Clinical Trials Logo

Clinical Trial Summary

Hospitals face new challenges in providing sustainable high quality care as the prevalence of chronic conditions, multimorbidity and the complexity of care increases. The high burden on healthcare teams, the growing costs and the increasing scarcity in healthcare providers (HCPs) result in unmet needs of patients and their families and a high workload on HCPs. Worldwide there is growing recognition that new care models integrating nurse practitioners (NPs) in interdisciplinary teams could contribute to respond to these challenges. ANP is defined as an "advanced practice nurse (APN) who integrates clinical skills associated with nursing and medicine in order to assess, diagnose and manage patients in primary healthcare settings and acute care populations as well as ongoing care for populations with chronic illness". Despite the proven benefits of integrating NPs in interdisciplinary teams, the introduction of NPs in Belgium is at an early stage. Advanced practice nurses, including NPs, are formally recognized in Belgium since 2019, but there is still no legal framework in which additional rights or agreements compared to other nursing groups are defined. Given the early stage of introduction, little is known about the development, implementation and impact of NPs in the Belgian health care context. Insights in implementation processes and the effectiveness of NP roles at different levels can inform healthcare managers and policy makers for future (nation-wide) implementation in a hospital setting. The overall objective of this longitudinal pre-post mixed methods study is to develop, implement and evaluate the integration of the role of NPs in four different departments in a Belgian university hospital.


Clinical Trial Description

A mixed methods design is used to enrich the gathered data, resulting in an integrated approach for addressing the complexity of this study. This method creates the opportunity to triangulate and integrate quantitative and qualitative data resulting in a complete and nuanced understanding of complex phenomena . Several strategies are used to enhance the internal validity of the quantitative part. At first, all questionnaires that will be used will be validated and selected after thorough consideration of several researchers with experience in mixed methods implementation research. Secondly, using a wide range of outcome indicators, increases the ability to distinguish confounding from independent variables. Thirdly, if possible a matched controlled group will be used to compare outcomes. Internal validity of qualitative data will be ensured in the stage of data collection by involving researchers who did not participate in the PAR-process to conduct the interviews and focus group interviews. In the stage of data analysis, internal validity of the qualitative data will be enhanced by systematically organizing and coding data and triangulation (data and researcher). Analysis and comparison of the four different settings will reinforce the external validity and transferability of the findings. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05520203
Study type Observational [Patient Registry]
Source University Hospital, Ghent
Contact
Status Active, not recruiting
Phase
Start date November 1, 2021
Completion date December 1, 2024

See also
  Status Clinical Trial Phase
Completed NCT03679494 - Effectiveness of Implementing Shared Decision-Making on Quality of Care Among Patients With Lumbar Degenerative Diseases. N/A
Active, not recruiting NCT06345352 - Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Admissions of Patients Accessing the Emergency Department (Fondazione IRCCS Ca' Granda Ospedale Maggione Policlinico)
Completed NCT02886364 - Adapted Safe Childbirth Checklist in Chiapas, Mexico N/A
Completed NCT06076863 - Pharmacist Management of Paxlovid eVisits N/A
Completed NCT04100577 - Today Not Tomorrow Pregnancy and Infant Support Program (TNT- PISP) N/A
Active, not recruiting NCT01419080 - Patient-centered Outcomes Related to TReatment Practices in Peripheral Arterial Disease: Investigating Trajectories (PORTRAIT)
Completed NCT05110521 - Evaluation of a Nurse Mentorship and Digital Health Package Intervention in Kenya N/A
Active, not recruiting NCT06345378 - Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Admissions of Patients Accessing the Emergency Department (ASST Papa Giovanni XXIII)
Active, not recruiting NCT03259737 - An Observational Study of Stroke Patients.
Recruiting NCT04489693 - Comprehensive Care Community and Culture Study N/A
Recruiting NCT05892666 - The Right Care, for the Right Patient, at the Right Time, by the Right Provider: A Value-based Comparison of the Management of Ambulatory Patients With Acute Health Concerns in walk-in Clinics, Primary Care Physician Practices and Emergency Departments
Completed NCT03589625 - Electricity Access and Maternal Care in Rural Health Facilities in Uganda N/A
Enrolling by invitation NCT02674698 - Disseminating a Dashboard for VA Purchased Community Nursing Homes N/A
Recruiting NCT06466902 - Evaluation of Intra-operative Photographs for the Assessment of a Proper Lymphadenectomy in Minimally-invasive Gastrectomies for Gastric Cancer (PhotoNodes)
Completed NCT02146326 - The Impact of Burnout on Patient-Centered Care: A Comparative Effectiveness Trial in Mental Health N/A
Not yet recruiting NCT06398860 - A Tool for Integration of Work Environment and Patient Safety Management at Work N/A
Completed NCT05019131 - Caring for Providers to Improve Patient Experience Study Phase 2 in Migori County N/A
Enrolling by invitation NCT06017492 - Effects of Video Use on Quality of Discharge Teaching and Patient Satisfaction in Day Surgery Patients N/A
Not yet recruiting NCT04816279 - Enhanced Recovery After Cesarean Section