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Mot bakgrund av föreliggande resultat ges följande kliniska implikationer för att möjliggöra ett vårdande förhållningssätt i mötet med patienter som kommer obokade till vårdcentraler:

 Utvärdera organisationen kring de obokade patienterna.

 Vårda teamkänslan för att främja det kollegiala stödet.

 Utbilda om olika kulturer för att öka möjligheten att förstå olika patienters förväntningar.

 Utbilda i hantering av utsatta situationer.

 Informera patienter om sjukvårdsrådgivningen 1177 och motsvarande patientrådgivning.

 Öka medvetenheten av distriktssköterskans vårdande hållning genom att ge möjligheter till diskussion i grupper på arbetsplatsen.

REFERENSER

Allen, J., Gay, B., Crebolder, H., Heyrman, J., Svab, I. & Tam, P. (2002). The European definition of general practice/family practice. Ljubljana, European Society of General Practice/Family Medicine.

http://www.aile.net/sunum/dersnot/fame/module1/pres1/pres1europeandef.pdf [2014- 09-16]

Anell, A., Glenngård, A. H., & Merkur, S. (2012). Sweden: Health system review. http://www.euro.who.int/__data/assets/pdf_file/0008/164096/e96455.pdf [2014-10-21]

Arvidsson, E., André, M., Borgquist, L., Andersson, D. & Carlsson, P. (2012). Setting priorities in primary health care--on whose conditions? A questionnaire study. BMC Family Practice, 13, 114-121.

Arvidsson, E., André, M., Borgquist, L. & Carlsson, P. (2010). Priority setting in primary health care – dilemmas and opportunities: a focus group study. BMC Family Practice, 11, 71-79.

Backman, A. S., Lagerlund, M., Svensson, T., Blomqvist, P. & Adami, J. (2012). Use of healthcare information and advice among non-urgent patients visiting emergency

department or primary care. Emergency Medicine Journal, 29, 1004-1006.

Backman, A.-S., Blomqvist, P., Svensson, T. & Adami, J. (2010). Health care utilization following a non-urgent visit in emergency department and primary care. Internal And Emergency Medicine, 5, 539-546.

Bain, H. & Baguley, F. (2012). The management of caseloads in district nursing services. Primary Health Care, 22, 31-38.

Björkelund, C., Maun, A., Murante, A. M., Hoffman, K., De Maeseneer, J., Farkas-Pall, Z., Hjortdahl, P., Nemerenco, A., Boström, K. B., Lindblad, U., Thorn, J., Andersson, C., Wikberg, C., Karlsson, P., Davachi, S., Björck, S., Palaszewski, B. & Björkman, L. (2013). Impact of continuity on quality of primary care: from the perspective of citizens' preferences and multimorbidity - position paper of the European Forum for Primary Care. Quality in Primary Care, 21, 193-204.

Boström, E., Hörnsten, A., Persson, C., Rising, I. & Santamäki Fischer, R. (2012). Clinical challenges and ongoing role changes for primary health-care nurses. British Journal Of Community Nursing, 17, 68-74.

Brismar, B. (2007). PHAT (prehospitala akutteam). Slutrapport november. https://www.skane.se/upload/Webbplatser/Skaneportalen-

extern/PolitikPaverkan/Sammantraden/V%C3%A5rdproduktionsberedningen/VPB%20 Dagordning/VPB.071129.A7.pdf [2014-09-16]

Callahan, S. T. & Cooper, W. O. (2010). Changes in ambulatory health care use during the transition to young adulthood. Journal of Adolescent Health, 46, 407-413.

Chalder, M., Sharp, D., Moore, L. & Salisbury, C. (2003). Impact of NHS walk-in centres on the workload of other local healthcare providers: time series analysis. BMJ: British Medical Journal (International Edition), 326, 532-534.

Dahlberg, K. & Segesten, K. (2010). Hälsa och vårdande I teori och praxis. Stockholm: Natur och Kultur.

Dahlberg, K., Todres, L. & Galvin, K. (2009). Lifeworld-led healthcare is more than patient-led care: an existential view of well-being. Medicine, Health Care, And Philosophy, 12, 265-271.

Davis, A. J., Konishi, E. & Tashiro, M. (2003). A pilot study of selected Japanese nurses' ideas on patient advocacy. Nursing Ethics, 10, 404-413.

Delmar, C. (2012). The excesses of care: a matter of understanding the asymmetry of power. Nursing Philosophy, 13, 236-243.

Delmar, C. (2013). Beyond the drive to satisfy needs: in the context of health care. Medicine, Health Care and Philosophy, 16, 141-149.

Department of Health, Social Services and Public Safety. (2006). Modernising nursing careers: setting the direction.

http://www.scotland.gov.uk/resource/doc/146433/0038313.pdf [2014-10-09]

Distriktssköterskeföreningen i Sverige. (2008). Kompetensbeskrivning för legitimerad sjuksköterska med specialistsjuksköterskeexamen distriktssköterska.

http://www.distriktsskoterska.com/download.php?f_id=135&id=1 [2014-09-03]

Drinkwater, J., Salmon, P., Langer, S., Hunter, C., Stenhoff, A., Guthrie, E. & Chew- Graham, C. (2013). Operationalising unscheduled care policy: a qualitative study of healthcare professionals' perspectives. The British Journal Of General Practice: The Journal Of The Royal College Of General Practitioners, 63, ss. 192-199.

Durand, A.-C., Palazzolo, S., Tanti-Hardouin, N., Gerbeaux, P., Sambuc, R. & Gentile, S. (2012). Nonurgent patients in emergency departments: rational or irresponsible consumers? Perceptions of professionals and patients. BMC Research Notes, 5, 525- 533.

Ekman, I., Swedberg, K., Taft, C., Lindseth, A., Norberg, A., Brink, E., Carlsson, J., Dahlin-Ivanoff, S., Johansson, I.-L., Kjellgren, K., Lidén, E., Öhlén, J., Olsson, L.-E., Rosén, H., Rydmark, M. & Sunnerhagen, K. S. (2011). Person-centered care - Ready for prime time. European Journal of Cardiovascular Nursing, 10, 248-251.

El-Gilany, A-H., El-Wehady, A. & Amr, M. (2010). Violence against Primary Health Care Workers in Al-Hassa, Saudi Arabia. Journal of Interpersonal Violence. 25(4), 716- 734.

Elo, S. & Kyngäs, H. (2007). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), ss. 107-115.

Fabrellas, N., Sánchez, C., Juvé, E., Aurin, E., Monserrat, D., Casanovas, E. & Urrea, M. (2013). A program of nurse algorithm-guided care for adult patients with acute minor illnesses in primary care. BMC Family Practice, 14, 61-67.

Fabrellas, N., Vidal, A., Amat, G., Lejardi, Y., Del Puig Deulofeu, M. & Buendia, C. (2011). Nurse management of 'same day' consultation for patients with minor illnesses: results of an extended programme in primary care in Catalonia. Journal Of Advanced Nursing, 67, 1811-1816.

Freilich, J. (2014). Hitta rätt i vården. http://www.1177.se/Jonkopings-lan/Regler-och- rattigheter/Hitta-ratt-i-sjukvarden/ [2014-10-09]

Fridlund, B. (2012). Kritisk incident teknik. I Henricson, M. (Red.). Vetenskaplig teori och metod: från idé till examination inom omvårdnad. Lund: Studentlitteratur, ss. 178- 190.

Gallagher, N., Macfarlane, A., Murphy, A. W., Freeman, G. K., Glynn, L. G. & Bradley, C. P. (2013). Service Users’ and Caregivers’ Perspectives on Continuity of Care in Out-of-Hours Primary Care. Qualitative Health Research, 23, 407-421.

Garrosa, E., Moreno-Jiménez, B., Liang, Y. & González, J. L. (2008). The relationship between socio-demographic variables, job stressors, burnout, and hardy personality in nurses: an exploratory study. International Journal of Nursing Studies, 45, 418-427.

Garrosa, E., Rainho, C., Moreno-Jiménez, B. & Monteiro, M. J. (2010). The

relationship between job stressors, hardy personality, coping resources and burnout in a sample of nurses: a correlational study at two time points. International Journal of Nursing Studies, 47, 205-215.

Garth, B., Temple-Smith, M., Clark, M., Hutton, C., Deveny, E., Biezen, R. & Pirotta, M. (2013). Managing same day appointments - A qualitative study in Australian general practice. Australian Family Physician, 42, 238-243.

Gentile, S., Vignally, P., Durand, A-C., Gainotti, S., Sambuc, R., & Gerbeaux, P. (2010). Nonurgent patients in the emergency department? A French formula to prevent misuse. BMC Health Services Research, 10 (66), 1-6.

Hallin, K. & Danielson, E. (2007). Registered nurses' experiences of daily work, a balance between strain and stimulation: a qualitative study. International Journal of Nursing Studies, 44, 1221-1230.

Hollman, D., Lennartsson, S. & Rosengren, K. (2014). District nurses' experiences with the free-choice system in Swedish primary care. British Journal of Community Nursing, 19, 30-35.

Jakobsson, U. (2007). Möten och bemötande i hälso- och sjukvård. Socialmedicinsk tidskrift, 6, 541-548.

Karlsson, B., Morberg, S. & Lagerström, M. (2006). Strong as individuals but weak as a group: a qualitative study about district nurses perceptions of their work situation and occupation. Nordic Journal of Nursing Research & Clinical Studies / Vård i Norden, 26, 36-41.

Karra, V., Papathanassoglou, E. D., Lemonidou, C., Sourtzi, P. & Giannakopoulou, M. (2014). Exploration and classification of intensive care nurses' clinical decisions: a Greek perspective. Nursing in Critical Care, 19, 87-97.

Kjellström, S. (2012). Forskningsetik. I Henricson, M. (Red.). Vetenskaplig teori och metod: från idé till examination inom omvårdnad. Lund: Studentlitteratur, ss. 70-92. Kringos, D.S. (2012). The strenght of primary care in Europe.

http://www.nivel.nl/sites/default/files/bestanden/Proefschrift-Dionne-Kringos-The- strength-of-primary-care.pdf [2014-09-17]

Kvale, S. & Brinkmann, S. (2009). Den kvalitativa forskningsintervjun. Lund: Studentlitteratur.

Locatelli, S. M., Hill, J. N., Talbot, M. E., Schectman, G. & Lavela, S. L. (2014). Relational Continuity or Rapid Accessibility in Primary Care?: A Mixed-Methods Study of Veteran Preferences. Quality Management in Health Care, 23, 76-85.

Lundman, B. & Hällgren Graneheim, U. (2012). Kvalitativ innehållsanalys. I Granskär, M. & Höglund-Nielsen, B. (Red.). Tillämpad kvalitativ forskning inom hälso- och sjukvård. Lund: Studentlitteratur.

Malterud, K. (2009). Kvalitativa metoder i medicinsk forskning. Lund: Studentlitteratur.

McGuigan, T. & Watson, P. (2010). Non-urgent attendance at emergency departments. Emergency Nurse, 18, 34-38.

Meade, J. G. & Brown, J. S. (2006). Improving access for patients - a practice manager questionnaire. BMC Fam Pract, 7, 37-42.

Negarandeh, R., Oskouie, F., Ahmadi, F., Nikravesh, M. & Rahm Hallberg, I. (2006). Patient advocacy: barriers and facilitators. BMC Nursing, 5(3), 1-8.

O'Cathain, A., Knowles, E., Munro, J. & Nicholl, J. (2007). Exploring the effect of changes to service provision on the use of unscheduled care in England: population surveys. BMC Health Services Research, 7, 61-67.

Oterino De La Fuente, D., Baños Pino, J. F., Blanco, V. F. & Rodriguez Alvarez, A. (2007). Does better access to primary care reduce utilization of hospital accident and

emergency departments? A time-series analysis. European Journal of Public Health, 17, 186-192.

Pellatt, G. C. (2004). Patient-professional partnership in spinal cord injury rehabilitation. British Journal of Nursing, 13, 948-953.

Philips, H., Remmen, R., De Paepe, P., Buylaert, W. & Van Royen, P. (2010). Out of hours care: a profile analysis of patients attending the emergency department and the general practitioner on call. BMC Family Practice, 11, 88-95.

Priebe, G., & Landström, C. (2012). Den vetenskapliga kunskapens möjligheter och begränsningar – grundläggande vetenskaplig teori. I Henricson, M. (Red.). Vetenskaplig teori och metod: från idé till examination inom omvårdnad. Lund: Studentlitteratur, ss. 32-50.

Rashid, C. (2010). Benefits and limitations of nurses taking on aspects of the clinical role of doctors in primary care: integrative literature review. Journal of Advanced Nursing, 66, 1658-1670.

Riksföreningen för distriktssköterskor. (2008). Om distriktssköterskan: en nyckelperson i hälso- och sjukvården.

http://www.distriktsskoterska.com/download.php?f_id=32&id=1 [2014-09-01]

Rubin, G. (2010). Unscheduled care following attendence at Minor Illness and Injury Units (MIU): cross-sectional survey. Journal of Evaluation in Clinical Practice, 18, 100-103.

Sahlsten, M. J., Larsson, I. E., Plos, K. A. E. & Lindencrona, C. S. (2005). Hindrance for patient participation in nursing care. Scandinavian Journal of Caring Sciences, 19, 223-229.

Sahlsten, M. J., Larsson, I. E., Sjöström, B., Lindencrona, C. S. C. & Plos, K. A. E. (2007). Patient participation in nursing care: towards a concept clarification from a nurse perspective. Journal of Clinical Nursing, 16, 630-637.

Sandelowski, M. (1995). Qualitative analysis: What it is and how to begin? Research in Nursing and Health, 18, 371-375.

Scanlon, A. & Lee, G. A. (2007). The use of the term vulnerability in acute care: why does it differ and what does it mean? Australian Journal of Advanced Nursing, 24, 54- 59.

Schäfer, I., Hansen, H., Schön, G., Höfels, S., Altiner, A., Dahlhaus, A., Gensichen, J., Riedel-Heller, S., Weyerer, S., Blank, W. A., König, H.-H., Von Dem Knesebeck, O., Wegscheider, K., Scherer, M., Van Den Bussche, H. & Wiese, B. (2012). The influence of age, gender and socio-economic status on multimorbidity patterns in primary care. First results from the multicare cohort study. BMC Health Services Research, 12, 89- 103.

SFS 1982:763. Hälso- och sjukvårdslag. Stockholm: Socialdepartementet.

SFS 2003:460. Lag om etikprövning av forskning som avser människor. Stockholm: Utbildningsdepartementet.

Socialdepartementet. (2000). Nationell handlingsplan för utveckling av hälso- och sjukvården (Regeringens proposition 1999/2000:149). Stockholm: Regeringskansliet. Socialstyrelsen. (2004a). Termbanken: akut.

http://socialstyrelsen.iterm.se/?fSortingFld=22&fSortingDir=0&fSwitch=0&fTerm=aku t&fSubject=0.0.0 [2014-09-16]

Socialstyrelsen. (2004b). Termbanken: Vårdcentral.

http://socialstyrelsen.iterm.se/showterm.php?fTid=298 [2014-09-01]

Socialstyrlesen. (2009). Folkhälsorapport 2009.

http://www.socialstyrelsen.se/Lists/Artikelkatalog/Attachments/8495/2009-126-71.pdf [2014-10-17]

Socialstyrelsen. (2010). Uppföljning av den nationella vårdgarantin och “kömiljarden”: Årsrapport 2010.

http://www.socialstyrelsen.se/Lists/Artikelkatalog/Attachments/17959/2010-3-13.pdf [2014-09-01]

Socialstyrelsen. (2013). Väntetider vid sjukhusbundna akutmottagningar: Rapport December 2013.

http://www.socialstyrelsen.se/lists/artikelkatalog/attachments/19259/2013-12-2.pdf

2014-09-16]

Stuart, E. H., Jarvis, A. & Daniel, K. (2008). A ward without walls? District nurses' perceptions of their workload management priorities and job satisfaction. Journal Of Clinical Nursing, 17, 3012-3020.

Sveriges kommuner och landsting. (2009). Nationell patientenkät: Primärvård 2009. http://npe.skl.se/Oversikt.aspx?ActiveView=0 [2014-09-02]

Sveriges kommuner och landsting. (2013). Nationell patientenkät: Primärvård 2013. http://npe.skl.se/Oversikt.aspx?ActiveView=0 [2014-09-02]

The Royal Australian College of General Practitioners. (2013). Standars for general practices: 4th edition.

http://www.racgp.org.au/download/documents/Standards/standards4thedition.pdf [2014-09-01]

Thomas, L.M., Reynolds, T. & O´Brien, L. (2006). Innovation and change: shaping district nursing services to meet the needs of primary health care. Journal of Nursing Management. 14(6), 447-454.

Thorup, C. B., Rundqvist, E., Roberts, C. & Delmar, C. (2012). Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care. Scandinavian Journal of Caring Sciences, 26, 427-435.

Todres, L., Galvin, K. & Dahlberg, K. (2007). Lifeworld-led healthcare: revisiting a humanising philosophy that integrates emerging trends. Medicine, Health Care, And Philosophy, 10, 53-63.

Traynor, M., Boland, M. & Buus, N. (2010). Autonomy, evidence and intuition: nurses and decision-making. Journal of Advanced Nursing, 66, 1584-1591.

Vaez, M., Josephson, M., Vingård, E., & Voss, M. (2014). Work-related violence and its association with self-rated general health among public sector employees in Sweden. Works. 14 (1), 163-171.

Vetenskapsrådet. (2002). Forskningsetiska principer. http://www.codex.vr.se/texts/HSFR.pdf [2014-09-01]

WHO. (2008). World health report 2008 – Primary Health Care: now more than ever. http://www.who.int/whr/2008/en/ [2014-09-01]

WHO. (2014). Health topics: Primary health care.

http://www.who.int/topics/primary_health_care/en/ [2014-09-01]

Wahlberg, A. C., Cedersund, E. & Wredling, R. (2005). Bases for assessments made by telephone advice nurses. Journal of Telemedicine and Telecare, 11, 403-407.

Wilkin, H. A., Cohen, E. L. & Tannebaum, M. A. (2012). How Low-Income Residents Decide Between Emergency and Primary Health Care for Non-Urgent Treatment. Howard Journal of Communications, 23, 157-174.

Willems, S., Peersman, W., De Maeyer, P., Buylaert, W., De Maeseneer, J. & De Paepe, P. (2013). The impact of neighborhood deprivation on patients' unscheduled out-of- hours healthcare seeking behavior: a cross-sectional study. BMC Family Practice, 14, 136-144.

Västra Götalandsregionen. (2014). Krav och kvalitetsbok. http://www.vgregion.se/kravochkvalitetsbok [2014-09-02]

Yang, S. C., Zwar, N., Vagholkar, S., Dennis, S. & Redmond, H. (2010). Factors influencing general practice follow-up attendances of patients with complex medical problems after hospitalization. Family Practice, 27, 62-68.

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