Nurse-Patient RelationsNCT05446844
A Nurse Caring Behavior Protocol on Postoperative Cardiac Patient Satisfaction
A study testing A nurse caring behavior protocol and Routine nursing care in people with Nurse-Patient Relations and Patient Satisfaction, run by Alexandria University at 1 site in Egypt.
Trial summary
the study aimed to evaluate the impact of implementing a nurse caring behavior (NCB) protocol on postoperative cardiac patient satisfaction. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Nurse-Patient Relations, Patient Satisfaction, Caring
- What is being tested?
- A nurse caring behavior protocol and Routine nursing care
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Oct 2019to 1 May 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Underwent cardiac surgery.
Who cannot join
- Unstable hemodynamics (systolic blood pressure less than 90).
- Uncontrolled dysrhythmias.
- Hemorrhage.
- Uncontrolled diabetes mellitus.
- Chronic respiratory diseases.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Impact of Implementing a Nurse Caring Behavior Protocol on Postoperative Cardiac Patient Satisfaction: A Randomized Controlled Trial
the study aimed to evaluate the impact of implementing a nurse caring behavior (NCB) protocol on postoperative cardiac patient satisfaction.
Read the detailed description
Critical care nurses need to comply with caring behaviors when caring for postoperative cardiac patients. Furthermore, patient satisfaction is a key indicator of nursing care quality. As such, this study focused on these critical issues considering the limited research available on the impact of caring behaviors on postoperative cardiac patient satisfaction. The study aimed to evaluate the impact of implementing a nurse caring behavior protocol on postoperative cardiac patient satisfaction. The study was conducted at a cardiac surgery intensive care unit of Alexandria Main University Hospital, Egypt. Sixty adults, conscious cardiac surgery patients, were included during the first 2 days following surgery. Patients were randomly assigned to either a control group, which received routine nursing care, or a protocol group, which received nursing care based on nurse care behaviors protocol through a simple randomization method. One tool was used "Postoperative Cardiac Patient Satisfaction with Nurse Caring Behaviors Evaluation Questionnaire". At the end of the second day, patients were asked regarding their satisfaction with the nursing care received based on caring behaviors. These nursing care included intensive care unit admission and orientation processes, physical care, psychological care, and social interaction between patient and nurse, providing health teaching, and maintaining a safe healing environment.
- Conditions
- Nurse-Patient Relations, Patient Satisfaction, Caring
- Being tested
- A nurse caring behavior protocol, Routine nursing care
- Keywords
- Cardiac patient, Nurse caring behaviors, Satisfaction
- Medical subject headings
- Patient Satisfaction, Personal Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
A nurse caring behavior protocolOther
Nursing interventions based on caring behaviors protocol was provided as follows:
- Caring behaviors during ICU admission and orientation processes included orienting patients to time, place, and person.
- Caring behaviors during physical care informing patients regarding the purpose and expected duration of mechanical ventilator use.
- Caring behaviors during psychological care included offering religious sound meditation.
- Caring behaviors during social interaction included maintaining eye contact during nurse-patient interaction.
- Caring behaviors during health teaching included providing health teaching for patients.
- Caring behaviors during maintaining a safe healing environment included providing patients with an explanation regarding nursing activities.
Routine nursing careOther
Routine nursing care was concentrated mainly on hard skills of physically demanding care such as monitoring vital signs.
| Study group | Role | What they receive |
|---|---|---|
| A protocol group | Experimental | A protocol group received a nurse caring behavior protocol by the researcher Receives: Other: A nurse caring behavior protocol |
| A control group | Active comparator | A control group received routine nursing care by the staff nurse Receives: Other: Routine nursing care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient satisfaction with Intensive care unit admission and orientation processes based on caring behaviors questionnaire:
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to admission and orientation process such as (Nurses welcoming and identify themselves to the patients, Orientation provided by the nurse regarding time, place, and person and Orientation provided by the nurse regarding nursing activities that will be done). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Measured: At the end of the second postoperative day
Patient satisfaction with physical care based on caring behaviors questionnaire:
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to physical care which was provided to the patients such as (The manner at which nurses talk to patients, The ability of nurses to establish realistic goals, Responding to patient complaints, Nurse's helpfulness Nurses' availability, Praising the patients for performing activities). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Measured: At the end of the second postoperative day
Patient satisfaction with psychological care based on caring behaviors questionnaire.
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to psychological care which was provided to the patients such as (Dealing with patients and providing enthusiasm, Level of confidentiality that nurses provided to patients, Always repeating statements that instilled hope). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Measured: At the end of the second postoperative day
Patient satisfaction with social interaction based on caring behaviors questionnaire.
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to social interaction between patient and nurse such as (Duration of time nurses' spent with patients, Maintaining a cheerful disposition, Making patients feel at home, Nurse's ability to provide verbal reassurance, Nurse's ability to use the eye-to-eye contact with the patient). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Measured: At the end of the second postoperative day
Patient satisfaction with health teaching based on caring behaviors questionnaire.
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to health teaching which was provided to the patients such as (Information provided by the nurse regarding diagnosis, your rights, and treatment plan, Information provided by the nurse regarding postoperative activity, Information provided by the nurse regarding diagnostic procedures, Feasibility and clearness of the information provided by the nurse, Time at which the nurse provided information was enough and suitable for the patient). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Measured: At the end of the second postoperative day
Patient satisfaction with maintaining a safe healing environment based on caring behaviors questionnaire
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to maintaining a safe healing environment such as (Availability of comfort measures, such as lighting, noise control, and adequate blankets, Cleanliness and ventilation of the intensive care unit, Adequacy of sleeping time, Keeping patients away from unpleasant scenes, Availability glasses, hearing aids, and familiar objects). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Measured: At the end of the second postoperative day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2022
- Study start1 Oct 2019
- Primary completion1 May 2020
- Study completion1 May 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Nurse-Patient RelationsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alexandria University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Suad Elsaman, Alexandria University
- Investigators
- Alexandria University, Study chair, Faculty of Nursing, Alexandria University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05446844
- Sponsor's protocol ID
- Patient satisfaction
- Status last verified
- Jul 2022
- First submitted
- 22 Jun 2022
- Last updated
- 7 Jul 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Hickey PL, Angus PW, McLean AJ, Morgan DJ. Oxygen supplementation restores theophylline clearance to normal in cirrhotic rats. Gastroenterology. 1995 May;108(5):1504-9. doi: 10.1016/0016-5085(95)90700-9.
PubMed 7729643Salimi S, Tarbiat S. Predictors and priority of caring behaviours in intensive care units. Nurs Crit Care. 2021 Nov;26(6):523-530. doi: 10.1111/nicc.12590. Epub 2021 Jan 25.
PubMed 33496010Karabey T. Reflection of nurses' moral intelligence levels on care behaviors. Perspect Psychiatr Care. 2022 Oct;58(4):1622-1631. doi: 10.1111/ppc.12970. Epub 2021 Nov 24.
PubMed 34820855
Study at a glance
From the registry record, last updated by the sponsor on 7 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Implementing a Nurse Caring Behavior Protocol on Postoperative Cardiac Patient Satisfaction: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05446844
- Acronym / sponsor ID
- Patient satisfaction
- Conditions
- Nurse-Patient Relations, Patient Satisfaction, Caring
- Keywords
- Cardiac patient, Nurse caring behaviors, Satisfaction
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Alexandria UniversityUniversity, hospital or other
- Study start
- 1 Oct 2019 (actual)
- Primary completion
- 1 May 2020 (actual)
- Study completion
- 1 May 2020 (actual)
- First posted
- 7 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
the study aimed to evaluate the impact of implementing a nurse caring behavior (NCB) protocol on postoperative cardiac patient satisfaction.
Detailed description
Critical care nurses need to comply with caring behaviors when caring for postoperative cardiac patients. Furthermore, patient satisfaction is a key indicator of nursing care quality. As such, this study focused on these critical issues considering the limited research available on the impact of caring behaviors on postoperative cardiac patient satisfaction. The study aimed to evaluate the impact of implementing a nurse caring behavior protocol on postoperative cardiac patient satisfaction. The study was conducted at a cardiac surgery intensive care unit of Alexandria Main University Hospital, Egypt. Sixty adults, conscious cardiac surgery patients, were included during the first 2 days following surgery. Patients were randomly assigned to either a control group, which received routine nursing care, or a protocol group, which received nursing care based on nurse care behaviors protocol through a simple randomization method. One tool was used "Postoperative Cardiac Patient Satisfaction with Nurse Caring Behaviors Evaluation Questionnaire". At the end of the second day, patients were asked regarding their satisfaction with the nursing care received based on caring behaviors. These nursing care included intensive care unit admission and orientation processes, physical care, psychological care, and social interaction between patient and nurse, providing health teaching, and maintaining a safe healing environment.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A protocol group | Experimental | Other: A nurse caring behavior protocolA protocol group received a nurse caring behavior protocol by the researcher |
| A control group | Active comparator | Other: Routine nursing careA control group received routine nursing care by the staff nurse |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Underwent cardiac surgery.
Key exclusion criteria (5 listed)
- Unstable hemodynamics (systolic blood pressure less than 90).
- Uncontrolled dysrhythmias.
- Hemorrhage.
- Uncontrolled diabetes mellitus.
- Chronic respiratory diseases.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| A nurse caring behavior protocolNursing interventions based on caring behaviors protocol was provided as follows: * Caring behaviors during ICU admission and orientation processes included orienting patients to time, place, and person. * Caring behaviors during physical care informing patients regarding the purpose and expected duration of mechanical ventilator use. * Caring behaviors during psychological care included offering religious sound meditation. * Caring behaviors during social interaction included maintaining eye contact during nurse-patient interaction. * Caring behaviors during health teaching included providing health teaching for patients. * Caring behaviors during maintaining a safe healing environment included providing patients with an explanation regarding nursing activities. | Other | A protocol group |
| Routine nursing careRoutine nursing care was concentrated mainly on hard skills of physically demanding care such as monitoring vital signs. | Other | A control group |
Primary outcome
Patient satisfaction with Intensive care unit admission and orientation processes based on caring behaviors questionnaire:
Time frame: At the end of the second postoperative day
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to admission and orientation process such as (Nurses welcoming and identify themselves to the patients, Orientation provided by the nurse regarding time, place, and person and Orientation provided by the nurse regarding nursing activities that will be done). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Patient satisfaction with physical care based on caring behaviors questionnaire:
Time frame: At the end of the second postoperative day
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to physical care which was provided to the patients such as (The manner at which nurses talk to patients, The ability of nurses to establish realistic goals, Responding to patient complaints, Nurse's helpfulness Nurses' availability, Praising the patients for performing activities). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Patient satisfaction with psychological care based on caring behaviors questionnaire.
Time frame: At the end of the second postoperative day
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to psychological care which was provided to the patients such as (Dealing with patients and providing enthusiasm, Level of confidentiality that nurses provided to patients, Always repeating statements that instilled hope). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Patient satisfaction with social interaction based on caring behaviors questionnaire.
Time frame: At the end of the second postoperative day
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to social interaction between patient and nurse such as (Duration of time nurses' spent with patients, Maintaining a cheerful disposition, Making patients feel at home, Nurse's ability to provide verbal reassurance, Nurse's ability to use the eye-to-eye contact with the patient). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Patient satisfaction with health teaching based on caring behaviors questionnaire.
Time frame: At the end of the second postoperative day
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to health teaching which was provided to the patients such as (Information provided by the nurse regarding diagnosis, your rights, and treatment plan, Information provided by the nurse regarding postoperative activity, Information provided by the nurse regarding diagnostic procedures, Feasibility and clearness of the information provided by the nurse, Time at which the nurse provided information was enough and suitable for the patient). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Patient satisfaction with maintaining a safe healing environment based on caring behaviors questionnaire
Time frame: At the end of the second postoperative day
The questionnaire includes statement items on nursing interventions based on nurse caring behaviors related to maintaining a safe healing environment such as (Availability of comfort measures, such as lighting, noise control, and adequate blankets, Cleanliness and ventilation of the intensive care unit, Adequacy of sleeping time, Keeping patients away from unpleasant scenes, Availability glasses, hearing aids, and familiar objects). Each statement item was rated on a dichotomous scale of (satisfied, dissatisfied) after the researcher asked the patients to report whether they were satisfied with the care provided. Each statement item was scored as follows: satisfied = 1 and dissatisfied = 0.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jul 2022.
- Background: PubMed 7729643Hickey PL, Angus PW, McLean AJ, Morgan DJ. Oxygen supplementation restores theophylline clearance to normal in cirrhotic rats. Gastroenterology. 1995 May;108(5):1504-9. doi: 10.1016/0016-5085(95)90700-9.
- Background: PubMed 33496010Salimi S, Tarbiat S. Predictors and priority of caring behaviours in intensive care units. Nurs Crit Care. 2021 Nov;26(6):523-530. doi: 10.1111/nicc.12590. Epub 2021 Jan 25.
- Background: PubMed 34820855Karabey T. Reflection of nurses' moral intelligence levels on care behaviors. Perspect Psychiatr Care. 2022 Oct;58(4):1622-1631. doi: 10.1111/ppc.12970. Epub 2021 Nov 24.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Alexandria University study chair
Faculty of Nursing, Alexandria University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing A nurse caring behavior protocol and Routine nursing care in people with Nurse-Patient Relations and Patient Satisfaction, run by Alexandria University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patient satisfaction with Intensive care unit admission and orientation processes based on caring behaviors questionnaire: (time frame: At the end of the second postoperative day). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05446844, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jul 2022.