Nursing Model and Health Outcomes of Elderly People with Multimorbidity: a Quasi-experimental Study

Not Applicable

Completed

• Conditions: Multimorbidity; Aged; Patient Outcome Assessment

• Registration Number: NCT06702150
• Lead Sponsor: Hospital da Luz, Portugal

Brief Summary

The goal of this quasi-experimental study is to analyze the effect of organizing nursing care according to the primary nursing model on therapeutic self-care and satisfaction with nursing care for elderly people with multimorbidity in hospital. Participants were patients of both sexes aged over 65 years with at least two chronic diseases admitted to an acute hospital ward. The main questions it aims to answer are:

* Does the use of the primary nursing model increase participants' perceived ability for therapeutic self-care?

* Does the use of the primary care model increase participants' satisfaction with nursing care? The researchers are comparing whether implementing the primary nursing model with the usual care model increases patients' capacity for therapeutic self-care.

Participants:

* Complete a self-care skills questionnaire on admission to the inpatient unit;

* Complete the same self-care questionnaire on discharge from hospital;

* Complete the same self-care questionnaire by telephone one month after discharge from hospital

* Complete a nursing care satisfaction questionnaire on discharge from hospital;

Detailed Description

The self-care skills questionnaire used was the Therapeutic Self-care Scale (TSC), translated and validated for the Portuguese population.

The questionnaire used to assess satisfaction with care was the Scale of Citizen Satisfaction with Care (ESCCE), validated for the Portuguese population.

Study Timeline

• Study Start: 2022-04-18
• Primary Completion: 2023-08-31
• Study Completion: 2023-08-31
• Status Verified: 2024-11
• Study First Submitted: 2024-11-12
• Study First Submitted QC: 2024-11-20
• Last Update Submitted: 2024-11-20
• Study First Posted: 2024-11-22
• Last Update Posted: 2024-11-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 206

Inclusion Criteria

• Have at least two chronic diseases
• Have at least one disease classified in the International Classification of Diseases, Ninth Revision (ICD9) and belonging to one of the following groups: cardiovascular disease, cancer, chronic obstructive pulmonary disease and diabetes;
• Expect to be hospitalised for more than 48 hours;
• Have the cognitive ability to read, write and understand the information provided;
• Speak, read and write Portuguese.

Exclusion Criteria

• Transfer to other levels of care within the organisation
• Discharged to other care units outside the organisation
• Episodes of readmission within 30 days of leaving hospital, as this made the last moment of data collection impossible.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Average global self-care score at discharge from inpatient unit	On the day of discharge from the inpatient unit, assessment up to 24 hours later.	Evaluated by the difference in response to the Therapeutic Self-Care Scale on admission and discharge from the unit. It is a 12-question Likert scale with a minimum score of zero (0) and a maximum score of five (5), with higher scores corresponding to better results. Average response scores are used.
Average global self-care score at follow-up	At the follow-up 30 days after hospital discharge	Evaluated by the difference between the response to the Therapeutic Self-Care Scale at discharge and at follow-up.; Also assessed by the difference between the response to the Therapeutic Self-Care Scale at admission and at follow-up.; Therapeutic Self-Care Scale is a 12-question Likert scale with a minimum score of zero (0) and a maximum score of five (5), with higher scores corresponding to better results. Average response scores are used.

Secondary Outcome Measures

Name	Time	Method
Average score for satisfaction with nursing care at discharge from inpatient unit	On the day of discharge from the inpatient unit, assessment up to 24 hours later.	Assessed by answering the Citizen Satisfaction with Nursing Care Scale at discharge from the unit. This is a 47-question Likert scale with a minimum score of one (1) and a maximum of seven (7), with higher scores corresponding to better results. Average and total response scores are used.

Trial Locations

Locations (1)

Hospital da LUz; 🇵🇹 Lisboa, Portugal