Resolución enfermera de los procesos leves autolimitados en atención primaria: estudio descriptivo

BACKGROUND: To describe the capacity of the primary health care's nurse in the resolution of the self-limiting mild processes after the implementation of the healthcare demand's process in Basque Country. SETTING: 25 primary health care centers of the OSI Bilbao-Basurto. TYPE OF STUDY: An observational, descriptive, transversal study. Using as a guide protocols previously agreed and within hers scope of competence, the nurse values and resolves five self-limiting mild processes: upper airway infection, sore throat, fever, nausea and/or vomiting and diarrhea. Furthermore, the nurse can refer patients to other specialist in the cases concomitant disease is detected or their state of heath is aggravated. PARTICIPANTS: 6985 patient's records, who consulted 1 of 5 self-limiting mild processes from 1st November 2019 to 29th February 2020, were analyzed. MAIN MEASUREMENTS: The main variable was the nurse's resolution. The three possible resolutions ways were health education, health education, medical administrative consultation and health education, and medical consultation. RESULTS: The nurse solved the 47% of the self-limiting mild processes. According to the type of process, differences in the resolution were appreciated, solving as far as 57% of the processes of consultations for diarrhea. 10.5% (CI 95%; 9.8-11.2%) of the assisted people were followed-up for reasons related to the self-limiting mild processes of the origin. The follow-up consultations were not related to the way the process was resolved. CONCLUSIONS: The nurse solves nearly half of the processes that values in spite of not having some of the tools such as, the competence of indicate and dispense medications.