The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study

Abstract

Background: Organizational culture plays a key role regarding organizational outcomes and determining strategies, goals, and modes of operating which is associated with higher rates of worker morale, turnover and lower adverse events related to patient quality of care issues. Aim: to describe the impact of the relocation of nurses from hospitals and other contexts to primary care from the perspective of primary care nurses. Methods: A qualitative, focused ethnographic study. Site: Cantabro Health Service, Cantabria, Spain. Purposeful sampling methods were used to include nurses who were working in primary care during the study, and who had previous experience of at least one year in primary care. Observation (385 hours, 7 months) and in-depth interviews (17) were used to collect data. A thematic analysis was applied. Results: Four themes emerged from the data: (a) staff policies applied, (b) beliefs regarding the newly incorporated nursing staff, (c) reasons for relocation to primary care, and (d) concern for the future. Conclusions: In primary care, the relocation of non-qualified nursing professionals who are at the end of their career may have a negative impact on the organizational culture. It is necessary to research the most appropriate measures for guaranteeing a satisfactory work environment based on nurses who are qualified in primary health care settings.

The Association between Organizational Commitment and Quality of Services Offered to Nurses by a Hospital: A Descriptive-Correlational Study

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Condições que interferem no cuidado às mulheres em situação de violência conjugal

“…A alta rotatividade de profissionais na equipe pode ser um entrave para o aprimoramento da assistência prestada. A entrada e saída de profissionais necessariamente ocasiona a ruptura dos processos e prejudica a qualidade dos atendimentos, conforme assinala estudo espanhol ao revelar que a alternância de profissionais afeta a coesão das equipes e compromete a capacidade destes se envolverem e estabelecerem relações de confiança com colegas e a comunidade 33 . Diante dessa realidade, táticas de gestão precisam ser pensadas por diferentes esferas de governo a fim de suprimir tal alternância nos postos de trabalho.…”

The evolution of the role of nursing in primary health care using Bourdieu’s concept of habitus. A grounded theory study

“…This change of model has forced a new definition of professional roles [ 6 – 8 ]. Both nurses and doctors have had to develop new skills and competencies, thus configuring a complex professional context in which forces, conflicts and monopolies have been generated [ 3 , 9 , 10 ].…”