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Improving Coordination and Transitions of Care in Stroke Patients

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University of Pennsylvania

Status

Completed

Conditions

Stroke
Transient Ischemic Attack

Treatments

Other: Nursing care model

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

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.

Enrollment

670 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

670 participants in 2 patient groups

Attending nurse model
Other group
Description:
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.
Treatment:
Other: Nursing care model
Conventional inpatient nursing care
No Intervention group
Description:
Standard of care nursing care patients receive while inpatient

Trial documents
1

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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