Telehealth in community nursing: A negotiated order

Wessels, B. , Taylor, J. and Coates, L. (2017) Telehealth in community nursing: A negotiated order. Sociological Research Online, 22(4), pp. 152-168. (doi: 10.1177/1360780417734145)

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Policy makers in the UK are looking to technology such as telehealth as a solution to the increasing demand for long term health care. Telehealth uses digital home monitoring devices and mobile applications to measure vital signs and symptoms that health professionals interpret remotely. The take up of telehealth in community health care is slow because there is uncertainty about its use. Findings from a qualitative study of community healthcare show that community nurses are managing uncertainty through a complex set of negotiations. Drawing on Strauss’ concept of negotiated order the study found three key areas of negotiation, which are ‘supported care interdependencies’, ‘nursingpatient relationships’, and ‘risk management’. The relational, communicative and collaborative working practices of nurses shape these areas of negotiation and the resulting negotiated order. This article focuses on the perspectives of nurses in negotiating telehealth with their patients.

Item Type:Articles
Additional Information:Mainstreaming Assisted Living Technologies (MALT) was funded by the Economic and Social Research Council (ESRC) and Technology Strategy Board [now InnovateUK]) reference number: 2400-25148.
Glasgow Author(s) Enlighten ID:Wessels, Professor Bridgette
Authors: Wessels, B., Taylor, J., and Coates, L.
College/School:College of Social Sciences > School of Social and Political Sciences > Sociology Anthropology and Applied Social Sciences
Journal Name:Sociological Research Online
Publisher:Sociological Research Online
ISSN (Online):1360-7804
Copyright Holders:Copyright © 2017 The Authors
First Published:First published in Sociological Research Online 22(4):152-168
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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