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Primary Health Care Nurses’ Experiences of Consultations With Internet-Informed Patients: Qualitative Study
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0003-1543-6512
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
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2019 (English)In: JMIR Nursing, ISSN 2562-7600, Vol. 2, no 1, article id e14194Article in journal (Refereed) Published
Abstract [en]

Background: Most people in modern societies now use the Internet to obtain health-related information. By giving patients knowledge, digital health information is considered to increase patient involvement and patient-centered interactions in health care. However, concerns are raised about the varying quality of health-related websites and low health literacy in the population. There is a gap in the current knowledge of nurses’ experiences with Internet-informed patients.

Objective: The objective of this study was to explore primary health care nurses’ experiences of consultations with patients who present health-related information from the Internet.

Methods: This is a qualitative study based on interviews with 9 primary health care nurses. Data were analyzed using qualitative content analysis. Results are reported according to the consolidated criteria for reporting qualitative research guidelines.

Results: The phenomenon of Internet-informed patients was considered to change the usual rules in health care, affecting attributes and actions of patients, patterns of interactions in consultations, and roles of nurses and patients. Three categories were identified: (1) Facing the downsides of Googling, (2) Patients as main actors, and (3) Nurse role challenged. Although the benefits of health-related Internet information were described, its negative consequences were emphasized overall. The problems were mainly ascribed to inaccurate Internet information and patients’ inability to effectively manage the information.

Conclusions: Our study suggests ambivalent attitudes among nurses toward health-related Internet information. In order to promote equitable care in the digital era, increased awareness in health care about useful strategies for overcoming the difficulties and embracing the benefits of conferring with Internet-informed patients seems to be a legitimate goal.

Place, publisher, year, edition, pages
JMIR Publications , 2019. Vol. 2, no 1, article id e14194
Keywords [en]
eHealth, Internet, consumer health information, health literacy, patient-centered care, qualitative research, primary health care
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-162733DOI: 10.2196/14194OAI: oai:DiVA.org:umu-162733DiVA, id: diva2:1346066
Available from: 2019-08-27 Created: 2019-08-27 Last updated: 2019-08-30Bibliographically approved

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Sjöström, Anna E.Hörnsten, ÅsaHajdarevic, SenadaIsaksson, Ulf
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CiteExportLink to record
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