It's not the task, it's the shifting exploring physicians' and leaders' perspectives on task shifting in emergency departments in Norway.

Autor: Saga E; Division of Emergency Department, Vestfold Hospital Trust, Halfdan Wilhelmsens Allé 17, Tønsberg, 3103, Norway. Elin.Saga.Utklev@siv.no., Egilsdottir HÖ; Faculty of Health and Social Sciences, University of South-Eastern Norway, Grønland 58, Drammen, 3045, Norway., Bing-Jonsson PC; Faculty of Health and Social Sciences, University of South-Eastern Norway, Raveien 215, Borre, 3184, Norway., Lindholm E; Department of Anaesthesiology, Vestfold Hospital Trust, Halfdan Wilhelmsens Allé 17, Tønsberg, 3103, Norway., Skovdahl K; Faculty of Health, Welfare and Organisation, Østfold University College, Halden, NO-1757, Norway.
Jazyk: angličtina
Zdroj: BMC nursing [BMC Nurs] 2024 Aug 16; Vol. 23 (1), pp. 571. Date of Electronic Publication: 2024 Aug 16.
DOI: 10.1186/s12912-024-02246-8
Abstrakt: Background: Task shifting is an approach where specific tasks are transferred, when convenient, from health workers with high qualifications to health workers with less training and lower qualifications. This approach is mainly used to utilize the available human resources for health. Tasks that are traditionally linked to the physician role have increasingly been transferred to registered nurses during the last decade. Knowledge regarding the experiences and reflections of physicians and their leaders related to giving up tasks or how such policies can best be implemented is limited. This study aimed to explore physicians' and their leaders' perspectives on task shifting, especially to registered nurses, in different Norwegian emergency departments.
Methods: The study was carried out from June to October 2022. It had an explorative and descriptive qualitative design and an inductive approach, semi-structured interviews was used. The study involved ten physicians and leaders from three different regional hospitals in south-eastern Norway. Manifest and latent content analysis were used to analyse the data. The COREQ guidelines were applied in the study.
Results: From the three categories 1) The rationale for task shifting, 2) Teambuilding and 3) Implementation of task shifting, with nine subcategories. One overall main theme emerged: It is not the task, it is the shifting - moving towards a person-centred culture.
Conclusions: The study indicates that developing a person-centred culture and fostering a team approach in emergency departments is more important than simply shifting tasks, as task shifting may lead to fragmented care and resistance from physicians. Hospital leaders must invest time and effort into organising teams and providing clear leadership to support the redesign of professional roles, recognising the cultural and traditional challenges involved. Policymakers should promote guideline development, team training programs, and cooperation methods to support a person-centred culture and effective task shifting in emergency departments.
(© 2024. The Author(s).)
Databáze: MEDLINE
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