Exploration of New Nursing Models for Urological Surgery

NCT05980741 | Completed

• 1 other identifier: TJ-IRB20220940
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Patients undergoing urological surgery often need to be provided with targeted nursing care to ensure that the therapeutic effects can be fully realized, however, the traditional nursing cannot reach the expect effect.both patient outcome and nurse satisfaction have been reported with high levels of dissatisfaction in the traditional nursing. Therefore, exploring a new, patient-centered and effective nursing mode is needed. In 2010, the Chinese Ministry of Health proposed a project named the High-Quality Care Project to improve nurse and patient outcomes through the transformation of the nursing care delivery system in hospitals. This study aims to compare the new nursing model and the traditional nursing, and to explore a more effective nursing model for urological surgery.

Conditions

Urological Nursing

Keywords

High-quality nursing, Primary nursing, Roy Adaptation Model, Urological surgery

Outcome Measures

Primary Outcomes (6)

• Patients' quality of life after surgery

  the 36-Item Short Form Health Survey (SF-36)

  3 months

• Patient satisfaction

  The patient satisfaction was evaluated by means of an adapted version of Press-Ganey PS scores, which included physician-specific questions and hospital performance questions

  3 months

• Postoperative complications

  Postoperative complications include hemorrhage, infection, and anuria

  3 months

• The postoperative time to flatus

  postoperative recovery 1

  1 month

• the time for first bowel movement

  postoperative recovery 2

  1 month

• the length of hospital stay

  postoperative recovery 3

  1 month

Study Arms (4)

control group

NO INTERVENTION

Traditional nursing services are provided to the control group, based on functional nursing. The nurses in the ward are assigned to complete different tasks according to their responsibilities, technical knowledge and skills. These tasks are including carrying out health education to the patients, introducing the admission guidelines and ward conditions, informing patients of basic knowledge on diseases, treatment, and nursing, monitoring patient vital signs and so on. The basic medical inspection and care are conducted appropriately. The patients are instructed on the compliance and precautions required during the perioperative period. The wound and drainage are checked regularly after the operation.

study group High-quality nursing

EXPERIMENTAL

High-quality nursing is provided to the study group based on primary nursing. Nurses in primary nursing take responsibility for the total care of a patient and are accountable for his/her care over 24 h a day from the patient's admission to discharge. In this case, nurses have more time to communicate with patients and to establish the nurse-patient relationship. In addition, high-quality nursing offers effective nursing measures to patients in terms of multiple aspects and dimensions through planning patient-centered nursing care, strengthening the perioperative nursing since admission, and fully implementing the nursing responsibility system.

Procedure: high-quality nursing

study group Clinical Care Pathway

EXPERIMENTAL

The clinical care pathway will be implemented immediately after admission. With the patient as the center of the nursing intervention, a flowable form is chosen to ensure that patients could receive effective nursing interventions throughout the entire hospitalization from the day of admission to the final discharge. In addition to primary care, the present program also unifies the management of nursing resources with the establishment of a highly qualified and professionally competent nursing team. The team members would cooperate with each other and give full play to their respective initiatives, with the common goal of improving the quality of care. The severity of illness, psychological status, and family and social environment in each patient differ, so individualized care plans are developed for each case.

Procedure: Clinical Care Pathway

study group Roy Adaptation Model

EXPERIMENTAL

the Roy Adaptation Model (RAM) offers a comprehensive framework to guide nursing care for patients with chronic diseases. The RAM group receives standard care supplemented with interventions based on the RAM model. Negative emotions measured by the Hospital Anxiety and Depression Scale (HADS), pain intensity by the Visual Analog Scale (VAS), and HRQoL by the 36-Item Short Form Health Survey (SF-36) are measured at the preoperative visit (T0), at 30 days (T1), and at 3 months of (T2) follow-up.

Procedure: Roy Adaptation Model

Interventions

high-quality nursing PROCEDURE

High-quality nursing

Also known as: primary nursing

study group High-quality nursing

Clinical Care Pathway PROCEDURE

Clinical Care Pathway

study group Clinical Care Pathway

Roy Adaptation Model PROCEDURE

Roy Adaptation Model

study group Roy Adaptation Model

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• patients with a definite diagnosis of urological disease confirmed by pathological examination or imaging;
• patients with definite surgical indications;
• patients with complete follow-up information.

You may not qualify if:

• patients with hepatic or renal dysfunction or serious organic lesions in other organs;
• patients with associated lymph node and distant metastases;
• patients who withdrew during the study;
• patients with incomplete case and follow-up data.

Sponsors & Collaborators

• YaNi Peng: lead

Study Sites (1)

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430030, China

Location

MeSH Terms

Interventions

Primary Nursing

Intervention Hierarchy (Ancestors)

Nursing Care; Health Services; Health Care Facilities Workforce and Services

Study Officials

• E-Jun Peng, Dr.

  Tong Ji Hospital, Tong Medical College, Huazhong University of Science and Technology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Model Details: High-quality nursing will be provided to the study group based on primary nursing

Study Record Dates

• First Submitted: July 19, 2023
• First Posted: August 8, 2023
• Study Start: January 1, 2020
• Primary Completion: January 31, 2023
• Study Completion: May 31, 2023
• Last Updated: August 8, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)