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Telephone nurses’ communication and response to callers’ concern: a mixed methods study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Gävle University.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Linköping University.
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2016 (English)In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 23, 116-121 p.Article in journal (Refereed) Published
Abstract [en]

Aims

To describe telephone nurses’ and callers’ communication, investigate relationships within the dyad and explore telephone nurses’ direct response to callers’ expressions of concern

Background

Telephone nurses assessing callers’ need of care is a rapidly growing service. Callers with expectations regarding level of care are challenging.

Method

RIAS-and content analysis was performed on a criterion sampling of calls (n=25) made by callers who received a recommendation from telephone nurses of a lower level of care than expected.

Results

Telephone nurses mainly ask close-ended questions, whilst open-ended questions are sparsely used. Relationships between callers’ expressions of Concern and telephone nurses responding with Disapproval were found. Telephone nurses mainly responded to concern with close-ended medical questions whilst exploration of callers’ reason for concern was sparse.

Conclusion

Telephone nurses’ reluctance to use open-ended questions and to follow up on callers’ understanding might be a threat to concordance, and a potential threat to patient safety.

Place, publisher, year, edition, pages
2016. Vol. 23, 116-121 p.
Keyword [en]
Telephone advice nursing; Communication; RIAS; Triage; Sweden
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-268665DOI: 10.1016/j.apnr.2015.04.012ISI: 000370881800022PubMedID: 26856500OAI: oai:DiVA.org:uu-268665DiVA: diva2:878507
Funder
Swedish Research Council, 522-2005-7461
Available from: 2015-12-09 Created: 2015-12-09 Last updated: 2017-12-01Bibliographically approved

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Ernesäter, AnnicaEngström, MariaWinblad, UlrikaHolmström, Inger K

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