The Impact Of Physician Communication On Family Inpatient Experience
7. oktober 2016 opdateret af: Michael Silverstein, Boston Medical Center
Patient satisfaction is affected by physician communication styles and communication at the bedside.
The investigators are conducting a randomized controlled trial involving both providers and families to determine if providers sitting down while talking with families, will improve one aspect of quality care delivered during an inpatient stay as measured by patient/family satisfaction.
The investigators will additionally study the affects of the intervention on the following outcomes: family assessment of provider communication, readmission rates, and length of stay.
Studieoversigt
Status
Trukket tilbage
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
Massachusetts
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Boston, Massachusetts, Forenede Stater, 02118
- Boston Medical Center
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
Ikke ældre end 17 år (Barn)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Providers: all attendings, residents, and medical students involved in the care of patients on the pediatric inpatient wards during the study period.
- Families (Parents or legal guardians and children):
- (1) inpatient admissions to the pediatrics medical service at Boston Medical Center
- (2) whose parents or guardian have agreed to participate in family centered walk rounds
- (3) patients age 17 or younger who have family members present at the bedside each morning of hospitalization
- (4) English speaking.
Exclusion Criteria:
- (1) All patients/families that as part of admission justification involves social assessment and concern by the patient care team, including patients with neonatal abstinence syndrome, child maltreatment, and concern for neglect.
- (2) All patients transferred to or from PICU as part of their inpatient care
- (3) All patients transferred from an outside institution to the inpatient ward for further care secondary to progression of disease.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Provider sitting
Providers seated during communication through hospitalization
|
Providers will sit during inpatient family-centered walk rounds throughout the communication during rounds.
The participating members of the care team (attending physician, resident and medical student) will remain seated while communicating with the patient and caregiver.
|
|
Eksperimentel: Provider standing (control)
Providers standing during communication through hospitalization
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Providers will stand during inpatient family-centered walk rounds throughout the communication during rounds.
The participating members of the care team (attending physician, resident and medical student) will remain standing while communicating with the patient and caregiver.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patient/family satisfaction
Tidsramme: 4mo
|
Questionnaire obtains basic provider information
|
4mo
|
|
Patient/family Satisfaction
Tidsramme: 4 mo
|
Caregiver questionnaire obtains baseline information on caregiver and patients
|
4 mo
|
|
Patient/family satisfaction
Tidsramme: 4 months
|
PSQ-18: Assesses parental satisfaction with medical care
|
4 months
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Length of stay
Tidsramme: 4 months
|
Chart review of length of inpatient hospitalization during intervention
|
4 months
|
|
Readmission rate
Tidsramme: 5 mo
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Chart review and parental contact regarding readmission for same reason of initial hospitalization
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5 mo
|
|
Family discharge preparedness
Tidsramme: 4 mo
|
Brief PREPARED instrument
|
4 mo
|
|
Follow-up appointment attendance
Tidsramme: 5 mo
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Chart review and communication with caregivers regarding keeping follow-up appointment
|
5 mo
|
|
Family assessment of doctor-patient communication skills
Tidsramme: 4 mo
|
Crossley Communication Questionnaire
|
4 mo
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. februar 2011
Primær færdiggørelse (Forventet)
1. juni 2011
Studieafslutning (Faktiske)
1. august 2011
Datoer for studieregistrering
Først indsendt
16. februar 2011
Først indsendt, der opfyldte QC-kriterier
17. februar 2011
Først opslået (Skøn)
18. februar 2011
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
10. oktober 2016
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
7. oktober 2016
Sidst verificeret
1. oktober 2016
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 34423
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .