title: Effectiveness of Nursing Process Use in Primary Care.
abstract: OBJECTIVE
  To determine whether patients assigned to primary care nurses who use the nursing process (use of NANDA-I, NIC, and NOC) achieve better intermediate health outcomes than the population assigned to nurses who do not use the nursing process.
  
  
  METHODS
  This is a retrospective cross-sectional study conducted in 34 primary healthcare centers of Area 11 of the Community of Madrid (Spain) based on electronic health records.
  
  
  RESULTS
  The extension of health care provided was greater in nurses who used the nursing process. Patients assigned to these nurses have better control of their chronic diseases and incur lower drug costs.
  
  
  CONCLUSIONS
  The use of the nursing process can lead to improved health of populations.
  
  
  CONCLUSIONS
  The development of strategies is necessary to ensure greater use of the nursing process among nurses in primary care.
authors.affiliation: Technical Directorate of Processes and Quality, Primary Care Administration, Madrid Health Service, Madrid, Spain.|School of Nursing, Complutense University, Madrid, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Pérez Rivas
authors.affiliation: Primary Care Administration, Madrid Health Service, Madrid, Spain.
authors.forename: Susana
authors.initials: S
authors.lastname: Martín-Iglesias
authors.affiliation: School of Nursing, Complutense University, Madrid, Spain.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Pacheco del Cerro
authors.affiliation: Perales del Río Primary Health Care Centre, Getafe, Madrid, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Minguet Arenas
authors.affiliation: Primary Care Administration, Madrid Health Service, Madrid, Spain.|School of Nursing, Complutense University, Madrid, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: García López
authors.affiliation: El Greco Primary Health Care Centre, Getafe, Madrid, Spain.
authors.forename: Milagros
authors.initials: M
authors.lastname: Beamud Lagos
mesh_terms: D002908:Chronic Disease / Q000451:nursing; D003430:Cross-Sectional Studies; D016527:Drug Costs; D009736:Nursing Process; D011320:Primary Health Care; D012189:Retrospective Studies
keywords: Effectiveness; nursing process; nursing research; outcome and process assessment (health care); primary health care