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Telephone nurses’ use of a decision support system: An observational study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0002-4302-5529
Heby Primary Health Care Center, Heby, Sweden.
Örsundsbro Primary Health Care Center, Örsundsbro, Sweden.
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0001-8008-8169
2019 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 21, no 4, p. 501-507Article in journal (Refereed) Published
Abstract [en]

Telephone nurses give advice and support and make assessments based on verbal communication only. Web-based decision support systems are often used to increase patient safety and make medically correct assessments. The aim of the present this study was to describe factors affecting the use of a decision support system and experiences with this system among telephone nurses in Swedish primary health care. Observations and semistructured interviews were conducted. Six registered nurses with at least 1 year of experience of telephone nursing participated. Field notes and interviews were analyzed by qualitative content analysis. The main findings of the present this study were factors that decrease the decision support system use or promote deviation from decision support system use, factors that are positive for decision support system use and the decision support system complicates the work. Underuse and deviations from decision support systems can be a safety risk, because decisions are based on too little information. Further research with observations of telephone nurses’ use of decision support systems is needed to develop both telephone nursing and decision support systems.

Place, publisher, year, edition, pages
Blackwell Publishing , 2019. Vol. 21, no 4, p. 501-507
Keywords [en]
content analysis, decision support system, participant observation, primary health care, telephone nursing
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-47115DOI: 10.1111/nhs.12632Scopus ID: 2-s2.0-85070681297OAI: oai:DiVA.org:mdh-47115DiVA, id: diva2:1395034
Available from: 2020-02-20 Created: 2020-02-20 Last updated: 2020-02-20Bibliographically approved

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Holmström, IngerSkoglund, Karin

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CiteExportLink to record
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  • de-DE
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  • en-US
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Output format
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  • asciidoc
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