title: [An approach to acute diseases using a nursing practice guide].
abstract: OBJECTIVE
  To evaluate the health results of patients who make spontaneous visits when attended by nurses in a primary health care team and by applying a nursing practice guide.
  
  
  METHODS
  Cross-sectional, descriptive study.
  
  
  METHODS
  Primary health care team from the Barcelona metropolitan area, Spain.
  
  
  METHODS
  Patients who request a spontaneous visit for the same day in the primary health care centre (PHC).
  
  
  METHODS
  A nursing practice guide was prepared in which health problems were classified into 3 groups according to seriousness and possibility of being resolved by the nursing staff: a) group 1, problems where the protocols allowed that the nurse could finalise the process; b) group 2, problems that might require emergency action; and c) group 3, problems that required an assessment of the level of seriousness. When the patient arrived at the PHC requesting an urgent visit, and the problem fell into group 1 it was dealt with by a nurse.
  
  
  RESULTS
  There were 202 patients with health problems included in group 1.The mean age was 36.3 years (SD, 18.6 years).The most consulted health problems were musculo-skeletal (32.7%), followed by skin (22.3%), and the digestive system (22.3%). Of those, 63.9% of the problems were completely resolved and only 5.9% required visits by the out of hours doctor.
  
  
  CONCLUSIONS
  The nursing practice guide meant that the nurse became the entrance door to the primary care system, with a high possibility of resolving health problems.
authors.affiliation: Centro de Salud Can Bou, CASAP, Avenida Ciutat de Màlaga 18-20, Castelldefels, Barcelona, Spain. abrugues@casap.cat
authors.forename: Alba
authors.initials: A
authors.lastname: Brugués Brugués
authors.forename: Antoni
authors.initials: A
authors.lastname: Peris Grao
authors.forename: Laurentino
authors.initials: L
authors.lastname: Martí Aguasca
authors.forename: Gemma
authors.initials: G
authors.lastname: Flores Mateo