Experiences of a new work model among primary care staff when treating patients with hypertension – a qualitative study.
Objective: Hypertension care requires considerable resources from primary healthcare, and efficient work models are desirable both to improve treatment outcome and to ease staff workload. This study's objective was to describe how healthcare staff experienced the implementation of a new nurse-led wo...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 43; no. 4; pp. 795 - 805 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189410518&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189410518 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Dec2025 vid: 43 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 189410518 185347114 189410518 189410518 10.1080/02813432.2025.2507282 189410518 ppf: 795 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Experiences of a new work model among primary care staff when treating patients with hypertension – a qualitative study. aug: au: Quester, Rebecka Hjerpe, Per Östman, Malin Andersson, Susanne affil: Region Västra Götaland, Närhälsan Bollebygd Healthcare Centre, Bollebygd, Sweden sug: subj: Hypertension Therapy Health Personnel Psychosocial Factors Attitude of Health Personnel Evaluation Primary Health Care Nursing Models, Theoretical Nurse-Physician Relations Teamwork Program Implementation Sweden Human Female Male Qualitative Studies Content Analysis Descriptive Statistics Internet Health Personnel Education Task Shifting Cardiac Patients Psychosocial Factors Workload Hypertension Nursing Interviews Multidisciplinary Care Team Protocols Multicenter Studies After Care Patient Safety Task Performance and Analysis Trust Personnel Turnover Judgment Learning Job Experience Professional Competence Thematic Analysis Open-Ended Questionnaires Audiorecording Interview Guides Funding Source Female Male ab: Objective: Hypertension care requires considerable resources from primary healthcare, and efficient work models are desirable both to improve treatment outcome and to ease staff workload. This study's objective was to describe how healthcare staff experienced the implementation of a new nurse-led work model for hypertension care. Methods: Qualitative content analysis was used for data analysis. Digitally conducted interviews with 14 physicians, nurses and managers from six of the eleven primary healthcare centres participating in an intervention to improve hypertension care in the Västra Götaland region. The intervention included training of healthcare professionals in a new nurse-led team work model using standardized protocols for treatment and follow-up. Results: The intervention was appreciated, even requested, by both nurses, physicians and managers. The clearly defined division of tasks in the team provided structure, safety, and eased the workload. Treatment was streamlined and the work was perceived as more professional and stimulating. However, implementation of the new work model, including task shift, required close cooperation between nurses and physicians, trust and dedication. Implementation failed if the staff turnover was high, or if management support lacked. Personal qualities, judgement, experience and learning by cooperating with each other, were highlighted as important additional factors for competence and professionally performed hypertension care. Conclusion: Healthcare can benefit from this intervention, but manager support and involvement of both nurses and physicians are crucial factors for successful implementation. Structured protocols cannot replace experience and personal qualities but provide appreciated support and increased safety. KEY POINTS: Introducing a work model including task shifting between physician and nurse might be a way to streamline hypertension care. Support from the management was crucial for a successful implementation of the new nurse-led work model. Clearly defined teamwork eased the workload and streamlined treatment, but required involvement of both nurses and physicians. In addition to structure and protocols, personal qualities and experience were considered important for a professionally performed hypertension care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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