Improving Coordination and Transitions of Care in Stroke Patients
Not Applicable
Completed
- Conditions
- StrokeTransient Ischemic Attack
- Interventions
- Other: Nursing care model
- Registration Number
- NCT02642744
- Lead Sponsor
- University of Pennsylvania
- Brief Summary
This study will examine if the attending nurse model will enhance critical patient-centered elements of care that will in turn improve patient education and shared decision-making, medication adherence, stroke-related health literacy, and reduce early readmissions to ultimately yield improved patient quality of life. Our primary objective is to determine whether the attending nurse model of care improves stroke patients' health at 7 days, 30 days, and 90 days after hospital discharge as assessed through questionnaires.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 670
Inclusion Criteria
- > 18 years of age
- Admission to the Hospital of the University of Pennsylvania Vascular Neurology service
- Incident or recurrent:
- Ischemic stroke: focal neurological deficit of likely ischemic vascular origin
- Intracerebral hemorrhage: blood seen on initial head CT
- Transient Ischemic attack: focal neurological deficit of likely ischemic vascular origin that has clinically resolved
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Exclusion Criteria
- Pregnancy
- Comfort or hospice care
- Severe dementia prior to stroke
- Non-communicative and have no family/social support
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Attending nurse model Nursing care model The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds.
- Primary Outcome Measures
Name Time Method Stroke Patient Education Retention Tool 90 days measures patient knowledge about stroke
Medication Compliance 90 Days medication adherence measurement
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Hospital of the University of Pennsylvania
🇺🇸Philadelphia, Pennsylvania, United States