Distriktssköterskors och sjuksköterskors upplevelse av arbetsmiljö i primärvård och en kartläggning av arbetstidens innehåll
Introduction:A good work environment and good resources among district nurses? and general nurses? are important in the provision of good nursing care. For patient security it is also very important that resources and time are used in an appropriate way. A lot of time is spent on non-core activity, for example administration takes more and more time, which can result in feelings of stress.Aim:The aim was to describe how district nurses? and nurses? in primary care perceived their work environment, how their worktime content was distributed and if there was some connection between perceived work environment and the distribution of work time.Methods:A mapping of the content of the work was made in two parts. The first part was a survey where the respondents were asked about their perceived work environment, their work tasks and if they perceived stress. The second part was a time reporting, by self-reporting on a preprinted form.Results:Almost half of the district nurses? and general nurses? said that they seldom had to perform tasks which they wondered if were really necessary. More than 40 percent perceived that they sometimes had work tasks which placed demands beyond what could be expected of them. About 40 percent perceived that they often had enough time to do their work tasks and 30 percent perceived it sometimes. Stress was perceived some of the time by almost 40 percent. Most of the nurses? thought the quality of care was good. The proportion of direct patient care was approximately 45 percent and indirect patient work approximately 24 percent. The proportion of other work varied with the proportion of quantitative requirements: there was enough time.Conclusion:Nearly half of the district nurses? and the general nurses? perceived that they seldom had work tasks they felt doubtful about and that they sometimes had work tasks which required more than could be expected of them. About two thirds said that they often or sometimes had enough time to do their work tasks. Nearly half perceived stress a part of the working time. The proportion of direct patient care was barely half of the working time.