Impact of a quality improvement intervention on nurses' management of same-day primary care flow

Jeroni Jurado-Campos, Edurne Zabaleta-del-Olmo, Maria Teresa Anglada-Dilme, Laura Sanchez-Vilanova, Margarita Rabassa-Ester, Núria Barberi-Costa, Magda Pages-Pascual, Montserrat Canet-Ponsa

    Research output: Contribution to journalArticleResearchpeer-review

    3 Citations (Scopus)

    Abstract

    © 2015 John Wiley & Sons Ltd. Aim: To evaluate the impact of an interdisciplinary intervention designed to improve the capacity of nurses to manage walk-in patient demand for primary health care. Background: Implementation of a programme to expand nursing practice is a complex process that requires the application of context-appropriate measures and adaptation when results do not meet expectations. Methods: A longitudinal, uncontrolled intervention study with a 3-year follow-up, from 2009 to 2012, was carried out in Catalonia (northeast Spain). The intervention included three training periods focused on clinical and instrumentation topics. The capacity of nurses to manage walk-in patient demand was assessed by determining the number of cases resolved and of return visits for the same complaint within 72 hours. Results: In total, 2751 patient care demands were evaluated. Resolved cases increased (χ<sup>2</sup> = 54.624, df = 1, P < 0.001) and the number of return visits decreased (χ<sup>2</sup> = 54.585, df = 1, P < 0.001) significantly from baseline to the end of the study period. Conclusions: Nurses' capacity to manage walk-in patient demand improved after an interdisciplinary intervention using a mutually agreed upon, locally adapted approach. Implications for nursing management: To improve outcomes, nurses in management positions should systematically consider the need for skills training, specific academic courses, leadership development and, as appropriate, legislative initiatives.
    Original languageEnglish
    Pages (from-to)920-930
    JournalJournal of Nursing Management
    Volume23
    Issue number7
    DOIs
    Publication statusPublished - 1 Jan 2015

    Keywords

    • Health services research
    • Nurse's role
    • Primary health care
    • Quality improvement
    • Training

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