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A program of nurse management for unscheduled consultations of children with acute minor illnesses in Primary Care
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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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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. A program of nurse management for unscheduled consultations of children with acute minor illnesses in Primary Care. _Journal of Nursing Scholarship_. 2015. Vol. 47, núm. 6, pàgs. 529-535. [consulta: 24 de gener de 2026]. ISSN: 1527-6546. [Disponible a: https://hdl.handle.net/2445/67860]