Details

Autor(en) / Beteiligte

• Brugués Brugués, Alba
• Peris Grao, Antoni
• Pavón Rodríguez, Francisca
• Mateo Viladomat, Enric
• Gascón Ferret, Jordi
• Flores Mateo, Gemma

Titel

Evaluation of Nurse Demand Management in Primary Care

Ist Teil von

• Atención primaria, 2016-03, Vol.48 (3), p.159

Ort / Verlag

Spain

Erscheinungsjahr

2016

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• to evaluate the health outcomes of nurse demand management on unscheduled patients in a Primary Care Centre, following a clinical guide designed by the whole primary care team. Cross-sectional study. A primary care team from Castelldefels. Barcelona, Spain. A random sample of 558 patients requesting a consultation for the same day in a Primary Care setting, attended between May 1st, 2011 and January 31st, 2012. The guide includes 23 health problems that can be dealt by a nurse autonomously, 18 of them possibly requiring an emergency intervention, and shared decision with the physician. Each health problem is divided into three sections: a) a brief definition of the problem; b) an intervention algorithm; and c) nursing diagnoses of North American Nursing Diagnosis Association for each health problem and a description of the possible nursing interventions. We studied 558 patients with a mean age of 42.5 years old (SD 17.7). The most commonly consulted problems were upper respiratory tract symptoms (19.4%), followed by nausea/vomiting (16.5%), and burns/wounds (12.5%). 73.3% of the problems were resolved autonomously by a nurse. 65,8% of the patients attended received health advice. Nurse demand management has shown to be highly effective at handling the conditions attended, while it provides a high percentage of health advice and education during consultations.