Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
Unit of Occupational Medicine, Karolinska Institutet, Stockholm, Sweden.
Scand J Prim Health Care. 2024 Jun;42(2):276-286. doi: 10.1080/02813432.2024.2309633. Epub 2024 Feb 5.
General practitioners (GPs) played a crucial role in limiting the impact of the COVID-19 pandemic, and many GPs experienced they did not have the prerequisites to provide adequate care. However, GPs developed approaches that helped them to provide care to patients through various job crafting strategies. The aim of this study is to identify how job crafting strategies were deployed by GPs at the beginning of the COVID-19 pandemic in Sweden and the significance of the strategies on their work situation.
A qualitative design with semi-structured interviews. The data was analysed using qualitative content analysis with job crafting as the conceptual framework for the analysis process.
Primary healthcare in five healthcare regions in Sweden.
Fourteen GPs participated in individual interviews.
In their endeavours to organise and provide care, GPs shaped the task, relational and cognitive boundaries of their work. GPs felt proud about finding new ways of working when given room to manoeuvre. Intensified collaboration between healthcare professionals made GPs more confident in their clinical work. GPs expressed that they consequently felt stronger in their professional role through what they accomplished in the organisation of care.
CONCLUSIONS/IMPLICATIONS: The results suggest that the job crafting strategies GPs used were meaningful to them in clinical practice. Knowledge about how GPs' job crafting strategies were deployed might be useful for healthcare organisations in preparing for future health crises. Taking advantage of GPs' experiences and strategies is considered important for promoting sustainable working conditions for GPs in the future.
全科医生（GP）在限制 COVID-19 大流行的影响方面发挥了关键作用，许多 GP 认为他们没有提供足够护理的先决条件。然而，GP 们通过各种工作重塑策略开发了帮助他们为患者提供护理的方法。本研究旨在确定瑞典 COVID-19 大流行初期 GP 是如何部署工作重塑策略的，以及这些策略对他们工作状况的意义。
采用半结构式访谈的定性设计。使用定性内容分析方法，以工作重塑为分析过程的概念框架对数据进行分析。
瑞典五个医疗保健区的初级保健。
14 名 GP 参加了个人访谈。
在组织和提供护理的过程中，GP 们塑造了工作的任务、关系和认知边界。当有回旋余地时，GP 们为找到新的工作方式而感到自豪。医疗保健专业人员之间的合作加强使 GP 们对自己的临床工作更有信心。GP 们表示，通过在护理组织方面所取得的成就，他们在职业角色中感到更强大。
结论/意义：研究结果表明，GP 们使用的工作重塑策略对他们的临床实践具有意义。了解 GP 们如何部署工作重塑策略对于医疗保健组织为未来的健康危机做好准备可能是有用的。利用 GP 们的经验和策略对于促进未来 GP 可持续的工作条件被认为是重要的。
