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A headache protocol for nurses: effectiveness and efficiency

S Greenfield, A L Komaroff, H Anderson

    Archives of Internal Medicine
    |October 1, 1976
    PubMed
    Summary
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    A nurse-administered headache protocol in primary care proved effective and efficient. Patients managed by nurses reported similar symptom relief and higher satisfaction compared to physician-managed care.

    Area of Science:

    • Primary Care Medicine
    • Nursing Practice
    • Neurology

    Background:

    • Headache management in primary care often involves physicians.
    • Assessing the efficiency and effectiveness of nurse-led protocols is crucial for optimizing patient care.
    • Ensuring patient safety is paramount when implementing new clinical protocols.

    Purpose of the Study:

    • To evaluate the effectiveness and efficiency of a nurse-administered protocol for headache management.
    • To compare patient outcomes and satisfaction between nurse-protocol and physician-control groups.
    • To assess the safety of the nurse-protocol for managing serious central nervous system (CNS) conditions.

    Main Methods:

    • Prospective controlled trial involving 203 patients allocated to a nurse-protocol group.

    Related Experiment Videos

  • Independent management by nurses for 55.2% of patients, with physician consultation for the remainder.
  • A control group of 193 patients managed by physicians.

    • Main Results:

    • Nurse-protocol group achieved equivalent symptomatic relief to the physician-control group.
    • Patients in the nurse-protocol group reported significantly greater satisfaction with their care.
    • Retrospective analysis of CNS disease presentations supported the protocol's safety.

    Conclusions:

    • Nurse-protocol management of headache in primary care is both effective and efficient.
    • This approach can enhance patient satisfaction while maintaining comparable clinical outcomes.
    • The protocol demonstrates safety, even when considering patients with potential serious CNS conditions.