Background: Telephone counseling is a multifaceted profession, which makes it possible to perform nursing care without meeting the care seeker physically. Nurses supports, assesses, guides and provides care seekers with self-care advice, which is of great importance to avoid health problems and complications for the care seekers. Aim: The aim of this study was to describe nurses' experiences of telephone counseling within health centers and 1177 Vårdguiden. Method: A method aimed to contribute to evidence-based care based on the analysis of qualitative research described by Friberg (2012), was used. Eleven articles were analysed and resulted in four categories, with fourteen sub-categories. Results: The four categories that emerged were; the importance of own knowledge and security, to face ethical dilemmas, stress and job demands and the use of decision support. The lack of visual contact requires specific knowledge by the nurses and communication with healthcare seekers from other cultures and with third parties to some extent created uncertainty. The nurses must be quick and do right in limited time. Decision support was perceived as both an obstacle and complement. Conclusion: Nurses´ experiences of working with telephone counseling was described as stressful, demanding but also positive and challenging. In order to best perform telephone counseling it required experience, vast competence and ability to apply knowledge. It was considered important to use oneself as a main asset and to be aware of strengths, weaknesses and reactions in different situations.

The telenursing service deals with offering the public guidance as what to do with their health and illness concern. More specifically this service includes triage, support, advice, education, referral, information and coordination. To conduct telephone advice is a complicated task to perform and put specific demands of the nurse’s communication skills. The purpose of this study was to critically review the impact of telephone counseling focused on context of implementation, perspective, design and clinical relevance by a sample of studies within the field. The critical review focused on inconsistencies in the material. Strengths and weaknesses of the studies were explored, with emphasis on detecting areas of skill gaps. Twelve of thirteen studies were made in the context of telenursing. The thirteenth was conducted in the context of the emergency call. The most prominent approach was the study of callers´. Two of the articles were made with an inductive design, five with a deductive and the remaining six articles with a mixed design. The clinical relevance is attached to the callers´ perspective. The most salient dimension of the analyzed studies were studies of callers´ satisfaction with telephone advice, compliance to advice given and experiences of approaching a telenurse. The results reveal that when given advice are understood, satisfaction with the advice is obtained as well as good compliance and the caller feel looked after. However, the callers´ experience to ventilate their concerns, being listened to, while having "control" over the call is less explored. Moreover, the callers´ experience of being subject to advice by telephone seems to be further explored.

The majority of smokers - regardless of race - wish to quit. Quitting tobacco use is a top national priority to improve the quality of life for all people. There is a wide range of effective tobacco addiction treatment strategies. Telephone counseling services or Tobacco Quit Lines (TQL) is one of the effective smoking cessation aids available to all people in the U.S. free of charge. This is a cross sectional analysis of data from Georgia Tobacco Quit Line (TQL). The study examined the differences in the utilization rates of the Georgia TQL by different smoking population. Analysis revealed that 2.9 per 1000 male smokers in Georgia called the TQL compared to 5.0 per 1000 females. Also, the rate of calling among black was significantly higher than that among white smokers. Television commercials promoting the use of the TQL were successful in reaching the Black smokers.

Bakgrund: Telefonrådgivning inom hälso- och sjukvård förekommer runt om i världen och är ett enkelt sätt för patienten att komma i kontakt med vården. Bedömningsprocessen i telefonrådgivning försvåras på grund av att sjuksköterskan inte ser patienten vilket ställer krav på en bred kunskap. Telefonrådgivning gör det möjligt för sjuksköterskan att utföra omvårdnadsarbete utan att fysiskt träffa patienten. Syfte: Att beskriva sjuksköterskan upplevelse av telefonrådgivning. Metod: En litteraturöversikt baserad på 11 artiklar med kvalitativ ansats. Resultat: Tre kategorier framkom ur analysen; Känslor av arbetet, Patientmötet i telefonrådgivning och Att göra egna bedömningar. Kategorierna understödjs av sammanlagt sju underkategorier. Diskussion: Sjuksköterskan upplever arbetet i telefonrådgivning som stressigt vilket kan påverka den vårdande relationen med patienten. Vid bedömning över telefon ställer sjuksköterskan mer frågor än vid ett fysiskt möte för att skapa sig en förståelse för patientens livsvärld. Detta kan leda till en mer individanpassad vård för patienten. Slutsats: Sjuksköterskan känner att arbetet i telefonrådgivning är stimulerande och givande. Den vårdande relationen är avgörande för hur sjuksköterskan känner för sitt arbete. Sjuksköterskan upplever dock vissa svårigheter, en av dessa är att fatta beslut och göra bedömningar utan att se patienten. / Background: Telephone counseling exists worldwide and it’s a easy way for the patient to come in contact with care.  The assessment process is made more difficult because the nurse can’t see the patient, which requires a broad knowledge. Telephone counseling is making it possible for the nurse to perform the nursing work without physically meet the patient. Aim: To describe the nurse's experience of telephone counseling. Method: A literature review based on 11 articles with qualitative approach. Results: Three categories emerged from the analysis; The sense of work, Meeting the patient in the telephone counseling and Doing your own assessments. The categories is supported a total of seven subcategories. Discussion: Nurses experience the work in telephone counseling as stressful, which can affect the caring relationship with the patient. In the assessment over the telephone the nurse ask more questions than at a physical meeting to create an understanding of the patient's life-world. This can lead to a more individualized care for the patient. Conclusion: The nurse feels that the work in telephone counseling is stimulating and rewarding. The caring relationship is crucial to how the nurses feel about their work. The nurse is experiencing some difficulties, one of these is to make decisions and an assessment without seeing patient.

Background: Telephone counseling is constantly increasing in health care. It involves a dialogue and assessment process with the aim of examining both the subjective and objective in patients' health problems. Telephone counseling is made difficult when there is no visual contact. Patient safety can be reduced on the basis of the long call queue, which can lead to incorrect assessment due to a high work rate. Aim: To describe nurses' experiences of working with telephone counseling in somatic care. Method: A literature-based study in which ten scientific articles have been analyzed. Systematic searches for scientific articles in nursing were made in the databases CINAHL and PubMed. Articles about nurses experiences of working with telephone counseling in somatic care with a qualitative method were included. Results: The result obtained showed different experiences for the nurses, which included four main themes: difficulties in making a professional assessment, challenges in conversations with the care seeker, stress and fatigue, and deficiencies in the working environment. The main themes are supported by a total of ten subcategories. Conclusion: The nurses experienced telephone counseling difficult and challenging. Due to the lack of visual contact, it becomes more difficult to create a good quality of care for the patient. The nurses experienced various obstacles in telephone counseling, which proved to be difficult for the nurses to work patient-safety. Therefore, it is important that there is a good communication between the nurse and the patient to facilitate the work and meet the patient's needs.

No description available.

Bakgrund: Telefonrådgivning inom hälso- och sjukvård förekommer runt om i världen och är ett enkelt sätt för patienten att komma i kontakt med vården. Bedömningsprocessen i telefonrådgivning försvåras på grund av att sjuksköterskan inte ser patienten vilket ställer krav på en bred kunskap. Beslutsstöden ger då möjlighet för sjuksköterskorna att kunna ge den vård som behövs. Syfte: är att beskriva sjuksköterskans upplevelser av att arbeta med telefonrådgivning. Metod: En litteraturöversikt baserad på 10 artiklar med kvalitativ ansats. Resultat: Två huvud kategorier framkom ur analysen; Användandet av beslutsstöd och rådgivning som beslutsprocess. Kategorierna understödjs av sammanlagt fyra underkategorier. Diskussion: Sjuksköterskan upplever arbetet med beslutsstöd inom telefonrådgivning som svårt vilket kan påverka den vårdande relationen med patienten. Sjuksköterskorna anser att det finns en fördel för att underlätta telefonrådgivningen. Sjuksköterskorna anser att beslutsstödet kan brista i vården till patienten för att innehållet är otillräckligt. Beslutstöden kan även hjälpa till att stödja sjuksköterskornas egna medicinska kunskap. Slutsats: Sjuksköterskorna anser att det finns fördelar med beslutsstöd men att uppdatering av beslutsstödet samt utbildning om hur det ska användas krävs. / Background: Telephone counseling in health and medical care occurs around the world and is an easy way for the patient to come into contact with health- care. The assessment process in telephone counseling is made difficult by the fact that the nurse does not see the patient, which demands a broad knowledge. Decision support then provides the opportunity for the nurses to be able to provide the necessary care. Purpose: The aim is to describe the nurse's experiences of working with telephone counseling. Method: A literature review based on 10 articles with qualitative approach. Result: Two main categories emerged from the analysis; The use of decision support and the consulting as a decision-making process. The categories are supported by a total of four subcategories. Discussion: The nurse experiences the work with decision support in telephone counseling as difficult, which can affect the caring relationship with the patient. The nurses believe that there is an advantage in facilitating telephone counseling. The nurses believe that the decision support can be burst in the care of the patient because the content is insufficient. Decision support can also help to support nurses own medical knowledge. Conclusion: The nurses believe that there are benefits of using decision support, but that updating the decision support and training on how to use it is required.

The majority of smokers - regardless of race - wish to quit. Quitting tobacco use is a top national priority to improve the quality of life for all people. There is a wide range of effective tobacco addiction treatment strategies. Telephone counseling services or Tobacco Quit Lines (TQL) is one of the effective smoking cessation aids available to all people in the U.S. free of charge. This is a cross sectional analysis of data from Georgia Tobacco Quit Line (TQL). The study examined the differences in the utilization rates of the Georgia TQL by different smoking population. Analysis revealed that 2.9 per 1000 male smokers in Georgia called the TQL compared to 5.0 per 1000 females. Also, the rate of calling among black was significantly higher than that among white smokers. Television commercials promoting the use of the TQL were successful in reaching the Black smokers.

Telefonrådgivning är en vanlig vårdform. I en alltmer medicinskt och tekniskt utvecklad ögonsjukvård efterfrågas ögonsjuksköterskornas omvårdnadskompetens av både patienter, anhöriga och kollegor inom andra delar av sjukvården. Syftet med studien var att undersöka ögonsjuksköterskors upplevelser av att använda sin specifika omvårdnadskunskap vid telefonrådgivning inom ögonsjukvård. Studien genomfördes med en kvalitativ metod och data samlades in genom semistrukturerade intervjuer. Materialet analyserades med kvalitativ innehållsanalys. Resultatet visade att ögonsjuksköterskorna upplevde arbetet som utvecklande och utmanande. De såg sig själva som en lots i vården med en stor rådgivande funktion relaterat till sin specifika kunskap. De beskrev också en del svårigheter med att triagera via telefon. De önskade bättre bedömningsunderlag men var dock trygga med sina bedömningar och någon rädsla för anmälningar till tillsynsmyndighet framkom inte. De uttryckte även ett behov av utbildning inom samtalsmetodik. Ögonsköterskorna saknade tid för kollegiala reflektioner för att utveckla sin professionella hållning i arbetet med telefonrådgivningen / Telephone counseling is a common form of care. In an increasing medical and technical development in ophthalmological care is ophthalmic nurses skills demanded by both patients, relatives and colleagues in other areas of health care. The purpose of this study was to examine the eye nurses experiences of telephone counseling in ophthalmology. The study was conducted using a qualitative approach and data were collected through semi-structured interview. The material was analyzed using qualitative content analysis. The results showed that eye nurses were confident and proud of their professional role. They experienced the work as fun, stimulating and challenging. They saw themselves as a pilot in the care of a large advisory role related to their specific knowledge. They also described some difficulties in triagera by phone. They wanted better assessment documentation but was confident in their assessments and any fear of notifications to the regulator were not revealed. They also expressed a need for training in counseling skills. Ophthalmic nurses lacked the time for collegial reflection to develop their professional attitude in the work of telephone counseling.

Telefonrådgivning är en av arbetsuppgifterna för ögonsjuksköterskor, men studier om telefonrådgivning inom ögonsjukvård är begränsat. Syftet var att beskriva ögonsjuksköterskors upplevelser av användandet av beslutsstöd vid telefonrådgivning. Metoden var kvalitativ beskrivande. Sex ögonsjuksköterskor vid tre olika ögonkliniker intervjuades. Data analyserades enligt kvalitativ innehållsanalys. Resultatet gav huvudkategorierna kunskapskälla vid behov, stöd i yrkesrollen, brister i beslutsstödet och god vårdkvalitet ur ett patientperspektiv. Ögonsjuksköterskorna var positiva till användandet av beslutsstöd vid oerfarenhet av arbetsuppgiften samt vid sällan förekommande och komplexa situationer. Användandet av beslutsstöd upplevdes underlätta prioritering och samordning av vårdinsatser vilket upplevdes leda till god vårdkvalitet ur ett patientperspektiv och en känsla av trygghet. Beslutsstödet underlättade kommunikationen med andra vårdenheter och vårdsökande. Det upplevdes inte täcka alla situationer utan uttrycktes behövdes utvecklas och uppdateras kontinuerligt. Aktivt lyssnande och tänkande i kombination av erfarenhet och kunskap ansågs vara viktiga komponenter vid telefonrådgivning. Vidareutveckling och förbättring av de beslutsstöd som används idag är av betydelse. / Telephone counseling is one of the tasks in ophthalmic nursing and research within this area was found inadequate. The aim was to describe the ophthalmic nurses’ experiences of using a decision making system in when counseling. The method was a descriptive qualitative de sign. Six ophthalmic nurses at three different eye clinics were interviewed. The data were analyzed according to qualitative content analysis. The result was four categories: a source of knowledge source if needed, supportive to the professional role, deficiencies in decision system and good quality of care from a patient perspective. Ophthalmic nurses were positive using a decision making system if inexperienced and in infrequent and complex situations. The use of decision making system facilitated the prioritization and coordination of the care taken, high quality of care from a patient perspective and a sense of security. Decision making system facilitated communication with other health care providers and patients. The system though was not useful in every situation and there was a need of a continuous development and update. Active listening and thinking in the combination of experience and knowledge were considered to be important components in the telephone counseling. Further development of the system in use today is needed.