The Patient's First Point of Contact
ConditionNurse-Patient Relations
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Boras
About this trial
The overall objective of this observational study is to investigate practices of communication and decision-making during nurses' initial assessment of patients' health problems in primary care, examine working mechanisms in good practices and develop feasible solutions.
The specific aims are:
1. To investigate patients' expectations and experiences with the communication and decision-making during their first contact with a registered nurse (RN) in primary care. 2. To investigate patient-RN communication on the level of patient involvement. 3. To investigate RNs' actual communication, assessments and decision-making, value conflicts and the challenges and strategies they use in prioritizing. 4. To analyse the underlying working mechanisms of good communication practices. 5. To develop methodologies for facilitating efficient processes in assessing, managing, and prioritizing patients in primary care for RNs.
Project PINPOINT aims for a prospective multicenter study, using various methods for data collection and analysis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Registered Nurses at primary care centres and patients seeking primary care for a new health concern or a new episode of a problem
Disqualifiers
Patients visiting the primary care nurse with a chronic or continuous health problem
Trial population
Audio-recorded observations from a purposive sample of 150 patient-nurse consultations, including 30 nurses and 150 patients will be recruited at primary care centres in three different geographic areas of the southwest of Sweden.
Trial design
Design model
Other
Time perspective
Prospective
Treatments tested in this trial
Observations to investigate the current practices of communication and decision-making during Nurse-patient consultations
Other interventionNo intervention
Treatment groups
No treatment groups listed
Trial outcomes
Primary outcomes
1
Patient-reported expectations and experiences of the communication during consultations
Data will be gathered with the following questionaries: QUOTE-COMM, QUality Of care Through the patients' Eyes, and The COOP/WONCA, measuring functional health status. The QUOTE-COMM is used to gather patient reported data on expectations and experiences of communication aspects during consultations. At baseline the importance of (expectations) of various communication aspects are rated, and after experiences from the consultation, to evaluate to what extent RNs met patients' expectation. The COOP/WONCA is used at baseline to measure health status.
Time frame
At baseline (day 1), after visit (day 1) and at 2-4 weeks2
Communication processes and patient involvement as observed during consultations
Data will be gathered with audio recordings during real time consulltations. The observations with audio recordings will be coded with OPTION5, observing patient involvement in decision making, and the Verona Coding definition of emotional sequences, VR-CoDES. The OPTION5 scale is a reliable and valid instrument for investigating patient involvement in decision making. The Verona Coding Definitions on Emotional Sequences (VR-CoDES) is a reliable and valid instrument for coding of sequences of communication involving negative emotions, e.g., elicitations and expressions of patient cues and concerns, and RNs responses.
Time frame
Day 1.Secondary outcomes
1
Assessment and decision-making processes, and related priorities and value conflicts - from observations and RN experiences
Data will be gathered with observations with audio recordings and interviews, and analysed with qualitative methods to gain insights on assessments and decision-making processes during consultations, and related priorities and value conflicts
Time frame
Through study completion, an average of 1 yearSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Boras
Lead sponsor
Mälardalen University
Collaborator
Netherlands Instititute for Health Services Research
Collaborator
Vastra Gotaland Region
Collaborator
Source ClinicalTrials.gov