Improving Coordination and Transitions of Care for Stroke Patients With an Attending Nurse: a Comparative Effectiveness Single Center Study Comparing Models of Nursing Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 670
- 试验地点
- 1
- 主要终点
- Stroke Patient Education Retention Tool
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
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
- •> 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
排除标准
- •Pregnancy
- •Comfort or hospice care
- •Severe dementia prior to stroke
- •Non-communicative and have no family/social support
研究组 & 干预措施
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.
干预措施: Nursing care model (Other)
Conventional inpatient nursing care
Standard of care nursing care patients receive while inpatient
结局指标
主要结局
Stroke Patient Education Retention Tool
时间窗: 90 days
measures patient knowledge about stroke
Medication Compliance
时间窗: 90 Days
medication adherence measurement
次要结局
未报告次要终点