title: [Situation analysis and proposals for improving primary care nursing in Mallorca: study with focal groups].
abstract: BACKGROUND
  The primary care reform (PCR) has give rise to some major changes in the nursing profession. The objectives of this study are to analyze the achievements made by the nurses, to identify the problems they currently have in primary care and to suggest some lines along which work can be done for the future.
  
  
  METHODS
  Qualitative research (focal group method). Eight groups were made segmented by occupational category and the position held. Scope of the analysis: the role of nurses, services supply and organization, participation and management, marketing and training.
  
  
  RESULTS
  In the opinion of those surveyed, the PCR has entailed a broadening of the nurses' skills, although their role is still well-defined. The nurses are of the opinion that there is no listing of services inherent to nursing despite the leading role they obviously play in home care and health education. The need has been identified of assess the existing health programs in terms of results. Concerning to health services organization, main problems were related to the lack of adapting staffing in keeping with the rise in population and difficulties of internal communications within the health professional teams and the very small degree to which nursing services are disseminated. The need is felt of broadening pre-diploma training with regard to some subjects (health education) and skills (teamwork).
  
  
  CONCLUSIONS
  Although the PCR has meant improvements for the nurses, solutions have as yet to have been provided to some aspects (including defining a listing of services, adapting staffing, internal communications, marketing, training) and given the opportunity the transferring of authorities over health care entail, further progress must be made toward innovative proposals to improve the health services.
authors.affiliation: Centro de Salud Son Ferriol, Gerencia de Atención Primaria de Mallorca, Ib-Salut.
authors.forename: Salvadora
authors.initials: S
authors.lastname: Sancho Viudes
authors.forename: Clara
authors.initials: C
authors.lastname: Vidal Thomàs
authors.forename: Rosa
authors.initials: R
authors.lastname: Cañellas Pons
authors.forename: María José
authors.initials: MJ
authors.lastname: Caldés Pinilla
authors.forename: Josep
authors.initials: J
authors.lastname: Corcoll Reixach
authors.forename: María
authors.initials: M
authors.lastname: Ramos Montserrat
mesh_terms: D017144:Focus Groups; D018166:Health Care Reform; D006801:Humans; D024802:Nurse's Role; D011321:Primary Nursing / Q000592:standards*; D036301:Qualitative Research; D011785:Quality Assurance, Health Care; D013030:Spain