Hospital Readmissions, Perceptions of Caring
Conditions
Brief summary
The overall goal will be to explore the effectiveness of caring communication coaching with the implementation of a discharge tool in the acute care setting and its impact on the nurse-patient relationship. Integrating communication strategies through a caring lens with an educational tool will seek to address the missing components that satisfy patient care experience, satisfaction with care, prevention of complications, reduction of readmission rates, and improved outcomes. This study will evaluate how these interventions can narrow the gap in the literature and enhance the quality of patient care which can ultimately improve health outcomes.
Interventions
Nurses in this group will receive caring communication coaching (2 CEUs).
BEHAVIORALImplement S.M.A.R.T. Discharge Tool
Implement the S.M.A.R.T. discharge tool.
Sponsors
Baptist Health South Florida
Florida Atlantic University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Patient inclusion criteria 1. 18 years or older; inpatient admission to the hospital. 2. Speak, read, write, and understand English. Nurse inclusion criteria 1. Works at Baptist Health South Florida hospital system and provides direct bedside patient care. 2. Have an active Florida Nurses license. 3. Registered Nurse (AA, BSN, MSN).
Exclusion criteria
The
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Nurse Caring Behaviors (Patient-Perceived) | 2 months | Assessed using a validated patient questionnaire, the five-item Watson's Caritas of Human Caring (WCHC) - At discharge (T0), and follow-ups at T1 and T2 |
| Sustained Change in Nurses' Caring Communication Skills (Self-Reported) | 2 months | Measured using a nurse self-report 18-item survey, the Health Professionals Skills Scale (HP-CSS). Change in nurse scores between T0, T1, and T2 to evaluate long-term impact. - From baseline to 1 month post-intervention (T0 to T2) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30-day Hospital Readmission Rate | 2 months | Overall monthly readmission rates (frequency) for the departments included in the study - 30-day readmission is defined as a patient who is re-admitted to the hospital within 30 days or less from their last hospital discharge date. |
Countries
United States
Outcome results
None listed