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NCT Number: NCT05980741

Exploration of New Nursing Models for Urological Surgery

Patients undergoing urological surgery often need to be provided with targeted nursing care to ensure that the therapeutic effects can be fully realized, however, the traditional nursing cannot reach the expect effect.both patient outcome and nurse satisfaction have been reported with high levels of dissatisfaction in the traditional nursing. Therefore, exploring a new, patient-centered and effective nursing mode is needed. In 2010, the Chinese Ministry of Health proposed a project named the High-Quality Care Project to improve nurse and patient outcomes through the transformation of the nursing care delivery system in hospitals. This study aims to compare the new nursing model and the traditional nursing, and to explore a more effective nursing model for urological surgery.

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Key information

Conditions

Urological Nursing

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430030, China

About this study

Patients who underwent urological disease diagnosed and treated in our department were included in this study. The patients were randomly divided into two groups through the random number table method, with a 1:1 ratio. The control group received traditional urological care. The study group comprised 3 subgroups, and each subgroup received different nursing model. All the three new nursing models, including high-quality nursing (primary nursing), Clinical care pathway, and Roy adaptation model.were given to the subgroups respectively.

High-quality nursing refers to effective nursing measures in multiple aspects and dimensions, provided to patients according to their actual conditions by centering on the patients throughout their ongoing treatment, strengthening the primary nursing care, and fully implementing the nursing responsibility including managing complications and providing long-term support and information, to ensure patient satisfaction and to improve the patient's quality of life. Clinical care pathway includes multidisciplinary care plans that provides detailed guidelines for patients with specific clinical problems, and the Roy adaptation model (RAM), proposed by nursing scientist Sister Callista Roy in 1970, offers a comprehensive framework to guide nursing care for patients with chronic diseases.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • patients with a definite diagnosis of urological disease confirmed by pathological examination or imaging;
  • patients with definite surgical indications;
  • patients with complete follow-up information.

Exclusion criteria

  • patients with hepatic or renal dysfunction or serious organic lesions in other organs;
  • patients with associated lymph node and distant metastases;
  • patients who withdrew during the study;
  • patients with incomplete case and follow-up data.

Treatment and study plan

high-quality nursing

Procedure

High-quality nursing

Other names: primary nursing

Clinical Care Pathway

Procedure

Clinical Care Pathway

Roy Adaptation Model

Procedure

Roy Adaptation Model

Primary outcomes

  1. Patients' quality of life after surgery

    Time frame: 3 months

    the 36-Item Short Form Health Survey (SF-36)

  2. Patient satisfaction

    Time frame: 3 months

    The patient satisfaction was evaluated by means of an adapted version of Press-Ganey PS scores, which included physician-specific questions and hospital performance questions

  3. Postoperative complications

    Time frame: 3 months

    Postoperative complications include hemorrhage, infection, and anuria

  4. The postoperative time to flatus

    Time frame: 1 month

    postoperative recovery 1

  5. the time for first bowel movement

    Time frame: 1 month

    postoperative recovery 2

  6. the length of hospital stay

    Time frame: 1 month

    postoperative recovery 3

Sponsors and collaborators

Lead sponsor

YaNi Peng

Other

Registry information

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Aug 8, 2023
Registry last updated
Aug 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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