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

NCT ID: NCT00499161

Last Updated: 2008-02-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 80 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-04-30
• Study Completion Date: 2007-11-30

Brief Summary

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.

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.

Conditions

Patient Centered Care

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

1

Control group received usual care

Group Type: NO_INTERVENTION

No interventions assigned to this group

2

Received intervention New model of nursing care

Group Type: EXPERIMENTAL

New model of nursing care

Intervention Type: BEHAVIORAL

Interventions

New model of nursing care

Intervention Type: BEHAVIORAL

Eligibility 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.

• Minimum Eligible Age: 19 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Pittsburgh

OTHER

Sponsor Role: lead

Responsible Party

University of PIttsburgh

Principal Investigators

Debra M Wolf, MSN

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburh, School of Nursing & UPMC St. Margaret

Lisa Lehman, BSN

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Robert Quinlin, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Jodi Miller, BSN

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

UPMC St. Margaret

Pittsburgh, Pennsylvania, United States

Countries

United States

Other Identifiers

PRO07030017

Identifier Type: -

Identifier Source: org_study_id