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Syftet med studien var att beskriva nyutbildade distriktssköterskors upplevelse av första tiden i yrket. Studien genomfördes som en semistrukturerad intervjustudie och hade en deskriptiv design. Intervjuerna genomfördes med tio nyutbildade distriktssköterskor inom primärvården i ett län i Mellansverige. Materialet analyserades med hjälp av kvalitativ innehållsanalys. Resultatet redovisas utifrån tre kategorier: Utbildningen förbereder för yrkesrollen men det mesta lärs genom att utöva yrket, Inställning och tidigare erfarenhet påverkar upplevelsen av att vara nybliven distriktssköterska och Viktigt med praktiska förutsättningar för att lära sig yrket. Distriktssköterskorna ansåg att utbildningen saknade vissa viktiga områden eller innehöll för lite om vissa områden vilket ledde till osäkerhet inför nya arbetsuppgifter. De distriktssköterskor som arbetat inom primärvården eller inom kommunal vård innan utbildningen upplevde inte distriktssköterskearbetet som svårt. De med enbart erfarenhet från slutenvård/akutsjukvård innan utbildningen upplevde det som krävande att vara nybliven distriktssköterska.Distriktssköterskorna beskrev distriktssköterskekunnandet som något som växte fram under och efter utbildningen i kombination med tidigare erfarenhet. Det innebar ett lärande under hela yrkeslivet. En viktig förutsättning för lärandet var att få praktiska förutsättningar på arbetsplatsen via introduktion och stöd från kollegor. / The purpose of this study was to describe how newly qualified district nurses' experience their first time in the profession. The study was carried out as a semi structured interview study with descriptive design. The interviews were conducted with ten newly qualified district nurses in primary care in central Sweden. Data was analyzed based on qualitative content analysis. The study resulted in three categories: Education prepares for the professional role but most is learnt by practicing the profession, Attitude and previous experience affect the experience of being a newly qualified district nurse and The importance of getting practical conditions to learn the profession. District nurses considered that the education lacked some important areas, or contained too little of certain areas resulting in uncertainty in facing new tasks. Those with prior experience from primary care or community care before the education experienced it as easy to become a district nurse. Those with experience only from emergency care before the education perceived it as challenging to be a newly qualified district nurse. District nurses considered the profession of district nursing as something that based on past experience grows and develops when practicing the occupation. That involves a lifelong learning. An important prerequisite for learning is introduction and support from colleagues.

Thesis (B.A. Hons.))--University of Adelaide, Dept. of Psychology, 1978.

No / Palliative care for minority ethnic groups remains a poorly accessed and limited area in district nursing. This article outlines a hospice apprentice programme that aims to promote and expand the use of specialist palliative and end of life care services for a South Asian community through increasing access and referrals, improving services by making them more culturally appropriate for black and minority ethnic (BME) people, involving BME people in the delivery of services, and creating better relationships between BME communities and providers

Introduktion: Distriktssköterskan gör bedömning, hänvisar, ger råd och stöd samt information till allmänheten vid telefonrådgivning. Telefonrådgivning är en växande del av vården och är ett komplext område inom hälso- och sjukvården, där distriktsköterskor möter många nya situationer och utmaningar. Distriktssköterskor erbjuder egenvård till allmänheten vid telefonrådgivning. Syfte: Studiens syfte var att belysa vilka faktorer som skapar möjligheter och begräsningar i distriktsköterskans arbete med telefonrådgivningen inom primärvård. Metod: En systematiskt utförd litteraturstudie med beskrivande analys, vilken baseras på åtta vetenskapliga artiklar publicerade mellan åren 2008 och 2018. Artiklarna uppsöktes i databaserna PubMed och Cinahl. Artiklarna bearbetades med kvalitativ innehållsanalys. Resultat: Sjuksköterskorna tyckte att det var utmattande att göra bedömning och hantera samtal på ett lämpligt sätt. Kommunikationsförmågan bör vara högt utvecklad i de telefonbaserade mötena. Den kognitiva tröttheten orsakade att sjuksköterskan misslyckades med att lyssna på den som ringde, vilket ledde till att sjuksköterskan ställde allt för få frågor. Sjuksköterskorna upplevde att datoriserat beslutstöd var både positivt och negativt. Konklusion: Sjuksköterskorna tyckte att beslutsstödsystemet var ett komplementärt stöd och upplevdes som en värdefull informationskälla. Kommunikationsförmåga är ett mycket viktigt verktyg i telefonrådgivning. Kognitiv trötthet på grund av långa arbetspass hade negativ inverkan på sjuksköterskornas bedömning. / Introduction : The district nurse makes assessment, refers and provides advice, support and information to the public in telephone consulting. Telephone counseling is a growing part of healthcare and is a complex area of health care, where district nurses encounter many new situations and challenges. District nurses offer self-care to the public in telephone counseling. Aim: To identify which factors create opportunities and provide limitations, there is a district nurse's task in telephone counseling in primary care. Method: A systematic literature study with descriptive synthesis based on nine scientific articles published 2008-2018. The articles were searched in databases PubMed and Cinahl. The articles were processed with qualitative content analysis. Result: Nurses thought it was exhaustive to assess and handle conversations appropriately. Communication skills should be highly developed in the telephone-based meetings. The cognitive fatigue caused the nurse to fail to listen to the caller and led to the nurse asking too few questions. Nurses perceived that computerized decision support was both positive and negative. Conclusion: Nurses thought the decision support system was complementary support, it was perceived as a valuable source of information. Communication skills are a very important tool in telephone consulting. Cognitive fatigue due to long workouts had a major impact on the nurses' assessment.

Bakgrund: Föräldrastöd och hembesök är beståndsdelar i barnhälsovårdens hälsofrämjande arbete. Barnhälsovårds-sjuksköterskor och familjevägledare på ett familjecentrum har inlett ett projekt inspirerat av Rinkebyprojektet. Hembesöksprojektet innebär att BHV- sjuksköterskor och familjevägledare tillsammans genomför ett hembesök som erbjuds till alla familjer med barn som är åtta månader. Den teoretiska referensramen för examensarbetet är Familjefokuserad omvårdnad. Syfte: Syftet är att beskriva föräldrars erfarenheter av BHV-sjuksköterskors och familjevägledares hembesök när barnet är åtta månader. Metod: En kvalitativ, deskriptiv innehållsanalys med en induktiv och deduktiv ansats har använts som analysmetod. Tio föräldrar har intervjuats. Resultat: Föräldrarnas erfarenheter visar att hembesöket stödjer barnets hälsa och stärker föräldraskapet. Föräldrarnas beskrivningar handlar om att Barnhälsovårds-sjuksköterskor arbetar för att främja barnets hälsa och utveckling genom att stötta föräldrarna i barnsäkerhet och barnets hälsa. De beskriver vidare hur de får stöd under besöket av familjevägledare och erbjuds stöd genom att få information om familjecentrums verksamhet. Slutsats: Hembesöket av BHV-sjuksköterska tillsammans med familjevägledare stödjer barnets hälsa och stärker föräldraskapet. Det kan ses som att familjen erhåller familjefokuserad omvårdnad under hembesöket. En inblick i föräldrarnas erfarenheter bidrar till utveckling av hembesök och familjefokuserad omvårdnad. / Background: Parental support and home visits are elements in the health promotion work of the child health service. Child Health Nursing Nurses (BHV Nurses) and family counselors at a family center have initiated a project inspired by the Rinkebyproject. The home-care project means that BHV-nurses and family counselors together conduct a home visit offered to all families with children who are eight months old. The theoretical frame for the degree project is Family Focused Nursing. Purpose: The purpose of this study is to describe parents' experiences of BHV-nurses and family counselor home visits when the child is eight months old. Method: A qualitative, descriptive content analysis with an inductive and deductive approach has been used as an analytical method. Ten parents have been interviewed. Results: Parents' experiences show that home visits support the child's health and strengthens parenthood. The parents' descriptions are that BHV-nurses work to promote the child's health and development by supporting the parents in child safety and the child's health. They further describe how they are supported during the visit of family counselors and offered support by obtaining information about family centers' activities. Conclusion: The home visit of the BHV-nurse together with family counselor supports the child's health and strengthens the parenthood. It can be seen as the family receives family-focused nursing during the home visit. An insight into the parents' experiences contributes to the development of home visits and family-focused nursing.

Quality of care is conceptualised by professionals and in policy documents as: compliance with ‘best practice’ guidelines; improving satisfaction rates; fiscal efficiency; and ethical care. ‘Quality’ in palliative and supportive district nursing care has been conceptualised in all these ways. However, the empirical research in this area draws mostly on professionals’ and carers’ views with little research addressing patients’ views. With political rhetoric pushing for a ‘patient led’ NHS, research into how patients conceptualise quality in this area is necessary to both critique this rhetoric and/or facilitate its aims. Therefore, this research investigates patients’ and carers’ views on the quality of palliative and supportive district nursing care.Participants were recruited to an exploratory qualitative study resulting in a convenience sample of twenty six patients (all of district nursing caseloads) and thirteen carers. All participants were over eighteen, able to consent, lived in their own homes, were under the care of district nurses, and had palliative care needs. Eighteen participants had a cancer diagnosis, six had a non-malignant diagnosis, one had co-morbidities, and one participant did not disclosed their diagnosis. Semi-structured interviews were conducted with all participants, five participants were interviewed twice. Post-structuralist theories were used with discourse analysis techniques for the final analysis.The findings identify three of the most influential discourses in relation to the morality and quality of care: Firstly, ‘busyness’, and how its performance by district nurses masks patients’ and carers’ ability to critique care, instead producing a pseudo-quality which fixes patients and carers subjectivities. Secondly, ‘power/knowledge’ and the ways in which it prevents patients and carers accessing care which they need, and altering care to suit their needs. Thirdly, ‘the home’ and how it (re)forms district nursing care and district nursing care (re)forms the home; meaning that actions by district nurses must also consider the impact on the home as well as the patients and carers. In conclusion quality care may be produced by: ceasing to measure quality; involving patients and carers with commissioning and directing palliative and supportive care; supporting groups other than district nurses such as patients, carers and third parties to produce and distribute knowledge about district nursing care; increasing patients’ and carers’ ability to communicate with one another about their care.Further research may investigate: how patients and carers with palliative and supportive care needs may be involved in commissioning; the most appropriate wording and means to distribute knowledge about palliative and supportive district nursing care; ethnographic work to explore how district nursing and the home interact; more detailed theorisation of how the material and the discursive can be accounted for within post-structuralism.