Effectiveness and Safety of the Nursing Prescription in Acute Health Problems of Low Complexity

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

Status: Unknown

Conditions: Acute Disease

Treatments: Behavioral: Nurse prescription; Behavioral: Medical prescription

Study type: Interventional

Funder types: Other

Identifiers

NCT03892850

4R18/112

Details and patient eligibility

About

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

Enrollment: 374 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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374 participants in 2 patient groups

nurse prescription

Experimental group

Description:

experimental group receiving pharmacological nurse prescription

Treatment:

Behavioral: Nurse prescription

medical prescription

Active Comparator group

Description:

control group receiving medical prescription

Treatment:

Behavioral: Medical prescription