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Experiences of a new work model among primary care staff when treating patients with hypertension – a qualitative study.

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Title: Experiences of a new work model among primary care staff when treating patients with hypertension – a qualitative study.
Authors: Quester, Rebecka (AUTHOR), Hjerpe, Per (AUTHOR), Östman, Malin (AUTHOR), Andersson, Susanne (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Dec2025, Vol. 43 Issue 4, p795-804. 10p.
Subjects: Teams in the workplace, Psychology of cardiac patients, Medical protocols, Medical personnel, Human services programs, Qualitative research, Patient safety, Task performance, Research funding, Hypertension, Primary health care, Nursing models, Content analysis, Interviewing, Labor turnover, Descriptive statistics, Internet, Learning, Work experience (Employment), Thematic analysis, Sound recordings, Attitudes of medical personnel, Nurse-physician relationships, Research, Trust, Judgment (Psychology), Psychosocial factors, Task shifting, Employees' workload, Health care teams, Patient aftercare, Professional competence
Geographic Terms: Sweden
Abstract: Objective: Hypertension care requires considerable resources from primary healthcare, and efficient work models are desirable both to improve treatment outcome and to ease staff workload. This study's objective was to describe how healthcare staff experienced the implementation of a new nurse-led work model for hypertension care. Methods: Qualitative content analysis was used for data analysis. Digitally conducted interviews with 14 physicians, nurses and managers from six of the eleven primary healthcare centres participating in an intervention to improve hypertension care in the Västra Götaland region. The intervention included training of healthcare professionals in a new nurse-led team work model using standardized protocols for treatment and follow-up. Results: The intervention was appreciated, even requested, by both nurses, physicians and managers. The clearly defined division of tasks in the team provided structure, safety, and eased the workload. Treatment was streamlined and the work was perceived as more professional and stimulating. However, implementation of the new work model, including task shift, required close cooperation between nurses and physicians, trust and dedication. Implementation failed if the staff turnover was high, or if management support lacked. Personal qualities, judgement, experience and learning by cooperating with each other, were highlighted as important additional factors for competence and professionally performed hypertension care. Conclusion: Healthcare can benefit from this intervention, but manager support and involvement of both nurses and physicians are crucial factors for successful implementation. Structured protocols cannot replace experience and personal qualities but provide appreciated support and increased safety. KEY POINTS: Introducing a work model including task shifting between physician and nurse might be a way to streamline hypertension care. Support from the management was crucial for a successful implementation of the new nurse-led work model. Clearly defined teamwork eased the workload and streamlined treatment, but required involvement of both nurses and physicians. In addition to structure and protocols, personal qualities and experience were considered important for a professionally performed hypertension care. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Experiences of a new work model among primary care staff when treating patients with hypertension – a qualitative study.
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  Data: <searchLink fieldCode="AR" term="%22Quester%2C+Rebecka%22">Quester, Rebecka</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hjerpe%2C+Per%22">Hjerpe, Per</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Östman%2C+Malin%22">Östman, Malin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andersson%2C+Susanne%22">Andersson, Susanne</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Primary+Health+Care%22">Scandinavian Journal of Primary Health Care</searchLink>. Dec2025, Vol. 43 Issue 4, p795-804. 10p.
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Teams+in+the+workplace%22">Teams in the workplace</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+cardiac+patients%22">Psychology of cardiac patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Task+performance%22">Task performance</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Hypertension%22">Hypertension</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+models%22">Nursing models</searchLink><br /><searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+turnover%22">Labor turnover</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Learning%22">Learning</searchLink><br /><searchLink fieldCode="DE" term="%22Work+experience+%28Employment%29%22">Work experience (Employment)</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse-physician+relationships%22">Nurse-physician relationships</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Trust%22">Trust</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+%28Psychology%29%22">Judgment (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Task+shifting%22">Task shifting</searchLink><br /><searchLink fieldCode="DE" term="%22Employees'+workload%22">Employees' workload</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+aftercare%22">Patient aftercare</searchLink><br /><searchLink fieldCode="DE" term="%22Professional+competence%22">Professional competence</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Sweden%22">Sweden</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Hypertension care requires considerable resources from primary healthcare, and efficient work models are desirable both to improve treatment outcome and to ease staff workload. This study's objective was to describe how healthcare staff experienced the implementation of a new nurse-led work model for hypertension care. Methods: Qualitative content analysis was used for data analysis. Digitally conducted interviews with 14 physicians, nurses and managers from six of the eleven primary healthcare centres participating in an intervention to improve hypertension care in the Västra Götaland region. The intervention included training of healthcare professionals in a new nurse-led team work model using standardized protocols for treatment and follow-up. Results: The intervention was appreciated, even requested, by both nurses, physicians and managers. The clearly defined division of tasks in the team provided structure, safety, and eased the workload. Treatment was streamlined and the work was perceived as more professional and stimulating. However, implementation of the new work model, including task shift, required close cooperation between nurses and physicians, trust and dedication. Implementation failed if the staff turnover was high, or if management support lacked. Personal qualities, judgement, experience and learning by cooperating with each other, were highlighted as important additional factors for competence and professionally performed hypertension care. Conclusion: Healthcare can benefit from this intervention, but manager support and involvement of both nurses and physicians are crucial factors for successful implementation. Structured protocols cannot replace experience and personal qualities but provide appreciated support and increased safety. KEY POINTS: Introducing a work model including task shifting between physician and nurse might be a way to streamline hypertension care. Support from the management was crucial for a successful implementation of the new nurse-led work model. Clearly defined teamwork eased the workload and streamlined treatment, but required involvement of both nurses and physicians. In addition to structure and protocols, personal qualities and experience were considered important for a professionally performed hypertension care. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=189410518
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02813432.2025.2507282
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 795
    Subjects:
      – SubjectFull: Teams in the workplace
        Type: general
      – SubjectFull: Psychology of cardiac patients
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Task performance
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Hypertension
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Nursing models
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Labor turnover
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Internet
        Type: general
      – SubjectFull: Learning
        Type: general
      – SubjectFull: Work experience (Employment)
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Sound recordings
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Nurse-physician relationships
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Trust
        Type: general
      – SubjectFull: Judgment (Psychology)
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Task shifting
        Type: general
      – SubjectFull: Employees' workload
        Type: general
      – SubjectFull: Health care teams
        Type: general
      – SubjectFull: Patient aftercare
        Type: general
      – SubjectFull: Professional competence
        Type: general
      – SubjectFull: Sweden
        Type: general
    Titles:
      – TitleFull: Experiences of a new work model among primary care staff when treating patients with hypertension – a qualitative study.
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              M: 12
              Text: Dec2025
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              Y: 2025
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