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

Summary

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;

Conditions

• Multimorbidity
• Aged
• Patient Outcome Assessment

Interventions

BEHAVIORAL

Changing the nursing care model to the primary nursing model

The nurses received training in primary nursing care before the start of the intervention. The model was tested and implemented in early April 2022. Since then, all patients admitted to the unit have been assigned to a primary nurse within the first 48 hours. This nurse is responsible for developing and monitoring the patient's care plan, assessing care needs, implementing the care plan and evaluating the outcomes. This nurse is also responsible for coordinating care needs and discharge planning with other healthcare professionals. When the primary nurse is not working, another nurse from his or her team continues the care plan that he or she has defined. All patients admitted to the unit who met the selection criteria were informed about the study and, if they agreed to take part, completed a self-care competence questionnaire at admission (baseline), at discharge and one month after discharge. They also completed a questionnaire on satisfaction with nursing care at discharge.

Sponsors & Collaborators

• Universidade Católica Portuguesa

  collaborator OTHER

• Hospital da Luz, Portugal

  lead OTHER

Principal Investigators

• Elvio Jesus, Professor · Universidade Católica Portuguesa

• Elisabete Nunes, Professor · Nursing School of Lisbon

Study Design

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-04-18

Primary Completion

2023-08-31

Completion

2023-08-31

Countries

• Portugal

Study Locations