Hollman Djana, Lennartsson Sandra, Rosengren Kristina
Br J Community Nurs. 2014 Jan;19(1):30-5. doi: 10.12968/bjcn.2014.19.1.30.
This article aims to describe the experiences of district nurses regarding their work situation after the free-choice system in primary care in Sweden was implemented. The study comprised a total of 17 semi-structured narratives with district nurses. The narratives were analysed using manifest qualitative content analysis. One category,'being an underused resource', and three subcategories, 'being financially aware','being flexible' and 'being appealing', were identified. A focus on economic benefit can limit the cooperation and exchange of experiences within and between different care units, which could have a negative impact on the quality of care due to competition between different care providers. Underused resources and restrictions in terms of improvement skills have an impact on job satisfaction and the working environment, and affect the quality of care as a result.
本文旨在描述瑞典初级保健自由选择系统实施后，社区护士对其工作状况的体验。该研究共收集了17名社区护士的半结构化叙述。采用显性定性内容分析法对这些叙述进行分析。确定了一个类别“未充分利用的资源”以及三个子类别“有经济意识”“灵活”和“有吸引力”。对经济效益的关注可能会限制不同护理单元内部和之间的合作与经验交流，由于不同护理提供者之间的竞争，这可能会对护理质量产生负面影响。未充分利用的资源和改进技能方面的限制会影响工作满意度和工作环境，并进而影响护理质量。
