Clinical trial NCT00499161: Effect of Patient-Centered Care (PCC) on Patient Satisfaction at Hospital Discharge
Official title: Effect of Patient-Centered Care (PCC) on Patient Satisfaction at Hospital Discharge
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Patient Centered Care
Keywords: Individualized care
Relationship based care
Negotiated care
Patient focused care
Lead sponsor: University of Pittsburgh
Sponsor class: OTHER
First posted: 2007-07-11
Enrollment: 80
Sex: ALL
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

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.

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.

Primary outcomes:
measure: Measure level of overall satisfaction
timeFrame: day of discharge
Secondary outcomes:
measure: Measure level of quality of care - 1)Length of stay, 2)infection, 3)falls
timeFrame: day of discharge and 7 days post discharge
measure: measure satisfaction with nursing care
timeFrame: day of discharge
measure: measure level of quality care (unplanned adverse events)
timeFrame: approximately 30 days post discharge
Other outcomes:
Locations:
city: Pittsburgh
country: United States
facility: UPMC St. Margaret
state: Pennsylvania
Study officials:
affiliation: University of Pittsburh, School of Nursing & UPMC St. Margaret
name: Debra M Wolf, MSN
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Pittsburgh
name: Lisa Lehman, BSN
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Pittsburgh
name: Robert Quinlin, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Pittsburgh
name: Jodi Miller, BSN
role: PRINCIPAL_INVESTIGATOR
References: