Att få vara med
fem undersköterskor berättar om sina upplevelser av delaktighet och inflytande i arbetet
Enrolled nursesHome-help serviceInfluenceParticipationPurchaser ? provider modelUndersköterskaHemtjänstDelaktighetInflytandeBeställar-utförarmodellen
The aim of the study has been to gain an increased understanding of the sense of participation and influence that the enrolled nurses, working with home-help services within the purchaser ? provider model, feel and how this participation and influence affect them. Five enrolled nurses in three of Stockholm's districts related their experiences of participation and influence at work in the qualitative interviews that were conducted. The result was then analyzed with the help of two theories, Karasek's and Theorell´s Demand- Control Model and Antonovsky's theory regarding ?a Sense of Coherence (SOC)?. The analyzes show that the enrolled nurses have a low sense of participation and influence regarding decisions relating to their work situation. Decisions that affect the enrolled nurses are made by politicians, directors, and care managers of the city districts (biståndshandläggare). On the other hand, the enrolled nurses felt strong support from their peers at work. They could socialize and discuss issues with them. The analyzes show that without their peer support, they would have a lower sense of participation and influence. Furthermore the analyzes show that the interview subjects possess knowledge and competence that they are unable to make use of in their work.