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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| nurse prescription | Experimental | experimental group receiving pharmacological nurse prescription |
|
| medical prescription | Active Comparator | control group receiving medical prescription |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nurse prescription | Behavioral | Pharmacological nurse prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria |
| Measure | Description | Time Frame |
|---|---|---|
| no re-attendance during the following 72 hours | Options: Yes / No | During next 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Level of information and knowledge of the treatment | after 10 days | |
| adverse effects | after 10 days | |
| satisfaction level |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sonia Fernandez Molero, Nurse | Contact | +34637353101 | sfernandez@casap.cat | |
| Andres Baiget Ortega | Contact | +34652997848 | abaigeto@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Sonia Fernandez Molero, Sonia | Institut Universitari d'Investigació en Atenció Primà ria IDIAP Jordi Gol | Principal Investigator |
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| ID | Term |
|---|---|
| D000208 | Acute Disease |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D055656 | Prescriptions |
| ID | Term |
|---|---|
| D010593 | Pharmaceutical Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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| Medical prescription | Behavioral | Pharmacological medical prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria |
|
Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied |
| after 10 days |
| resolution of the health problem | Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved | after 10 days |
| compliance | 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 |