RESUMO
BACKGROUND/RATIONALE: There is an increase of spontaneous consultation and a need for effective management of it. For this reason we created the "High Resolution Nursing Consultation" (CIAR), giving nurses greater autonomy. OBJECTIVES: We aim to demonstrate the ability of nursing in the resolution of spontaneous consultation as well as to know demands more frequent and what is more resolving and to find out the correlation between the reason for visit registered at admissions and real. DESCRIPTION: Cross sectional study In CIAR, a primary care nurse serves adult patients who requested spontaneous consultation, without any preselection. We analyze results of eight months of consultation. The visits were performed according to protocols developed in the center. RESULTS: Nursing resolved 63% of them, 37% jointly Independent resolution increased to 75.7% in the last month. The most common reasons were: administrative, respiratory disease and otolaryngology. Nursing decided autonomously 98% of administrative visits, 80% of wounds/burns, 72% of the toothache and between 50% and 60% of GYN/emergency contraception, ophthalmology, internal medicine and digestive. With the implementation of the protocol of acute nasopharyngitis nursing resolution increased from 4.9% to 78.3%., the correlation between the reason for visit registered at admissions and real was 96%. CONCLUSIONS: Nursing is highly qualified for the management of spontaneous consultation with excellent results. Protocols are of great help in the resolution of nursing and it improves with the experience acquired.
Assuntos
Processo de Enfermagem , Encaminhamento e Consulta , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à SaúdeRESUMO
Antecedentes / Justificación. Existe un incremento de la visita espontánea y una necesidad de gestión eficaz de la misma. Para ello se creó la «Consulta dInfermeria dAlta Resolución» (CIAR), dotando a enfermería de mayor autonomía. Objetivos. Demostrar la capacidad de enfermería en la resolución de la visita espontánea, conocer las demandas más frecuentes y en cuáles es más resolutiva. Averigüar la concordancia entre el motivo de visita apuntado en admisiones y el real. Descripción. Estudio descriptivo transversal. En CIAR, una enfermera de atención primaria atiende a pacientes adultos que solicitan visita espontánea, sin ningún tipo de preselección. Se analizan resultados de ocho meses de consulta. Las visitas se realizaron siguiendo protocolos elaborados en el centro. Resultados. Enfermería resolvió un 63% de las mismas; el 37% conjuntamente. La resolución autónoma aumenta hasta el 75,7% en el último mes. Los motivos más frecuentes son: administrativos, patología respiratoria y otorrinolaringología. Enfermería resolvió autónomamente 98% de las visitas administrativas, 80% de las heridas/quemaduras, 72% de las odontalgias y entre 50% y 60% de problemas ginecológicos/contracepción de emergencia, oftalmológicos, de medicina interna y digestivos. Con la implantación del protocolo de rinofaringitis aguda la resolución de enfermería pasó de 4,9% a 78,3%. La concordancia entre el motivo percibido en admisiones y el real, es del 96%. Conclusiones. Enfermería está altamente cualificada para la gestión de la visita espontánea obteniendo excelentes resultados. Los protocolos son de gran ayuda en la resolución de enfermería y ésta mejora cuanta más experiencia se adquiere(AU)
Background / Rationale. There is an increase of spontaneous consultation and a need for effective management of it. For this reason we created the «High Resolution Nursing Consultation» (CIAR), giving nurses greater autonomy. Objectives. We aim to demonstrate the ability of nursing in the resolution of spontaneous consultation as well as to know demands more frequent and what is more resolving and to find out the correlation between the reason for visit registered at admissions and real. Description. Cross sectional study. In CIAR, a primary care nurse serves adult patients who requested spontaneous consultation, without any preselection. We analyze results of eight months of consultation. The visits were performed according to protocols developed in the center. Results. Nursing resolved 63% of them, 37% jointly. Independent resolution increased to 75.7% in the last month. The most common reasons were: administrative, respiratory disease and otolaryngology. Nursing decided autonomously 98% of administrative visits, 80% of wounds / burns, 72% of the toothache and between 50% and 60% of GYN / emergency contraception, ophthalmology, internal medicine and digestive. With the implementation of the protocol of acute nasopharyngitis nursing resolution increased from 4.9% to 78.3%., the correlation between the reason for visit registered at admissions and real was 96%. Conclusions. Nursing is highly qualified for the management of spontaneous consultation with excellent results. Protocols are of great help in the resolution of nursing and it improves with the experience acquired(AU)
