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| Name | Class |
|---|---|
| Universidade Católica Portuguesa | OTHER |
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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:
Participants:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Changing the nursing care model to the primary nursing model | Experimental | Inpatient unit where the primary nursing model has been implemented. |
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| Standard of care | No Intervention | 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. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Changing the nursing care model to the primary nursing model | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Average global self-care score at discharge from inpatient unit | Evaluated by the difference in response to the Therapeutic Self-Care Scale on admission and discharge from the unit. It is a 12-question Likert scale with a minimum score of zero (0) and a maximum score of five (5), with higher scores corresponding to better results. Average response scores are used. | On the day of discharge from the inpatient unit, assessment up to 24 hours later. |
| Average global self-care score at follow-up | Evaluated by the difference between the response to the Therapeutic Self-Care Scale at discharge and at follow-up. Also assessed by the difference between the response to the Therapeutic Self-Care Scale at admission and at follow-up. Therapeutic Self-Care Scale is a 12-question Likert scale with a minimum score of zero (0) and a maximum score of five (5), with higher scores corresponding to better results. Average response scores are used. | At the follow-up 30 days after hospital discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Average score for satisfaction with nursing care at discharge from inpatient unit | Assessed by answering the Citizen Satisfaction with Nursing Care Scale at discharge from the unit. This is a 47-question Likert scale with a minimum score of one (1) and a maximum of seven (7), with higher scores corresponding to better results. Average and total response scores are used. | On the day of discharge from the inpatient unit, assessment up to 24 hours later. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elvio Jesus, Professor | Universidade Católica Portuguesa | Study Director |
| Elisabete Nunes, Professor | Nursing School of Lisbon | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital da LUz | Lisbon | 2745-849 | Portugal |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41095543 | Derived | Goncalves I, Almeida S, Jesus E, Nunes E. Effect of the Primary Nursing Model on Self-Care Skills of Hospitalized Older Patients with Multimorbidity: A Quasi-Experimental Study. Healthcare (Basel). 2025 Sep 27;13(19):2457. doi: 10.3390/healthcare13192457. |
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Only IPD used in the results publication
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In the hospital where the study was carried out, each nurse is responsible for the whole care of a group of people on one working day and may or may not be given responsibility for the same people on subsequent days (individualized care model). An intervention was proposed in an inpatient unit consisting of implementing the model of organizing care by primary nursing in which a nurse is responsible for the care plan for a group of people from admission to discharge from the unit.
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