Implementation and Evaluation of the Nursing Process in Primary Health Care

Authors

  • Francisco Javier Pérez Rivas MSN, RN,

    Corresponding author
    1. quality unit nurse coordinator at the 11th Primary Care Area, Madrid Health Service, and Associate Professor at Complutense University School of Nursing, Madrid, Spain
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  • José Ma Santamaría García PhD, RN,

    1. nurse advisor at the Foundation for the Development of Nursing, Madrid, Spain
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  • Cristina Minguet Arenas RN,

    1. Assistant Nursing Manager at the 11th Primary Care Area, Madrid Health Service, Madrid, Spain
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  • Milagros Beamud Lagos MSN, RN,

    1. research unit nurse coordinator at the 11th Primary Care Area, Madrid Health Service, and Associate Professor at Complutense University School of Nursing, Madrid, Spain
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  • Montserrat García López MSN, RN

    1. Assistant Nursing Manager at the 11th Primary Care Area, Madrid Health Service, and Associate Professor at Complutense University School of Nursing, Madrid, Spain
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Author contact: jperez.gapm11@salud.madrid.org

Abstract

PURPOSE.  The purpose of this study is to publicize the experience of implementing and developing the nursing process in a sanitary area of primary health care (PHC), and to assess the outcomes reached during the past 9 years.

METHODS.  This descriptive longitudinal study was carried out in the 42 PHC centers in the 11th Primary Care Area of Madrid, Spain.

FINDINGS.  Between 2001 and 2009, 243,838 new nursing diagnoses were performed. The indicator of resolution capacity ranged from 75% to 80% for the attended problems.

CONCLUSIONS.  Nurses in the 11th PHC Area have effectively incorporated the nursing process as a work methodology in their caregiving practices.

IMPLICATIONS FOR NURSING PRACTICE.  The nursing process can be used to identify nursing care issues and assess the capacity for resolution.

OBJETIVO.  El objetivo de este estudio es dar a conocer la experiencia de implantación y desarrollo del proceso enfermero en un Área Sanitaria de Atención Primaria (AP) y evaluar los resultados alcanzados en los últimos nueve años.

MÉTODOS.  Estudio descriptivo longitudinal, realizado en los 42 centros de AP del Área 11 de Madrid (España).

RESULTADOS.  Entre 2001 y 2009 se han realizado 243838 diagnósticos de enfermería. El indicador de capacidad de resolución se ha situado entre el 75 y el 80% de los problemas atendidos.

CONCLUSIONES.  Las enfermeras de AP del Área 11 han integrado el proceso enfermero como metodología de trabajo en su práctica asistencial.

IMPLICACIONES.  El proceso enfermero permite identificar problemas de cuidados y evaluar la capacidad de las enfermeras para su resolución.

PALABRAS CLAVE.  Proceso Enfermero, Diagnósticos de Enfermería, Atención Primaria, Investigación en Enfermería, Efectividad.

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