Facilitation of hospital to home transition after a visit to the ER Not Applicable Facilitation of hospital to home transition
Conditions
Interventions
All eligible patients will meet with the research nurse after discharge care. Then, the study will be presented to the patient. After informed consent, the participants will be randomly assigned to th
Sponsors
Montreal Heart Institute (MHI) Research Centre (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Male and female aged 18 years old or more presenting both of the following repeated visits to the ER criterion: 1.1. Taking six medications or more a day 1.2. Having made one visit or more to the cardiologic ER in the last 12 months 2. Visiting the ER for an unplanned visit (i.e. not coming to the ER on a planned basis, e.g. to receive a laboratory or diagnosis procedure result) 3. Being discharged from the ER directly to their home 4. Having the physical and cognitive capacities to answer a written questionnaire and to communicate by telephone 5. Being able to communicate in French or in English
Exclusion criteria
Exclusion criteria: 1. Having already another nursing follow-up in the 10 days following discharge (e.g. from another research project or from a specialised clinic) to avoid duplication of the nursing interventions being provided to the patient 2. Having already been recruited in the study in a precedent visit to the cardiologic ER
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 'Return to ER: the occurrence of any visits to the cardiologic ER in the month following randomisation. This will be measured using the hospital patient's registry. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes will be measured at baseline and one month following randomisation by a telephone interview and are as followed: 1. Health care continuity using the Heart Continuity of Care Questionnaire (HCCQ), a 41-item questionnaire using a 5 points Likert scale (score 1 to 5, 1 = strongly disagree, 5 = strongly agree) measuring the patients' perception of continuity of care in regard to eight different dimensions. A higher score indicate a better continuity of care process according to the patient. 2. Patient's self-care management using the Therapeutic Self-Care Tool (TSCT), a 12-item questionnaire using a 5 points Likert scale (score 0 to 5, 0 = not at all, 5 = very much so) measuring the patients' ability to initiate and perform activities aiming at maintaining health, managing health problems and restoring functioning. A higher score indicate better self-care capacities in the patient. 3. Medication adherence scale using the Self-Reported Medication-Taking Scale (SR-MTS), a 4-item questionnaire using a dichotomous (yes or no) scale measuring patients' adherence to prescribed medication. A higher score indicate a poorer adherence to medication. 4. Patients' perception of control over the disease and of its consequences using three subscales of the Illness Perception Questionnaire - Revised (IPQ-R), a 38-item questionnaire using a 5 points Likert scale (score 1 to 5, 1 = totally agree, 5 = totally disagree) measuring the patients' perception of his disease. The three subscales used are: 4.1. Consequences (6 items) 4.2. Personal control (6 items) 4.3. Treatment control (5 items) Higher scores on the consequences subscale represent strongly held beliefs about the negative consequences of the disease. Higher scores on the control subscales represent positive beliefs about the controllability of the illness. 5. Anxiety and depressing feelings using the Hospital Anxiety and Depression Scale (HADS), a 14-item questionnaire using a 4 points ordinal rating | — |
Countries
Canada
Outcome results
None listed