Sävenstedt Stefan, Bucht Gösta, Norberg Lennart, Sandman P O
Department of Nursing, Umeå University, Sweden.
J Telemed Telecare. 2002;8(1):11-8. doi: 10.1258/1357633021937406.
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.
本研究的目的是阐明一名医生与五名注册护士之间的互动，以及瑞典北部一家老年医学大学诊所与一家养老院之间远程会诊中所处理的问题或任务。通过对视频记录的远程会诊进行分析，并对参与的工作人员进行开放式访谈，对互动以及问题或任务进行了研究。结果表明，老年病医生与养老院护士之间的远程会诊可以成为提供医疗服务的有用工具。远程会诊改变了医生和护士的“权力控制”和“实践领域”，并且必须建立在相互信任的基础上。远程会诊的使用使护士在提出医疗问题方面发挥更大的作用，而医生则扮演远程顾问的角色。
