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Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial

BACKGROUND: Since January 2022, a primary nursing system called process-responsible nursing (PP) has substituted the standard room care system in an intensive care unit (ICU) at our institution. The process of the development and implementation of PP is already being evaluated in a separate study as...

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Autores principales: Krüger, Lars, Mannebach, Thomas, Zittermann, Armin, Wefer, Franziska, von Dossow, Vera, Rojas Hernandez, Sebastian, Gummert, Jan, Langer, Gero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160145/
https://www.ncbi.nlm.nih.gov/pubmed/36971803
http://dx.doi.org/10.1007/s00063-023-00998-w
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author Krüger, Lars
Mannebach, Thomas
Zittermann, Armin
Wefer, Franziska
von Dossow, Vera
Rojas Hernandez, Sebastian
Gummert, Jan
Langer, Gero
author_facet Krüger, Lars
Mannebach, Thomas
Zittermann, Armin
Wefer, Franziska
von Dossow, Vera
Rojas Hernandez, Sebastian
Gummert, Jan
Langer, Gero
author_sort Krüger, Lars
collection PubMed
description BACKGROUND: Since January 2022, a primary nursing system called process-responsible nursing (PP) has substituted the standard room care system in an intensive care unit (ICU) at our institution. The process of the development and implementation of PP is already being evaluated in a separate study as an actual analysis prior to implementation, as well as after 6 and 12 months. AIM: This pilot randomized controlled trial (RCT) aims to test the feasibility of an RCT. For this purpose, the duration of delirium, among other things, will be compared in the project ICU with the results of standard care in another ICU at the university hospital. As secondary aims, the incidence of delirium, anxiety, the satisfaction of relatives, and the effects of PP on nurses will be assessed. METHODS: It is planned to recruit about 400–500 patients over a period of one year. They will be allocated to PP or standard care. Delirium will be assessed using the Confusion Assessment Method for Intensive Care Units by specifically trained nurses three times a day. Anxiety in patients, the satisfaction of relatives, and the effects of PP on nurses will be evaluated using the numeric rating scale, a standardized questionnaire, and a focus group interview, respectively. EXPECTED RESULTS: The primary hypothesis is that compared to usual care PP reduces the duration of delirium by at least 8 h. Additional hypotheses are that PP reduces anxiety in patients and increases the satisfaction of relatives. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s00063-023-00998-w) includes the SPIRIT 2013 Checklist.
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spelling pubmed-101601452023-05-06 Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial Krüger, Lars Mannebach, Thomas Zittermann, Armin Wefer, Franziska von Dossow, Vera Rojas Hernandez, Sebastian Gummert, Jan Langer, Gero Med Klin Intensivmed Notfmed Studienprotokolle BACKGROUND: Since January 2022, a primary nursing system called process-responsible nursing (PP) has substituted the standard room care system in an intensive care unit (ICU) at our institution. The process of the development and implementation of PP is already being evaluated in a separate study as an actual analysis prior to implementation, as well as after 6 and 12 months. AIM: This pilot randomized controlled trial (RCT) aims to test the feasibility of an RCT. For this purpose, the duration of delirium, among other things, will be compared in the project ICU with the results of standard care in another ICU at the university hospital. As secondary aims, the incidence of delirium, anxiety, the satisfaction of relatives, and the effects of PP on nurses will be assessed. METHODS: It is planned to recruit about 400–500 patients over a period of one year. They will be allocated to PP or standard care. Delirium will be assessed using the Confusion Assessment Method for Intensive Care Units by specifically trained nurses three times a day. Anxiety in patients, the satisfaction of relatives, and the effects of PP on nurses will be evaluated using the numeric rating scale, a standardized questionnaire, and a focus group interview, respectively. EXPECTED RESULTS: The primary hypothesis is that compared to usual care PP reduces the duration of delirium by at least 8 h. Additional hypotheses are that PP reduces anxiety in patients and increases the satisfaction of relatives. SUPPLEMENTARY INFORMATION: The online version of this article (10.1007/s00063-023-00998-w) includes the SPIRIT 2013 Checklist. Springer Medizin 2023-03-27 2023 /pmc/articles/PMC10160145/ /pubmed/36971803 http://dx.doi.org/10.1007/s00063-023-00998-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Studienprotokolle
Krüger, Lars
Mannebach, Thomas
Zittermann, Armin
Wefer, Franziska
von Dossow, Vera
Rojas Hernandez, Sebastian
Gummert, Jan
Langer, Gero
Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial
title Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial
title_full Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial
title_fullStr Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial
title_full_unstemmed Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial
title_short Patient-related effects of primary nursing: Protocol of a pilot randomized controlled trial
title_sort patient-related effects of primary nursing: protocol of a pilot randomized controlled trial
topic Studienprotokolle
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160145/
https://www.ncbi.nlm.nih.gov/pubmed/36971803
http://dx.doi.org/10.1007/s00063-023-00998-w
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