Nurse–doctor interaction in teleconsultations between a hospital and a geriatric nursing home
Nurse–doctor interaction in teleconsultations between a hospital and a geriatric nursing home
复制标题
医院和老年护理院之间远程会诊中的护士与医生互动
DOI：
10.1258/1357633021937406
复制
发表时间：
2002
影响因子：
4.7
通讯作者：
P. Sandman
中科院分区：
文献类型：
--
作者：
Stefan Sävenstedt;G. Bucht;L. Norberg;P. Sandman
本研究的目的是阐明一名医生和五名注册护士之间的互动，以及瑞典北部一所大学老年医学诊所和一家养老院之间的远程会诊所处理的问题或任务。通过对录像的远程协商进行分析，并通过与参加会议的工作人员进行公开访谈，研究了互动和问题或任务。结果表明，老年医生与养老院护士之间的远程会诊是提供医疗服务的一种有用的工具。远程会诊改变了医生和护士的“权力控制”和“执业范围”，而且必须建立在相互信任的基础上。远程会诊的使用让护士扮演了更大的角色，成为医疗问题的提出者，而医生则扮演了远程咨询师的角色。
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.