Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/67860
Title: A program of nurse management for unscheduled consultations of children with acute minor illnesses in Primary Care
Author: Fabrellas i Padrès, Núria
Juvé Udina, Eulàlia
Solà Pola, Montserrat
Aurín, Eva
Berlanga-Fernández, Sofía
Galimany Masclans, Jordi
Berenguer, Lidia
Pujol, M. Cèlia
Lacuesta, Sara
Villo, M. Cinta
Torres, Montserrat
Keywords: Infermeria en l'atenció primària
Administració dels serveis d'infermeria
Pediatria
Protocols d'infermeria
Primary nursing
Nursing services administration
Pediatrics
Nursing care plans
Issue Date: Nov-2015
Publisher: Wiley
Abstract: 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.
Note: Versió postprint del document publicat a: http://dx.doi.org/10.1111/jnu.12169
It is part of: Journal of Nursing Scholarship, 2015, vol. 47, num. 6, p. 529-535
Related resource: http://dx.doi.org/10.1111/jnu.12169
URI: http://hdl.handle.net/2445/67860
ISSN: 1527-6546
Appears in Collections:Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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