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
연구 개요
연구 유형
등록 (예상)
단계
- 해당 없음
연락처 및 위치
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: 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
|
|
활성 비교기: 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
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
no re-attendance during the following 72 hours
기간: During next 72 hours
|
Options: Yes / No
|
During next 72 hours
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Level of information and knowledge of the treatment
기간: after 10 days
|
after 10 days
|
|
|
adverse effects
기간: after 10 days
|
after 10 days
|
|
|
satisfaction level
기간: after 10 days
|
Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied
|
after 10 days
|
|
resolution of the health problem
기간: after 10 days
|
Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved
|
after 10 days
|
|
compliance
기간: 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
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Sonia Fernandez Molero, Sonia, Institut Universitari d'Investigació en Atenció Primària IDIAP Jordi Gol
연구 기록 날짜
연구 주요 날짜
연구 시작 (예상)
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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