title: Nurses' experiences of the use of an Internet-based support system for adolescents with depressive disorders.
abstract: BACKGROUND
  Internet-based applications are potentially useful and effective interventions to reach and support adolescents with mental health problems. Adolescents' commitment to the use of a new Internet-based intervention is closely related to the support they receive from healthcare professionals. This study describes nurses' experiences of the use of an Internet-based support system for adolescents with depressive disorders.
  
  
  METHODS
  Qualitative descriptive study design including individual interviews with nine nurses at two psychiatric outpatient clinics. The Technology Acceptance Model (TAM) was used as the theoretical background of the study.
  
  
  RESULTS
  Nurses described several benefits of using the Internet-based support system in the care of adolescents with depressive disorders if the nurses integrate it into daily nursing practices. As perceived disadvantages the nurses thought that an adolescent's mental status might be a barrier to working with the support system. Perceived enablers could be organizational support, nurses' attitudes, and technology-related factors. Nurses' attitudes were identified as a barrier to supporting adolescents' use of the Internet-based support system.
  
  
  CONCLUSIONS
  The findings suggest that the implementation plan and support from the organization, including that from nurse managers, are crucial in the process of implementing a technology-based support system.
authors.affiliation: a Department of Nursing Science , University of Turku , Turku, Finland.
authors.forename: Marjo
authors.initials: M
authors.lastname: Kurki
authors.affiliation: a Department of Nursing Science , University of Turku , Turku, Finland.
authors.forename: Minna
authors.initials: M
authors.lastname: Anttila
authors.affiliation: a Department of Nursing Science , University of Turku , Turku, Finland.|b Satakunta Hospital District , Pori , Finland.
authors.forename: Marita
authors.initials: M
authors.lastname: Koivunen
authors.affiliation: c Department of Health, National Institute for Health and Welfare, Helsinki, Finland , University of Helsinki and Helsinki University Hospital, Adolescent Psychiatry , Helsinki , Finland.
authors.forename: Mauri
authors.initials: M
authors.lastname: Marttunen
authors.affiliation: a Department of Nursing Science , University of Turku , Turku, Finland.|d Turku University Hospital , Turku, Finland.
authors.forename: Maritta
authors.initials: M
authors.lastname: Välimäki
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003866:Depressive Disorder; D006801:Humans; D020407:Internet; D007407:Interviews as Topic; D008875:Middle Aged; D009726:Nurses; D036301:Qualitative Research; D012944:Social Support
keywords: Adolescent; Internet; Technology Acceptance Model (TAM); depression; nurse