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Interaction in Municipal Health Care – A Study of the Experiences of Home Care Nurses

By Bente lilljan lind Kassah and Siri Tønnessen


Published version. Source at License CC BY-NC 4.0.I artikkelen presenteres en intervjustudie av 7 hjemmesykepleieres erfaring med samhandling med tildelingskontor, fastleger og legevakt. Hensikten var å utvikle kunnskap om deres opplevelse av utfordringer i samhandlingen og hvordan utfordringer imøtekommes. Datamaterialet er analysert og fortolket etter fenomenologisk hermeneutisk metode. Undersøkelsen viser at tildelingskontorets maktforvaltning og hjemmesykepleieres absorbering av ansvar styrer samhandlingen med tildelingskontoret. Når samhandlingen med fastleger lykkes, er moralsk forpliktelse et bærende element. I samhandling med legevakten gir hjemmesykepleiere fra seg ansvaret for pasienter når de opplever seg presset ut over egen kompetanse. Studien tyder på at det er behov for å myndiggjøre hjemmesykepleiere og å utvikle en felles forståelse for samhandling.This interview-based article presents the experiences of seven home healthcare nurses on how they cooperate with the patient allocation office, medical practitioners and emergency medical centers. The study aims at developing knowledge on challenges in cooperation, and how home healthcare nurses meet them. The authors adopted the phenomenological–hermeneutic approach in analyzing and interpreting the data. The study reveals that the power management of actors in the patient allocation offices and the way the home healthcare nurses absorb responsibilities guide how they co-operate. There is a need for a moral obligation if the cooperation with the medical practitioners is to succeed. In cooperation with the emergency medical center units, the home healthcare nurses abandon their responsibility for the patients when they experience pressure to operate beyond their area of competence. The study shows that there is a need to empower home healthcare nurses and develop a common understanding of why and how to cooperate

Topics: coordination, home based nursing care, empowerment, power, samhandling, hjemmesykepleie, myndiggjøring og makt
Publisher: 'Scandinavian University Press / Universitetsforlaget AS'
Year: 2016
DOI identifier: 10.18261/issn.2464-3076-2016-04-04
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