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National telephone advice nursing in Sweden: patient safety and communication
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.ORCID iD: 0000-0001-9513-3102
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: urn:nbn:se:hig:diva-13108ISBN: 978-91-554-8404-0 (print)OAI: oai:DiVA.org:hig-13108DiVA: diva2:557037
Public defence
Universitetshuset, Biskopsgatan 3, Uppsala (Swedish)
Opponent
Supervisors
Available from: 2012-10-01 Created: 2012-09-26 Last updated: 2017-01-02Bibliographically approved
List of papers
1. Malpractice claims regarding calls to Swedish telephone advice nursing: what went wrong and why?
Open this publication in new window or tab >>Malpractice claims regarding calls to Swedish telephone advice nursing: what went wrong and why?
2012 (English)In: Journal of Telemedicine and Telecare, ISSN 1357-633X, Vol. 18, no 7, 379-383 p.Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-12917 (URN)10.1258/jtt.2012.120416 (DOI)000311522300003 ()2-s2.0-84868326380 (Scopus ID)
Available from: 2012-09-17 Created: 2012-09-17 Last updated: 2017-01-02Bibliographically approved
2. Incident reporting in nurse-led national telephone triage in Sweden: The reported errors reveal a pattern that needs to be broken
Open this publication in new window or tab >>Incident reporting in nurse-led national telephone triage in Sweden: The reported errors reveal a pattern that needs to be broken
2010 (English)In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 16, no 5, 243-247 p.Article in journal (Refereed) Published
Abstract [en]

We conducted a retrospective study of incident reports concerning the national, nurse-led telephone triage system in Sweden. The Swedish Health Care Direct organization (SHD) is staffed by registered nurses who act as telenurses and triage the callers' need for care, using a computerized decision support system. Data were collected during 2007 from all county councils that participated in the SHD and were analysed using content analysis. Incident reports were then compared concerning differences in reported categories and who reported the errors. The 426 incident reports included 452 errors. Of the analysed incident reports, 41% concerned accessibility problems, 25% incorrect assessment, 15% routines/guidelines, 13% technical problems and 6% information and communication. The most frequent outgoing incident reports (i.e. sent from SHD to other health-care providers) concerned accessibility problems and the most frequently incoming reports (i.e. sent to SHD from other health-care providers) concerned incorrect assessment. There was a significant difference (P < 0.001) between outgoing and incoming reports regarding the main category. Telenurses have limited possibilities for referring the caller to their primary health-care provider or specialist, which may cause them to over-triage or under-triage the callers' need for care. This over-triage or under-triage may in turn cause other health-care providers to report incorrect assessment to SHD. The implications for practice are that poor accessibility is a matter that should be addressed and that the reasons for incorrect assessment should be explored.

Keyword
Swedish Health Care Direct organization (SHD), registered nurses, national telephone triage, telenurses
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-7557 (URN)10.1258/jtt.2009.090813 (DOI)000280360000004 ()20457800 (PubMedID)2-s2.0-77954882765 (Scopus ID)
Available from: 2010-09-11 Created: 2010-09-11 Last updated: 2017-01-02Bibliographically approved
3. Communication challenges in Swedish telephone advice nursing: analysis of actual calls
Open this publication in new window or tab >>Communication challenges in Swedish telephone advice nursing: analysis of actual calls
Show others...
2011 (English)Manuscript (preprint) (Other academic)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-13125 (URN)
Available from: 2011-09-26 Created: 2012-10-01 Last updated: 2017-01-02Bibliographically approved
4. Telenurses' experiences of working with computerized decision support: Supporting, inhibiting and quality improving
Open this publication in new window or tab >>Telenurses' experiences of working with computerized decision support: Supporting, inhibiting and quality improving
2009 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 65, no 5, 1074-1083 p.Article 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.

Keyword
Communications skills; Competence; Computerized decision support; Experiences; Knowledge; Qualitative research; Telenurses
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hig:diva-5083 (URN)10.1111/j.1365-2648.2009.04966.x (DOI)000264821000017 ()19399984 (PubMedID)2-s2.0-63849324097 (Scopus ID)
Available from: 2009-10-13 Created: 2009-08-24 Last updated: 2017-01-02Bibliographically approved

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