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Distriktssköterskans upplevelse av införandet av valfrihetssystem
University of Gävle, Faculty of Health and Occupational Studies.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syftet med studien var att beskriva hur distriktssköterskan upplever införandet av valfrihets­system i primärvården. Vidare var syftet att beskriva varför distriktssköterskan stannar kvar inom den landstingsdrivna primärvården då nya privata aktörer finns tillgängliga. Studien hade en beskrivande design där tio distriktssköterskor från en stad i Mellansverige blev inter­vjuade. Det insamlade materialet blev transkriberat och analyserat med hjälp av kvalitativ innehållsanalys. Resultatet strukturerades i två innehållsområden. Det första innehållsområdet upplevelse av införandet, redovisades i temat Patienten har fått makt genom att kunna välja, kategorier samt subka­tegorier. I kategorin ekonomiskt tänkande har blivit viktigt be­skrev distriktssköterskorna att det nu blivit viktigt att lista patienter samt att nya administra­tiva rutiner införts. Patienten har blivit kund vilket lett till att distriktssköterskan fått ett nytt förhållningssätt till patienten och blivit mer serviceinriktad. Valfrihet kräver information, patienten behöver information för att vara insatt i reglerna kring valfrihetssystemet då det kan ge konsekvenser för patienter med särskilda behov. Det andra innehållsområdet skäl att stanna, redovisades i kategorier samt subkategorier. Distriktssköterskan beskrev att hon valde att stanna kvar inom den landstings­drivna primärvården då ar­betsplatsen i sig var avgörande genom trivsel och kollegor samt att det inte varit till­räckligt lockande att byta arbetsplats då en anställning i landstinget uppfatta­des som en trygg­het.

Abstract [en]

The aim of the study was to describe how district nurses experienced the introduction of the system of patient choice in primary care. The aim was also to describe why the district nurse in the public primary care decides to stay when new private actors are available. The study had a descriptive design where ten district nurses from different health centers from a town in Middlesweden were interviewed. The collected material was transcribed and analyzed using qualitative content analysis. The result was structured in two content areas. The first content area experience of the introduction, was presented in the theme Patient had power by beeing able to choose, cat­egories and subcategories. In the category Economic thinking has be­come important the dis­trict nurse described that it is now important to register the patient at the health center and that they now have new administrative procedures in place. The patient has become customer and this leads the district nurse to approach the patient in a new way and become more service-oriented. Choice requires information and the patient needs infor­mation to be familiar with the rules on patient choice system then it can have consequences for patients with special needs. The se­cond content area, reasons to stay, was presented in categories and subcategories. The district nurse decides to remains in the public primary care when the workplace itself is crucial in comfort and colleagues and that it has not been attractive enough to change job when em­ployment in the County Council was perceived as a security.

Place, publisher, year, edition, pages
2011. , 26 p.
Keyword [en]
District nurse, empowerment, information, patient choice
Keyword [sv]
Distriktssköterska, egenmakt, information, patientens valfrihet
National Category
Medical and Health Sciences Nursing
Identifiers
URN: urn:nbn:se:hig:diva-11619Archive number: SPECDSK/vt11nr61OAI: oai:DiVA.org:hig-11619DiVA: diva2:509975
Subject / course
Caring science
Educational program
Specialist nursing – master’s programme (one year)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-03-19 Created: 2012-03-14 Last updated: 2012-03-19Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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Language
  • de-DE
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
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Output format
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