ArticleInternational journal of qualitative studies on health and well-being2014
Exploring the communication between telenurse and caller-a critical discourse analysis.
Article in International journal of qualitative studies on health and well-being, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Strategies to improve telehealth access for culturally and linguistically diverse communities: a systematic review.Journal of public health (Oxford, England) · 2025Pooled it
- Factors affecting communication during telephone triage in medical call centres: a mixed methods systematic review.Systematic reviews · 2024Pooled it
- Comparing healthcare needs by language: interpreted Arabic and Somali telehealth calls in two regions of Sweden, 2014-18.European journal of public health · 2024Article
- Emergency medical dispatchers' experiences of managing emergency calls: a qualitative interview study.BMJ open · 2022Article
- Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.BMC nursing · 2022Article
- A survey of nursing teachers' awareness of discrimination and inequity in telephone nursing care.BMC nursing · 2021Article
- Diversity, preventive work and education-matters of health and well-being in firefighter discourse.International journal of qualitative studies on health and well-being · 2020Article
- Self-rated worry is associated with hospital admission in out-of-hours telephone triage - a prospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Healthcare utilisation and health literacy among young adults seeking care in Sweden: findings from a cross-sectional and retrospective study with questionnaire and registry-based data.Primary health care research & development · 2019Article
- Swedish Healthcare Direct managers' views on gender (in)equity: applying a conceptual model.International journal for equity in health · 2019Article
- From denial to awareness: a conceptual model for obtaining equity in healthcare.International journal for equity in health · 2018Article
- Under-triage in telephone consultation is related to non-normative symptom description and interpersonal communication: a mixed methods study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- Telehealth and eHealth in nurse practitioner training: current perspectives.Advances in medical education and practice · 2017Review
- Impact of telephone nursing education program for equity in healthcare.International journal for equity in health · 2016Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelenursing is an expanding service in most Western societies. Sweden is a front-line country, with all of its 21 counties connected to Swedish Healthcare Direct (SHD) 1177. The intention of the service is twofold: to make health care more efficient, while also making it more accessible and safe for patients. Previous research has shown, however, that the service is not used equitably. Gender, age, socio-economic, and ethnicity differences have been reported as determining factors for the use of the service and the advice given.
aimThe aim of the study was to explore the communication between telenurses and callers in authentic calls to SHD 1177. METHODOLOGY: A qualitative method, using critical discourse analysis (CDA), was chosen. The approach was deductive, that is, the analysis was made in view of a predetermined framework of theory. Twenty calls were strategically chosen and included in the study.
resultsThe CDA resulted in five types of calls, namely a gatekeeping call, a gendered call, a call marked by impersonal traits, a call with voices of the life world, and finally a counter discourse call. The dominating patterns in the calls were of gatekeeping and biomedical character. Patterns of the societal gender order were found, in that representations of the reluctant male caller and the ideal female caller were identified, but also a call representing a counter discourse. The service seemed difficult to use for patients with low language proficiency.
conclusionTelenursing could potentially challenge inequalities in health care. However, the discourse of telenursing is dialectically related to neoliberal ideology and the ideology of medicine. It is also situated in a gendered context of ideal femininity and hegemonic masculinity. Through better awareness of gender biases and the callers' different resources for making themselves heard, the communication between telenurse and caller might become more equal and thereby better suitable for all callers.
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