Advanced nurse Primary care, Department of Health and Caring Sciences, Linnaeus University and Department of Primary care, Region Kalmar, Kalmar, Sweden.
Advanced nurse Primary care, PhD, Associate Professor, Department of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.
Prim Health Care Res Dev. 2023 Apr 17;24:e27. doi: 10.1017/S146342362300018X.
Mental illness among young adults is increasing both nationally and internationally. Primary care's mission is to be the hub of health care and to offer high-quality care regardless of age, patient group, or disease. The role of district nurse varies in terms of definition and scope of practice but has a central role through their health promotion mission and by being the first person these young adults meet in primary care.
The aim of this study was to explore district nurses' experiences of meeting young adults with mental illness in primary care.
The study was conducted with a qualitative inductive approach. Data were collected through semi-structured interviews with nine district nurses in primary care in Sweden. The data were analysed through qualitative content analysis.
Three categories emerged in the results - , , and . The results show that district nurses can experience feelings of stress and frustration when time, resources, and knowledge are lacking. Continuous training in mental illness was desired by all district nurses. Listening, confirming, and daring to ask were highlighted as particularly important in the meeting with young adults. Cooperation between different professions and colleagues was highlighted as a prerequisite for the provision of good quality care.
To meet the increasing number of young adults with mental health problems seeking care, district nurses in primary care need continuous training. By working in a person-centred and health-promoting manner, the district nurse's competence can be utilized. The district nurses perceive they could manage the important role being a resource and take a greater responsibility to guide young adults on the right path.
年轻人的精神疾病在国内外都呈上升趋势。基层医疗的使命是成为医疗保健的中心，无论年龄、患者群体或疾病如何，都提供高质量的护理。地区护士的角色在定义和实践范围上有所不同，但通过其健康促进使命以及作为这些年轻人在初级保健中首先见到的人，他们扮演着核心角色。
本研究旨在探讨地区护士在初级保健中遇到患有精神疾病的年轻人的经验。
本研究采用定性归纳方法进行。通过对瑞典初级保健中的 9 名地区护士进行半结构化访谈收集数据。通过定性内容分析对数据进行分析。
结果中出现了三个类别—— 、 、 。结果表明，当时间、资源和知识不足时，地区护士可能会感到压力和沮丧。所有地区护士都希望接受有关精神疾病的持续培训。倾听、确认和敢于提问被强调为与年轻人会面的特别重要的方面。不同专业和同事之间的合作被强调为提供优质护理的前提。
为了满足越来越多寻求护理的有心理健康问题的年轻人的需求，初级保健中的地区护士需要持续培训。通过以以人为本和促进健康的方式工作，可以利用地区护士的能力。地区护士认为他们可以承担起作为资源的重要角色，并承担更大的责任来引导年轻人走上正确的道路。
