform in Norway. This reform from 2012 warrants a reconsideration of which nursing qualifications are needed in the municipalities. The aim of the study is to explore which professional qualifications nurses need to provide emergency care in municipal emergency inpatient units. Method A qualitative design with a hermeneutic approach was employed. Interviewing physicians about nursing qualifications may be considered inappropriate. We believe that this is important for developing knowledge that can strengthen interprofessional cooperation in emergency situations. Three focus groups were conducted. Physicians with experience in municipal emergency inpatient units were interviewed. Results We synthesised three themes from the data: (1) broad medical knowledge; (2) advanced clinical skills; and (3) ethical qualifications and a holistic approach. The first theme is about knowledge, the second is about skills, and the third conveys the need for overall competence. Conclusions Nurses working in municipal emergency inpatient units need advanced ethical qualifications, which integrate broad medical knowledge, advanced clinical skills and the ability to take a holistic approach. They have a considerable responsibility to work independently and safely in a setting where both the patient and the patient’s family play important roles. Establishing arenas for collaborative practice between physicians and nurses on clinical issues may be a way of strengthening patient safety and nurses’ clinical judgement.

PURPOSE: Research has shown that surgery gives patients with lumbar spinal stenosis health advantages compared to conservative treatment. This qualitative study aimed to investigate the perception of symptoms from lumbar spinal stenosis by patients, and their experiences after surgery. The purpose was to create a comprehensive understanding of patients’ experiences before and after treatment. METHOD: We chose purposive sampling and conducted ten semi-structured interviews in early 2018. Thematic analysis was adopted. RESULTS: The patients stated that a strong and constant pain characterized their life situation before the operation. After surgery, the patients experienced rapid recovery from pain. The patients stated that the pain had led to considerable functional limitations. After surgery, they experienced remarkable improvement on a functional level. The patients shared their experience about how pain had prevented them from participating in meaningful activities and tasks. Some of the patients said that they had experienced depression due to the difficult situation before surgery. The patients found that treatment led to an improvement in their quality of life. CONCLUSION: The study showed that the patients who lived with severe symptoms of lumbar spinal stenosis experienced a decline in their quality in life. The condition prevented them from participating in daily activities. After surgery, they were able to participate in meaningful activities and tasks. They felt an increased participation in society. Social support and information from health care providers enables patients to make knowlege-based choises.