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Receiving spontaneous demand in Primary Care: nurses' learning needs.

Caroline Silva Morelato1, Letícia Lopes Dorneles1, Vivian do Prado Martins1

  • 1Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.

Revista Brasileira De Enfermagem
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Summary
This summary is machine-generated.

Most nurses in Primary Health Care (PHC) do not use risk classification protocols. Identifying learning needs is crucial for improving patient care and protocol implementation in PHC settings.

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Area of Science:

  • Nursing
  • Primary Health Care
  • Health Management

Background:

  • Risk classification is essential for managing spontaneous demand in Primary Health Care (PHC).
  • Nurses' understanding and application of risk classification protocols are critical for effective patient triage and care.
  • Existing knowledge gaps may hinder the successful implementation of these protocols.

Purpose of the Study:

  • To identify the learning needs of nurses regarding risk classification of spontaneous demand in PHC.
  • To explore barriers and facilitators to the use of risk classification protocols by nurses.
  • To inform educational strategies for enhancing nurses' competence in risk classification.

Main Methods:

  • A qualitative study was conducted with 15 nurses in PHC.
  • Methods included participatory observation, semi-structured interviews, and focus groups.
  • Thematic content analysis was used to analyze the data.

Main Results:

  • 80% of nurses reported never using the risk classification protocol in PHC.
  • Significant knowledge gaps were identified concerning clinical aspects, protocol management, and the nurse's role.
  • Contradictions within the care model (historic, structural, cultural) were also confirmed as barriers.

Conclusions:

  • Recognizing nurses' learning needs is fundamental for developing or improving risk classification protocols in PHC.
  • Enhanced knowledge and skills are required for nurses to effectively implement risk classification.
  • Continuous education and professional development are necessary for nurses working with spontaneous demand in PHC.