Nilsen Per, Fernemark Hanna, Seing Ida, Schildmeijer Kristina, Skagerström Janna
Division of Health and Society, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Division of Health and Society, Department of Health, Medicine and Caring Sciences, Primary Health Care Centre, Lambohov, Linköping University, Linköping, Sweden.
Scand J Caring Sci. 2022 Dec;36(4):1197-1205. doi: 10.1111/scs.13082. Epub 2022 Apr 24.
The aim of this study was to explore lessons from the pandemic by registered and assistant nurses in Swedish primary health care (PHC) of potential relevance for the future operation of PHC.
Twenty-one semi-structured interviews were conducted with registered and assistant nurses. We used a purposeful sampling strategy to achieve a diverse sample with regard to size and location of PHC centres. Data were analysed using qualitative content analysis.
Analysis yielded two categories: lessons from the pandemic pertaining to PHC personnel and patient behaviours (adaptability of the personnel; importance of hygiene and maintaining physical distance; and importance of being attentive to illness symptoms) and lessons from the pandemic related to primary healthcare work routines (effectiveness of digital job meetings; advantages of digital patient consultations; importance of keeping infectious patients separate from other patients; and the need to allow only pre-booked patient appointments).
The seven sub-categories represent seven lessons from the pandemic. The lessons generated both instrumental knowledge, which the nurses could apply in work-related decisions, and conceptual knowledge which yielded improved understanding of problems and potential solutions for PHC.
本研究旨在探索瑞典初级卫生保健（PHC）中注册护士和助理护士从疫情中吸取的、对PHC未来运营可能具有相关性的经验教训。
对注册护士和助理护士进行了21次半结构化访谈。我们采用了目的抽样策略，以获取在PHC中心规模和地点方面具有多样性的样本。使用定性内容分析法对数据进行分析。
分析得出两类经验教训：疫情中与PHC人员及患者行为相关的经验教训（人员的适应性；卫生和保持身体距离的重要性；以及留意疾病症状的重要性），以及疫情中与初级卫生保健工作常规相关的经验教训（数字工作会议的有效性；数字患者咨询的优势；将感染患者与其他患者分开的重要性；以及仅允许预约患者就诊的必要性）。
这七个子类别代表了疫情带来的七条经验教训。这些经验教训既产生了护士可应用于工作相关决策的工具性知识，也产生了有助于更好理解PHC问题及潜在解决方案的概念性知识。
