Effectiveness and Safety of the Nursing Prescription in Acute Health Problems of Low Complexity
Effectiveness and Safety of the Nursing Prescription in Acute Health Problems of Low Complexity. Randomized Clinical Trial
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
調査の概要
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：nurse prescription
experimental group receiving pharmacological nurse prescription
|
Pharmacological nurse prescription.
Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria
|
|
アクティブコンパレータ：medical prescription
control group receiving medical prescription
|
Pharmacological medical prescription.
Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
no re-attendance during the following 72 hours
時間枠：During next 72 hours
|
Options: Yes / No
|
During next 72 hours
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Level of information and knowledge of the treatment
時間枠：after 10 days
|
after 10 days
|
|
|
adverse effects
時間枠：after 10 days
|
after 10 days
|
|
|
satisfaction level
時間枠：after 10 days
|
Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied
|
after 10 days
|
|
resolution of the health problem
時間枠：after 10 days
|
Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved
|
after 10 days
|
|
compliance
時間枠：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)
|
after 10 days
|
協力者と研究者
捜査官
- 主任研究者：Sonia Fernandez Molero, Sonia、Institut Universitari d'Investigació en Atenció Primària IDIAP Jordi Gol
研究記録日
主要日程の研究
研究開始 (予想される)
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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