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Telehealth in Community Nursing: A Negotiated Order

Author

Listed:
  • Bridgette Wessels

    (Newcastle University, UK)

  • Jo Taylor

    (University of York, UK)

  • Lizzie Coates

    (The University of Sheffield, UK)

Abstract

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’, ‘nursing-patient 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.

Suggested Citation

  • Bridgette Wessels & Jo Taylor & Lizzie Coates, 2017. "Telehealth in Community Nursing: A Negotiated Order," Sociological Research Online, , vol. 22(4), pages 152-168, December.
    • Handle: RePEc:sae:socres:v:22:y:2017:i:4:p:152-168
    DOI: 10.1177/1360780417734145
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    References listed on IDEAS

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    1. Nugus, Peter & Greenfield, David & Travaglia, Joanne & Westbrook, Johanna & Braithwaite, Jeffrey, 2010. "How and where clinicians exercise power: Interprofessional relations in health care," Social Science & Medicine, Elsevier, vol. 71(5), pages 898-909, September.
    2. Liberati, Elisa Giulia, 2017. "Separating, replacing, intersecting: The influence of context on the construction of the medical-nursing boundary," Social Science & Medicine, Elsevier, vol. 172(C), pages 135-143.
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