Intentional Rounding in Internal Medicine

Hospitalization Clinical Trial

— INTENTO  

Official title:

Intentional Rounding in Internal Medicine: a Multicenter, Randomized National Study Studio INTENTO - FADOI.03.2018

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT04257422
• Other study ID #: FADOI.03.2018
• Status: Terminated
• Phase: N/A
• Start date: October 21, 2019
• Est. completion date: March 29, 2020

Study information

• Verified date: February 2024
• Source: Fadoi Foundation, Italy
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Each investigator will have to collect data for 50 hospitalized patients in the Internal Medicine wards. If the center is randomized to Intentional Rounding, the staff of nurses and OSS will have to implement the new care strategy.

Description:

The centers participating in the study are randomized to the Intentional Roundig group and the Control group, in a 1: 1 ratio. In the randomized centers for experimental intervention, a training intervention lasting about 4 hours was conducted by a nurse expert in Intentional Rounding. At the end of the study, training is also scheduled for the Control Centers.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 1822
• Est. completion date: March 29, 2020
• Est. primary completion date: March 29, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Age = 18 years
• Signature of informed consent
• Patients who understand Italian

Exclusion Criteria:

• Patients who deny informed consent

Related Conditions & MeSH terms

• Hospitalization

Intervention

Other:
• Intentional Rounding
A new method of nursing care named Intentional Rounding. The "intentional roundings" are planned rounds, conducted at regular intervals by nursing staff to anticipate care, comfort, hospitality and psychological needs of hospitalized users.

Locations

Country	Name	City	State
Italy	Ospedale Civile Santi Antonio e Biagio e Cesare Arrigo	Alessandria
Italy	Ospedale San Donato	Arezzo
Italy	Ospedale degli Infermi	Biella
Italy	Ospedale "Bernardino Ramazzini"	Carpi
Italy	Ospedale di Castelfranco Veneto	Castelfranco Veneto
Italy	Ospedale Poveri Infermi	Cuneo
Italy	Presidio Ospedaliero Pubblico " Santa Croce "	Fano
Italy	AOU Careggi	Firenze
Italy	Policlinico San Martino	Genova
Italy	Ospedale S. Andrea	Massa Marittima
Italy	Fondazione Don Gnocchi	Milano
Italy	Ospedale Civile di Montebelluna	Montebelluna
Italy	Ospedale Buonconsiglio Fatebenfratelli	Napoli
Italy	Ospedale di Noventa Vicentina	Noventa Vicentina
Italy	Ospedale Buccheri La Ferla FBF	Palermo
Italy	Ospedali Riuniti Villa Sofia	Palermo
Italy	Ospedale di Rho	Rho
Italy	Ospedale FBF Isola Tiberina	Roma
Italy	Ospedale Civile SS. Annunziata	Savigliano
Italy	Ospedale San Paolo	Savona
Italy	AOUS	Siena
Italy	Ospedale Dell'Alta Val D'Elsa	Siena
Italy	Ospedale San Bortolo	Vicenza

Sponsors (2)

Lead Sponsor	Collaborator
Fadoi Foundation, Italy	ANìMO (Associazione Nazionale Infermieri Medicina)

Country where clinical trial is conducted

Italy, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Falls and new bedsores	Cumulative assessment of the incidence of falls and the appearance of new pressure sores in hospitalized patients in the Internal Medicine wards	3 months
Secondary	Call lights	Analysis of the impact of the implementation of Intentional Rounding on the call lights by hospitalized patients.; The total number of calls to the emergency bell is evaluated. A call light log will be used on which the nurses will report the reason for each call by the patient.	3 months
Secondary	Measurement of patient satisfaction with the nursing care received and hospitalization	Assessment of the relationship between implementation of the Intentional Rounding and level of patient satisfaction, defined on the basis of how patients consider the way care is provided useful, effective and advantageous (for patients able to perform this evaluation).; The information will be collected through a questionnaire consisting of two questions. The patient will have to evaluate the nursing care and hospitalization, assigning a score from 1 to 7 (where 1 = bad; 7 = excellent).	3 months
Secondary	Critical thinking of nurses	Evaluation of the critical thinking of nurses following the implementation of Intentional Rounding in clinical practice, defined as the process that is used by nurses when they have to make a clinical decision and manage daily problems (on a voluntary basis between the participating Centers).; Clinical decision making in nursing scale (CDMNS) will be used to evaluate the critical thinking of nurses.; For each of the 40 statements, the nurse must think about how she would behave during patient care.; There are no "right" or "wrong" answers. What matters is his evaluation of how he usually acts in making decisions in clinical reality.; The answers can be: Always: what he constantly does every time.; Frequently: what he usually does in most cases.; Occasionally: what he does a few times.; Rarely: what he seldom does.	3 months