Telenurses’ experiences of working with computerized decision support: supporting, inhibiting and quality improving

Ernesäter, Annica; Holmström, Inger; Engström, Maria

doi:10.1111/j.1365-2648.2009.04966.x

Cited by 79 publications

(120 citation statements)

References 24 publications

(46 reference statements)

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“…Therefore, individual medical competence among telenurses was less likely to affect the outcome of the call. Ernesäter et al, [18] however, established that nurses had ambivalent feelings about using such a computerized decision support system. This is in line with a previous study by Holmström.…”

Section: Discussionmentioning

confidence: 99%

Triage and patient satisfaction among callers in Swedish computer-supported telephone advice nursing

2011

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SummaryWe investigated satisfaction with a Swedish telenursing service, and the healthcare seeking behaviour among callers who received a less urgent level of healthcare than they expected. A postal questionnaire was sent to a random selection of callers (n=273) to Swedish Healthcare Direct in October 2008. The "cases" were 18 callers where the telenurse recommended a lower level of health care than the caller expected and who were not in complete agreement with the nurse. The "controls" were 22 callers who either received a lower recommendation, or were in disagreement with the recommendation. There were no differences between cases, controls and other callers regarding background factors or the telenurse classification of emergency. However, both cases and controls considered their need for health care as more urgent than the other callers. An independent test of the nurses' reception, ability to listen and to take notice of the callers' health problem, showed that nurses who had served cases, had received a significantly lower rating than other nurses. For nurses who had served controls, there was no such difference in rating. Cases and controls had fewer subsequent care visits than other callers, in the three days following the call, although the proportion of emergency visits was higher among cases and controls compared to other callers. If the caller and the nurse disagree about the nurse's recommendations, the consequence can be a dissatisfied caller and more visits to unnecessary high levels of health care. Further training of the nurses may improve the telenurse service.

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Section: Discussionmentioning

confidence: 99%

Triage and patient satisfaction among callers in Swedish computer-supported telephone advice nursing

2011

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“…Sophisticated biomedical telecommunications systems for medical applications were developed from these projects (2) . Distance caregiving is expanding in many Western countries, mainly due to factors concerning reduction in healthcare expenses and current epidemiological factors such as the aging population and increasing prevalence of chronic diseases and aggravation of infectious diseases (3)(4) . However, with the advent of new ICTs in health, the skills to communicate properly have become even more challenging.…”

Section: Introductionmentioning

confidence: 99%

Nursing care by telehealth: what is the influence of distance on communication?

Barbosa

Silva

2017

Rev. Bras. Enferm.

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Objective: Evaluate the perception of nurses regarding interpersonal communication while providing care via telehealth. Method: Qualitative research realized with seven nurses working in telehealth in Brazil, the sample was determined by data saturation. A questionnaire with open questions was applied and then content analysis of the dialogues was conducted, focusing on thematic analysis. Results: Four categories emerged from the dialogues: Understanding the importance of communication; the interpersonal relationship interfering with communication; Communicating via technology; and Learning the communication process. Final considerations: The perception of nurses working in telehealth in Brazil is that technology has facilitated their professional practice; however, in relation to the communication process, they believe it is harder to communicate by telehealth, mainly due to diffi culty in perceiving nonverbal signals. To overcome these diffi culties, they agreed that interpersonal communication is a skill that must be acquired during their professional training. Descriptors: Telemedicine; Telenursing; Health Communication; Distance consultation; Nurse-Patient Relations.RESUMO Objetivo: Avaliar a percepção do enfermeiro referente à Comunicação interpessoal no cuidado por telessaúde. Método: Pesquisa qualitativa, realizada com sete enfermeiros que atuam em telessaúde no Brasil, com amostra determinada pela saturação de dados. Aplicou-se um questionário com perguntas abertas e foi realizada análise de conteúdo dos discursos, com enfoque na análise temática. Resultados: Dos discursos emergiram quatro categorias: Entendendo a importância da comunicação; O relacionamento interpessoal interferindo na comunicação; Comunicando-se por meio da tecnologia; e Aprendendo o processo de comunicação. Considerações fi nais: A percepção dos enfermeiros que atuam em telessaúde no Brasil é de que a tecnologia tem facilitado sua prática profi ssional; porém, em relação ao processo de comunicação, creem que seja mais difícil se comunicar pela telessaúde, principalmente devido à difi culdade de percepção de sinais não verbais. Para superar essas difi culdades, concordam que comunicação interpessoal é uma competência que deve ser adquirida em sua formação profi ssional. Descritores: Telemedicina; Telenfermagem; Comunicação em Saúde; Consulta Remota; Relações Enfermeiro-Paciente. RESUMEN Objetivo: Evaluar la percepción del enfermero respecto de la Comunicación interpersonal en la atención por telesalud. Método: Investigación cualitativa, realizada con siete enfermeros que actúan en telesalud en Brasil, con muestra determinada por saturación de datos. Se aplicó cuestionario con preguntas abiertas, se realzó análisis de contenido de los discursos, con enfoque en análisis temático. Resultados: De los discursos surgieron cuatro categorías: Entendiendo la importancia de la comunicación; Relación interpersonal interfi riendo en la comunicación; Comunicándose mediante la tecnología; y Aprendiendo el proceso de comunicación. Considera...

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“…The identified communication process comprises categories that are similar to other studies (4,(11)(12) .…”

Section: Discussionmentioning

confidence: 94%

“…Telephone use for health care delivery is a growing reality in the global context, because it improves access to health care information and reduces the costs of unnecessary health service visits (2)(3)(4)(5)(6)(7) . In this new context, the need emerges to study the challenges of professional communication related to remote care services and the way interaction between professionals and users is established by phone with a view to care delivery.…”

Section: Introductionmentioning

confidence: 99%

Imaginative construction of care: the nursing professional experience in a remote care service

Romero

Ângelo

González

2012

Rev. Latino-Am. Enfermagem

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The direction of care delivery goes from the action to the being; a process built from professional experience, which gains special characteristics when the service is delivered by telephone. The goal of this research was to understand the interaction between professionals and users in a remote care service; to do so, a research is presented, using Grounded Theory La construcción imaginativa del cuidado: la experiencia del profesional de enfermería en un servicio de asistencia remotaBrindar cuidados es una cuestión que transcurre desde la acción hasta el ser; un proceso construido desde la experiencia profesional, que cobra características especiales al ser brindado a través del teléfono. El objetivo de este estudio fue comprender la experiencia de interacción de los profesionales y los usuarios en un servicio de asistencia remota; para ello, se presenta una investigación utilizando la metodología de la Teoría Fundamentada y el Interaccionismo Simbólico como referente teórico. La recolección de datos se realizó mediante ocho entrevistas a profesionales que brindan atención telefónica. La comprensión teórica permitió la construcción del modelo teórico de la Construcción Imaginativa del Cuidado, el cual refleja los procesos interaccionales que experiencia el profesional cuando brinda cuidados a través del teléfono. En el modelo se incorporan los fenómenos individuales y sociales, demostrando la vinculación entre sus conceptos y destacando la incertidumbre, la sensibilidad y la responsabilidad del profesional como componentes esenciales de la experiencia.

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Telenurses’ experiences of working with computerized decision support: supporting, inhibiting and quality improving

Cited by 79 publications

References 24 publications

Triage and patient satisfaction among callers in Swedish computer-supported telephone advice nursing

Triage and patient satisfaction among callers in Swedish computer-supported telephone advice nursing

Nursing care by telehealth: what is the influence of distance on communication?

Imaginative construction of care: the nursing professional experience in a remote care service

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