Outcomes of nurse visits for unscheduled patients in primary care
description
Transcript of Outcomes of nurse visits for unscheduled patients in primary care
Outcomes of nurse visits for
unscheduled patients in primary care
Casado I**Brugués A*; Pavón P**; Sancho L**; Laserna
C**; Torres D**; Fernandez M; Malo A**; Gascon J.***
* Nurse. CON. Chief Officer Nurse CASAP** Nurse "Can Bou" CASAP*** Clerk "Can Bou" CASAP
To evaluate the outcomes of nurse attention of
unscheduled patients in a primary health care
team, following a clinical guideline designed for
nurses.
PurposePurpose
Primary health care teams in Catalonia include GPs, pediatricians, nurses and clerks. To enhance accessibility, nurses improve their knowledge and skills, undertaking an extended role in the management of acute health problems.
We use this approach for unscheduled visits for past 6 years, improving delivery of care by the entire team and allowing nurses to handle minor illnesses and GPs to dedicate more time to complicated patients.
TheoryTheory
Design: Cross-sectional descriptive study in primary care team from the metropolitan area.
Description: The Primary Care Team “Can Bou” serves a population of 27,000 inhabitants in the metropolitan area of Barcelona.
The sample size with an expected prevalence of 64% resolution, a confidence level of 95% and an accuracy of 0.04 needs a sample of 594 individuals.
MethodsMethods
Participants: random sample of 594 patients that demanded same day consultation from May 2011 until January 2012 for:
Variables: Age and sexResolution of the problem (yes / no)InterventionsPrescriptionHospital referralsAdministrative triage accuracyWaiting time
MethodsMethods
FindingsFindings
Age and sex
FindingsFindings
Reason for medical consultation
FindingsFindings
• Resolution
FindingsFindings
• Nurse resolution
FindingsFindings
• Non resolution
FindingsFindings
• Interventions
FindingsFindings
• Prescription
FindingsFindings
The accuracy of the indication and referral by the administrative staff was 90.28%. Nurse intervention resolution degree is 74%
The average waiting time to be visited was 9.11 minutes
DiscussionDiscussion
• Health problems and the degree of resolution is similar to studies of our environment.
• Health advice is the most frequent intervention followed the prescription; the drug most prescribed is ibuprofen.
• There is a high concordance with the administrative staff triage
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