Nursing Model and Health Outcomes of Elderly People with Multimorbidity: a Quasi-experimental Study

Hospital da Luz, Portugal

Status: Completed

Conditions: Multimorbidity; Aged; Patient Outcome Assessment

Treatments: Behavioral: Changing the nursing care model to the primary nursing model

Study type: Interventional

Funder types: Other

Identifiers

NCT06702150

CES/01/2022/ME

Details and patient eligibility

About

The goal of this quasi-experimental study is to analyze the effect of organizing nursing care according to the primary nursing model on therapeutic self-care and satisfaction with nursing care for elderly people with multimorbidity in hospital. Participants were patients of both sexes aged over 65 years with at least two chronic diseases admitted to an acute hospital ward. The main questions it aims to answer are:

• Does the use of the primary nursing model increase participants' perceived ability for therapeutic self-care?
• Does the use of the primary care model increase participants' satisfaction with nursing care? The researchers are comparing whether implementing the primary nursing model with the usual care model increases patients' capacity for therapeutic self-care.

Participants:

• Complete a self-care skills questionnaire on admission to the inpatient unit;
• Complete the same self-care questionnaire on discharge from hospital;
• Complete the same self-care questionnaire by telephone one month after discharge from hospital
• Complete a nursing care satisfaction questionnaire on discharge from hospital;

Full description

The self-care skills questionnaire used was the Therapeutic Self-care Scale (TSC), translated and validated for the Portuguese population.

The questionnaire used to assess satisfaction with care was the Scale of Citizen Satisfaction with Care (ESCCE), validated for the Portuguese population.

Enrollment: 206 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Have at least two chronic diseases
• Have at least one disease classified in the International Classification of Diseases, Ninth Revision (ICD9) and belonging to one of the following groups: cardiovascular disease, cancer, chronic obstructive pulmonary disease and diabetes;
• Expect to be hospitalised for more than 48 hours;
• Have the cognitive ability to read, write and understand the information provided;
• Speak, read and write Portuguese.

Exclusion criteria

• Transfer to other levels of care within the organisation
• Discharged to other care units outside the organisation
• Episodes of readmission within 30 days of leaving hospital, as this made the last moment of data collection impossible.

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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206 participants in 2 patient groups

Changing the nursing care model to the primary nursing model

Experimental group

Description:

Inpatient unit where the primary nursing model has been implemented.

Treatment:

Behavioral: Changing the nursing care model to the primary nursing model

Standard of care

No Intervention group

Description:

In this unit there was no change in the model of nursing care; the model used was the individualized care model. In this model, each nurse is responsible for the whole care of a group of patients on one working day and may or may not be given responsibility for the same patients on subsequent days. The patients who agreed to participate in the study completed the same questionnaires and at the same frequency as the patients in the intervention unit.