scholarly journals Trends in number of consultations and antibiotic prescriptions for respiratory tract infections between 1999 and 2005 in primary healthcare in Kalmar County, Southern Sweden

2009 ◽  
Vol 27 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Thomas Neumark ◽  
Lars Brudin ◽  
Sven Engström ◽  
Sigvard Mölstad
Keyword(s):  
Respiratory Tract ◽  
Primary Healthcare ◽  
Respiratory Tract Infections ◽  
Southern Sweden ◽  
Tract Infections

scholarly journals Registered Nurses´ Views on Telephone Nursing for Patients with Respiratory Tract Infections in Primary Health Care – A qualitative interview study

2020 ◽  
Author(s):  
Elenor Kaminsky ◽  
Ingrid Edvardsson Aurin ◽  
Katarina Hedin ◽  
Lisbet Andersson ◽  
Malin Andre
Keyword(s):  
Respiratory Tract ◽  
Registered Nurses ◽  
General Practitioners ◽  
Primary Healthcare ◽  
Respiratory Tract Infections ◽  
Decision Support Tool ◽  
Team Collaboration ◽  
Support Tool ◽  
Telephone Nursing ◽  
Tract Infections

Abstract Background : Telephone nursing in primary healthcare has been suggested as a solution to the increased demand for easy access to healthcare, increased number of patients with complex problems, and lack of general practitioners. Registered nurses’ assessments may also be of great importance for antibiotic prescriptions according to guidelines. The aim of this study was to describe registered nurses’ views of telephone nursing work with callers contacting primary healthcare centres regarding respiratory tract infections. Methods : A descriptive, qualitative study was performed through interviews with twelve registered nurses in Swedish primary healthcare. Results : The overarching themes for registered nurses’ views on telephone nursing were captured in two themes: professional challenges and professional support. These included three and two categories respectively: Communicate for optimal patient information; Differentiate harmless from severe problems; Cope with caller expectations; Use working tools; and Use team collaboration. Optimal communication for sufficiently grasping caller symptoms and assess whether harmful or not, without visual input, was underlined. This generated fear of missing something serious. Professional support used in work, were for example guidelines and decision support tool. Colleagues and teamwork collaboration were requested, but not always offered, support for the interviewed registered nurses. Conclusions : The study deepens the understanding of telephone nursing as an important factor for decreasing respiratory tract infection consultations with general practitioners, thus contributing to decreased antibiotic usage in Sweden. To cope with the challenges of telephone nursing in primary healthcare centres, it seems important to systematically introduce the use of the available decision support tool, and set aside time for inter- and intraprofessional discussions and feedback. The collegial support and team collaboration asked for is likely to get synergy effects such as better work environment and job satisfaction for both registered nurses and general practitioners. Future studies are needed to explore telephone nursing in primary healthcare centres in a broader sense to better understand the function and the effects in the complexity of primary health care.

scholarly journals Registered Nurses´ Views on Telephone Nursing for Patients with Respiratory Tract Infections in Primary Healthcare – A qualitative interview Study

2020 ◽  
Author(s):  
Elenor Kaminsky ◽  
Ingrid Edvardsson Aurin ◽  
Katarina Hedin ◽  
Lisbet Andersson ◽  
Malin Andre
Keyword(s):  
Respiratory Tract ◽  
Registered Nurses ◽  
General Practitioners ◽  
Primary Healthcare ◽  
Respiratory Tract Infections ◽  
Decision Support Tool ◽  
Team Collaboration ◽  
Support Tool ◽  
Telephone Nursing ◽  
Tract Infections

Abstract Background: Telephone nursing in primary healthcare has been suggested as a solution to the increased demand for easy access to healthcare, increased number of patients with complex problems, and lack of general practitioners. Registered nurses’ assessments may also be of great importance for antibiotic prescriptions according to guidelines. The aim of this study was to describe registered nurses’ views of telephone nursing work with callers contacting primary healthcare centres regarding respiratory tract infections.Methods: A descriptive, qualitative study was performed through interviews with twelve registered nurses in Swedish primary healthcare. Results: The overarching themes for registered nurses’ views on telephone nursing were captured in two themes: professional challenges and professional support. These included three and two categories respectively: Communicate for optimal patient information; Differentiate harmless from severe problems; Cope with caller expectations; Use working tools; and Use team collaboration. Optimal communication for sufficiently grasping caller symptoms and assess whether harmful or not, without visual input, was underlined. This generated fear of missing something serious. Professional support used in work, were for example guidelines and decision support tool. Colleagues and teamwork collaboration were requested, but not always offered, support for the interviewed registered nurses.Conclusions: The study deepens the understanding of telephone nursing as an important factor for decreasing respiratory tract infection consultations with general practitioners, thus contributing to decreased antibiotic usage in Sweden. To cope with the challenges of telephone nursing in primary healthcare centres, it seems important to systematically introduce the use of the available decision support tool, and set aside time for inter- and intraprofessional discussions and feedback. The collegial support and team collaboration asked for is likely to get synergy effects such as better work environment and job satisfaction for both registered nurses and general practitioners. Future studies are needed to explore telephone nursing in primary healthcare centres in a broader sense to better understand the function and the effects in the complexity of primary healthcare.

scholarly journals Healthcare services utilization by respiratory tract infections patients attending primary healthcare centers in Qatar

2019 ◽  
Author(s):  
Nazmul Islam ◽  
M Fasihul Alam
Keyword(s):  
Primary Care ◽  
Respiratory Tract ◽  
Primary Healthcare ◽  
Respiratory Tract Infections ◽  
Healthcare Services ◽  
Health Centers ◽  
Services Utilization ◽  
Patient Level ◽  
Tract Infections ◽  
Services Use

Abstract Background: Respiratory-tract-infections (RTIs) are a common indication, and responsible for most of the healthcare services use at primary care. The study aimed to investigate the utilization and determinants of a number of healthcare services use by local Qatari patients presented at selected primary health centers in Qatar. Methods: A retrospective study was conducted using an electronic database that captured RTI-related healthcare services use from selected primary care health centers in Qatar during July 2015 to December 2017. Trends in monthly rates of healthcare services utilization were investigated via a linear regression, while patient-level count data on utilization were used to estimate a negative binomial regression to identify determinants of each of the four healthcare services use. Results: In total, 171447 RTI-related visits were made by 58786 patients during July 2015 to December 2017. The mean age (± SD) of participants is 24.80 (±18.5) years, and 48.91% of them are male. The highest number of patients with a comorbidity was diabetes (12.85%), followed by hypertension (10.54%). There was a small but statistically significant decreasing trend in the monthly rates of antibiotics consumption and an increasing trend in the rates of tests/investigations done, with less number of utilization during summer months. Healthcare services utilization varied significantly across age-categories and whether patients had one of the five comorbidities. Age and comorbidity status appeared to be important predictors for patient-level healthcare services utilization. Conclusion: The study produces results on selected primary healthcare services utilization by local RTI patients, which are in line with evidence from the literature. It facilitates an evidence-base for policymakers to comprehend the scale of the problem and plan a better management of RTIs at primary care setting in Qatar.

scholarly journals Registered Nurses´ Views on Telephone Nursing for Patients with Respiratory Tract Infections in Primary Healthcare – A qualitative interview Study

2020 ◽  
Author(s):  
Elenor Kaminsky ◽  
Ingrid Edvardsson Aurin ◽  
Katarina Hedin ◽  
Lisbet Andersson ◽  
Malin Andre
Keyword(s):  
Respiratory Tract ◽  
Registered Nurses ◽  
General Practitioners ◽  
Primary Healthcare ◽  
Respiratory Tract Infections ◽  
Decision Support Tool ◽  
Team Collaboration ◽  
Support Tool ◽  
Telephone Nursing ◽  
Tract Infections

Abstract Background: Telephone nursing in primary healthcare has been suggested as a solution to the increased demand for easy access to healthcare, increased number of patients with complex problems, and lack of general practitioners. Registered nurses’ assessments may also be of great importance for antibiotic prescriptions according to guidelines. The aim of this study was to describe registered nurses’ views of telephone nursing work with callers contacting primary healthcare centres regarding respiratory tract infections.Methods: A descriptive, qualitative study was performed through interviews with twelve registered nurses in Swedish primary healthcare. Results: The overarching themes for registered nurses’ views on telephone nursing were captured in two themes: professional challenges and professional support. These included three and two categories respectively: Communicate for optimal patient information; Differentiate harmless from severe problems; Cope with caller expectations; Use working tools; and Use team collaboration. Optimal communication for sufficiently grasping caller symptoms and assess whether harmful or not, without visual input, was underlined. This generated fear of missing something serious. Professional support used in work, were for example guidelines and decision support tool. Colleagues and teamwork collaboration were requested, but not always offered, support for the interviewed registered nurses.Conclusions: The study deepens the understanding of telephone nursing as an important factor for decreasing respiratory tract infection consultations with general practitioners, thus contributing to decreased antibiotic usage in Sweden. To cope with the challenges of telephone nursing in primary healthcare centres, it seems important to systematically introduce the use of the available decision support tool, and set aside time for inter- and intraprofessional discussions and feedback. The collegial support and team collaboration asked for is likely to get synergy effects such as better work environment and job satisfaction for both registered nurses and general practitioners. Future studies are needed to explore telephone nursing in primary healthcare centres in a broader sense to better understand the function and the effects in the complexity of primary healthcare.

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