Objective: Investigation of the effect of ICU liaison nursing service on ICU discharged patients' physical and psychological status in rajaee hospital
Study design: Interventional or randomized clinical trial Method
Study population:
Inclusion criteria: Ability to communicate either verbally or non-verbally; The first admission in ICU; Having been hospitalized in ICU for at least 72 hours; Not having the history of critical physical diseases and known psychological disorders before being hospitalized in ICU. Exclusion criteria: Being transferred to another hospital; Being transferred to the ward on Friday or between 8 P.M. and 8 A.M.
Sample size: Based on the previous studies, a 208-subject sample size (104 subjects in each group) was determined for the study.
Intervention:
According to the studies conducted on the issue, ICU liaison nurses act in 4 fields including training and supporting the wards nurses regarding the patients’ care requirements, creating relationship between the ward and ICU and preparing the two units for the transfer process, training and physically and emotionally supporting the patients, and training and supporting the patients’ families.
Time of the intervention: From the moment the patient was transferred to the ward. In this way, ICU liaison nurse interventions will be performed in the intervention group and the results will be compared to the control group in definite intervals.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2013053013523N1
Registration date:2013-08-26, 1392/06/04
Registration timing:registered_while_recruiting
Last update:
Update count:0
Registration date
2013-08-26, 1392/06/04
Registrant information
Name
Tahereh Ghahramani
Name of organization / entity
Shiraz University of Medical Sciences - Fatemeh Nursing and Midwifery College
Country
Iran (Islamic Republic of)
Phone
+98 71 1647 4254
Email address
ghahramant@sums.ac.ir
Recruitment status
Recruitment complete
Funding source
Shiraz University of Medical Sciences
Expected recruitment start date
2013-06-22, 1392/04/01
Expected recruitment end date
2013-12-22, 1392/10/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The Impacts of Liaison Nurse Services on ICU Discharged Patients' Physical and Psychological Status in Rajaee Hospital – Shiraz - 2013
Public title
The Impacts of Liaison Nurse Services on ICU Discharged Patients' Physical and Psychological Status
Purpose
Supportive
Inclusion/Exclusion criteria
The inclusion criteria of the study: Age above 18 years; willingness to take part in the study; Ability to communicate either verbally or non-verbally; The first admission in ICU; Having been in ICU for at least 72 hours; Not having the history of critical physical diseases and known psychological disorders before being hospitalized in ICU.
The exclusion criteria of the study: Unwillingness to cooperate or disruption of the patient’s cooperation for any reason; Being transferred to another hospital; Being transferred to the ward on Friday or between 8 P.M. and 8 A.M.
Age
From 18 years old to 100 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
208
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Shiraz Univesity of Medical Sciences
Street address
Shiraz Univesity of Medical Sciences, Zand st, Shiraz
City
Shiraz
Postal code
13119–71936
Approval date
2013-04-21, 1392/02/01
Ethics committee reference number
CT-92-6525
Health conditions studied
1
Description of health condition studied
circulatory and respiratory status
ICD-10 code
R00-R09
ICD-10 code description
Symptoms and signs involving the circulatory and respiratory systems
Primary outcomes
1
Description
Physical status
Timepoint
Time of transfer and 24 and 72 hours after being transferred to the ward.
Method of measurement
According to MEWS(Modified early warning score)- Measurment of vital sign- Document return ( readmission ) to icu - Document death and etc .
2
Description
Psychological status
Timepoint
Time of transfer and 24 and 72 hours after being transferred to the ward.
Method of measurement
Hospital Anxiety and Depression Scale ( HADS )
Secondary outcomes
1
Description
Return ( readmission ) to icu
Timepoint
24 and 72 hours after being transferred to the ward.
Method of measurement
Return ( readmission ) to icu and not return
Intervention groups
1
Description
In this study, the patients in the intervention group are visited by the ICU liaison nurse at least once a day, the necessary interventions will be performed, and their physical as well as mental status will be recorded. Based on the studies conducted on the issue, an ICU liaison nurse acts in 4 fields as follows:
1. Training the ward nurses regarding the patients’ care requirements and supporting them. In this regard, The nurse will be informed about the process of patient care in ICU
The patient’s body systems, such as the respiratory, cardiovascular, nervous, and gastrointestinal systems, will be reviewed by the responsible nurse, the nurse will be trained regarding the patient’s needs in the ward, and the essential points will be put in the patient’s kardex in form of a pamphlet.
The medicines that will be given to the patient in the ward will be reviewed with the responsible nurse.
The liaison nurse’s phone number will be given to the ward nurses to contact her/him if necessary.
2. Creating relationship between the ward and ICU and preparing the two units for the transfer process:
Informing the ICU nurses about the ward facilities
Encouraging the ICU nurses to give complete and clear reports about the patients to the responsible nurses of the ward
Preparing appropriate room, bed, and facilities in the ward for the patients discharged from ICU before and after they are transferred to the ward
Trying to inform the ward personnel regarding the patients’ transfer and status at least 2-3 hours before the transfer. Also, attempts should be made to avoid patient transfer at inconvenient hours.
3. Training and physically and psychologically supporting the patients:
Obtaining the patients’ reports of psychical and mental status during ICU stay and reviewing their records at the beginning of the intervention
Explaining the reason for transfer, the facilities, and the number of ward personnel to the patients
Physically and emotionally supporting the patients since they are informed about being discharged
ICU liaison nurse visiting the patients every day, assessing their physical and mental status, and providing them with the necessary care
Training the patients to care about themselves both physically and mentally
4. Training and supporting the patients’ families:
Providing the patient’s family with the information about his/her transfer to the ward as well as the ward facilities
Explaining the patient’s present status and improvement process to his/her family
Training the families regarding supporting the patients in the ward to decrease both the patients’ and the families’ stress
Category
Other
2
Description
On the other hand, the control group patients are transferred to the ward with no interventions. Then, their physical and mental status will be investigated and recorded at the time of transfer and 24 and 72 hours after being transferred to the ward.
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Rajaee Martyr Hospital
Full name of responsible person
Marzieh Momennasab ( PHD of Nursing - assistant professor)