title: District nurses' experiences with the free-choice system in Swedish primary care.
abstract: This article aims to describe the experiences of district nurses regarding their work situation after the free-choice system in primary care in Sweden was implemented. The study comprised a total of 17 semi-structured narratives with district nurses. The narratives were analysed using manifest qualitative content analysis. One category,'being an underused resource', and three subcategories, 'being financially aware','being flexible' and 'being appealing', were identified. A focus on economic benefit can limit the cooperation and exchange of experiences within and between different care units, which could have a negative impact on the quality of care due to competition between different care providers. Underused resources and restrictions in terms of improvement skills have an impact on job satisfaction and the working environment, and affect the quality of care as a result.
authors.forename: Djana
authors.initials: D
authors.lastname: Hollman
authors.forename: Sandra
authors.initials: S
authors.lastname: Lennartsson
authors.forename: Kristina
authors.initials: K
authors.lastname: Rosengren
mesh_terms: D006801:Humans; D007588:Job Satisfaction; D064691:Nurses, Community Health / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration*; D013548:Sweden; D006113:United Kingdom