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
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Förväntat)
Fas
- Inte tillämpbar
Kontakter och platser
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
no re-attendance during the following 72 hours
Tidsram: During next 72 hours
|
Options: Yes / No
|
During next 72 hours
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Level of information and knowledge of the treatment
Tidsram: after 10 days
|
after 10 days
|
|
|
adverse effects
Tidsram: after 10 days
|
after 10 days
|
|
|
satisfaction level
Tidsram: after 10 days
|
Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied
|
after 10 days
|
|
resolution of the health problem
Tidsram: after 10 days
|
Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved
|
after 10 days
|
|
compliance
Tidsram: 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
|
Samarbetspartners och utredare
Utredare
- Huvudutredare: Sonia Fernandez Molero, Sonia, Institut Universitari d'Investigació en Atenció Primària IDIAP Jordi Gol
Studieavstämningsdatum
Studera stora datum
Studiestart (Förväntat)
Primärt slutförande (Förväntat)
Avslutad studie (Förväntat)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 4R18/112
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
Läkemedels- och apparatinformation, studiedokument
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