Komplexa vårdsituationer på vårdcentral : Att balansera mellan det oförutsägbara och det förutsägbara

Sammanfattning: Background: Primary Healthcare Centers [PHC] represent the first healthcare contact that patients have, unless they are critically ill or their state is life-threathening. Distric nurse´s work in PHC requires preparedness to meet people in different ages and varying cultural and ethnical backgrounds. This preparedness includes an independent and person-centred workway. The study´s theoretical framework therefore proceeds from person-centred care. Challenging encounters occur in district nurse´s meetings with patients. The concept complex healthcare encounters exists in the competence description of the district nurses and in educational regulatory contexts. Despite of this, there is no general definition of the concept and what it is characterized by. Aim: The aim of this study is to describe district nurse´s experiences of complex healthcare encounters. Method: A qualitative, descriptive, inductive content analysis is used as the analysis method. Six focusgroup-interviews were contucted with nurses and districs nurses working in PHC. Results: District nurse´s experiences of complex healthcare encounters contains to balance unpredictable encounters with predictable organizational terms. This is described as: To meet people with varying lifesituations and To care professionally within organizational conditions. Conclusion: District nurses experience complex healthcare encounters characterized by the coexistence of unpredictable meetings with people and predictable organizational terms. By developing the knowledge about complex healthcare encounters, district nurses can streamline the care simultaneously as the mission of the district nurse can be explicated.