Clinical trial NCT03725813: Study Evaluating the Effect of Person-centred Care for Patients Admitted for Inpatient Care at an Internal Medicine Unit
Official title: Person-centred Inpatient Care - a Quasi-experimental Study Within an Internal Medicine Context
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Endocrine System Diseases
Gastrointestinal Diseases
Keywords: Person-centred care
Intervention
Inpatient care
Satisfaction of care
quasi-experimental
internal medicine
Lead sponsor: Göteborg University
Sponsor class: OTHER
First posted: 2018-10-31
Enrollment: 177
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: A quasi- experimental study with non-equivalent control group design, pretest-posttest study.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Patients admitted to internal medicine care environments have complex care needs and must be treated as persons with resources and responsibilities. Person-centred care is defined as care in which the caregiver aims to get to know the patient as a person, and the care comprises a holistic approach to assess patients' needs and resources. There is strong motivation for future health care to transform into an approach that acknowledges and endorses every patient's resources, interests and needs. There is limited existing research on the benefit of implementing person-centred care in internal medicine care environments for all patients regardless of diagnosis or care pathway. Little is known about the effects of person-centred inpatient care on patients' satisfaction with care. This study includes adult patients admitted to an internal medicine inpatient unit regardless of reason for admission. The aim of the study is to evaluate effects of person-centred inpatient care on care processes, in terms of satisfaction with care and person-centred content in medical records and to evaluate effects on self-reported health and self-efficacy.


Eligibility criteria: Inclusion Criteria:

* acute or elective admission with a minimum projected in-hospital stay of 24 hours
* age ≥ 18 years
* conscious and alert, with no delay in response.

Exclusion Criteria:

* cognitive impairment or a judgment by the caregivers that inclusion was not in the best interests of the patient (e.g. end of life care, impaired psychological wellbeing).

Primary outcomes:
measure: Satisfaction with care comprise patients' evaluations of caregivers' identity-oriented approach and the sociocultural atmosphere at the ward.
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
measure: Person-centred content in medical records
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
Secondary outcomes:
measure: Self-reported health assessed with EQ-5D-5L
timeFrame: at the date of discharge, an average of 5 days after inclusion
measure: Physical and psychological wellbeing assessed with the Quality from the Patient Perspective questionnaire
timeFrame: at the date of discharge, an average of 5 days after inclusion
measure: Level of general self-efficacy assessed with the General Self-Efficacy scale
timeFrame: at the date of discharge, an average of 5 days after inclusion
measure: Quality of care measured with ratings of Medical-technical competence and physical conditions at the ward assessed with the questionnaire Quality from the Patient Perspective.
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
measure: Clinical observations of pulse rate
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
measure: Quality of care assessed as documented information in medical records on current medication at a daily basis and at discharge
timeFrame: From date of admission until the date of the discharge, up to 60 days of hospitalization.
measure: Quality of care assessed as documented information in medical records on planned medical care at discharge.
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
measure: Clinical observations of weight
timeFrame: From date of admission until date of discharge, up to 60 days of hospitalization.
measure: Clinical observations of blood pressure
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
measure: Clinical observations of respiratory rate
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
measure: Body temperature
timeFrame: From date of admission until the date of discharge, up to 60 days of hospitalization.
Other outcomes:
Locations:
city: Gothenburg
country: Sweden
facility: Department of Medicine, Sahlgrenska University Hospital
Study officials:
affiliation: Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden and Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg
name: Eva Jakobsson Ung, Associate professor
role: PRINCIPAL_INVESTIGATOR
References: