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Strict work permit access hindering hospitals seeking to address nurse shortages

CPH Post reporter
May 15th, 2023


This article is more than 1 year old.

TV2 highlights the case of Kate O’Hare, an experienced American fluent in Danish who is unable to work because her US education did not include the necessary number of hours as an intern

Photo: PIXNIO

Denmark lacks nurses. As a result, many hospitals across the country are unable to run at full capacity. For example, without enough nurse anesthetists, it’s becoming increasingly common for surgeries to be postponed.

In addition, many Danish nurses choose to work in Norway where the pay is better.

You would think that Denmark would welcome international nurses with open arms. Not quite.

Despite several years of experience working at a respected hospital in the USA and speaking fluent Danish, the National Patient Safety Agency has twice refused to let US citizen Kate O’Hare work as a nurse in Denmark, reports TV2.

The reason is that her education in the USA included a shorter internship than the one in Denmark.

Real life work doesn’t count
“I have fewer hours of practice than a Danish nurse from my education. But in return I have 10,000 hours of independent work as a nurse,” said O’Hare.

She wonders why more than 10,000 hours of extra work experience cannot offset the approximately 1,000 fewer hours during her internship as part of her US education.

“It’s strange, because in Danish society we have to find a solution to the problems of the healthcare system where we lack so many nurses and doctors,” O’Hare said.

Leaving Denmark is an option. Her Danish husband is a doctor at Roskilde Hospital. Together, they are now considering moving from their home in Virum to the US, where they can both work in the healthcare system without any problems.

Boss at hospital wonders
The couple are not the only ones wondering what is going on.

At one of the hospitals where O’Hare would like to apply for a job, they also do not understand why the experienced nurse has been rejected.

Head nurse Jytte Hykkelbjerg Bruhn from the cardiology department at Roskilde Hospital is surprised there is no easier solution than starting over on the training, which could make it possible for the Danish hospitals to employ the American nurse. Right now, she lacks seven or eight nurses in her ward.

“If I myself were sent such a CV, and we had advertised a position, I would immediately hire her, because she is used to looking after patients,” Bruhn told TV2.

The health minister, Sophie Løhde, says there’s a taskforce on the way with recommendations for how the issuance of working permits can run more smoothly.

“We have a lot of trouble and issues, which means there are some groups of nurses and doctors, among others, currently facing a system where a lot of walls have been put up. We will soon address solutions,” she told TV2.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

Pill pushers
At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”