Improving Coordination and Transitions of Care for Stroke Patients With an Attending Nurse: a Comparative Effectiveness Single Center Study Comparing Models of Nursing Care
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Pennsylvania
- Enrollment
- 670
- Locations
- 1
- Primary Endpoint
- Stroke Patient Education Retention Tool
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Exclusion Criteria
- •Pregnancy
- •Comfort or hospice care
- •Severe dementia prior to stroke
- •Non-communicative and have no family/social support
Arms & Interventions
Attending nurse 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.
Intervention: Nursing care model (Other)
Conventional inpatient nursing care
Standard of care nursing care patients receive while inpatient
Outcomes
Primary Outcomes
Stroke Patient Education Retention Tool
Time Frame: 90 days
measures patient knowledge about stroke
Medication Compliance
Time Frame: 90 Days
medication adherence measurement
Secondary Outcomes
No secondary outcomes reported