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NCT Number: NCT06067672

The Patient's First Point of Contact

The overall objective of this observational study is to investigate practices of communication and decision-making during nurses' initial assessment of patients' health problems in primary care, examine working mechanisms in good practices and develop feasible solutions.

The specific aims are:

1. To investigate patients' expectations and experiences with the communication and decision-making during their first contact with a registered nurse (RN) in primary care. 2. To investigate patient-RN communication on the level of patient involvement. 3. To investigate RNs' actual communication, assessments and decision-making, value conflicts and the challenges and strategies they use in prioritizing. 4. To analyse the underlying working mechanisms of good communication practices. 5. To develop methodologies for facilitating efficient processes in assessing, managing, and prioritizing patients in primary care for RNs.

Project PINPOINT aims for a prospective multicenter study, using various methods for data collection and analysis.

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Key information

Conditions

Nurse-Patient Relations Behavior Communication

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Borås

Borås, 50190, Sweden

Location status: Recruiting

Location contact

Annelie Sundler, Professor

CONTACT

[email protected]

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Registered Nurses at primary care centres and patients seeking primary care for a new health concern or a new episode of a problem

Exclusion criteria

  • Patients visiting the primary care nurse with a chronic or continuous health problem

Treatment and study plan

Observations to investigate the current practices of communication and decision-making during Nurse-patient consultations

Other

No intervention

Primary outcomes

  1. Patient-reported expectations and experiences of the communication during consultations

    Time frame: At baseline (day 1), after visit (day 1) and at 2-4 weeks

    Data will be gathered with the following questionaries: QUOTE-COMM, QUality Of care Through the patients' Eyes, and The COOP/WONCA, measuring functional health status. The QUOTE-COMM is used to gather patient reported data on expectations and experiences of communication aspects during consultations. At baseline the importance of (expectations) of various communication aspects are rated, and after experiences from the consultation, to evaluate to what extent RNs met patients' expectation. The COOP/WONCA is used at baseline to measure health status.

  2. Communication processes and patient involvement as observed during consultations

    Time frame: Day 1.

    Data will be gathered with audio recordings during real time consulltations. The observations with audio recordings will be coded with OPTION5, observing patient involvement in decision making, and the Verona Coding definition of emotional sequences, VR-CoDES. The OPTION5 scale is a reliable and valid instrument for investigating patient involvement in decision making. The Verona Coding Definitions on Emotional Sequences (VR-CoDES) is a reliable and valid instrument for coding of sequences of communication involving negative emotions, e.g., elicitations and expressions of patient cues and concerns, and RNs responses.

Secondary outcomes

  1. Assessment and decision-making processes, and related priorities and value conflicts - from observations and RN experiences

    Time frame: Through study completion, an average of 1 year

    Data will be gathered with observations with audio recordings and interviews, and analysed with qualitative methods to gain insights on assessments and decision-making processes during consultations, and related priorities and value conflicts

Study contacts

Contact information is provided by the study sponsor or research team.

Annelie Sundler, Professor

CONTACT

[email protected]

+4633 4354000

Sponsors and collaborators

Lead sponsor

University of Boras

Other

Collaborators

  • Mälardalen University
  • Netherlands Instititute for Health Services Research
  • Vastra Gotaland Region

Registry information

Official study title

The Patient's First Point of Contact (PINPOINT) - Protocol of a Prospective Multicentre Study of Communication and Decision-making During Patient Assessments by Primary Care Practice Nurses

Acronym: PINPOINT

Important dates

Study start
2023
Primary completion
2027
Study completion
2027
First posted
Oct 5, 2023
Registry last updated
Oct 5, 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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