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

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.

Study Overview

• Status: Completed
• Conditions: Patient Centered Care
• Intervention / Treatment: Behavioral: New model of nursing care

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.

• Study Type: Interventional
• Enrollment (Actual): 80
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Pennsylvania
    • Pittsburgh, Pennsylvania, United States, 15237
      • UPMC St. Margaret

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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 Plan

How is the study designed?

Design Details

• Primary Purpose: SUPPORTIVE_CARE
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
NO_INTERVENTION: 1; Control group received usual care
EXPERIMENTAL: 2; Received intervention New model of nursing care	Behavioral: New model of nursing care

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Measure level of overall satisfaction	day of discharge

Secondary Outcome Measures

Outcome Measure	Time Frame
Measure level of quality of care - 1)Length of stay, 2)infection, 3)falls	day of discharge and 7 days post discharge
measure satisfaction with nursing care	day of discharge
measure level of quality care (unplanned adverse events)	approximately 30 days post discharge

Collaborators and Investigators

• Sponsor: University of Pittsburgh
• Investigators: Principal Investigator: Debra M Wolf, MSN, University of Pittsburh, School of Nursing & UPMC St. Margaret; Principal Investigator: Lisa Lehman, BSN, University of Pittsburgh; Principal Investigator: Robert Quinlin, MD, University of Pittsburgh; Principal Investigator: Jodi Miller, BSN, University of Pittsburgh

Study record dates

Study Major Dates

• Study Start: April 1, 2007
• Primary Completion (ACTUAL): November 1, 2007
• Study Completion (ACTUAL): November 1, 2007

Study Registration Dates

• First Submitted: July 9, 2007
• First Submitted That Met QC Criteria: July 10, 2007
• First Posted (ESTIMATE): July 11, 2007

Study Record Updates

• Last Update Posted (ESTIMATE): February 18, 2008
• Last Update Submitted That Met QC Criteria: February 15, 2008
• Last Verified: February 1, 2008

More Information

Terms related to this study

• Keywords: Individualized care; Relationship based care; Negotiated care; Patient focused care
• Other Study ID Numbers: PRO07030017