Efficient telephone advice nursing is one way of managing limited resources in healthcare. It is cost efficient, timesaving and increases patients’ ability to self-care [1]. In many Western countries telenursing is an expanding part of healthcare. Telenursing work is complex and knowledge-intensive. The nurses should be able to work independently, make decisions about the caller’s need for further care, give advice on self-care or refer the caller to the appropriate source of help [2]. When telenurses triage callers’ conditions, their assessments are based on verbal communication. This demands a high level of communication skills and the ability to listen [3]. One of the major problems for telenurses is that they cannot see the patients. They feel considerable responsibility and they fear making wrong decisions [4]. Furthermore, telenurses may percieve the contact with patients in telephone advice nursing as a conflict between being a care provider and a gatekeeper