Evaluating the Clinical Effectiveness and Implementation Outcomes of Nurse-Led Stroke Transitional Care Model in Tanzania
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 130
- 试验地点
- 1
- 主要终点
- Self-efficacy among stroke survivors
研究概览
简要总结
The goal of this observational study is to assess the effects of nurse-led stroke transitional care in stroke survivors, caregivers and healthcare providers who participate in nurse-led stroke transitional care program to improve discharge preparedness, disease self-management and quality of life among stroke survivors. The main question it aims to answer is: does nurse-led stroke transitional care program improve discharge preparedness, disease self-management and quality of life among stroke survivors? Participants are currently participating in nurse-led stroke transitional care program as part of their medical care. Stroke survivors and their caregivers will be followed for six months period to assess their transitional care quality and clinical outcome measures.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical nurses and physicians with six months of working experience in stroke care
- •Clinical nurses and physicians with a minimum of diploma in their professions.
- •Stroke survivors with 18 years old and above
- •Stroke survivors admitted in the stroke units
- •Stroke survivors with primary diagnosis of stroke confirmed by brain CT/MRI
- •Stroke survivors who undergo usual discharge process
- •Stroke survivors who live with their family caregivers
- •Stroke survivors who have mobile phones
- •Stroke survivors who can read and write
- •Stroke survivors who are able to communicate
- •Stroke survivors with National Institutes of Health Stroke Scale (NIHSS) < 6
- •Stroke survivors with Modified Barthel Index (MBI) > 9
- •Stroke survivors with Modified Rankin Scale (mRS) < 5
- •Stroke survivors with Montreal Cognitive Assessment Test (MoCA) > 14
- •Stroke survivors who are expected to stay in the ward for 3-5 days,
- •Stroke survivors who are expected to survive for 3 months
- •Family caregivers with mobile phones
- •Family caregivers who can read and write
- •Family caregivers who are able to communicate
- •Family caregivers who live with the patient after stroke
排除标准
- •Healthcare providers who will be on leave during the study period.
- •Stroke survivors with previous stroke who are not admitted in stroke units
- •Stroke survivors who are discharged against medical advice
- •Stroke survivors who have end-stage organ failure
- •Stroke survivors who have family caregivers
- •Stroke survivors who can't read/write
- •Stroke survivors who have no mobile phones.
- •Family caregivers without mobile phone that is accessible
结局指标
主要结局
Self-efficacy among stroke survivors
时间窗: 6 months after discharge
Ability to take control and perform recommended health behaviors and discharge instructions. Self-efficacy will be measured by the Stroke Self-Efficacy Questionnaire (a=0.9) developed by Jones and colleagues. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate better ability to follow and adhere to healthy lifestyles after stroke
Quality of life among stroke survivors
时间窗: 6 months after discharge
Quality of life that will be measured by the Stroke Specific Quality of Life (SSQoL) with (a=0.85). This will be measured by a scale as total scores and mean scores. High total and mean scores indicate better quality of life as evidenced by ability to perform self-care activities, improved cognitive function, mobility, and engaging in social activities
Discharge preparedness among survivors
时间窗: within 1 month after discharge
Discharge preparedness that will be measured by the Short Forms of the Readiness for Hospital Discharge Scale (RHDS) developed by Weiss. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate readiness for hospital-to-home discharge among stroke survivors.
Discharge preparedness among health care providers
时间窗: within 1 month after discharge
Discharge preparedness that will be measured by the Short Forms of the Readiness for Hospital Discharge Scale (RHDS) developed by Weiss. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate agreement on readiness for hospital-to-home discharge among nurses and doctors.
Resilience among caregivers
时间窗: 6 months after discharge
Resilience will be measured by the 10-items Connor-Davidson Resilience Scale (CD-RISC) validated by Laura with a=0.85). This will be measured by a scale as total scores and mean scores. High total and mean scores indicate better ability and readiness to take care giving responsibilities.
Quality of transition care among survivors and caregivers
时间窗: within 1 month after discharge
Quality of TC will be measured by the Care Transitions Measure (CTM) Tool developed by Eric Coleman. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate better perceived quality of transition care.
Caregiver self-efficacy
时间窗: 6 months after discharge
Caregiver self-efficacy will be measured by the 10-items Family Caregiver Activation Tool (FCAT) developed by Coleman with a=0.6. This will be measured by a scale as total scores and mean scores. High total and mean scores indicate better ability to assist the stroke survivors to follow and adhere to healthy lifestyles and clinic appointment after stroke
次要结局
- Mortality among survivors(6 months after discharge)
- Depression and anxiety among survivors and caregivers(6 months after discharge)
- Care satisfaction among survivors and caregivers(within 1 month after discharge)
- readmission among survivors(6 months after discharge)
- length of hospital stay among survivors(Day 1 after discharge)
研究者
Nyagwaswa Athanas Michael
Principal Investigator
Shandong University