The Relationship of Nurse Caring Communication Engagement and Patient's Satisfaction With Readmission Rates
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 140
- 试验地点
- 1
- 主要终点
- Nurse Caring Behaviors (Patient-Perceived)
研究概览
简要总结
The overall goal will be to explore the effectiveness of caring communication coaching with the implementation of a discharge tool in the acute care setting and its impact on the nurse-patient relationship. Integrating communication strategies through a caring lens with an educational tool will seek to address the missing components that satisfy patient care experience, satisfaction with care, prevention of complications, reduction of readmission rates, and improved outcomes. This study will evaluate how these interventions can narrow the gap in the literature and enhance the quality of patient care which can ultimately improve health outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non 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
- 是
入选标准
- •Patient inclusion criteria
- •18 years or older; inpatient admission to the hospital.
- •Speak, read, write, and understand English. Nurse inclusion criteria
- •Works at Baptist Health South Florida hospital system and provides direct bedside patient care.
- •Have an active Florida Nurses license.
- •Registered Nurse (AA, BSN, MSN).
排除标准
- •The exclusion criteria are:
- •Patient Exclusion criteria
- •Hospice and psych patients.
- •Unable to commit to the interview. Nurse Exclusion criteria
- •1. Director, managers, charge nurse/relief charge nurse.
- •Nurses floated to the unit
- •Unable to commit to the interview.
研究组 & 干预措施
Communication Coaching + S.M.A.R.T. Discharge Tool
Nurses in this group will receive caring communication coaching (2 CEUs) and implement the S.M.A.R.T. discharge tool. Outcomes will be assessed at T0, T1 (4 weeks), and T2 (1 month post-T1).
干预措施: Communication Coaching (Other)
Communication Coaching + S.M.A.R.T. Discharge Tool
Nurses in this group will receive caring communication coaching (2 CEUs) and implement the S.M.A.R.T. discharge tool. Outcomes will be assessed at T0, T1 (4 weeks), and T2 (1 month post-T1).
干预措施: Implement S.M.A.R.T. Discharge Tool (Behavioral)
Control Group
Nurses in this group will continue standard discharge practices without coaching or the S.M.A.R.T. tool. Outcomes will be assessed at the same time points (T0, T1, T2).
结局指标
主要结局
Nurse Caring Behaviors (Patient-Perceived)
时间窗: 2 months
Assessed using a validated patient questionnaire, the five-item Watson's Caritas of Human Caring (WCHC) - At discharge (T0), and follow-ups at T1 and T2
Sustained Change in Nurses' Caring Communication Skills (Self-Reported)
时间窗: 2 months
Measured using a nurse self-report 18-item survey, the Health Professionals Skills Scale (HP-CSS). Change in nurse scores between T0, T1, and T2 to evaluate long-term impact. - From baseline to 1 month post-intervention (T0 to T2)
次要结局
- 30-day Hospital Readmission Rate(2 months)