Scandinavian journal of primary health care
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Scand J Prim Health Care · Mar 2024
Exploring expectations and readiness for healthy lifestyle promotion in Swedish primary health care: a qualitative analysis of managers, facilitators, and professionals.
Prior to a multifaceted implementation strategy for a healthy lifestyle-promoting practice the expectations of primary health care managers, appointed internal facilitators and health care professionals on supporting change was explored. ⋯ To change to a healthy lifestyle promoting practice professionals request support from their managers, who in turn need support from the middle and top managers. The requested support includes helping to prioritise health promotion and enabling the primary care centres to build competence and take ownership of the implementation.
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Scand J Prim Health Care · Mar 2024
"Returning to the core tasks": a qualitative interview study about how general practitioners in home health care solved problems during the COVID-19 pandemic.
Optimizing care at home, or home health care (HHC), is necessary as the population of care-dependent older people receiving care at home steadily increases. The COVID-19 pandemic tested Swedish primary care professionals as they provided HHC for a population of very frail older homebound people, but a better understanding of what healthcare workers did to manage the crisis may be useful for the further development of HHC. In this study, we aimed to understand how HHC physicians solved the problems of providing home healthcare during the pandemic to learn lessons on how to improve future HHC. ⋯ This study indicates that a healthcare system that gives HHC physicians agency to focus on core tasks and professional values could promote person-centered care.
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Scand J Prim Health Care · Jun 2024
Improving cardiovascular control in a hypertensive population in primary care. Results from a staff training intervention.
A pilot study to evaluate a staff training intervention implementing a nurse-led hypertension care model. ⋯ Although this primary care intervention based on staff training failed to improve BP control, it resulted in improved cardiovascular control by improved cholesterol lowering treatment.
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Scand J Prim Health Care · Mar 2024
Health care services for older people in COVID-19 pandemic times - A Nordic comparison.
To explore the Nordic municipal health and care services' ability to promote principal goals within care for older people during the COVID-19 pandemic. ⋯ Measures that can improve opportunities for an active and social life during a pandemic should have high priority, particularily within home care.
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Scand J Prim Health Care · Mar 2024
Local management of the COVID-19 pandemic in Norway: a longitudinal interview study of municipality chief medical officers.
To explore the experiences and views of Norwegian Municipality Chief Medical Officers (MCMOs) on preparedness, collaboration, and organization during the COVID-19 pandemic to gain insight into local crisis management of value for future pandemic responses. ⋯ The Norwegian pandemic response and outcome have been regarded as successful internationally. Although the MCMOs managed to implement flexible and quick responses facilitated by teamwork, dialogue, and joint sensemaking, they also identified several challenges and shortcomings of the Norwegian pandemic preparedness requiring organizational and financial changes to sustain future health system resilience.