Acute Disease
Conditions
Keywords
Prescriptions, Nurses, Primary Health Care, Acute Disease
Brief summary
Objective: To compare the efficacy/effectiveness of pharmacological nurse prescription with medical prescription in patients attended in a primary care center for minor acute health problems. Scope of the study: Multicenter study, with the participation of 8 primary care centers of Catalonia. Methodology: Randomized blind clinical trial, with experimental group receiving pharmacological nurse prescription and a control group receiving medical prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria, with random assignment of 374 subjects, 187 per group. The efficacy/effectiveness of the prescribed treatment will be considered as a no re-attendance during the following 72h and will be completed with the variables: information and knowledge of the treatment, adverse effects, compliance, satisfaction level and resolution of the health problem. The data collection is done 10 days after the visit by an ad-hoc telephone questionnaire of 11 items, previously tested. The analysis is done using the SPSS software version 21.0, obtaining data of descriptive, multivariate and inferential statistics. Implications for practice: To evidence the equivalence of pharmacological nurse prescription with medical prescription for minor acute health problems
Interventions
BEHAVIORALNurse prescription
Pharmacological nurse prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria
BEHAVIORALMedical prescription
Pharmacological medical prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria
Sponsors
Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Contusion * Diarrhea / vomit * Fever without focality * Flu * Urinary distress * Odinophagy * Toothache * Skin Bite * Upper respiratory symptoms * Ankle twist
Exclusion criteria
* Language barrier * Cognitive deterioration * Sensory deficit * Pregnancy * Immunosuppression * Neoplasia in the last 5 years * Does not participate / Does not sign consent * Breastfeeding period * Reconsult * Resides outside of Spain * Treatment with glucocorticoids in the last 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| no re-attendance during the following 72 hours | During next 72 hours | Options: Yes / No |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| resolution of the health problem | after 10 days | Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved |
| compliance | after 10 days | Options: Yes / No (Reason for answered no: Appearance of side effects, Disappearance of symptoms, Distrust of tto, Complicated dosage, No improvement of symptoms, I forget) |
| Level of information and knowledge of the treatment | after 10 days | — |
| adverse effects | after 10 days | — |
| satisfaction level | after 10 days | Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied |
Contacts
Primary ContactSonia Fernandez Molero, Nurse
Backup ContactAndres Baiget Ortega
Outcome results
None listed