Document Detail

Experiences of Swedish community health nurses working with health promotion and a patient-held health record.
MedLine Citation:
PMID:  17116154     Owner:  NLM     Status:  MEDLINE    
Community health nurses have a tradition of preventive care, and might therefore be a key group in the introduction of new health-promotion methods. The aim of this study was to describe Swedish community health nurses' experiences in working with health promotion and a patient-held record as an integrated tool in their health-promotion work. Interviews were performed with 12 nurses at primary healthcare centres in the county of Dalarna, Sweden. A qualitative content analysis applying aspects of the grounded theory approach was performed. Central to the analysis was the nurses' struggle for balance, in being both a doer of practical disease-oriented tasks and a health-promotion communicator. Descriptions of the nurses' struggles to balance their work were grouped into three themes: (i) working alone and as a part of a team; (ii) nurse-related and patient-related interests; and (iii) patient's responsibility and shared responsibility between patient and nurse. The findings indicated that the structural organization in the primary healthcare centres was important for the community health nurses' means to work with health promotion and the patient-held record. In addition, the community health nurses' cognitive and emotional needs also affected this balance. In conclusion, the struggle of community health nurses to find a balance between being doers and health-promotion communicators is valuable in understanding health promotion in primary health care. The study indicates that it is not enough to develop health-promotion methods acceptable to community health nurses. A comprehensive examination of working conditions and the content of daily work is needed to ensure an emphasis on health promotion, including long-term usage of patient-held records.
Lars Jerdén; Charlotte Hillervik; Ann-Christin Hansson; Renée Flacking; Lars Weinehall
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of caring sciences     Volume:  20     ISSN:  0283-9318     ISO Abbreviation:  Scand J Caring Sci     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-22     Completed Date:  2007-02-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804206     Medline TA:  Scand J Caring Sci     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  448-54     Citation Subset:  N    
Epidemiology, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
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MeSH Terms
Community Health Nursing*
Health Promotion / methods*,  organization & administration
Medical Records*
Middle Aged
Nurse-Patient Relations
Patient Care Team / organization & administration
Patient Participation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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