Authors

1Antonia Raya Tena, 1Mª Assumpta Fabregat Casamitjana, 2Mª Carmen del Olmo Macià, 3Mª Isabel Fernández San Martín

Position

¹Enfermera del Centro de Atención Primaria Raval Nord (Barcelona). ²Coordinadora de procesos enfermeros de Atención Primaria. ³Dirección de Atención Primaria. Área 10, Madrid.

Contact address

Antonia Raya Tena. C/ Pujades, 218-220, 3º-3ª. 08005 Barcelona.

Contact email: arayat.bcn.ics@gencat.cat

Abstract

Objective: to identify the profile of the user who presents to the Host Nursing­ consultation office, the reason for the visit, the resolution of it and the satisfaction of the patient. A secondary objective was to analyze the change in the number of spontaneous visits undertaken by the nurse on duty, following the introduction of Host Nursing consultation.
Material and methods: cross sectional descriptive study. The study population were users who presented to the health center of Raval Nord , one out of three visits from Monday to Friday was chosen systematically to which inclusion and exclusion criteria were applied during the months from April to October 2009. Study variables: sex, age, national origin, number of previous visits of the patient, reason for visit (acute disease, chronic disease exacerbations, others), duration of visit, nursing intervention, user satisfaction. We also measured the number of spontaneous visits conducted by the nurse on duty during the months of april to october 2008 and those made by the host nurse in her new role during the study period.
Results: 85 visits analyzed, 47,1% men and 52,9% female, mean age 53,4 years. 64,9% nationals and 34,1% foreigners. 47.6% has not been visited by the nurse in the last year. The reason for visit: 60,7% acute pathology. Avera­ge time of visit 14 minutes. Resolution by the nurse is over 60%. Relative increase of 61% of visits by the nurse as of the date of the new organisation.
Conclusions: resolution of the visit by the nurse is high and so is customer satisfaction. Changing the population's access to consultation, to manage demand, optimizes the role of the nurse.

Keywords:

Community Nursing; demand; descriptive study; host consultation; managementNursing services

Versión en Español

Título:

Gestión de la demanda desde la consulta de acogida de Enfermería