An interventional study of Nursing care model in Stroke and Transient Ischemic Attack, sponsored by University of Pennsylvania. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-23.
Sponsored by University of Pennsylvania · Not applicable, Interventional, and Health services research
This study will examine if the attending nurse model will enhance critical patient-centered elements of care that will in turn improve patient education and shared decision-making, medication adherence, stroke-related health literacy, and reduce early readmissions to ultimately yield improved patient quality of life. Our primary objective is to determine whether the attending nurse model of care improves stroke patients' health at 7 days, 30 days, and 90 days after hospital discharge as assessed through questionnaires.
7,286 studies on the registry are indexed under Stroke; 2,013 are open to participants now.
This study's enrollment of 670 is above the median of 50 across 5,366 interventional studies indexed under Stroke.
Browse Stroke studies →University of Pennsylvania is the lead sponsor of 1,635 studies on the registry; 239 are open to participants now.
Of its 154 completed or terminated interventional studies of FDA-regulated products, 104 (68%) have results posted.
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Exclusion Criteria:
The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds.
Other: Nursing care model
Standard of care nursing care patients receive while inpatient
Subjects will be randomized into either the attending nursing model of care vs the standard nursing model
Stroke Patient Education Retention Tool
measures patient knowledge about stroke
Time frame: 90 days
Medication Compliance
medication adherence measurement
Time frame: 90 Days
| Milestone | Attending Nurse Model | Conventional Inpatient Nursing Care |
|---|---|---|
| Started | 278 | 392 |
| Completed | 129 | 169 |
| Not completed | 149 | 223 |
measures patient knowledge about stroke
| Participants | Attending Nurse Model | Conventional Inpatient Nursing Care |
|---|---|---|
| Good | 49 | 52 |
| Bad | 29 | 38 |
medication adherence measurement
| Participants | Attending Nurse Model | Conventional Inpatient Nursing Care |
|---|---|---|
| Adherent | 53 | 67 |
| Non-adherent | 29 | 27 |
Collected over Up to 90 days after admission. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Attending Nurse Model | 0/129 (0%) | 0/129 (0%) | 0/129 (0%) |
| Conventional Inpatient Nursing Care | 0/169 (0%) | 0/169 (0%) | 0/169 (0%) |
| Age, Continuous(years) | Attending Nurse Model | Conventional Inpatient Nursing Care | Total |
|---|---|---|---|
| Mean | 63 ± 15 | 63 ± 16 | 63 ± 16 |
| Sex: Female, Male(Participants) | Attending Nurse Model | Conventional Inpatient Nursing Care | Total |
|---|---|---|---|
| Female | 54 | 78 | 132 |
| Male | 75 | 91 | 166 |
| Race/Ethnicity, Customized(Participants) | Attending Nurse Model | Conventional Inpatient Nursing Care | Total |
|---|---|---|---|
| White, Non-Hispanic | 51 | 74 | 125 |
| White, Hispanic | 2 | 3 | 5 |
| African American, Non-Hispanic | 57 | 57 | 114 |
| Asian | 2 | 5 | 7 |
| Other | 16 | 23 | 39 |
| Missing | 1 | 7 | 8 |
| Region of Enrollment(participants) | Attending Nurse Model | Conventional Inpatient Nursing Care | Total |
|---|---|---|---|
| United States | 129 | 169 | 298 |
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