Department of Health, Medicine, and Caring Sciences, Linköping University, Linköping, Sweden.
Department of Emergency medicine in Norrköping, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
BMC Health Serv Res. 2024 Sep 13;24(1):1065. doi: 10.1186/s12913-024-11517-8.
There is a growing need for alternative forms of care to address citizen demands and ensure a competent healthcare workforce across municipalities and regions. One of these forms of care is the use of mobile care units. The aim of the current study was to describe physicians and nurses experiences of providing care to patients within a mobile care unit in Sweden.
Data were collected between March 2022 and January 2023 through qualitative interviews with 14 physicians and nurses employed in various mobile care units in different regions in Sweden. These interviews were transcribed verbatim and subjected to content analysis, with the study adhering to the Standards for Reporting Qualitative Research (SRQR).
The analysis resulted in two main categories: "Unlocking the potential of mobile care", and "The challenges of moving hospitals to patients' homes"; and seven subcategories. The respondents viewed mobile care at home as highly advantageous, positively impacting both patients and caregivers. They believed their contributions enhanced patients' well-being, fostering a welcoming atmosphere. They also noted receiving more quality time for each patient, enabling thorough assessments, and promoting a person-centered approach, which resulted in more gratifying mutual relationships. However, they experienced that mobile care also had challenges such as geographical limitations, limited opening hours and logistical complexity, which can lead to less equitable and efficient care.
Physicians and nurses in mobile care units emphasized positive outcomes, contributing to patient well-being through a person-centered approach. They highlighted increased quality time, comprehensive assessments, and overall satisfaction, praising the mobile care unit's unique continuity for enhancing safety and fostering meaningful relationships in the patient's home environment. In order for mobile care to develop and become a natural part of healthcare, challenges such as geographical limitations and logistics need to be addressed.
满足公民需求并确保各城市和地区医疗保健人员具备相应能力的需求日益增长，因此需要寻找替代形式的医疗服务。其中一种形式的医疗服务是使用移动护理单元。本研究旨在描述瑞典移动护理单元的医生和护士为患者提供护理的经验。
2022 年 3 月至 2023 年 1 月，通过对瑞典不同地区不同移动护理单元的 14 名医生和护士进行定性访谈收集数据。这些访谈被逐字转录，并进行内容分析，本研究遵循了定性研究报告标准 (SRQR)。
分析结果得出两个主要类别：“释放移动护理的潜力”和“将医院转移到患者家中的挑战”；以及七个子类别。受访者认为家庭移动护理具有高度优势，对患者和护理人员都有积极影响。他们认为自己的贡献增强了患者的幸福感，营造了温馨的氛围。他们还注意到，他们为每位患者提供了更多的时间进行全面评估，并促进了以患者为中心的方法，从而建立了更令人满意的相互关系。然而，他们也经历了移动护理的挑战，例如地理位置的限制、有限的开放时间和后勤的复杂性，这可能导致护理的不平等和效率低下。
移动护理单元的医生和护士强调了积极的结果，通过以患者为中心的方法为患者的福祉做出贡献。他们强调了增加的质量时间、全面的评估和整体满意度，并赞扬了移动护理单元在患者家庭环境中提供独特的连续性，以提高安全性并促进有意义的关系。为了使移动护理发展并成为医疗保健的自然组成部分，需要解决地理位置限制和后勤方面的挑战。
