protocolSection identificationModule nctId: NCT06298240, orgStudyIdInfo id: 4R22/074, briefTitle: Implementation of Nursing Demand Management as a Factor for Improvement in a Primary Care Emergency Center., statusModule overallStatus: ACTIVE_NOT_RECRUITING, startDateStruct date: 2022-10-01, primaryCompletionDateStruct date: 2024-01-05, completionDateStruct date: 2024-09-01, studyFirstPostDateStruct date: 2024-03-07, lastUpdatePostDateStruct date: 2024-04-15, sponsorCollaboratorsModule leadSponsor name: Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina, class: OTHER, descriptionModule briefSummary: Background: Nurse Demand Management was born in 2009 out of the need to address the growth of spontaneous acute demand in primary care. But it is not until 2013 that guidelines for the exercise of nursing actions in demand management were established in Catalonia, Spain. Nurses trained specifically to solve acute and low complexity health problems generate a quality of care comparable to that provided by family medicine doctors. On the other hand, it is worth highlighting the need to rationalise medical resources in primary care centres, primary care emergency centres or points of continuous care (different emergency facilities in the territory in terms of size and services) in order to give priority to doctors being able to dedicate more time to medium or high complexity pathology. Although nurse demand management has been implemented in primary care teams for years, it is being carried out in different intensities according to the needs or priorities of each health territory.The promotion of the autonomous role of nursing through the implementation of nurse demand management in the urgent spontaneous demand of low complexity can be transcendent, both in the optimisation of health resources in primary care and in the management of the demand for care.Hypothesis: The implementation of nurse demand management is a factor of improvement in the efficiency and quality of care in the Primary Care Emergency Centre of the city of Mataró (Barcelona, Spain). Objectives: The main objective of this study was to determine whether the implementation of nurse demand management is a factor in improving efficiency and quality of care in the CUAP of Mataró. Methodology: Non-randomised controlled experimental intervention study. Application of a consensual guide with 5 reasons for health consultations where demand management nursing can be applied., conditionsModule conditions: Nurse's Role, conditions: Disease, Acute, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: NON_RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: HEALTH_SERVICES_RESEARCH, maskingInfo masking: NONE, enrollmentInfo count: 312, type: ACTUAL, armsInterventionsModule interventions name: nursing procedure for acute health problems of low complexity, outcomesModule primaryOutcomes measure: Waiting time and resolution of the visit, primaryOutcomes measure: Number of reconsultations, primaryOutcomes measure: patient experience, otherOutcomes measure: Prescribed drugs, otherOutcomes measure: Processed labour disabilities, otherOutcomes measure: Diagnoses change, eligibilityModule sex: ALL, minimumAge: 16 Years, maximumAge: 65 Years, stdAges: CHILD, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Mataró primary care emergency center, city: Mataró, state: Barcelona, zip: 08301, country: Spain, geoPoint lat: 41.54211, lon: 2.4445, hasResults: False