Impact of a quality improvement intervention on nurses' management of same-day primary care flow.
J Nurs Manag
; 23(7): 920-30, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-24890263
ABSTRACT
AIM:
To evaluate the impact of an interdisciplinary intervention designed to improve the capacity of nurses to manage walk-in patient demand for primary health care.BACKGROUND:
Implementation of a programme to expand nursing practice is a complex process that requires the application of context-appropriate measures and adaptation when results do not meet expectations.METHODS:
A longitudinal, uncontrolled intervention study with a 3-year follow-up, from 2009 to 2012, was carried out in Catalonia (northeast Spain). The intervention included three training periods focused on clinical and instrumentation topics. The capacity of nurses to manage walk-in patient demand was assessed by determining the number of cases resolved and of return visits for the same complaint within 72 hours.RESULTS:
In total, 2751 patient care demands were evaluated. Resolved cases increased (χ(2) = 54.624, df = 1, P < 0.001) and the number of return visits decreased (χ(2) = 54.585, df = 1, P < 0.001) significantly from baseline to the end of the study period.CONCLUSIONS:
Nurses' capacity to manage walk-in patient demand improved after an interdisciplinary intervention using a mutually agreed upon, locally adapted approach. IMPLICATIONS FOR NURSING MANAGEMENT To improve outcomes, nurses in management positions should systematically consider the need for skills training, specific academic courses, leadership development and, as appropriate, legislative initiatives.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Enfermagem de Atenção Primária
/
Melhoria de Qualidade
Tipo de estudo:
Evaluation_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Nurs Manag
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Espanha