TY - JOUR KW - Adult KW - Attitude of Health Personnel KW - Care manager KW - Continuity of Patient Care/organization & administration/standards KW - Depression KW - Depressive Disorder/nursing KW - Female KW - Focus Groups KW - Health Services Accessibility/organization & administration/standards KW - Healthcare professionals KW - Humans KW - Male KW - Mental Health Services/organization & administration KW - Middle Aged KW - Patient-Centered Care/organization & administration KW - Primary Health Care KW - Primary Health Care/organization & administration KW - Professional Role/psychology KW - Qualitative Research KW - Qualitative Study KW - Sweden AU - I. Svenningsson AU - C. Udo AU - J. Westman AU - S. Nejati AU - D. Hange AU - C. Bjorkelund AU - E. L. Petersson A1 - AB - OBJECTIVE: The aim of this study was to explore nurses' experiences and perceptions of working as care managers at primary care centers. DESIGN: Qualitative, focus group study. Systematic text condensation was used to analyze the data. SETTING: Primary health care in the region of Vastra Gotaland and region of Dalarna in Sweden. SUBJECTS: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support. MAIN OUTCOME MEASURES: The nurses' experiences and perceptions of working as care managers at primary care centers. RESULTS: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression. CONCLUSION: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness. The care manager function helped to provide continuity in care which is a main task of primary health care. Key Points The care managers described their role as an additional support to the already existing care at the primary care center. * They emphasized that as care managers, they had a person-centered focus and constituted a safety net for patients with depression. * Their role as care managers enabled them to follow and support patients with depression over time, which made their work more meaningful. * Care managers helped to achieve continuity and accessibility to primary health care for patients with depression. BT - Scandinavian journal of primary health care C5 - Education & Workforce CP - 4 CY - United States DO - 10.1080/02813432.2018.1529018 IS - 4 JF - Scandinavian journal of primary health care N2 - OBJECTIVE: The aim of this study was to explore nurses' experiences and perceptions of working as care managers at primary care centers. DESIGN: Qualitative, focus group study. Systematic text condensation was used to analyze the data. SETTING: Primary health care in the region of Vastra Gotaland and region of Dalarna in Sweden. SUBJECTS: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support. MAIN OUTCOME MEASURES: The nurses' experiences and perceptions of working as care managers at primary care centers. RESULTS: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression. CONCLUSION: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness. The care manager function helped to provide continuity in care which is a main task of primary health care. Key Points The care managers described their role as an additional support to the already existing care at the primary care center. * They emphasized that as care managers, they had a person-centered focus and constituted a safety net for patients with depression. * Their role as care managers enabled them to follow and support patients with depression over time, which made their work more meaningful. * Care managers helped to achieve continuity and accessibility to primary health care for patients with depression. PP - United States PY - 2018 SN - 1502-7724; 0281-3432 SP - 355 EP - 362 EP - T1 - Creating a safety net for patients with depression in primary care; a qualitative study of care managers' experiences T2 - Scandinavian journal of primary health care TI - Creating a safety net for patients with depression in primary care; a qualitative study of care managers' experiences U1 - Education & Workforce U2 - 30314415 U3 - 10.1080/02813432.2018.1529018 VL - 36 VO - 1502-7724; 0281-3432 Y1 - 2018 ER -