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Effect of Patient-Centered Care (PCC) on Patient Satisfaction at Hospital Discharge (PCC)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00499161
First Posted: July 11, 2007
Last Update Posted: February 18, 2008
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by:
University of Pittsburgh
  Purpose

The purpose of this randomized clinical trial is to examine the effect of Patient-Centered Care (PCC) on a patient's level of satisfaction on discharge from an acute healthcare setting. Findings from this study will assist in determining if PCC, administered by nurses, should be instituted hospital wide.

SPECIFIC AIMS:

  1. To examine the effect of Patient-Centered Care on patient satisfaction.
  2. To examine the effect of Patient-Centered Care on the quality of patient care.
  3. To examine the effect of patient's perception of nursing care on patient satisfaction.

Condition Intervention
Patient Centered Care Behavioral: New model of nursing care

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Supportive Care
Official Title: Effect of Patient-Centered Care (PCC) on Patient Satisfaction at Hospital Discharge

Resource links provided by NLM:


Further study details as provided by University of Pittsburgh:

Primary Outcome Measures:
  • Measure level of overall satisfaction [ Time Frame: day of discharge ]

Secondary Outcome Measures:
  • Measure level of quality of care - 1)Length of stay, 2)infection, 3)falls [ Time Frame: day of discharge and 7 days post discharge ]
  • measure satisfaction with nursing care [ Time Frame: day of discharge ]
  • measure level of quality care (unplanned adverse events) [ Time Frame: approximately 30 days post discharge ]

Enrollment: 80
Study Start Date: April 2007
Study Completion Date: November 2007
Primary Completion Date: November 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: 1
Control group received usual care
Experimental: 2
Received intervention New model of nursing care
Behavioral: New model of nursing care

Detailed Description:

Patient-Centered Care (PCC), also known as individualized patient care or negotiated care, focuses on the patient's right to have his/her values and beliefs respected as an individual.This respect is viewed as part of a commitment to build a deep understanding of the patient as a thinking and feeling individual with the ability to change and develop. A person-centered model of care requires a nurse to work with an individual's beliefs, values, wants, needs and desires.This adaptation to a patient's personal needs requires the nurse to be flexible, respectful, and reciprocal when providing patient care. If the patient's expectations are not appropriate to the type of care needed to heal or if the patient refuses or denies a specific type of treatment that is known as influencing ones quality of care, the nurse must negotiate with the patient. Negotiation incorporates education, which is believed to increase the patient's level of understanding. In addition, negotiation allows the nurse and patient to define a level of treatment that is specific to the patient's needs but still seen as a quality indicator.

The Institute of Medicine (IOM) has listed PCC as one of six national quality aims for improvement. The IOM's vision is that all health professionals will be educated to provide and deliver PCC as part of an interdisciplinary team. In 2001, the IOM report "Crossing the Quality Chasm: A New Health System for the 21st Century" recommends a mixture of approaches to achieve their vision . These approaches include an appropriate training environment, research, public reporting and leadership. At present, there is little evidence to support the critical role nurse clinicians' play in providing PCC and satisfying patient's needs.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   19 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age > 18 years
  • Admitted to the service of Dr.RQ and scheduled for bariatric bypass surgery
  • Expected length of hospital stay ≥ 2 days.

Exclusion Criteria:

  • Any prior admission to the study unit
  • Bariatric surgery performed by a surgeon other than Dr.RQ
  • Scheduled to have a LAP Band procedure, as this procedure has a different postoperative course.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00499161


Locations
United States, Pennsylvania
UPMC St. Margaret
Pittsburgh, Pennsylvania, United States, 15237
Sponsors and Collaborators
University of Pittsburgh
Investigators
Principal Investigator: Debra M Wolf, MSN University of Pittsburh, School of Nursing & UPMC St. Margaret
Principal Investigator: Lisa Lehman, BSN University of Pittsburgh
Principal Investigator: Robert Quinlin, MD University of Pittsburgh
Principal Investigator: Jodi Miller, BSN University of Pittsburgh
  More Information

Responsible Party: Debra M. Wolf, PhD, MSN, RN, University of PIttsburgh
ClinicalTrials.gov Identifier: NCT00499161     History of Changes
Other Study ID Numbers: PRO07030017
First Submitted: July 9, 2007
First Posted: July 11, 2007
Last Update Posted: February 18, 2008
Last Verified: February 2008

Keywords provided by University of Pittsburgh:
Individualized care
Relationship based care
Negotiated care
Patient focused care