Vías y lugares de atención primaria durante la pandemia en una zona rural de Alicante Primary care pathways and locations during the pandemic in a rural area of Alicante

Este trabajo describe las vías de asistencia sanitaria utilizadas en un centro de atención primaria de salud (CAPS) de una zona rural para la atención a sus pacientes durante la pandemia de COVID-19. Tras realizar un estudio transversal mediante un cuestionario de salud a 243 pacientes (100 con COVID-19 y 143 con otras patologías), observamos que la atención de medicina general fue el 100% telefónica y hubo escaso uso del portal de información a la ciudadanía y solicitud de cita previa de la Conselleria de Sanitat de la Comunidad Valenciana. En urgencias médicas, la atención a pacientes de COVID-19 fue también telefónica, pero presencial para otras patologías (63%). Enfermería atendió el 100% por vía telefónica, al igual que los/las médicos/as de CAPS y de urgencias de CAPS;en toma de muestras, constantes y cuidados de heridas fue presencial (hombres 91%, mujeres 88%) y en domicilio (9% y 12%). En conclusión, se observan distintos patrones asistenciales según los/las profesionales del CAPS y una necesidad de mejorar la vía online en la gestión asistencial.

[Primary care pathways and locations during the pandemic in a rural area of Alicante]. / Vías y lugares de atención primaria durante la pandemia en una zona rural de Alicante.

This paper describes the means of health care used in a primary health care centre (PHCC) in a rural area to care for patients during the COVID-19 pandemic. After conducting a cross-sectional study using health questionnaire with 243 patients (100 COVID-19 and 143 other pathologies), we observed that general medical care was 100% by telephone, and little use was made of the portal for citizen information and appointment requests of the Conselleria de Sanitat de la Comunidad Valenciana. Nursing attended 100% by telephone, as did the PHCC doctors and the PHCC emergencies; in the case of taking samples, blood samples and wound care it was face-to-face (men 91%, women 88%), and at home (9% and 12%). In conclusion, different care patterns are observed according to the PHCC professionals, and the need to improve the online pathway with care management.

[Medication safety during the COVID-19 pandemic in primary care nurses]. / Seguridad de medicamentos durante la pandemia COVID-19 en las enfermeras de atención primaria.

OBJECTIVE: To know the perception of nurses about the factors that influence the safe administration of medications during the COVID-19 period, in the work context in a primary care health department of the Spanish national health system. DESIGN: This is a qualitative phenomenological study. SITE: Carried out in the Department of Health 21 (Alicante, Spain) between the months of September 2021 and November 2021. PARTICIPANTS: Fifteen nurses chosen by intentional sampling. METHODS: A semi-structured interview lasting between 30 and 60min was used, recorded and transcribed verbatim by the research team. A main category called "know" is established, which encompasses all the reflections about the nurse's performance during the medication administration process. RESULTS: The participants expressed concern about the performance of medication administration procedures, which made it possible to perceive safety as the greatest concern in the study unit. From this main category, the following subcategories are developed: work overload, insufficient training, distractions and communication and information failures. CONCLUSION: Knowing the perception of nurses about the factors that influence the safe administration of medications could facilitate the use of instruments to standardize and reduce variability in the safe administration of medications. As well as improving conditions in work environments at the community level, and not favoring social, personal and professional stigmatization due to care error.