A program of nurse management for unscheduled consultations of children with acute minor illnesses in Primary Care
Introduction: Attention to patients with acute minor illnesses represents a major burden for primary care. Although programs of nurse care for children with acute minor illnesses in primary care started a long time ago, there is limited information about the results of these programs in current prac...
| Autores: | , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión aceptada para publicación |
| Fecha de publicación: | 2015 |
| País: | España |
| Institución: | Universidad de Barcelona |
| Repositorio: | Dipòsit Digital de la UB |
| OAI Identifier: | oai:diposit.ub.edu:2445/67860 |
| Acceso en línea: | https://hdl.handle.net/2445/67860 |
| Access Level: | acceso abierto |
| Palabra clave: | Infermeria en l'atenció primària Administració dels serveis d'infermeria Pediatria Protocols d'infermeria Primary nursing Nursing services administration Pediatrics Nursing care plans |
| Sumario: | Introduction: Attention to patients with acute minor illnesses represents a major burden for primary care. Although programs of nurse care for children with acute minor illnesses in primary care started a long time ago, there is limited information about the results of these programs in current practice. Objectives: The objective of this study was to assess the feasibility and efficacy of a program of nurse management for unscheduled consultations of children with acute minor illnesses. Methods: Observational study of children seeking unscheduled consultations for 16 acute minor illnesses in 284 primary care practices during a 2-year period. The program of nurse management used predefined management algorithms. Findings: Among 467,160 consultations performed, case resolution was achieved in 65.4%. The remaining 34.6% of cases were not solved by the primary healthcare nurse due to the existence of signs of alarm and were referred to a pediatrician. Return to consultation during a 7-day period for the same reason as the original consultation was only 2.6%. Conclusions: A program that uses management algorithms is effective for nurse care management of children with acute minor illnesses in primary care. Clinical Relevance: Application of programs of nurse management for unscheduled consultations for children with acute minor illnesses is feasible and effective. |
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