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The effect of presence of a welcome nurse on the rate of Left-Without-Being-Seen Patients of emergency department before the emergency physician visit

Protocol summary

Study aim
Determining the effect of presence of a welcome nurse on the rate of Left Without Being Seen Patients of emergency department before the emergency physician visit.
Design
This study is a two-group clinical trial. Based on the lottery, between two public hospitals in the city, one hospital will be selected as the control environment and one hospital as the intervention environment. The sample size in each group is 30 people.
Settings and conduct
In the intervention group, the researcher and the team of colleagues introduced themselves at the entrance of the emergency department as welcoming nurses in Shohada Ashayer Hospital and Shahid Rahimi Hospital and guided them to receive medical services.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Age between 18 to 60 years, Leave the hospital after triage and before the emergency physician visit, Leave the emergency department with self discharge. Exclusion criteria: Not having a diagnosed psycho-cognitive disorder based on the patient's self-expression
Intervention groups
In the control group, people who meet the entry criteria complete the study tools after obtaining informed consent. In the intervention group, if the patient wants to leave the ward before the visit of the specialist doctor, the researcher tries to dissuade the patient and the patient's companion from leaving the hospital by helping to relieve the patient. If, after completing all the measures taken by the researcher, the patient wants to leave the department before the visit of the specialist doctor, after obtaining informed consent, the people who meet the criteria for entering the study are requested to complete the study tools.
Main outcome variables
Satisfaction level, index of discharge from the hospital, Left-Without-Being-Seen patients at emergency department

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20190913044760N1
Registration date: 2022-08-31, 1401/06/09
Registration timing: registered_while_recruiting

Last update: 2022-08-31, 1401/06/09
Update count: 0
Registration date
2022-08-31, 1401/06/09
Registrant information
Name
Zahra Abbbasi Dolatabadi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 6105 4401
Email address
zahra_abasi2000@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-04-04, 1401/01/15
Expected recruitment end date
2022-09-22, 1401/06/31
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of presence of a welcome nurse on the rate of Left-Without-Being-Seen Patients of emergency department before the emergency physician visit
Public title
The effect of a welcome nurse on the rate of Left-Without-Being-Seen Patients of emergency department before the emergency physician visit
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
Age between 18 and 60 years Leave the hospital after triage and before the emergency physician visit Leave the emergency department with self discharge
Exclusion criteria:
Not having a diagnosed psycho-cognitive disorder based on the patient's self-expression
Age
From 18 years old to 60 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, sampling is done in two steps, first by lottery random sampling method, from the emergency department of public hospitals of Lorestan. two hospitals University of Medical Sciences in Khorramabad city. Respectively, as a control group, And the experimental group will be selected. In the next step, patients who leave the emergency department before the emergency physician visit to these two hospitals will enter the study with the inclusion criteria by the available sampling method.
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
Research Ethics Committee of the School of Nursing and Midwifery and the School of Rehabilitation of
Street address
(Eastern Nusrat), Dr. Mirkhani St, Tohid Square.
City
Tehran
Province
Tehran
Postal code
1419733171
Approval date
2022-02-09, 1400/11/20
Ethics committee reference number
IR.TUMS.FNM.REC.1400.198

Health conditions studied

1

Description of health condition studied
Effect of presence of a welcome nurse
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
index of discharge from the hospital, Left-Without-Being-Seen patients at emergency department
Timepoint
before and after the intervention
Method of measurement
The fish card related to personal satisfaction in the emergency department, which includes questions such as the shift to visit the hospital, the length of stay in the hospital, the amount of personal satisfaction in three shifts, the shift leaving the hospital, the reason for personal satisfaction, etc.

Secondary outcomes

1

Description
Level of satisfaction
Timepoint
Before and after the intervention
Method of measurement
A 20-question short scale questionnaire of satisfaction with emergency department services, which includes questions about patients' satisfaction of the emergency department.

Intervention groups

1

Description
Control group: In the hospital designated as the control, patients and their companions are asked to complete the study tools after obtaining informed consent. The above process will continue until the specified sample size is reached.
Category
Behavior

2

Description
Intervention group: In the hospital designated for the intervention, the researcher and his team of colleagues are stationed at the entrance of the emergency department based on the planning done and introduce themselves to the clients of the emergency department in the hospital where the intervention took place, as a welcoming nurse and receive them for medical services. Help. If after triage, for various reasons, the patient intends to leave the emergency department before the doctor's visit and personal consent, the researcher acts as a welcoming nurse and tries to help solve the problem or explain the steps. Which should be done to dissuade the patient and his patient from leaving the hospital. If the patient and his companions want to leave the ward before visiting the specialist, after obtaining informed consent, people with inclusion criteria will be asked to complete the study tools.
Category
Behavior

Recruitment centers

1

Recruitment center
Name of recruitment center
Shahid Rahimi Hospital
Full name of responsible person
Mohammad, Hajipour
Street address
Not reaching the Safavi Bridge, Mojahedin-e Islam Mosque, Azadi Square.
City
Khorramabad
Province
Lorestan
Postal code
6813816314
Phone
+98 66 3333 6141
Email
info@RahimiHospital.ir

2

Recruitment center
Name of recruitment center
Shohada-ye Ashayer Hospital
Full name of responsible person
Mohammad, Hajipour
Street address
Enghelab, St.
City
Khorramabad
Province
Lorestan
Postal code
6811111111
Phone
+98 66 3323 6401
Email
shohadahospital@lums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Dr.Mohamadali Sahraiean
Street address
Sixth floor, Vice Chancellor for Research and Technology, Central University Organization, corner of Quds Street, Keshavarz Boulevard.
City
Tehran
Province
Tehran
Postal code
1419733171
Phone
+98 21 8163 3698
Email
vcr@tums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mohammad, Hajipour
Position
Masters student
Latest degree
Bachelor
Other areas of specialty/work
Medical Surgical Nursing
Street address
Naser khosro street
City
Khorramabad
Province
Lorestan
Postal code
6816967945
Phone
+98 66 3320 0104
Email
mohammadhajipour8131@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Zahra Abasi Dolatabadi
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Disaster Health Management and Emergency Nursing
Street address
Mirkhani Blvd
City
Tehran
Province
Tehran
Postal code
1419733171
Phone
+98 21 6105 4329
Email
zahra_abasi2000@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Mohammad, Hajipour
Position
master student
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Naser khosro street
City
Khorramabad
Province
Lorestan
Postal code
6816967945
Phone
+98 66 3320 0104
Email
mohammadhajipour8131@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All unidentifiable data can be provided if required
When the data will become available and for how long
Access period starts 6 months after the results are published
To whom data/document is available
All researchers working in scientific institutes and universities who send requests
Under which criteria data/document could be used
The data can be used in accordance with copyright law and for further research in this field
From where data/document is obtainable
Send email to Mr. Mohammad Hajipour at mohammadhajipour8131@yahoo.com
What processes are involved for a request to access data/document
After reviewing the application and the applicant's conditions, if approved, the data will be sent within a month.
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