Sykepleiere i hjemmebaserte tjenester – hvorfor fortsetter de i sin stilling?

Emneord (Nøkkelord): helsetjenester i hjemmet, meningsfull sammenheng, salutogenetisk prosess, sykepleier, nurses, phenomenological hermeneutic method, remaining in current position, salutogenetic process, sense of coherence, Fenomenologisk hermeneutisk metode, fortsette i sin stilling

Sammendrag

Sykepleiere som arbeider i helsetjenester i hjemmet har krav om høy kvalitet på sykepleieutøvelsen. Samtidig har Norge en sykepleiermangel og primærhelsetjenesten utfordringer med å rekruttere og beholde sykepleiere. Studien beskriver og fortolker hva som var viktig for å fortsette i sin stilling som sykepleier i helsetjenester i hjemmet. En kvalitativ design ble benyttet. Deltakerne var seks sykepleiere i alderen 26 til 60 år ansatt i helsetjenester i hjemmet i en distriktskommune. Data ble samlet inn gjennom individuelle intervju. Transkriberte intervju ble analysert ved hjelp av fenomenologisk-hermeneutisk metode. Resultatene er formulert som fire tema: Å være ønsket velkommen hos pasienter; å ha samhold med kollegaer og leder; å ha variasjon i arbeidshverdagen; å ferdes i naturskjønne omgivelser. Studien konkluderer med at det som synes å være viktig for at sykepleiere fortsetter i sin stilling, er å ha en opplevelse av å lykkes. Studien løfter fram at dette synes å være mulig for sykepleierne i helsetjenester i hjemmet.  Det er mulig når sykepleierne inngår i en sammenheng som er meningsfull, begripelig og håndterbar. Fordi sykepleiere har en sentral rolle i helsetjenester i hjemmet, trengs det mer forskning på hvorfor sykepleiere fortsetter i sin stilling.  

Abstract

High-quality nursing care is a goal and requirement in health services. The Norwegian primary health care is challenged by a shortage of nurses, difficulties with recruiting and retaining nurses. This study aims to describe and interpret important aspects allowing nurses working in home healthcare to remain in their current position. A qualitative research design was used. The setting was one district municipality’s home healthcare. Six nurses aged between 26 and 60 years were recruited through strategic sampling to individual interviews. Data were analyzed using a phenomenological hermeneutic method. Four themes emerged from the analysis: Being welcome at the patients’ home; experiencing community with colleagues and leader; experiencing work task variety; traveling in scenic surroundings. Thus, the significance of having a sense of coherence, comprehensibility, and manageability cannot be too strongly emphasized. The study indicates that remaining in home healthcare practice seems to revolve around achieving a sense of success as a nurse.

 

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Publisert
2021-07-01
Hvordan referere
Østhus, N., Storm, M. ., & Kristoffersen, M. . (2021). Sykepleiere i hjemmebaserte tjenester – hvorfor fortsetter de i sin stilling?. Nordisk Tidsskrift for Helseforskning, 17(1). https://doi.org/10.7557/14.4975
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