Evaluación de la Gestión Compartida de la Demanda de enfermería en atención primaria de Salamanca a los 6 meses de su implantación

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2025-04-08 DOI:10.1016/j.aprim.2025.103266

María del Mar González Fernández-Conde , Cristina Fernández Arquisola , Marta Manzano García

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引用次数: 0

Abstract

Objective

To evaluate the efficacy and satisfaction of users attended in Nurse Demand Management (NDM), 6 months after its implementation.

Design

Observational, descriptive, cross-sectional study.

Location

Primary Health Center.

Participants

≥ 14 years cited in NDM (July 1-December 31, 2023). A total of 39.95% of nursing professionals in the area participated.

Interventions

Specific training was provided in accordance with the Framework Document of Castilla y León and its protocols for ordinary and continuous care.

Main measurements

By means of a questionnaire completed after each NDM recording: reason for consultation, nursing interventions performed, resolution and other variables. User satisfaction was assessed by means of an anonymous self-administered Likert-type questionnaire.

Results

5,090 questionnaires were completed (8.52% of consultations). The main reasons for consultation were discomfort when urinating, sore throat, administrative reasons, wounds and upper respiratory symptoms. 21.9% of the reasons for consultation were not included in the protocols.

A total of 34.3% of the consultations achieved autonomous nursing resolution, with greater resolution capacity in rural areas (OR = 2.22; 95% CI: 1.94-2.55). The interventions most related to autonomous resolution were counseling (43.7%) and health education (28.1%).

90% considered that the care received was good or very good and 83% that the health problem was resolved satisfactorily or very satisfactorily.

Conclusions

NDM achieves high population satisfaction, with a low/medium degree of short-term resolution, higher in rural areas. Long-term results need to be evaluated.

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萨拉曼卡初级保健护理需求共享管理实施6个月后的评估

目的评价护理需求管理（NDM）实施6个月后用户的使用效果和满意度。设计观察性、描述性、横断面研究。定位初级保健中心。受试者年龄≥14岁（2023年7月1日- 12月31日）。本区护理专业人员参与调查的比例为39.95%。干预措施根据Castilla y León框架文件及其普通和持续护理协议提供了具体培训。主要测量方法：在每次NDM记录后填写一份调查问卷：就诊原因、护理干预措施、解决方案和其他变量。用户满意度通过匿名自我管理的李克特式问卷进行评估。结果共完成问卷5090份，问诊率为8.52%。求诊的主要原因为排尿不适、喉咙痛、行政原因、伤口及上呼吸道症状。21.9%的咨询理由未列入议定书。34.3%的会诊患者实现自主护理解决，农村地区解决能力更强(OR = 2.22；95% ci: 1.94-2.55)。与自主解决最相关的干预措施是咨询（43.7%）和健康教育（28.1%）。90%的人认为得到的护理是好或非常好，83%的人认为健康问题得到了满意或非常满意的解决。结论人口满意度较高，短期满意度为中低，农村地区满意度较高。需要对长期结果进行评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.