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Decision aid software programs in telenursing: not used as intended? Experiences of Swedish telenurses
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
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
Abstract [en]

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.
Keyword [en]
decision aid, qualitative methods, telenursing, triage, software programs
National Category
Medical and Health Sciences
Research subject
Health Care Research
URN: urn:nbn:se:uu:diva-10410DOI: 10.1111/j.1442-2018.2007.00299.xPubMedID: 17300541OAI: oai:DiVA.org:uu-10410DiVA: diva2:38178
Available from: 2007-03-22 Created: 2007-03-22 Last updated: 2010-06-02Bibliographically approved

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Publisher's full textPubMedhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Retrieve&list_uids=17300541&dopt=Citation

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Holmström, Inger
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