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

Study Overview
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Brief Summary
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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

Official Title
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Effectiveness and Safety of the Nursing Prescription in Acute Health Problems of Low Complexity. Randomized Clinical Trial

Conditions
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Acute Disease

Intervention / Treatment
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* Behavioral: Nurse prescription
* Behavioral: Medical prescription


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: nurse prescription<br>experimental group receiving pharmacological nurse prescription | Behavioral: Nurse prescription<br>* Pharmacological nurse prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria<br>|
| Active Comparator: medical prescription<br>control group receiving medical prescription | Behavioral: Medical prescription<br>* Pharmacological medical prescription. Subjects are individuals who request a same day consultation for minor acute pathologies and meet the selection criteria<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| no re-attendance during the following 72 hours | Options: Yes / No | During next 72 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Level of information and knowledge of the treatment |  | after 10 days | 
| adverse effects |  | after 10 days | 
| satisfaction level | Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied | after 10 days | 
| resolution of the health problem | Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved | after 10 days | 
| compliance | Options: Yes / No (Reason for answered no: Appearance of side effects, Disappearance of symptoms, Distrust of tto, Complicated dosage, No improvement of symptoms, I forget) | after 10 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prescriptions, Nurses, Primary Health Care, Acute Disease