Retirement and nursing homes in the facilities too. Psychiatric disorders are very prevalent among the residents of homes. Dementia, depression and anxiety disorders are very widespread. Scientific studies in the area of long-term care showed that multidisciplinary intervention in the care of these persons is the most effective solution. Collaboration between doctors, care specialists and other therapeutic professionals is thus critical. From the NPM’s point of the view, inadequately coordinated therapy strategies and care planning equally endanger treatment and achieving care (quality) objectives. In addition to awareness for the necessity of interdisciplinary cooperation, retirement and nursing homes require the appropriate structures and resources to ensure that this can actually be implemented and supported. These structures can be joint interdisciplinary case reviews, for example, joint meetings with the relatives, or common electronic documentation. Training nursing teams in the field of mental health is crucial to understanding the illness and supporting the residents. High demand for qualified nursing staff The health care sector, homes and service providers have to prepare for growing complexity and increasingly specialised demands for nursing and care in any case. Care providers will also have to assume more of the routine medical tasks. According to current estimates from the Austrian Healthcare and Nursing Association (Österreichischer Gesundheits- und Krankenpflegeverband), in 2030 there will not only be an insufficient number of doctors but some 30,000 vacant positions for qualified nursing staff. The disparity between increasing demands and the actual human resources available in institutions was observed by all of the commissions. The new health care profession register will be set up from the middle of 2018. 120,000 employees working in the health care and nursing professions as well as in higher technical medical services and 10,000 graduates every year will be entered in this register with their respective advanced and further training. Entry in the register is the condition for working in the profession. Registration will not only support administration in the future, it should also help the regional health care planners to detect gaps. This is very much appreciated by the NPM. Findings from staff interviews 26 In meetings with the commissions, nursing staff often claim to suffer under tight time constraints, extreme workloads, mental and physical stress, unfavourable work atmosphere, rigid hierarchies or constantly changing work rosters. They also concede that, due to stress, certain actions or the failure to act are accepted, which is not compatible with their professional ethics. Some even consider leaving the profession earlier than planned. Clearly, there is a relation between the qualification and the quality of nursing intervention. Some but not all of the structural deficits and incidences of structural violence highlighted by the NPM in previous years are linked to outdated “minimum staffing ratios” that represent de facto maximum staffing limits. They reinforce a perception of nursing that does not do justice to the UN Convention on