title: Nurse-doctor interaction in teleconsultations between a hospital and a geriatric nursing home.
abstract: 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.
authors.affiliation: Department of Nursing, Umeå University, Sweden. Stefan.savenstedt@soc.pitea.se
authors.forename: Stefan
authors.initials: S
authors.lastname: Sävenstedt
authors.forename: Gösta
authors.initials: G
authors.lastname: Bucht
authors.forename: Lennart
authors.initials: L
authors.lastname: Norberg
authors.forename: P O
authors.initials: PO
authors.lastname: Sandman
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D005851:Geriatric Nursing / Q000458:organization & administration*; D006801:Humans; D009735:Nursing Homes / Q000458:organization & administration*; D019555:Physician-Nurse Relations; D019114:Remote Consultation / Q000592:standards*; D011795:Surveys and Questionnaires; D013548:Sweden