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Article

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

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Faculty of Nursing, University of Cantabria; Avda Valdecilla s/n. C.P., 39008 Cantabria, Spain
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Researh Nursing Group IDIVAL; Calle Cardenal Herrera Oria s/n. C.P., 3901 Cantabria, Spain
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Department of Nursing, University of Complutense; Plaza de Ramón y Cajal, 3, C.P., 28040 Madrid, Spain
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Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos; Avda de Atenas s/n. C.P., 28922 Madrid, Spain
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Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Universidad Rey Juan Carlos, 28922 Madrid, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(19), 3653; https://doi.org/10.3390/ijerph16193653
Received: 12 September 2019 / Revised: 25 September 2019 / Accepted: 26 September 2019 / Published: 28 September 2019
(This article belongs to the Special Issue Nursing Research)
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. View Full-Text
Keywords: organization and administration; organizational culture; primary care nursing; personnel selection; nurses; qualitative research organization and administration; organizational culture; primary care nursing; personnel selection; nurses; qualitative research
MDPI and ACS Style

Madrazo-Pérez, M.; Parás-Bravo, P.; Rayón-Valpuesta, E.; Blanco-Fraile, C.; Palacios-Ceña, D. The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study. Int. J. Environ. Res. Public Health 2019, 16, 3653. https://doi.org/10.3390/ijerph16193653

AMA Style

Madrazo-Pérez M, Parás-Bravo P, Rayón-Valpuesta E, Blanco-Fraile C, Palacios-Ceña D. The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study. International Journal of Environmental Research and Public Health. 2019; 16(19):3653. https://doi.org/10.3390/ijerph16193653

Chicago/Turabian Style

Madrazo-Pérez, María, Paula Parás-Bravo, Esperanza Rayón-Valpuesta, Cristina Blanco-Fraile, and Domingo Palacios-Ceña. 2019. "The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study" International Journal of Environmental Research and Public Health 16, no. 19: 3653. https://doi.org/10.3390/ijerph16193653

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