Nurse–doctor interaction in teleconsultations between a hospital and a geriatric nursing home

The aim of the present study was to elucidate both the interaction between a doctor and five registered nurses and the problems or tasks dealt with in teleconsultations between a university clinic for geriatric medicine and a nursing home for the elderly in northern Sweden. The interaction and probl...

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Bibliographic Details
Published in:Journal of Telemedicine and Telecare
Main Authors: Sävenstedt, Stefan, Bucht, Gösta, Norberg, Lennart, Sandman, P O
Format: Article in Journal/Newspaper
Language:English
Published: SAGE Publications 2002
Subjects:
Online Access:http://dx.doi.org/10.1258/1357633021937406
http://journals.sagepub.com/doi/pdf/10.1258/1357633021937406
Description
Summary:The aim of the present study was to elucidate both the interaction between a doctor and five registered nurses and the problems or tasks dealt with in teleconsultations between a university clinic for geriatric medicine and a nursing home for the elderly in northern Sweden. The interaction and problems or tasks were studied through analyses of video-recorded teleconsultations and through open interviews with the participating staff. The results indicated that teleconsultations between a geriatrician and the nurses at a nursing home for the elderly can be a useful tool for providing medical services. Teleconsultations alter both the 'power-control' and 'practice spheres' for the doctor and the nurses, and must be based on mutual trust. The use of teleconsultations gives the nurse a larger role as the presenter of medical problems, and gives the doctor the role of remote consultant.