TY - JOUR
T1 - Predicting patient follow-through on telephone nursing advice
AU - Valanis, Barbara G.
AU - Gullion, Christina M.
AU - Moscato, Susan Randles
AU - Tanner, Christine
AU - Izumi, Shigeko
AU - Shapiro, Susan E.
PY - 2007/8
Y1 - 2007/8
N2 - Although use of telephone advice nursing services continues to grow, little research has addressed factors that affect crucial call outcomes like follow-through on the advice given. This article describes aspects of the advice call process and examines predictors of caller follow-through, using a conceptual model derived from the literature and the authors' preliminary work. Calls to call centers and medical offices of a large health maintenance organization were taped, then content was coded and matched with caller questionnaire (CQ) data. Out of 1,863 participants, 1,489 reported following all the advice. In the final multivariate predictive model, statistically significant predictors of follow-through were patient health status, caller's rating of nurse helpfulness, and the extent to which caller expectations for collaboration were met and the caller understood the advice given. Results suggest that nurses should receive continuous training on effective communication techniques, and advice nurse performance standards that create barriers to communication should be modified.
AB - Although use of telephone advice nursing services continues to grow, little research has addressed factors that affect crucial call outcomes like follow-through on the advice given. This article describes aspects of the advice call process and examines predictors of caller follow-through, using a conceptual model derived from the literature and the authors' preliminary work. Calls to call centers and medical offices of a large health maintenance organization were taped, then content was coded and matched with caller questionnaire (CQ) data. Out of 1,863 participants, 1,489 reported following all the advice. In the final multivariate predictive model, statistically significant predictors of follow-through were patient health status, caller's rating of nurse helpfulness, and the extent to which caller expectations for collaboration were met and the caller understood the advice given. Results suggest that nurses should receive continuous training on effective communication techniques, and advice nurse performance standards that create barriers to communication should be modified.
KW - Health care delivery
KW - Patient compliance
KW - Telephone hotlines
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U2 - 10.1177/1054773807303055
DO - 10.1177/1054773807303055
M3 - Article
C2 - 17634354
AN - SCOPUS:34547262596
SN - 1054-7738
VL - 16
SP - 251
EP - 269
JO - Clinical Nursing Research
JF - Clinical Nursing Research
IS - 3
ER -