Clinical trial NCT06702150: Nursing Model and Health Outcomes of Elderly People with Multimorbidity: a Quasi-experimental Study
Official title: Effect of the Primary Nursing Model on Health Outcomes of Elderly Person with Multimorbidity: a Quasi-experimental Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Multimorbidity
Aged
Patient Outcome Assessment
Lead sponsor: Hospital da Luz, Portugal
Sponsor class: OTHER
Collaborators: name: Universidade Católica Portuguesa
First posted: 2024-11-22
Enrollment: 206
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: In the hospital where the study was carried out, each nurse is responsible for the whole care of a group of people on one working day and may or may not be given responsibility for the same people on subsequent days (individualized care model). An intervention was proposed in an inpatient unit consisting of implementing the model of organizing care by primary nursing in which a nurse is responsible for the care plan for a group of people from admission to discharge from the unit.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of this quasi-experimental study is to analyze the effect of organizing nursing care according to the primary nursing model on therapeutic self-care and satisfaction with nursing care for elderly people with multimorbidity in hospital. Participants were patients of both sexes aged over 65 years with at least two chronic diseases admitted to an acute hospital ward. The main questions it aims to answer are:

* Does the use of the primary nursing model increase participants' perceived ability for therapeutic self-care?
* Does the use of the primary care model increase participants' satisfaction with nursing care? The researchers are comparing whether implementing the primary nursing model with the usual care model increases patients' capacity for therapeutic self-care.

Participants:

* Complete a self-care skills questionnaire on admission to the inpatient unit;
* Complete the same self-care questionnaire on discharge from hospital;
* Complete the same self-care questionnaire by telephone one month after discharge from hospital
* Complete a nursing care satisfaction questionnaire on discharge from hospital;

Detailed description: The self-care skills questionnaire used was the Therapeutic Self-care Scale (TSC), translated and validated for the Portuguese population.

The questionnaire used to assess satisfaction with care was the Scale of Citizen Satisfaction with Care (ESCCE), validated for the Portuguese population.

Eligibility criteria: Inclusion Criteria:

* Have at least two chronic diseases
* Have at least one disease classified in the International Classification of Diseases, Ninth Revision (ICD9) and belonging to one of the following groups: cardiovascular disease, cancer, chronic obstructive pulmonary disease and diabetes;
* Expect to be hospitalised for more than 48 hours;
* Have the cognitive ability to read, write and understand the information provided;
* Speak, read and write Portuguese.

Exclusion Criteria:

* Transfer to other levels of care within the organisation
* Discharged to other care units outside the organisation
* Episodes of readmission within 30 days of leaving hospital, as this made the last moment of data collection impossible.

Primary outcomes:
measure: Average global self-care score at discharge from inpatient unit
timeFrame: On the day of discharge from the inpatient unit, assessment up to 24 hours later.
measure: Average global self-care score at follow-up
timeFrame: At the follow-up 30 days after hospital discharge
Secondary outcomes:
measure: Average score for satisfaction with nursing care at discharge from inpatient unit
timeFrame: On the day of discharge from the inpatient unit, assessment up to 24 hours later.
Other outcomes:
Locations:
city: Lisboa
country: Portugal
facility: Hospital da LUz
Study officials:
affiliation: Universidade Católica Portuguesa
name: Elvio Jesus, Professor
role: STUDY_DIRECTOR
affiliation: Nursing School of Lisbon
name: Elisabete Nunes, Professor
role: STUDY_CHAIR
References: