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

Not Applicable

• Conditions: Acute Disease
• Interventions: Behavioral: Nurse prescription; Behavioral: Medical prescription

• Registration Number: NCT03892850
• Lead Sponsor: Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Status Verified: 2019-03
• Study First Submitted: 2019-03-18
• Study First Submitted QC: 2019-03-26
• Study First Posted: 2019-03-27
• Last Update Submitted: 2019-03-27
• Last Update Posted: 2019-03-29
• Study Start: 2019-04-01
• Primary Completion: 2019-10-31
• Study Completion: 2019-11-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 374

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
nurse prescription	Nurse prescription	experimental group receiving pharmacological nurse prescription
medical prescription	Medical prescription	control group receiving medical prescription

Primary Outcome Measures

Name	Time	Method
no re-attendance during the following 72 hours	During next 72 hours	Options: Yes / No

Secondary Outcome Measures

Name	Time	Method
satisfaction level	after 10 days	Options of survey: Very satisfied, satisfied, ok, dissatisfied, very dissatisfied
compliance	after 10 days	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)
resolution of the health problem	after 10 days	Options of survey: Fully resolved, Very resolved, Something solved, A little resolved, Nothing solved
Level of information and knowledge of the treatment	after 10 days
adverse effects	after 10 days