Nurse-initiated health promotion prompting system in an internal medicine residents' clinic.
South Med J
; 82(3): 342-4, 1989 Mar.
Article
em En
| MEDLINE
| ID: mdl-2922625
ABSTRACT
Although cure of many diseases depends on early detection, screening schemes have been difficult to implement in busy clinic environments. We describe the testing of a nurse-initiated prompting system for six health promotion and disease prevention procedures in an internal medicine residents' clinic at a university-affiliated community program. Maneuvers investigated were breast examination, pelvic examination and Pap smear, rectal examination in men, mammogram, stool guaiac test, and blood glucose determination. A nurse reviewed the charts and used a list in the front of each chart to prompt residents in the experimental group. Residents in the control group were not prompted. A significant improvement (P less than .05) in performance was seen in the prompted group. Performance of rectal examination and mammograms improved most, increasing from 41% to 93% and 18% to 64%, respectively. There were no significant changes in the control group. This simple nurse-initiated prompting system improved the performance of health promotion and disease prevention maneuvers.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Promoção da Saúde
/
Medicina Interna
/
Internato e Residência
/
Enfermeiras e Enfermeiros
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Evaluation_studies
/
Screening_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
South Med J
Ano de publicação:
1989
Tipo de documento:
Article