Teamarbete vid vård i hemmet, ur ett sjuksköterskeperspektiv

Sammanfattning: Background: Because we are living longer today, the need for healthcare is increasing. Therefore, the need for care at home also increases, which can be a challenge for the nurse to provide. Teamwork means that those involved in the patients’ care use their competencies to complement each other. Nurses are responsible for care, the leadership role includes sharing knowledge, supervising, and giving colleagues feedback. Aim: The aim was to examine nurses’ experiences of teamwork in care at home. Method: This qualitative based literary study included ten articles, searched, and selected from the databases Cinahl and Pubmed. They were analysed using Friberg’s (2017) five steps model. Results: Lack of communication was an obstacle for cooperation, such as language difficulties, insufficient communication of information between colleagues and problems finding information related to different record systems. Hierarchy, mistrust of each other’s competence and uncertainty about who had the overall responsibility for the patient were other difficulties. Having a pleasant tone while talking, being humble and listening to each other was important. If the doctor was available was seen as positive as well as knowing each other in the team since before. Working alone was challenging and in complex situations nurses were happy to collaborate in pairs. It was desirable to have group reflections and supervision mentoring.  Conclusion: The conclusion was that communication and attitudes towards each other are essential for cooperation. Group reflections and tutoring guidance can increase cohesion and team strength.