Negotiation.
Conditions
Interventions
Intervention 1: Intervention group: The Intervention group, the researcher conducts individual, face-to-face negotiations with the patients in the intervention group. Each negotiation session lasts 10
Sponsors
Birjand University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: The patient has voluntary and informed consent to participate in the study. The patient does not have hearing, vision, or speech impairments that would hinder communication. The patient is aged over 18 years. The patient has sufficient level of consciousness and ability to communicate verbally. The patient has the ability to speak Persian and does not have a specific accent or language. Patients who are in one of the following situations: Patients who may face challenges in pain management, follow-up care, or lifestyle changes. Patients with low health literacy. Patients with conditions involving decisions sensitive to preferences (when there are multiple reasonable treatment options and shared decision-making is involved). Patients who have doubts or concerns about the risks or benefits of medications. Patients who have differences of opinion with the care team about their care plan and are uncertain about decisions to continue their treatment.
Exclusion criteria
Exclusion criteria: Disinclination or withdrawal at any stage. The emergence of acute emergency conditions that prevent continued participation (e.g., ICU admission, CPR, emergency surgery, etc.) Incomplete questionnaire completion. Cognitive or communication impairment that is discovered during assessment and affects data quality.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-advocacy score in the Brashers questionnaire. Timepoint: Measurement of self-advocacy upon admission to the emergency department and again prior to the patient's discharge. Method of measurement: Brashers Self-Advocacy Questionnaire.;Nurse trust score in the Radwin and Cabral questionnaire. Timepoint: Measurement of trust in the nurse upon admission to the emergency department and again prior to the patient's discharge. Method of measurement: Radwin and Cabral Nurse Trust Questionnaire.;Patient experience score in the Picker questionnaire. Timepoint: Measurement of patient experience upon admission to the emergency department and again prior to the patient's discharge. Method of measurement: Picker Patient Experience Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactYeganeh Salehi
Birjand University of Medical Sciences
Outcome results
None listed