Because of technical problems, the DNs were not entirely in favour of using the mobile phones with an Internet connection. According to Wakefield et al. (36), it is important that the technology is clinically appropriate and that the users are given proper training and support. Nevertheless, the DNs maintained that using ICT had increased accessibility because they were able to write messages wherever they were. Being accessible gives DNs control of the caring situation (6). The DNs said that they saved time by using the technology and that meant they were available to others who needed help. This can be seen as improving nursing care quality. According to Attree (37), accessibility of care practitioners is a quality factor for ill people. In summary, this study shows that ICT is a possible way to improve the nursing care for people with serious chronic illness living at home.