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
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Forventet)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: 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
|
|
Aktiv komparator: 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
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
no re-attendance during the following 72 hours
Tidsramme: During next 72 hours
|
Options: Yes / No
|
During next 72 hours
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Level of information and knowledge of the treatment
Tidsramme: after 10 days
|
after 10 days
|
|
|
adverse effects
Tidsramme: after 10 days
|
after 10 days
|
|
|
satisfaction level
Tidsramme: after 10 days
|
Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied
|
after 10 days
|
|
resolution of the health problem
Tidsramme: after 10 days
|
Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved
|
after 10 days
|
|
compliance
Tidsramme: 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
|
Samarbeidspartnere og etterforskere
Etterforskere
- Hovedetterforsker: Sonia Fernandez Molero, Sonia, Institut Universitari d'Investigació en Atenció Primària IDIAP Jordi Gol
Studierekorddatoer
Studer hoveddatoer
Studiestart (Forventet)
Primær fullføring (Forventet)
Studiet fullført (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 4R18/112
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
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