Care from a distance – A practice study of telemedicine’s influence on the role of the nurse: A practice study of telemedicine’s influence on the role of the nurse
Authors
Holm, Camilla ; Benzarti, Jonas Makram
Term
4. term
Publication year
2017
Submitted on
2017-05-24
Pages
120
Abstract
Telemedicin (sundhedsydelser leveret på afstand via teknologi) vinder frem globalt og i Danmark. Denne afhandling undersøger, hvordan sygepleje som profession udfolder sig i dette teknologiske miljø ved at studere sygeplejerskers praksis i TeleCare North-initiativet for kronisk obstruktiv lungesygdom (KOL) i Nordjylland på tværs af tre kommuner. Formålet er at belyse, hvordan sygeplejerskernes praksis ser ud halvandet år efter udrulning, ved at beskrive lokale set-ups, formulere en generel praksis og identificere, hvordan telemedicin påvirker sygepleje som disciplin i den undersøgte indsats. Studiet bygger på en aktivitets-teoretisk tilgang, der ser på, hvordan arbejdsaktiviteter er organiseret og spiller sammen. Data er indsamlet gennem interviews og kontekstuelle undersøgelser og analyseret med tematiske netværk; aktivitets-systemer udgør den teoretiske ramme. Det var vanskeligt at kortlægge ét fælles set-up og definere en generel praksis, fordi aktiviteterne i høj grad afhænger af den enkelte sygeplejerskes tilgang. Dette fremgår ikke fuldt ud af aktivitetsanalysen, men ses i temaerne fra de tematiske netværk. På trods af variationerne tegner der sig et overordnet billede af praksis. Konklusionen er, at sygeplejerskernes arbejde ikke kun omfatter medicinsk konsultation, men også væsentlige elementer af vejledning/tilsyn og psykologisk støtte.
Telemedicine (health services delivered remotely using technology) is expanding globally and in Denmark. This thesis examines how nursing as a professional discipline functions in this technological setting by studying nurses’ practice in the TeleCare North initiative for chronic obstructive pulmonary disease (COPD) in Northern Denmark across three municipalities. The aim is to clarify what nurses’ practice looks like 1.5 years after rollout by describing local setups, outlining a general practice, and identifying how telemedicine influences nursing within the studied initiative. The study uses an activity theory perspective that looks at how work activities are organized and interact. Data were collected through interviews and contextual inquiry and analyzed using thematic networks; activity systems provided the theoretical frame. Defining a single general practice proved difficult because activities are closely tied to each nurse’s individual approach. This is not fully captured by the activity analysis but appears in themes from the thematic networks. Despite this variation, an overall picture of practice is described. The conclusion is that nursing involves not only medical consultation, but also key elements of guidance/supervision and psychological support.
[This abstract was generated with the help of AI]
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