Patient Centered Care Clinical Trial
Official title:
Effect of Patient-Centered Care (PCC) on Patient Satisfaction at Hospital Discharge
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.
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.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Supportive Care
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