• Linda Lännerström, Inger K Holmström, Kurt Svärdsudd, and Thorne Wallman.
• a Uppsala University , Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section , Uppsala , Sweden.
• Ups. J. Med. Sci. 2017 Nov 1; 122 (4): 249-253.

BackgroundRegistered nurses at primary health care centres in Sweden receive about 20 million telephone calls annually. Questions related to sick leave occur regularly. Previous studies conclude that those calls often are perceived as problematic. The aim of this study was to explore factors associated with problems regarding sick leave questions in telephone nursing.MethodsA questionnaire was distributed to all registered nurses (n = 185) working with telephone nursing in 26 Swedish primary health care centres, of whom 114 (61.6%) responded. Based on the results of a Spearman correlation analysis a logistic regression analysis was performed of significant exposure variables on outcome (perceived problems).ResultsSignificant exposure variables were: experience of telephone nursing, age, being educated in social insurance medicine, and frequency of telephone calls with sick leave questions. Young age was associated with more problems than old age. Those having education in social insurance medicine reported fewer problems than those who had not, and so did those having few telephone calls with sick leave questions as compared with those who had many.ConclusionsYoung age, lack of education in insurance medicine, and high frequency of sick leave questions increased the perceived problem level in telephone nursing.

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