title: [Evaluation of Nurse Demand Management in Primary Care].
abstract: OBJECTIVE
  to evaluate the health outcomes of nurse demand management on unscheduled patients in a Primary Care Centre, following a clinical guide designed by the whole primary care team.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  A primary care team from Castelldefels. Barcelona, Spain.
  
  
  METHODS
  A random sample of 558 patients requesting a consultation for the same day in a Primary Care setting, attended between May 1st, 2011 and January 31st, 2012.
  
  
  METHODS
  The guide includes 23 health problems that can be dealt by a nurse autonomously, 18 of them possibly requiring an emergency intervention, and shared decision with the physician. Each health problem is divided into three sections: a) a brief definition of the problem; b) an intervention algorithm; and c) nursing diagnoses of North American Nursing Diagnosis Association for each health problem and a description of the possible nursing interventions.
  
  
  RESULTS
  We studied 558 patients with a mean age of 42.5 years old (SD 17.7). The most commonly consulted problems were upper respiratory tract symptoms (19.4%), followed by nausea/vomiting (16.5%), and burns/wounds (12.5%). 73.3% of the problems were resolved autonomously by a nurse. 65,8% of the patients attended received health advice.
  
  
  CONCLUSIONS
  Nurse demand management has shown to be highly effective at handling the conditions attended, while it provides a high percentage of health advice and education during consultations.
authors.affiliation: Centro de Atención Primaria Can Bou, CASAP, Castelldefels, Barcelona, España. Electronic address: abrugues@casap.cat.
authors.forename: Alba
authors.initials: A
authors.lastname: Brugués Brugués
authors.affiliation: Centro de Atención Primaria Can Bou, CASAP, Castelldefels, Barcelona, España.
authors.forename: Antoni
authors.initials: A
authors.lastname: Peris Grao
authors.affiliation: Centro de Atención Primaria Can Bou, CASAP, Castelldefels, Barcelona, España.
authors.forename: Francisca
authors.initials: F
authors.lastname: Pavón Rodríguez
authors.affiliation: Centro de Atención Primaria Can Bou, CASAP, Castelldefels, Barcelona, España.
authors.forename: Enric
authors.initials: E
authors.lastname: Mateo Viladomat
authors.affiliation: Centro de Atención Primaria Can Bou, CASAP, Castelldefels, Barcelona, España.
authors.forename: Jordi
authors.initials: J
authors.lastname: Gascón Ferret
authors.affiliation: Unitat de Suport a la Recerca Tarragona-Reus, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Tarragona, España.
authors.forename: Gemma
authors.initials: G
authors.lastname: Flores Mateo
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009732:Nursing Care; D019555:Physician-Nurse Relations; D010820:Physicians; D011320:Primary Health Care; D012017:Referral and Consultation; D013030:Spain
keywords: Atención primaria; Efectividad; Effectiveness; Enfermera; Gestión de la demanda; Nurse demand management; Nurses; Primary care