Telephone counselling by nurses in Norwegian primary care out-of-hours services: a cross-sectional study

Midtbø, Vivian; Raknes, Guttorm; Hunskaar, Steinar

doi:10.1186/s12875-017-0651-z

Cited by 15 publications

(16 citation statements)

References 34 publications

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“…They found that 28% were classified with minor ailments; cough, fever, sore throat, upper RTI, and earache were the most common RFEs [15]. Another Norwegian study found fever was the most frequent RFE in children when nurses did telephone counselling [16]. De Bont et al reported that 31% of contacts to a large Dutch GP OOH service concerning children under age 12 years were fever related [17].…”

Section: Discussionmentioning

confidence: 99%

Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations

et al. 2019

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Background The demand for out-of-hours (OOH) primary care has increased during the last decades, with a considerable amount of contacts for young children. This study aims to describe the reasons for encounter (RFE), the most common diagnoses, the provided care, and the parental satisfaction with the general practitioner (GP) led OOH service in a Danish population of children (0–5 years). Methods We conducted a one-year cross-sectional study based on data for 2363 randomly selected contacts concerning children from a survey on OOH primary care including 21,457 patients in Denmark. For each contact, the GPs completed an electronic pop-up questionnaire in the patient’s medical record. Questionnaire items focussed on RFE, health problem severity, diagnosis, provided care, and satisfaction. The parents subsequently received a postal questionnaire. Results The most common RFE was non-specific complaints (40%), followed by respiratory tract symptoms (23%), skin symptoms (9%), and digestive organ symptoms (8%). The most common diagnosis group was respiratory tract diseases (41%), followed by general complaints (19%) and ear diseases (16%). Prescriptions were dispensed for 27% of contacts, and about ¾ were for antibiotics. A total of 12% contacts concerned acute otitis media; antibiotics were prescribed in 70%. A total of 38% of contacts concerned fever, and ¼ got antibiotics. A total of 7.4% were referred for further evaluation. The parental satisfaction was generally high, but 7.0% were dissatisfied. Dissatisfaction was correlated with low prescription rate. Conclusion Respiratory tract diseases were the most common diagnoses. The GPs at the OOH primary care service referred children to hospital in 7.4% of the face-to-face consultations, and the provided care was evaluated as non-satisfying by only 7.0% of the parents. Clinical implications of the findings mean room for less prescription of antibiotic to children with ear diseases and a need for research in factors related to dissatisfaction.

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Section: Discussionmentioning

confidence: 99%

Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations

et al. 2019

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“…Most research has examined the use of telephone nursing in an out-of-hours context [3,[11][12][13]. In recent years, some studies from UK report the effects of introducing telephone nursing in primary healthcare during office hours [14][15][16][17] but research concerning the RNs' experience of telephone work is sparse [18].…”

Section: Introductionmentioning

confidence: 99%

Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare – a qualitative interview study

et al. 2020

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Background: Telephone nursing in primary healthcare has been suggested as a solution to the increased demand for easy access to healthcare, increased number of patients with complex problems, and lack of general practitioners. Registered nurses' assessments may also be of great importance for antibiotic prescriptions according to guidelines. The aim of this study was to describe registered nurses' views of telephone nursing work with callers contacting primary healthcare centres regarding respiratory tract infections. Methods: A descriptive, qualitative study was performed through interviews with twelve registered nurses in Swedish primary healthcare. Results: The overarching themes for registered nurses' views on telephone nursing were captured in two themes: professional challenges and professional support. These included three and two categories respectively: Communicate for optimal patient information; Differentiate harmless from severe problems; Cope with caller expectations; Use working tools; and Use team collaboration. Optimal communication for sufficiently grasping caller symptoms and assess whether harmful or not, without visual input, was underlined. This generated fear of missing something serious. Professional support used in work, were for example guidelines and decision support tool. Colleagues and teamwork collaboration were requested, but not always offered, support for the interviewed registered nurses.

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“…Previous studies have reported that the most frequent RFEs resulting in telephone advice among older people are "concerns about/fear of medical treatment", "general symptoms" and "shortness of breath/dyspnoea" [27]. Furthermore, a European study reported that the most frequent chapters of ICD-10 diagnosis concerning people 65 years or older in Norway were chapter "L Musculoskeletal", "A General and unspecified" and "R Respiratory" [28].…”

Section: Introductionmentioning

confidence: 99%

Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study

Haraldseide

Sortland

Hunskaar

et al. 2020

BMC Health Serv Res

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Background: As the proportion of older people increases, so will the consumption of health services. The aim of this study was to describe the contact characteristics among older people and to identify factors associated with the degree of urgency at the Norwegian out-of-hours (OOH) emergency primary health care services. Methods: Inhabitants aged ≥70 years who contacted the OOH service during 2014-2017 in seven OOH districts in Norway were included. We investigated the variables sex, age, time of contact, mode of contact, ICPC-2 based reason for encounter (RFE), priority degree and initial response. We also performed frequency analyses, rate calculations and a log-binomial regression. Results: A total of 38,293 contacts were registered. The contact rate/1000 inhabitants/year was three times higher in the oldest age group (≥90 years) compared to the youngest age group (70-74 years). Direct attendance accounted for 8.4% of the contacts and 32.8% were telephone contacts from health professionals. The most frequent RFE chapter used was "A General and unspecified" (21.0%) which also showed an increasing rate with higher age. 6.0% of the contacts resulted in a home visit from a doctor. Variables significantly associated with urgent priority degree were RFEs regarding cardiovascular (Relative risk (

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Telephone counselling by nurses in Norwegian primary care out-of-hours services: a cross-sectional study

Cited by 15 publications

References 34 publications

Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations

Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations

Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare – a qualitative interview study

Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study

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