Abstract

Objective: The aim of this study was to explore nurses’ experiences and perceptions of working as care managers at primary care centers.

Design: Qualitative, focus group study. Systematic text condensation was used to analyze the data.

Setting: Primary health care in the region of Västra Götaland and region of Dalarna in Sweden.

Subjects: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support.

Main outcome measures: The nurses’ experiences and perceptions of working as care managers at primary care centers.

Results: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression.

Conclusion: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness. The care manager function helped to provide continuity in care which is a main task of primary health care.

    Key Points
  •   The care managers described their role as an additional support to the already existing care at the primary care center.

  •  •  They emphasized that as care managers, they had a person-centered focus and constituted a safety net for patients with depression.

  •  •  Their role as care managers enabled them to follow and support patients with depression over time, which made their work more meaningful.

  •  •  Care managers helped to achieve continuity and accessibility to primary health care for patients with depression.

Details

Title
Creating a safety net for patients with depression in primary care; a qualitative study of care managers’ experiences
Author
Svenningsson, Irene 1 ; Udo, Camilla 2 ; Westman, Jeanette 3 ; Nejati, Shabnam 4 ; Hange, Dominique 4 ; Björkelund, Cecilia 4 ; Petersson, Eva-Lisa 1 

 Department of Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;; Primary Health Care, Närhälsan Research and Development, Region Västra Götaland, Sweden; 
 School of Education, Health and Social Studies, Dalarna University, Falun, Sweden;; Centre for Clinical Research, Dalarna, Sweden; 
 Division of Family Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden 
 Department of Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 
End page
362
Publication year
2018
Publication date
Dec 2018
Publisher
Taylor & Francis LLC
ISSN
02813432
e-ISSN
15027724
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2195289106
Copyright
© 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.