Assessment of the Humanisation of Care in Hospitals in Andalusia-Spain

University of Seville3,000 enrolled

Overview

Observational assessment through patient interviews of relational, structural and organisational aspects related to the humanisation of health care. These data will be related to health outcomes such as pain, sleep quality, anxiety levels, adverse events (pressure injuries, falls, and mortality), satisfaction with the care received, and experience in communication processes with health professionals. Data will also be collected on work ergonomics variables (stress, burnout, working conditions, ratios) of nurses and health technicians, which will also be related to the health outcomes collected.

Study Type

OBSERVATIONAL

Enrollment

3,000

Conditions

PROM Satisfaction, Patient Satisfaction, Personal Stress Burnout, Professional Hospital Acquired Condition Adverse Event

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All patients admitted to the internal medicine and emergency units of the participating hospitals during the sampling time. Exclusion Criteria: * Patients presenting with haemodynamic instability or emergencies at the time of sampling * Patients with cognitive impairment

Outcomes

Primary Outcomes

Health outcomes

Levels obtained in the health outcomes identified as study variables: anxiety, measured with the Golberg scale; sleep quality, measured with the Athens Sleep Scale; frailty status, measured with the Tilburg Index; level of pain, measured with the Visual Analogue Pain Scale; level of care dependency, measured with the INICIARE scale; and the variables of mortality, falls, venous catheter infection and pressure injuries, which will be asked with items created ad-hoc. We will also study the association between the results obtained with the aforementioned scales and the variables of organisational context and structure of the centre: management leadership, measured with the Leadership Scale; nurse-patient relationship, measured with the NIC\_CA Scale; work stress, measured with the Nursing Stress Scale; work conditions, measured with the PES-NWI Scale; and the variables of turnover intention and nurse-patient ratio, measured with questions designed ad hoc.

Time frame: 12 months

Adverse events

Design of a predictive model based on regression models of the occurrence of adverse events (falls, mortality, venous catheter infection pressure injuries, which will be asked with items created ad-hoc) and their relationship with the rest of the study variables (assessed with the scales used for outcome 1).

Time frame: 12 months

Central Contacts

Regina Allande-Cussó, Dr.

CONTACT

+34954551475 rallande@us.es

Ana-María Porcel-Gálvez, Prof.