Evidence map›Paper›PMID 40451214›Full record

ArticleScandinavian journal of primary health care2025

Digital chat-based care assessments in primary healthcare: nurses' work experiences and training needs.

Elnura Halmambetova, Evalill Nilsson, Cecilia Fagerström, Hans Thulesius, Clara Axelsson, Jan Aidemark, Carina Werkander Harstäde

Abstract read
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Article in Scandinavian journal of primary health care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Persistence and truth in research and practice.Scandinavian journal of primary health care · 2026
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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

7 authors.

Elnura HalmambetovaDepartment of Research, Region Kalmar County, Sweden.
Evalill NilssonDepartment of Medicine and Optometry, Faculty of Health and Life Sciences, Linnaeus University, Kalmar-Växjö, Sweden.
Cecilia FagerströmDepartment of Research, Region Kalmar County, Sweden.
Hans ThulesiusDepartment of Medicine and Optometry, Faculty of Health and Life Sciences, Linnaeus University, Kalmar-Växjö, Sweden.ORCID 0000-0002-3785-5630
Clara AxelssonDepartment of Medicine and Optometry, Faculty of Health and Life Sciences, Linnaeus University, Kalmar-Växjö, Sweden.
Jan AidemarkDepartment of Informatics, Faculty of Technology, Linnaeus University, Kalmar-Växjö, Sweden.
Carina Werkander HarstädeDepartment of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar-Växjö, Sweden.ORCID 0000-0003-2606-6289

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe digital transformation of society has significant implications for healthcare. Despite a growing body of research on telemedicine implementation, studies specifically examining chat-based care assessments by primary care nurses remain limited. The aim of the present study was to explore nurses' work experiences and training needs regarding chat-based care assessments in primary healthcare.

methodThis qualitative exploratory study employed semi-structured in-depth interviews with six nurses trained in telemedicine chat technique. Data were analysed inductively using reflexive thematic analysis.

resultsThe findings indicated that chat-based care assessments could lead to prolonged assessment processes, and that nurses needed proficiency in chat techniques and effective communication skills to ensure clarity in conversations and accurate medical history acquisition. Training gaps were noted, particularly in fostering effective patient-professional relationships through brief text exchanges in the chat. The prolonged process had both advantages and disadvantages. Although it was more time-consuming, nurses got better opportunities to consider their responses and consult with colleagues, which was thought to improve the accuracy of medical assessments. Further benefits of chat-based assessments included access to chat history, the ability to share informational links, and opportunities for professional development. Nurses pointed to the need for system improvements, such as auto-anamnesis and auto-triage features, to better support their work in the future.

conclusionThe study offers valuable insights for healthcare professionals, technology designers, and policymakers regarding the nuances of nurses' chat-based interactions with patients in primary care settings. The results can inform the development of targeted training programs in chat techniques and communication skills, enhancing the effectiveness of digital consultations and fostering therapeutic relationships with patients. Chat-based assessments offer clear benefits within the care process but also come with challenges.

Indexed as

CommunicationNursesPrimary Care NursingPrimary Health CareTelemedicineAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMiddle AgedNurse-Patient RelationsQualitative ResearchDigital primary caree-consultationsnurses’ work environmentperson-centred caretelemedicinetelemedicine training

Identifiers

PMID40451214
PMCPMC12632238

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LicenceCC BY-NC
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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.