Document Detail


Effective role redesign: an audit of outcomes following the introduction of a new nurse-led service.
MedLine Citation:
PMID:  16925904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Genitourinary medicine services have had to modernize to try to meet the growth in demand. Changes should be audited to ensure standards remain high. We introduced a 'comprehensive care nurse-led service' for patients presenting for asymptomatic screening and as asymptomatic contacts (partners of known positive patients). Following implementation we audited outcomes and patient satisfaction. During the audit period (01/07/2005 to 30/11/2005), 446 patients were seen. A sexual health screen was performed in 433 (216 females: 217 males). Forty-one patients (9.5%) were chlamydia-positive by enzyme-linked immunosorbent assay testing (background clinic rate 8.5%). Forty-six (10.6%) were treated epidemiologically as chlamydia-negative contacts of chlamydia-positive index patients and 18 (4.1%) were treated as chlamydia-negative urethritis/cervicitis. Uptake of HIV testing was 71.2% (311/433). Average wait-to-appointment was three days (background clinic wait 2-3 weeks). Nurse-led clinics were judged successful in terms of outcomes, improving access and patient satisfaction.
Authors:
Rachel Challenor; Elizabeth Henwood; Janet Burgess; Daniel Clare
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of STD & AIDS     Volume:  17     ISSN:  0956-4624     ISO Abbreviation:  Int J STD AIDS     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-23     Completed Date:  2006-10-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9007917     Medline TA:  Int J STD AIDS     Country:  England    
Other Details:
Languages:  eng     Pagination:  555-7     Citation Subset:  IM; X    
Affiliation:
Department of Genitourinary Medicine, Derriford Hospital, Plymouth, PL6 8DH, UK. rachel@challenor.biz
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Chlamydia / isolation & purification*
Chlamydia Infections / microbiology,  nursing*
Female
Female Urogenital Diseases / microbiology,  nursing*
Humans
Male
Male Urogenital Diseases*
Middle Aged
Nurse's Role
Patient Satisfaction
Retrospective Studies
Sexual Partners
Sexually Transmitted Diseases / microbiology,  nursing*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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