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Randomised Controlled Trial to Investigate the Effect of Parental Presence at Intensive Care Unit to Ward Transfer Bedside Rounds on Parental Anxiety and Children's Safety

NCT ID: NCT01883739

Last Updated: 2014-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Brief Summary

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The investigators shall conduct a randomized controlled trial to investigate the effect of parental presence at transfer rounds on parental anxiety and patient safety following transfer from the Pediatric Cardiac Intensive Care Unit (PCICU) to the ward. The investigators plan to test the hypothesis that parental involvement in the child's transfer, with the option of peer support, will result in measurable reductions in medication errors, unplanned nutritional and feeding management, and parental anxiety after transfer as compared to the control group. The investigators goal is to improve continuity of care by implementing multidisciplinary transfer rounds at the child's bedside in which patients and family share in the control of the management plan when a cardiac child is discharged from PCICU to the ward.

Detailed Description

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Conditions

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Parental Anxiety Children's Safety

Keywords

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Parental anxiety Children's safety Family Centered Care Bedside Transfer Rounds Pediatric Cardiac Intensive Care

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Parental Presence at Handover Rounds

Subjects will receive an educational document prior to transfer rounds introducing the concept of Patient and Family Centered Care and the role of a parent in transfer rounds. These parents will have the option of meeting with a parental peer support person for a "coaching" or training session prior to their participation in transfer rounds. During the transfer rounds parents will be actively included in discussion of their child's medical management plan upon discharge to the wards.

Group Type EXPERIMENTAL

Parental Presence at Handover Rounds

Intervention Type OTHER

Interventions

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Parental Presence at Handover Rounds

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Parents of cardiac children aged 1 day to 17 years admitted to PCICU
* Written informed consent and assent when appropriate
* Planned discharge from the PCICU to the ward.

Exclusion Criteria

* Parents with less than grade 6 reading skills as they will not be able to independently take the Spielberger's State -Trait Anxiety Inventory (STAI).
* Parents who are not willing to be randomized to the control group in which they cannot be present for transfer rounds.
* Neonates being discharged from PCICU to NICU or neonates being discharged from NICU to wards.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Canadian Medical Protective Association

OTHER

Sponsor Role collaborator

University of Alberta

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ian Adatia, MBChB, MRCP, FRCP(C)

Role: PRINCIPAL_INVESTIGATOR

Stollery Children's Hospital, University of Alberta

Locations

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Pediatric Cardiac ICU, Stollery Children's Hospital

Edmonton, Alberta, Canada

Site Status

Countries

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Canada

Other Identifiers

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Pro 00037475

Identifier Type: -

Identifier Source: org_study_id