Swedish study exposes safety gap in district nurses' after-hours phone care
District nurses in Swedish home care handle patient calls while driving with no access to medical records, prioritizing speed over safety. The finding raises urgent questions for healthcare administrators about liability and quality standards as telephone triage becomes essential to care delivery.
Originaltitel: Preconditions for district nurses’ telephone counselling during call-time in municipal home care: An observational study
<p>Telephone counselling is a growing and complex task for district nurses in municipal home care, especially during evenings and atweekends. Work at call-time is often handled via telephone from cars, without access to records or other information aboutpatients. There is a lack of research in this subject. The aim of this study was to explore preconditions for district nurses’telephone counselling at call-time. An observational study with an inductive approach was conducted. A structural protocol wasused with a following open question. Seven district nurses who worked in home care in two municipalities in Swedenparticipated. Data were analysed using content analysis. Five categories were identified: ‘availability’, ‘professionalism’, ‘communicability,‘secure approach’, and ‘technical approach’. Accessibility appears to be given priority over security. Ethical reflection isrequired on telephone management policy for district nurses’ telephone counselling while driving and other interventions thatrequire undivided attention.</p>