TY - JOUR
KW - Adult
KW - Attitude of Health Personnel
KW - Communication
KW - Counseling/organization & administration
KW - Decision Support Systems, Clinical
KW - Female
KW - Hotlines/organization & administration
KW - Humans
KW - Male
KW - Nurse's Role/psychology
KW - Nurse-Patient Relations
KW - Nursing Assessment
KW - Nursing Methodology Research
KW - Power (Psychology)
KW - Primary Health Care
KW - Professional Autonomy
KW - Qualitative Research
KW - Sweden
KW - Tape Recording
KW - Telenursing
KW - Triage
AU - V. Leppanen
A1 - 
AB - Power is a central aspect of nursing, especially in telephone-advice nursing, where nurses assess callers' medical problems and decide what measures that need to be taken. This article presents a framework for understanding how power operates in social interaction between nurses and callers in telephone-advice nursing in primary care in Sweden. Power is analysed as the result of nurses and callers being oriented to five social structures that are relevant to their actions in this context, namely the organization of telephone-advice nursing, the social stock of medical knowledge, the professional division of labour between nurses and doctors, structures of social interaction and structures of emotions. While structural constraints govern some actions to a high degree, calls take place in an organizational free room that give nurses more leeway for acting more creatively. The discussion focuses on the introduction of new technologies of control, for instance computerized decision support systems and audio recording of calls, and on how they reduce the free room. Empirical data consist of 276 audio-recorded telephone calls to 13 nurses at six primary-care centres and of qualitative interviews with 18 nurses.
BT - Nursing inquiry
C5 - HIT & Telehealth
CP - 1
CY - Australia
DO - 10.1111/j.1440-1800.2009.00480.x
IS - 1
JF - Nursing inquiry
N2 - Power is a central aspect of nursing, especially in telephone-advice nursing, where nurses assess callers' medical problems and decide what measures that need to be taken. This article presents a framework for understanding how power operates in social interaction between nurses and callers in telephone-advice nursing in primary care in Sweden. Power is analysed as the result of nurses and callers being oriented to five social structures that are relevant to their actions in this context, namely the organization of telephone-advice nursing, the social stock of medical knowledge, the professional division of labour between nurses and doctors, structures of social interaction and structures of emotions. While structural constraints govern some actions to a high degree, calls take place in an organizational free room that give nurses more leeway for acting more creatively. The discussion focuses on the introduction of new technologies of control, for instance computerized decision support systems and audio recording of calls, and on how they reduce the free room. Empirical data consist of 276 audio-recorded telephone calls to 13 nurses at six primary-care centres and of qualitative interviews with 18 nurses.
PP - Australia
PY - 2010
SN - 1440-1800; 1320-7881
SP - 15
EP - 26
EP - 
T1 - Power in telephone-advice nursing
T2 - Nursing inquiry
TI - Power in telephone-advice nursing
U1 - HIT & Telehealth
U3 - 10.1111/j.1440-1800.2009.00480.x
VL - 17
VO - 1440-1800; 1320-7881
Y1 - 2010
ER -