Profile of patients referred by the emergency nurse to the community case management nurse
Section: Healthcare Management
How to quote
Espina Boixo MA, Pedregal González M, Márquez Pérez de León MA, García Lobato MR, Bellanato Rodríguez I, Ortega Charneco M, et al. Perfil de los pacientes derivados desde la enfermera de emergencias a la enfermera gestora de casos comunitaria. Metas Enferm abr 2014; 17(3): 6-11.
Authors
1Miguel Ángel Espina Boixo, 2Miguel Pedregal González, 3Miguel Ángel Márquez Pérez de León, 4María Rosario García Lobato, 5Israel Bellanato Rodríguez, 6Manuel Ortega Charneco, 7Patricia Mauri Fábrega
Position
1Enfermero. Empresa Pública de Emergencias Sanitarias (EPES) de Andalucía. Huelva.2Doctor en Medicina. Técnico en Salud Pública de la Unidad Docente de Medicina Familiar y Comunitaria. Distrito Sanitario Huelva-Costa. Huelva.3Director del Servicio Provincial de Huelva. EPES de Andalucía. Huelva.4Enfermera. Unidad de Cuidados Intensivos. Hospital Juan Ramón Jiménez. Huelva.5Médico. EPES de Andalucía. Huelva.6Enfermera. Coordinadora del Dispositivo de Cuidados Críticos y Urgencias de Huelva. 7Enfermera. Dispositivos Móviles de Urgencias. Distrito Sanitario Condado-Campiña. Huelva.
Contact address
Miguel Ángel Espina Boixo. Avda. Cristo de las Tres Caídas, 5, planta baja. 21002 Huelva.
Contact email: meb@hu.epes.es
Abstract
Objectives: to describe the profile of the patient referred by the Emergency nurse to the Community Case Management Nurse (CCMN), and the relationship between referral criteria and patients’ age and gender, the centre they are referred to, and the hospital unit which conducts said referral.
Method: transversal descriptive study on 79 patients who were seen in healthcare centres which cover the Southern Area of the province of Huelva. Primary variable: “referral criteria” from the referring hospital units to their CCMN. Descriptive statistical indicators were calculated, and bivariate analysis was conducted through Chi-square test, Student’s t, and Mann-Whitney’s U.
Results: the criterion most frequently used was “patients who don’t follow their pharmacological therapy schedule” (37.97%). The majority were looked after by their families (56.96%). The “caregiver strain index >7” was higher in women (p= 0.03); “poorly tolerated chronic pain” was higher in patients referred to rural areas (p= 0.026); “lack of compliance with pharmacological treatment” was higher in those patients referred by the public company for healthcare emergencies.
Conclusions: the profile of the typical patient referred by Emergency nurses to the CCMN is an elderly patient, with poor management of their prescribed pharmacological treatment, with a high level of dependence, and mostly looked after by their family. Faced with this reality, management by the CCMN regarding the intervention on patient and family becomes essential.
Keywords:
Referral; Emergencies; Case Management Nurseresearch
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