Factors associated to the increase in the use of nursing methodology in primary care
Abstract
Introduction: Indicators show a sustained increase in the use of nursing methodology (NM) in the Health Complex in Tenerife.Aim: to identify the factors that may be associated with this growth.
Methods and materials: Retrospective analytical study. Area of study: patients with a computerised record of health. Subjects of the study numbered 609,688. Data analysis was performed from March 2005 to February 2010. Measurements: these were analysed monthly for each Basic Health Area (BHA) and measured the relative frequency of records with functional health patterns, (PFS), NANDA diagnoses, NOC objectives and NIC interventions. An NM global index was constructed from the mean value of the indicators and growth was calculated over the 60 months studied. Other variables measured included users of nursing consultations; quotas; patient load; non programmed consultations; consultations from other areas; home visits; presence of link nursing in the BHA; training and assessment in ME in the BHA; computer time. Data processing: variables were summarised as median (P5-P95) due to the non normal distribution. The correlation índex-ME growth and each variable was estimated using the Spearman non parametric linear correlation coefficient. Comparisons were made with the Mann-Whitney U test. All tests were significant at 5%.
Results: Findings show a greater percentage of health records with ME and greater monthly growth when computerisation in the area was longer; when the percentage of users of nursing consultancies was higher; when the number of home visits was higher; when patient load was greater; when quotas were smaller; when consultations from other areas were lower. There was a higher percentage of medical records with ME and greater monthly growth in BHAs with ME assessment programme and in areas with ECE.
Conclusions: Increased use of ME in the BHA in Tenerife is associated to each of the factors considered in different direction and size.
Downloads
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.
