Decision aid software programs in telenursing: not used as intended? Experiences of Swedish telenurses

@article{citeulike:2653576, abstract = {Abstract Telenurses at call centers use decision aid software programs to offer triage recommendations and self-care advice to the general public. Decision aid programs are intended to support medical safety but were suggested by telenurses to be a hindrance to the dialogue. The aim of this study was to explore the use of decision aid software programs for telenursing, from the perspective of the users. A qualitative, descriptive approach was used. Twelve telenurses in Sweden were interviewed twice. The interviews were transcribed and analyzed thematically. Four themes were found: support for assessment but not for the decision; inconsistency between actual practice and the decision aid software; limited support for learning and information; and communication challenges and software programs. The software programs were a support for assessment, rather than decision-making, assuring the nurses that the relevant questions were asked. They were not fully adapted to current clinical practice, focusing mainly on acute conditions. Nurses worked to a large extent with self-care advice, often over-riding the recommendations made.}, author = {Holmstrom, Inger }, citeulike-article-id = {2653576}, doi = {http://dx.doi.org/10.1111/j.1442-2018.2007.00299.x}, journal = {Nursing \& Health Sciences}, number = {1}, pages = {23--28}, posted-at = {2008-04-11 12:56:54}, priority = {2}, title = {Decision aid software programs in telenursing: not used as intended? Experiences of Swedish telenurses}, url = {http://dx.doi.org/10.1111/j.1442-2018.2007.00299.x}, volume = {9}, year = {2007} }

TY - JOUR ID - citeulike:2653576 L3 - citeulike-article-id:2653576 TI - Decision aid software programs in telenursing: not used as intended? Experiences of Swedish telenurses JF - Nursing & Health Sciences VL - 9 IS - 1 SP - 23 EP - 28 N2 - Abstract Telenurses at call centers use decision aid software programs to offer triage recommendations and self-care advice to the general public. Decision aid programs are intended to support medical safety but were suggested by telenurses to be a hindrance to the dialogue. The aim of this study was to explore the use of decision aid software programs for telenursing, from the perspective of the users. A qualitative, descriptive approach was used. Twelve telenurses in Sweden were interviewed twice. The interviews were transcribed and analyzed thematically. Four themes were found: support for assessment but not for the decision; inconsistency between actual practice and the decision aid software; limited support for learning and information; and communication challenges and software programs. The software programs were a support for assessment, rather than decision-making, assuring the nurses that the relevant questions were asked. They were not fully adapted to current clinical practice, focusing mainly on acute conditions. Nurses worked to a large extent with self-care advice, often over-riding the recommendations made. AU - Holmstrom, Inger PY - 2007/// UR - http://dx.doi.org/10.1111/j.1442-2018.2007.00299.x ER -