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

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:

To examine the effect of Patient-Centered Care on patient satisfaction.
To examine the effect of Patient-Centered Care on the quality of patient care.
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

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Supportive Care, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study

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

Further study details as provided by University of Pittsburgh:

Primary Outcome Measures:

Measure level of overall satisfaction [ Time Frame: day of discharge ] [ Designated as safety issue: No ]

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 ] [ Designated as safety issue: No ]
measure satisfaction with nursing care [ Time Frame: day of discharge ] [ Designated as safety issue: No ]
measure level of quality care (unplanned adverse events) [ Time Frame: approximately 30 days post discharge ] [ Designated as safety issue: No ]

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
1: No Intervention Control group received usual care
2: Experimental 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

Ages Eligible for Study:	19 Years and older
Genders Eligible for Study:	Both
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

Please refer to this study by its ClinicalTrials.gov identifier: 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	UPMC St. Margaret

Principal Investigator:	Robert Quinlin, MD	UPMC St. Margaret

Principal Investigator:	Jodi Miller, BSN	UPMC St. Margaret

More Information

Responsible Party:	University of PIttsburgh ( Debra M. Wolf, PhD, MSN, RN )
Study ID Numbers:	PRO07030017
First Received:	July 9, 2007
Last Updated:	February 15, 2008
ClinicalTrials.gov Identifier:	NCT00499161
Health Authority:	United States: Institutional Review Board

Keywords provided by University of Pittsburgh:

Individualized care

Relationship based care

Negotiated care

Patient focused care

ClinicalTrials.gov processed this record on October 06, 2008

Sponsored by:	University of Pittsburgh
Information provided by:	University of Pittsburgh
ClinicalTrials.gov Identifier:	NCT00499161