Navigation Links
Telenurses face conflict between what is best for patients and what services are available
Date:2/17/2010

Nurses who provide telephone advice services have to balance the conflicting demands of providing appropriate medical advice and acting as a gatekeeper to limited healthcare services, according to a review in the March issue of the Journal of Advanced Nursing.

Canadian researchers reviewed 16 studies carried out over the last two decades, covering more than 700 nurses in the UK, Canada, the USA and Sweden. The studies included interviews, videotaped consultations, simulated calls and stimulated recall.

"Telenurses who took part in half of the studies expressed a conflict between what they thought was best for the caller and what healthcare services could provide" says lead author Dr Rebecca J Purc-Stephenson from the University of Alberta, Canada.

"They believed patients had a right to accurate handling of their problems, but were also conscious of the fact that doctors had a limited number of appointments available and that these needed to be kept free for urgent patients.

"Sometime telenurses advised callers who needed primary care to go to the emergency department because there was nowhere else to refer them to."

Dr Purc-Stephenson and co-author Dr Christine Thrasher, from the Faculty of Nursing at the University of Windsor in Ontario, maintain that telephone triage and advice services have substantially changed nursing practice.

"The first is that the nurses work in call-centre environments, rather than clinical settings, and the second is that they no longer have the opportunity to physically examine patients" explains Dr Purc-Stephenson.

Other key findings of the study include:

  • The degree to which the telenurses used protocols varied across the studies, with some being restrained by decision-making software and others having more flexibility to use their clinical judgement.

  • Telenurses often felt they had developed new communication skills including listeni
    '/>"/>

Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. Couples who say we do better at resolving conflicts
2. From Conflict to Consensus: Interaction Associates Outlines How Leaders Can Achieve Successful Alignment and Implementation
3. Veterans From Iraq, Afghanistan & Other Conflicts Partner With Service Dogs in Americas VetDogs Graduation Ceremony
4. Conflict-affected countries receive less aid dedicated to reproductive health
5. Conflicts of Interest Still Exist in Cancer Research
6. Review finds conflicts of interest in many cancer studies
7. How to turn conflict into collaboration when patients and physicians disagree
8. Statement by Christine K. Cassel, MD, President and CEO of the ABIM Foundation on the Institute of Medicine Report: Conflict of Interest in Medical Research, Education, and Practice
9. Lutheran World Relief Responds to Escalating Conflict in Sri Lanka
10. Argus Honored by Flaspohler Research Group as Highest-Rated PBM for No Conflicts of Interest
11. Conflicts of interest in clinical research
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/30/2014)... cancer is the leading cause of cancer death in ... so many medical professionals encourage women to get mammograms, ... a minority of suspicious mammograms actually leads to a ... worry for women and their familiesnot to mention the ... and biopsies. , Recently, a different type of ...
(Date:9/30/2014)... Dynamic health trends, changing consumer ... the Bread Production industry over the past five ... their consumption of a variety of industry goods ... the market for white loaf bread and other ... introducing more nutritious products to attract health-conscious consumers, ...
(Date:9/30/2014)... Maryland-led research team has been awarded a three-year ... Health (NIH) to develop new imaging technologies and ... of how large networks of neurons in the ... will help researchers identify the precise interactions between ... decision-making and speaking, and alterations in these interactions ...
(Date:9/30/2014)... 2014 The American Diabetes Association ... diabetics curb their sweet tooth, but the most recent ... September, suggests that zero-calorie sweeteners may actually be linked ... , The Weizmann Institute of Science in Israel ... to mice, the mice developed glucose intolerance. They then ...
(Date:9/30/2014)... Regenerative Medicine Solutions (RMS) is set ... Nashville, Tennessee. RMS welcomes the launch of an entirely ... of a new treatment center for the Lung Institute. ... Institute to Nashville, the hope is to bring awareness ... diagnosed and undiagnosed. With Nashville being a hub for ...
Breaking Medicine News(10 mins):Health News:'Virtual breast' could improve cancer detection 2Health News:Bread Production in the US Industry Market Research Report from IBISWorld Has Been Updated 2Health News:Bread Production in the US Industry Market Research Report from IBISWorld Has Been Updated 3Health News:UMD receives inaugural BRAIN Initiative Award 2Health News:Artificial Sweeteners May be Linked to Greater Diabetes Risk 2Health News:Regenerative Medicine Solutions Expanding 2
... 2010Announcing the launch of the Liebert Mobile iPhone ... news, resources, press releases, research, and multimedia content ... across the biomedical, biotechnology, medicine, surgery, and nursing, ... available with this free application. Updated ...
... Addicts ... ... economic times like these many students are postponing or quitting their educational pursuits for financial ... addict these challenges are not only real but exacerbated due to their personal fight. Today, ...
... while 87% of younger patients got it after surgery , ... are less likely than younger ones to receive potentially life-prolonging ... , The research indicates that those with advanced colon cancer ... likely to receive chemotherapy and more likely to receive less ...
... in the signature bracelet -- that they give to supporters when they make a minimum $15.00 donation -- they immediately took action.  The ... ... , ... ...
... to be associated with more appropriate follow-up and shorter ... an abnormal result on a mammogram, according to a ... of Internal Medicine , one of the JAMA/Archives journals. ... for Research on Inner City Health, St. Michael,s Hospital, ...
... News media, scientists and others interested in finance, entrepreneurship ... American Chemical Society (ACS) Small & Medium Business Webinar ... with subject matter experts and global thought leaders in ... of interest to scientific and engineering professionals. Each ...
Cached Medicine News:Health News:Academy's Community Initiative Offers Qualifying Former Addicts Free Vocational Training 2Health News:Older Colon Cancer Patients Less Likely to Get Chemo 2Health News:Older Colon Cancer Patients Less Likely to Get Chemo 3Health News:Older Colon Cancer Patients Less Likely to Get Chemo 4Health News:An Update on Mel's Bracelet 2
(Date:9/30/2014)... 2014 /CNW/ - Protecting the health and safety of Canadians is ... the appropriate powers and tools at its disposal to help ensure ... standards. To that end, Health Canada ... into Canada of all drug products from ... , Apotex Pharmachem India Pvt Ltd , ...
(Date:9/30/2014)... , Sept. 30, 2014 MiMedx Group, ... medicine company utilizing human amniotic tissue and patent-protected processes ... the Wound Care, Surgical, Orthopedic, Spinal, Sports Medicine, Ophthalmic ... Tom Koob , Ph.D., Chief Scientific Officer, will present ... Koob will present on Tuesday, October 7, 2014, at ...
(Date:9/30/2014)... 2014 Arbor Pharmaceuticals, LLC. - Product ... Markets Direct,s, ,Arbor Pharmaceuticals, LLC. - Product Pipeline ... Arbor Pharmaceuticals, LLC.,s pharmaceutical research and development focus. ... current therapeutic developmental pipeline of Arbor Pharmaceuticals, LLC.,s, ... assessment by drug target, mechanism of action (MoA), ...
Breaking Medicine Technology:Statement by the Honourable Rona Ambrose on the import ban of drug products from three plants in India 2MiMedx to Present at the Stem Cell Meeting on the Mesa 2Arbor Pharmaceuticals, LLC. - Product Pipeline Review - 2014 2Arbor Pharmaceuticals, LLC. - Product Pipeline Review - 2014 3
... RATON, Fla., Oct. 9 VitalRemedyMD, a physician-established ... to improve the quality of traditional healthcare. "We ... part of Fresenius, armamentarium in helping patients with ... of VitalRemedyMD. A state-of-the-art medical food, VitalProteinRx is ...
... Resources Inc. (PINK SHEETS: ASFX) is pleased to make available ... and December 31, 2008. These reports may be viewed in ... , American Scientific Resources, Inc., ... next-generation, health, medical, and safety products distributed primarily through nationwide ...
Cached Medicine Technology:Fresenius Medical Care, N.A. Has Selected VitalRemedyMD's VitalProteinRx(TM) As Its Bar of Choice for Protein Replacement in Dialysis Patients 2American Scientific Resources Inc. Discloses Audited Financials for 2007 and 2008 2
... spectrophotometer designed specifically to run 24 hours ... rugged hardware, proven optical performance and a ... traditional spectrophotometry to obtain results quickly, accurately ... up to eight, 1 cm Biocell cuvettes ...
The PerkinElmer LS 45 Luminescence spectrometer offers versatility, reliability and ease-of-use for routine analyses in an affordable package....
... a new generation Spectrophotometer for near ... nm to 1020 nm with built-in ... and printer. It features four digit ... transmittance, absorption and concentration with excellent ...
... UV/visible spectrophotometers provide ease-of-use and proven technology ... DU Series 800 high-performance spectrophotometers with microfocused ... as small as 5 l. The DU ... intended for use in quantitative and qualitative ...
Medicine Products: