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IRCT20220815055713N1 IRCT 2023-01-29 Bagheiat-allah University of Medical Sciences Investigating the effect of directing and guidance on the level of satisfaction of patients referring to the emergency department Investigating the effect of directing and guidance on the level of satisfaction of patients referring to the emergency department 2023-02-04 anticipated 100 Complete https://irct.ir/trial/65372 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: Sampling of patients will be done by random method and patients referred to emergency triage will be marked using odd and even numbers and will be selected through lottery, so that the first group of patients will be before the implementation of the protocol and the second group of patients will be after implementation of the protocol. Sampling of emergency department nurses included in the study will be done in two times (before and after the implementation of the protocol), Blinding description: Patients and clinical caregivers are not informed about not receiving all the referrals from directing and guidance. N/A Patients referred to the emergency department. Intervention 1: Control group: In the first stage, for the patients who have been selected as research samples, the researcher provides explanations regarding the research and its purpose. After providing the necessary information, those interested volunteers who complete the participation and cooperation consent form in this research plan will enter the research. Candidates are assured of confidentiality. The research participants are asked to complete the questionnaire of this research project, which includes two parts of demographic information and patient satisfaction. Intervention 2: Control group: In the first stage, for the nurses who have been selected as research samples, the researcher provides explanations regarding the research and its purpose. After providing the necessary information, those interested volunteers who complete the consent form to participate and cooperate in this research project will enter the research. Candidates are assured of confidentiality. The research participants are requested to complete the questionnaire of this research plan which includes two parts of demographic information and nurses' satisfaction. Intervention 3: Intervention group: After examining the condition of hospital emergency centers and the methods adopted regarding the guidance and direction of patients as best as possible for the implementation of the research, a protocol to guide and guide patients in the optimal way and in a way that reduces confusion and more awareness and reaches patients as quickly as possible It is implemented to the appropriate hospital emergency services and reducing unnecessary referrals to nurses and personnel and increasing the efficiency and satisfaction of nurses due to reducing unnecessary referrals and increasing satisfaction based on increasing work concentration and less energy wasted on wasted affairs. In the next step, the protocol designed as a pilot will be implemented for four weeks in the emergency department under the supervision of the researcher. In order to implement the protocol, full face-to-face explanations and training regarding the correct implementation of the measures and the purpose of the measures will be announced to the relevant personnel by the researcher. becomes After four weeks of the implementation of the protocol, the demographic and satisfaction questionnaire of the patients will be completed by the participating patients who have received the services explained in the protocol, it should be noted that the patients participating in the research before and after the implementation of the directing and guidance protocol (due to the impossibility of accessing patients participating in the first group after four weeks) will be different. Samples related to patients will be collected by the available method. Questionnaires will be collected and analyzed after the end of the four-week project implementation period. Intervention 4: Intervention group: After examining the condition of hospital emergency centers and the methods adopted regarding the guidance and direction of patients as best as possible for the implementation of the research, a protocol to direct and guide patients in the optimal way and in a way that reduces confusion and more awareness and reaches patients as quickly as possible It is implemented to the appropriate hospital emergency services and reducing unnecessary referrals to nurses and personnel and increasing the efficiency and satisfaction of nurses due to reducing unnecessary referrals and increasing satisfaction based on increasing work concentration and less energy wasted on wasted affairs. In the next step, the protocol designed as a pilot will be implemented for four weeks in the emergency department under the supervision of the researcher. In order to implement the protocol, full face-to-face explanations and training regarding the correct implementation of the measures and the purpose of the measures will be announced to the relevant personnel by the researcher. becomes After four weeks of the implementation of the protocol, the nurses' demographic and satisfaction questionnaire will be completed by the participating nurses who have participated in providing the services explained in the protocol, samples of nurses will be collected by census method. Questionnaires will be collected and analyzed after the end of the four-week project implementation period. Yes - There is a plan to make this available What will be shared: Demographic information and completed questionnaires When: The access period starts 6 months after the results are published To whom: Researchers working in academic and scientific institutions Conditions: Applications with the intention of studying in the health system Where to obtain: Email to mohodaj@gmail.com , the name Mohsen Dajlari How to obtain: After sending the email and clearly presenting the request and the purpose of accessing the information, the response will be done within one working week. Comments:
public Forough Sarhangy
Faculty of Nursing, Baqiyatullah-ul-Azam University of Medical Sciences, South Sheikh Bahai St., Mollasadra St., Vanak Square
Tehran Iran (Islamic Republic of) 1435916471 +98 21 8755 5496 sarhangy@yahoo.com Bagheiat-allah University of Medical Sciences scientific Forough Sarhangy
Faculty of Nursing, Baqiyatullah Al-Azam University of Medical Sciences, South Sheikh Bahai Street, Mulla Sadra Street, Vanak Square
Tehran Iran (Islamic Republic of) 1435916471 +98 21 8755 5496 sarhangy@Yahoo.com Bagheiat-allah University of Medical Sciences Iran (Islamic Republic of) Admission of the patient in the emergency department Having at least basic literacy Informed consent to participate in the study Full consciousness and GCS15 Does not require resuscitation room no limit no limit Both Not willing to cooperate with the treatment team Discharge with personal consent required to Resuscitation operation Reluctance to complete the questionnaire after receiving it Failure to answer more than 20% of the questions in the questionnaire Other Other Other Other Control group: In the first stage, for the patients who have been selected as research samples, the researcher provides explanations regarding the research and its purpose. After providing the necessary information, those interested volunteers who complete the participation and cooperation consent form in this research plan will enter the research. Candidates are assured of confidentiality. The research participants are asked to complete the questionnaire of this research project, which includes two parts of demographic information and patient satisfaction. Control group: In the first stage, for the nurses who have been selected as research samples, the researcher provides explanations regarding the research and its purpose. After providing the necessary information, those interested volunteers who complete the consent form to participate and cooperate in this research project will enter the research. Candidates are assured of confidentiality. The research participants are requested to complete the questionnaire of this research plan which includes two parts of demographic information and nurses' satisfaction. Intervention group: After examining the condition of hospital emergency centers and the methods adopted regarding the guidance and direction of patients as best as possible for the implementation of the research, a protocol to guide and guide patients in the optimal way and in a way that reduces confusion and more awareness and reaches patients as quickly as possible It is implemented to the appropriate hospital emergency services and reducing unnecessary referrals to nurses and personnel and increasing the efficiency and satisfaction of nurses due to reducing unnecessary referrals and increasing satisfaction based on increasing work concentration and less energy wasted on wasted affairs. In the next step, the protocol designed as a pilot will be implemented for four weeks in the emergency department under the supervision of the researcher. In order to implement the protocol, full face-to-face explanations and training regarding the correct implementation of the measures and the purpose of the measures will be announced to the relevant personnel by the researcher. becomes After four weeks of the implementation of the protocol, the demographic and satisfaction questionnaire of the patients will be completed by the participating patients who have received the services explained in the protocol, it should be noted that the patients participating in the research before and after the implementation of the directing and guidance protocol (due to the impossibility of accessing patients participating in the first group after four weeks) will be different. Samples related to patients will be collected by the available method. Questionnaires will be collected and analyzed after the end of the four-week project implementation period. Intervention group: After examining the condition of hospital emergency centers and the methods adopted regarding the guidance and direction of patients as best as possible for the implementation of the research, a protocol to direct and guide patients in the optimal way and in a way that reduces confusion and more awareness and reaches patients as quickly as possible It is implemented to the appropriate hospital emergency services and reducing unnecessary referrals to nurses and personnel and increasing the efficiency and satisfaction of nurses due to reducing unnecessary referrals and increasing satisfaction based on increasing work concentration and less energy wasted on wasted affairs. In the next step, the protocol designed as a pilot will be implemented for four weeks in the emergency department under the supervision of the researcher. In order to implement the protocol, full face-to-face explanations and training regarding the correct implementation of the measures and the purpose of the measures will be announced to the relevant personnel by the researcher. becomes After four weeks of the implementation of the protocol, the nurses' demographic and satisfaction questionnaire will be completed by the participating nurses who have participated in providing the services explained in the protocol, samples of nurses will be collected by census method. Questionnaires will be collected and analyzed after the end of the four-week project implementation period. Level of patient satisfaction based on the score obtained from the patient satisfaction questionnaire. Timepoint: Before and after the implementation of the patient directing and guidance protocol. Method of measurement: To determine the level of patient satisfaction, the patient satisfaction questionnaire of Salami et al. (2016) is used. The questionnaire of patients' satisfaction with hospital services has 26 questions and 3 subscales (technical-professional care, trust and education to the patient) and its purpose is to check the level of patients' satisfaction with the services provided by the hospital. 7 items are related to technical-professional care scale, 13 items are related to trust subscale and 6 items are related to patient education subscale. Each item is rated on a 5-point Likert scale from strongly agree (score 5) to strongly disagree (score 1). 14 items were positive and 12 items were negative and their scores were calculated inversely. The score range is between 26 and 130. A score less than 78 equals dissatisfaction, 78 to 104 equals moderate satisfaction, and 104 and above equals full satisfaction. The reliability of this questionnaire was obtained by Salami et al. (2013) with Cronbach's alpha test of 0.87. The level of nurses' satisfaction based on nurses' job satisfaction questionnaire. Timepoint: Before and after the implementation of the patient directing and guidance protocol. Method of measurement: To determine the level of satisfaction of nurses, Manukian's satisfaction questionnaire (33) related to nurses' job satisfaction is used, including (21 questions), which consists of two parts: internal satisfaction (seven questions) and external satisfaction (14 questions). The basis of this questionnaire is based on the satisfaction scales job satisfaction questionnaire, which in Manukian's study titled "Comparison of job satisfaction of nurses in cancer and maternity departments, three questions were added to the internal satisfaction part and ten questions were added to the external satisfaction part. Answering these questions is based on a six-point rating scale (1-6), where number one indicates the lowest level of satisfaction and number six indicates the highest level of satisfaction. The minimum score for internal satisfaction questions is seven and the maximum score is 42. In terms of external satisfaction, the minimum score is 14 and the maximum is 84, and in the case of overall job satisfaction, the minimum score is 21 and the maximum is 126. Internal and external job satisfaction Total job satisfaction is divided into two levels, high and low, using the average. The average score for internal satisfaction is 24, external job satisfaction is 49, and overall job satisfaction is 74, and high and low levels are determined according to the mentioned numbers. The scientific validity of this questionnaire was done through content validity, and to determine the scientific reliability of the tool, the retest method was used in the research of Khosrovan et al. (2013) and the obtained reliability coefficient was 0.8. Bagheiat-allah University of Medical Sciences Approved 2022-12-26 Research Ethics Committees of Baqiyatallah Hospital Baqiyatullah Al-Azam University of Medical Sciences, South Sheikh Bahai St., Mollasadra St., Vanak Square Tehtan Tehran Iran (Islamic Republic of)