Nursing Care Delivery ModelPRIMARY-NURSENCT07474922
Effect of the Primary Nursing Model on Nurse and Patient Outcomes
A study testing Primary Nursing Care Delivery Model in people with Nursing Care Delivery Model, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial summary
The aim of this study was to determine the effects of the primary nursing model on nurse and patient outcomes. In the study, primary nursing education was provided to the nurses in the experimental group, and the primary nursing model was implemented in the clinics where they worked. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Nursing Care Delivery Model
- What is being tested?
- Primary Nursing Care Delivery Model
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,305 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Apr 2022to 31 Oct 2022
- 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 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
None listed.
Who cannot join
- Nurses working in administrative or managerial positions
- Nurses who are on leave during the data collection period
- Nurses who do not consent to participate in the study
- Patient Participants Inclusion Criteria
- Patients hospitalized in the intervention and control units
- Patients aged 18 years and older
Show all 11Show fewer
- Patients who are able to communicate and respond to the questionnaire
- Patients who voluntarily agree to participate in the study
- Patients with severe cognitive impairment or communication problems
- Patients who are discharged before the data collection process is completed
- Patients who do not consent to participate in the study
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
İstanbul Kanuni Sultan Süleyman Education and Research Hospital
Istanbul, Küçükçekmece, 34303
About this study
Official title: The Effect of Implementing the Primary Nursing Model on Nurse and Patient Outcomes: A Quasi-Experimental Study
The aim of this study was to determine the effects of the primary nursing model on nurse and patient outcomes. In the study, primary nursing education was provided to the nurses in the experimental group, and the primary nursing model was implemented in the clinics where they worked. Evaluations were conducted with nurses and patients before the implementation and at the third and sixth months after the implementation.
The study aimed to evaluate the effects of the primary nursing model on missed nursing care, nurses' job satisfaction, nurses' roles and competencies, and patient satisfaction with nursing care.
Read more
Hypotheses of the study:
H1-1: There is a significant difference between the evaluations of nurses in the experimental group regarding missed nursing care before the primary nursing implementation and at the 3rd and 6th months after the implementation.
H1-2: There is a significant difference between the job satisfaction evaluations of nurses in the experimental group before the implementation and at the 3rd and 6th months after the implementation.
H1-3: There is a significant difference between the role and competency evaluations of nurses in the experimental group before the implementation and at the 3rd and 6th months after the implementation.
H1-4: There is a significant difference between the evaluations of patients receiving care from nurses in the experimental group regarding missed nursing care before the implementation and at the 3rd and 6th months after the implementation.
H1-5: There is a significant difference between the evaluations of patients receiving care from nurses in the experimental group regarding satisfaction with nursing care before the implementation and at the 3rd and 6th months after the implementation.
Read the detailed description
Nursing care services constitute one of the fundamental components of health services. Organizing nursing care effectively in hospitals and ensuring continuous care for patients are essential responsibilities of nursing management. Nursing care delivery methods provide a framework for organizing and assigning nursing responsibilities in clinical settings. These methods are closely related to organizational philosophy, nursing management approaches, available resources, and the structure of healthcare services.
Various nursing care delivery models have been developed over time to improve the quality and continuity of nursing care. Traditional nursing care delivery models include total patient care, functional nursing, team nursing, and primary nursing. Among these approaches, the primary nursing model emphasizes accountability, continuity of care, and professional autonomy of nurses.
The primary nursing model assigns a primary nurse to each patient, who is responsible for planning, coordinating, and evaluating the patient's care throughout the hospitalization period. This model promotes continuity of care, improves communication within the healthcare team, and supports nurses' professional autonomy and responsibility. Previous studies have suggested that the primary nursing model may improve nurse-related outcomes such as job satisfaction, role clarity, and professional competence, as well as patient-related outcomes such as satisfaction with nursing care and reduced missed nursing care.
Despite the potential benefits of the primary nursing model, there are limited studies examining its effects in clinical settings, particularly in national healthcare systems. Therefore, evaluating the impact of this nursing care delivery model is important for improving nursing care quality and organizational outcomes.
This study examined the effects of implementing the primary nursing model on nurse and patient outcomes using a quasi-experimental research design. The primary nursing model was implemented in the experimental group units, while the control group continued with the existing nursing care delivery method. Data were collected from nurses and patients before the implementation and at the third and sixth months after the implementation. The study evaluated the effects of the primary nursing model on missed nursing care, nurses' job satisfaction, nurses' roles and competencies, and patient satisfaction with nursing care.
- Conditions
- Nursing Care Delivery Model
- Being tested
- Primary Nursing Care Delivery Model
- Keywords
- Primary Nursing, Missed Nursing Care, Nurse Job Satisfaction, Patient Satisfaction, Nursing Care Delivery
- Medical subject headings
- Patient Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Primary Nursing Care Delivery ModelBehavioural
Nurses in the experimental group will receive education on the primary nursing care delivery model. Following the training, the primary nursing method will be implemented in the participating clinical units for six months.
| Study group | Role | What they receive |
|---|---|---|
| Experimental group nurses | Experimental | Nurses in the experimental group will receive training on the primary nursing care delivery model and will implement the primary nursing method in their clinical units during the study period. Receives: Behavioral: Primary Nursing Care Delivery Model |
| Usual Nursing Care | No intervention | Nurses in the control group will continue providing care using the existing nursing care delivery method without implementation of the primary nursing model. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Missed Nursing Care measured by the MISSCARE Survey
Missed nursing care will be assessed among nurses working in the intervention and control units using the MISSCARE Survey to evaluate the impact of the primary nursing care delivery model.
Measured: Baseline, 3 months, and 6 months after implementation
Nurse Job Satisfaction measured by the Clinical Nurses Job Satisfaction Scale
Nurse job satisfaction levels will be assessed among nurses working in the intervention and control units using the Clinical Nurses Job Satisfaction Scale.
Measured: Baseline, 3 months, and 6 months after implementation
Patient Satisfaction with Nursing Care measured by the Newcastle Satisfaction with Nursing Care Scale
Patient satisfaction with nursing care will be assessed among hospitalized patients in the intervention and control units using the Newcastle Satisfaction with Nursing Care Scale.
Measured: Baseline, 3 months, and 6 months after implementation
Nurse Role and Competency measured by the Nurses' Role and Competency Scale
Nurses' professional roles and competencies will be assessed among nurses working in the intervention and control units using the Nurses' Role and Competency Scale.
Measured: Baseline, 3 months, and 6 months after implementation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Mar 2026
- Study start1 Apr 2022
- Primary completion31 Oct 2022
- Study completion31 Oct 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing Care Delivery ModelStudies of the same condition, open and under way.
- More trials run by Istanbul University - CerrahpasaThe sponsor's other registered studies.
- 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
- Health services research
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- In this quasi-experimental study, primary nursing education was provided to nurses in the experimental group and the primary nursing model was implemented in the clinics where they worked. The control group continued with the existing nursing care delivery system. Evaluations were conducted with nurses and patients before the implementation and at the third and sixth months after the implementation.
- Masking
- None (open label)
- Enrolment
- 1,305 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Demet Yurtsever, Istanbul University - Cerrahpasa
- Investigators
- Demet Yurtsever, RN, PhD, Principal investigator, Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Turkey
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07474922
- Sponsor's protocol ID
- IUC-PN-2024
- Acronym
- PRIMARY-NURSE
- Status last verified
- Mar 2026
- First submitted
- 11 Mar 2026
- Last updated
- 16 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Implementing the Primary Nursing Model on Nurse and Patient Outcomes: A Quasi-Experimental Study
- ClinicalTrials.gov ID
- NCT07474922
- Acronym / sponsor ID
- PRIMARY-NURSE / IUC-PN-2024
- Conditions
- Nursing Care Delivery Model
- Keywords
- Primary Nursing, Missed Nursing Care, Nurse Job Satisfaction, Patient Satisfaction, Nursing Care Delivery
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,305 participants (actual)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 1 Apr 2022 (actual)
- Primary completion
- 31 Oct 2022 (actual)
- Study completion
- 31 Oct 2022 (actual)
- First posted
- 16 Mar 2026 (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 aim of this study was to determine the effects of the primary nursing model on nurse and patient outcomes. In the study, primary nursing education was provided to the nurses in the experimental group, and the primary nursing model was implemented in the clinics where they worked. Evaluations were conducted with nurses and patients before the implementation and at the third and sixth months after the implementation.
The study aimed to evaluate the effects of the primary nursing model on missed nursing care, nurses' job satisfaction, nurses' roles and competencies, and patient satisfaction with nursing care.
Hypotheses of the study:
H1-1: There is a significant difference between the evaluations of nurses in the experimental group regarding missed nursing care before the primary nursing implementation and at the 3rd and 6th months after the implementation.
H1-2: There is a significant difference between the job satisfaction evaluations of nurses in the experimental group before the implementation and at the 3rd and 6th months after the implementation.
H1-3: There is a significant difference between the role and competency evaluations of nurses in the experimental group before the implementation and at the 3rd and 6th months after the implementation.
H1-4: There is a significant difference between the evaluations of patients receiving care from nurses in the experimental group regarding missed nursing care before the implementation and at the 3rd and 6th months after the implementation.
H1-5: There is a significant difference between the evaluations of patients receiving care from nurses in the experimental group regarding satisfaction with nursing care before the implementation and at the 3rd and 6th months after the implementation.
Detailed description
Nursing care services constitute one of the fundamental components of health services. Organizing nursing care effectively in hospitals and ensuring continuous care for patients are essential responsibilities of nursing management. Nursing care delivery methods provide a framework for organizing and assigning nursing responsibilities in clinical settings. These methods are closely related to organizational philosophy, nursing management approaches, available resources, and the structure of healthcare services.
Various nursing care delivery models have been developed over time to improve the quality and continuity of nursing care. Traditional nursing care delivery models include total patient care, functional nursing, team nursing, and primary nursing. Among these approaches, the primary nursing model emphasizes accountability, continuity of care, and professional autonomy of nurses.
The primary nursing model assigns a primary nurse to each patient, who is responsible for planning, coordinating, and evaluating the patient's care throughout the hospitalization period. This model promotes continuity of care, improves communication within the healthcare team, and supports nurses' professional autonomy and responsibility. Previous studies have suggested that the primary nursing model may improve nurse-related outcomes such as job satisfaction, role clarity, and professional competence, as well as patient-related outcomes such as satisfaction with nursing care and reduced missed nursing care.
Despite the potential benefits of the primary nursing model, there are limited studies examining its effects in clinical settings, particularly in national healthcare systems. Therefore, evaluating the impact of this nursing care delivery model is important for improving nursing care quality and organizational outcomes.
This study examined the effects of implementing the primary nursing model on nurse and patient outcomes using a quasi-experimental research design. The primary nursing model was implemented in the experimental group units, while the control group continued with the existing nursing care delivery method. Data were collected from nurses and patients before the implementation and at the third and sixth months after the implementation. The study evaluated the effects of the primary nursing model on missed nursing care, nurses' job satisfaction, nurses' roles and competencies, and patient satisfaction with nursing care.
Study design
- Primary purpose
- Health services research
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- In this quasi-experimental study, primary nursing education was provided to nurses in the experimental group and the primary nursing model was implemented in the clinics where they worked. The control group continued with the existing nursing care delivery system. Evaluations were conducted with nurses and patients before the implementation and at the third and sixth months after the implementation.
| Arm | Type | Receives |
|---|---|---|
| Experimental group nurses | Experimental | Behavioral: Primary Nursing Care Delivery ModelNurses in the experimental group will receive training on the primary nursing care delivery model and will implement the primary nursing method in their clinical units during the study period. |
| Usual Nursing Care | No intervention | –Nurses in the control group will continue providing care using the existing nursing care delivery method without implementation of the primary nursing model. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (11 listed)
- Nurses working in administrative or managerial positions
- Nurses who are on leave during the data collection period
- Nurses who do not consent to participate in the study
- Patient Participants Inclusion Criteria
- Patients hospitalized in the intervention and control units
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 |
|---|---|---|
| Primary Nursing Care Delivery ModelNurses in the experimental group will receive education on the primary nursing care delivery model. Following the training, the primary nursing method will be implemented in the participating clinical units for six months. | Behavioural | Experimental group nurses |
Primary outcome
Missed Nursing Care measured by the MISSCARE Survey
Time frame: Baseline, 3 months, and 6 months after implementation
Missed nursing care will be assessed among nurses working in the intervention and control units using the MISSCARE Survey to evaluate the impact of the primary nursing care delivery model.
Nurse Job Satisfaction measured by the Clinical Nurses Job Satisfaction Scale
Time frame: Baseline, 3 months, and 6 months after implementation
Nurse job satisfaction levels will be assessed among nurses working in the intervention and control units using the Clinical Nurses Job Satisfaction Scale.
Patient Satisfaction with Nursing Care measured by the Newcastle Satisfaction with Nursing Care Scale
Time frame: Baseline, 3 months, and 6 months after implementation
Patient satisfaction with nursing care will be assessed among hospitalized patients in the intervention and control units using the Newcastle Satisfaction with Nursing Care Scale.
Nurse Role and Competency measured by the Nurses' Role and Competency Scale
Time frame: Baseline, 3 months, and 6 months after implementation
Nurses' professional roles and competencies will be assessed among nurses working in the intervention and control units using the Nurses' Role and Competency Scale.
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 16 Mar 2026.
- 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.
Demet Yurtsever, RN, PhD principal investigator
Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Turkey
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Primary Nursing Care Delivery Model in people with Nursing Care Delivery Model, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
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 0 inclusion and 11 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 16 Mar 2026. 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 Turkey (Türkiye). 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?
Missed Nursing Care measured by the MISSCARE Survey (time frame: Baseline, 3 months, and 6 months after implementation). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 16 Mar 2026.