Evidence map›Paper›PMID 32684839›Full record

ArticleBMC nursing2020

Registered nurses´ views on telephone nursing for patients with respiratory tract infections in primary healthcare - a qualitative interview study.

Elenor Kaminsky, Ingrid Edvardsson Aurin, Katarina Hedin, Lisbet Andersson, Malin André

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In one paragraph

Article in BMC nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Nursing teleconsultation in primary health care: scoping review.Revista latino-americana de enfermagem · 2024
    Article
  5. Article
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elenor KaminskyDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Ingrid Edvardsson AurinDepartment of Research and Development, Region Kronoberg, Växjö, Sweden.ORCID 0000-0002-9394-569X
Katarina HedinDepartment of Clinical Sciences in Malmö, Family Medicine, Lund University, Malmö, Sweden.
Lisbet AnderssonDepartment of Health and Caring Sciences, Faculty of Health and Life Sciences Linnaeus University, Linnaeus, Sweden.
Malin AndréDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelephone nursing in primary healthcare has been suggested as a solution to the increased demand for easy access to healthcare, increased number of patients with complex problems, and lack of general practitioners. Registered nurses' assessments may also be of great importance for antibiotic prescriptions according to guidelines. The aim of this study was to describe registered nurses' views of telephone nursing work with callers contacting primary healthcare centres regarding respiratory tract infections.

methodsA descriptive, qualitative study was performed through interviews with twelve registered nurses in Swedish primary healthcare.

resultsThe overarching themes for registered nurses' views on telephone nursing were captured in two themes: professional challenges and professional support. These included three and two categories respectively: Communicate for optimal patient information; Differentiate harmless from severe problems; Cope with caller expectations; Use working tools; and Use team collaboration. Optimal communication for sufficiently grasping caller symptoms and assess whether harmful or not, without visual input, was underlined. This generated fear of missing something serious. Professional support used in work, were for example guidelines and decision support tool. Colleagues and teamwork collaboration were requested, but not always offered, support for the interviewed registered nurses.

conclusionsThe study deepens the understanding of telephone nursing as an important factor for decreasing respiratory tract infection consultations with general practitioners, thus contributing to decreased antibiotic usage in Sweden. To cope with the challenges of telephone nursing in primary healthcare centres, it seems important to systematically introduce the use of the available decision support tool, and set aside time for inter- and intraprofessional discussions and feedback. The collegial support and team collaboration asked for is likely to get synergy effects such as better work environment and job satisfaction for both registered nurses and general practitioners. Future studies are needed to explore telephone nursing in primary healthcare centres in a broader sense to better understand the function and the effects in the complexity of primary healthcare.

Indexed as

Primary healthcareQualitative studyRegistered nurseRespiratory tract infectionsTelephone assessmentsTelephone nursing

Identifiers

PMID32684839
PMCPMC7359606

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.