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

Patient Centered Care Clinical Trial

— PCC  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00499161
• Other study ID #: PRO07030017
• Status: Completed
• Phase: N/A
• First received: July 9, 2007
• Last updated: February 15, 2008
• Start date: April 2007
• Est. completion date: November 2007

Study information

• Verified date: February 2008
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: November 2007
• Est. primary completion date: November 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 19 Years and older

Eligibility

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.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Patient Centered Care

Intervention

Behavioral:
• New model of nursing care

Locations

Country	Name	City	State
United States	UPMC St. Margaret	Pittsburgh	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
University of Pittsburgh

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Measure level of overall satisfaction		day of discharge	No
Secondary	Measure level of quality of care - 1)Length of stay, 2)infection, 3)falls		day of discharge and 7 days post discharge	No
Secondary	measure satisfaction with nursing care		day of discharge	No
Secondary	measure level of quality care (unplanned adverse events)		approximately 30 days post discharge	No