Decision aid software programs in telenursing: not used as intended? Experiences of Swedish telenurses
2007 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 9, no 1, 23-28 p.Article in journal (Refereed) Published
Telenurses at call centers use decision aid software programs to offer triage recommendations and self-care advice to the general public. Decision aid programs are intended to support medical safety but were suggested by telenurses to be a hindrance to the dialogue. The aim of this study was to explore the use of decision aid software programs for telenursing, from the perspective of the users. A qualitative, descriptive approach was used. Twelve telenurses in Sweden were interviewed twice. The interviews were transcribed and analyzed thematically. Four themes were found: support for assessment but not for the decision; inconsistency between actual practice and the decision aid software; limited support for learning and information; and communication challenges and software programs. The software programs were a support for assessment, rather than decision-making, assuring the nurses that the relevant questions were asked. They were not fully adapted to current clinical practice, focusing mainly on acute conditions. Nurses worked to a large extent with self-care advice, often over-riding the recommendations made.
Place, publisher, year, edition, pages
2007. Vol. 9, no 1, 23-28 p.
decision aid, qualitative methods, telenursing, triage, software programs
Medical and Health Sciences
Research subject Health Care Research
IdentifiersURN: urn:nbn:se:uu:diva-10410DOI: 10.1111/j.1442-2018.2007.00299.xPubMedID: 17300541OAI: oai:DiVA.org:uu-10410DiVA: diva2:38178