Título:
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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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Autor/a:
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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
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Otros autores:
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Universitat de Barcelona |
Abstract:
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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. |
Materia(s):
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-Infermeria en l'atenció primària -Administració dels serveis d'infermeria -Pediatria -Protocols d'infermeria -Primary nursing -Nursing services administration -Pediatrics -Nursing care plans |
Derechos:
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(c) Sigma Theta Tau International, 2015
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Tipo de documento:
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Artículo Artículo - Versión aceptada |
Editor:
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Wiley
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