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[Experience of Nursing Professionals with Advanced Practice competencies with triage implementation in Primary Care
Genoveva Pérez-Romero1, Ángela Jiménez-García1, César Hueso-Montoro2
1Servicio de Urgencias de Atención Primaria de Distrito Sanitario Granada-Metropolitano, Instituto Biosanitario Granada (Ibs.GRANADA), Granada, España.
Objective:
To understand the experiences of nursing professionals with Advanced Practice competencies involved in triage management in Primary Care Emergency Services.
Design:
A qualitative, interpretive study, guided by a constructivist paradigm. SITE: 3 Primary Care Emergency Services in Granada Basic Health Area.
Participants:
17 nursing professionals working in triage.
Methods:
Participants were selected using purposive sampling. Semi-structured audio-recorded interviews were conducted between January and April of 2023. Reflective thematic analysis and researcher triangulation were used.
Results:
Four main themes and 15 sub-themes emerged, addressing the research questions: 1) Trained nurses effectively manage patient triage in Primary Care emergency services; 2) Conflict between "urgency" (concept) and "Primary Care" (context); 3) Responsibility, autonomy, empowerment, and public service; and 4) Maintaining achievements, guiding, and sustaining urgent care in Primary Care.
Conclusions:
The results contributed to increase knowledge and evidence of the positive impact of nursing professionals with Advanced Practice competencies on triage in Primary Care Emergency Services, that provide a patient-centered perspective, effective and efficient resolution of low-complexity acute health problems, and highlight the importance of their role in managing the demand for urgent or non-deferrable needs.
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