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Telenurses' experiences of working with computerized decision support: Supporting, inhibiting and quality improving
University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden. (Hälso- och sjukvårdsforskning)ORCID iD: 0000-0001-9513-3102
Department of Public Health and Caring Sciences, Uppsala University, Sweden. (Hälso-och sjukvårdsforskning)
University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.ORCID iD: 0000-0002-9912-5350
2009 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 65, no 5, p. 1074-1083Article in journal (Refereed) Published
Abstract [en]

Aim. This paper is a report of a study conducted to describe telenurses' experiences of working with computerized decision support systems and how such systems could influence their work. Background. Telenursing is an expanding service in many Western countries, and in recent years centralization of telenursing services has occurred in Sweden. In connection with this, the use of computerized decision support has increased. Method. Eight Registered Nurses from three telephone advice call centres in Sweden who were using computerized decision support took part in semi-structured interviews in 2006. The data were analysed using qualitative content analysis. Findings. The findings are presented as one theme and three categories. Telenurses experienced their work with a decision support system as supporting, inhibiting and quality improving. Based on two of the categories -'supporting' and 'inhibiting'- a theme was revealed: being strengthened, but simultaneously controlled and inhibited. This theme represents the individual level. The telenurses found that the decision support system simplified their work, complemented their knowledge, gave them security and enhanced their credibility. They also described experiencing the system as incomplete, sometimes in conflict with their own opinions and controlling. The third category referred to the organizational level: the decision support system ensured the quality of telenursing. Conclusions. Although the telenurses experienced computerized decision support as both supporting and inhibiting, they preferred working with it. They also described how a computerized decision support system cannot replace telenurses'knowledge and competence, and that it should be considered as complementary.

Place, publisher, year, edition, pages
2009. Vol. 65, no 5, p. 1074-1083
Keywords [en]
Communications skills; Competence; Computerized decision support; Experiences; Knowledge; Qualitative research; Telenurses
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hig:diva-5083DOI: 10.1111/j.1365-2648.2009.04966.xISI: 000264821000017PubMedID: 19399984Scopus ID: 2-s2.0-63849324097OAI: oai:DiVA.org:hig-5083DiVA, id: diva2:232495
Projects
Nationellt samordnad telefonrådgivning utifrån ett patientsäkerhetsperspektivAvailable from: 2009-10-13 Created: 2009-08-24 Last updated: 2018-03-13Bibliographically approved
In thesis
1. National telephone advice nursing in Sweden: patient safety and communication
Open this publication in new window or tab >>National telephone advice nursing in Sweden: patient safety and communication
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Uppsala: Uppsala universitet, 2012
Series
Acta Universitatis Upsaliensis, ISSN 1651-6206
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hig:diva-13108 (URN)978-91-554-8404-0 (ISBN)
Public defence
Universitetshuset, Biskopsgatan 3, Uppsala (Swedish)
Opponent
Supervisors
Projects
Nationellt samordnad telefonrådgivning utifrån ett patientsäkerhetsperspektiv
Available from: 2012-10-01 Created: 2012-09-26 Last updated: 2018-03-13Bibliographically approved

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Ernesäter, AnnicaEngström, Maria

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