The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study

BACKGROUND: Organizational culture plays a key role regarding organizational outcomes and determining strategies, goals, and modes of operating which is associated with higher rates of worker morale, turnover and lower adverse events related to patient quality of care issues. AIM: to describe the im...

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Detalles Bibliográficos
Autores: Madrazo Pérez, María, Parás Bravo, Paula|||0000-0001-7745-3006, Rayón-Valpuesta, Esperanza, Blanco Fraile, Cristina|||0000-0002-8844-8672, Palacios-Ceña, Domingo
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/17572
Acceso en línea:http://hdl.handle.net/10902/17572
Access Level:acceso abierto
Palabra clave:Nurses
Organization and administration
Organizational culture
Personnel selection
Primary care nursing
Qualitative research
Descripción
Sumario:BACKGROUND: Organizational culture plays a key role regarding organizational outcomes and determining strategies, goals, and modes of operating which is associated with higher rates of worker morale, turnover and lower adverse events related to patient quality of care issues. AIM: to describe the impact of the relocation of nurses from hospitals and other contexts to primary care from the perspective of primary care nurses. METHODS: A qualitative, focused ethnographic study. Site: Cantabro Health Service, Cantabria, Spain. Purposeful sampling methods were used to include nurses who were working in primary care during the study, and who had previous experience of at least one year in primary care. Observation (385 hours, 7 months) and in-depth interviews (17) were used to collect data. A thematic analysis was applied. RESULTS: Four themes emerged from the data: a) staff policies applied, b) beliefs regarding the newly incorporated nursing staff, c) reasons for relocation to primary care, and d) concern for the future. CONCLUSIONS: In primary care, the relocation of non-qualified nursing professionals who are at the end of their career may have a negative impact on the organizational culture. It is necessary to research the most appropriate measures for guaranteeing a satisfactory work environment based on nurses who are qualified in primary health care settings.