Impact of an Intervention Integrating the MPHS Nursing Model of Care on the Partnership in Health, With the Patient Followed in Primary Care by an Advanced Practice Nurse (APN) for One or More Stabilized Chronic Pathologies
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: IMPACT Program, usal care.
- Who it may be relevant to
- Registry conditions: Chronic Disease. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The WHO and our governance advocate that health professionals should organize care around the patient, considering his or her values, needs and preferences, and enabling the patient to develop the capacity to self-manage the chronic health problems he or she faces. Chronic disease is an ongoing dynamic process and adaptation to this process is complicated by the interaction of several determinants: self-management capacity, level of health literacy, quality of life and experience of care. To best support chronic disease, the recommendation is to adopt a management strategy that allows chronic patients to play an active role in the management of their condition and in the day-to-day decision-making process. The management of chronic pathologies is one of the specialties in which Advanced Practice Nurses are positioned, in primary care, outside hospital. Nursing care benefits from care models that allow for more adapted responses, regarding particular care situations, or certain patient typologies. The Humanistic Partnership Health Care Model (MPHS) implement in current Advanced Practice Nurse (APN) practice.
Detailed description
The IMPACT program proposes to integrate the MPHS model into primary care, within advanced practice nursing care, to strengthen the partnership of the patient with chronic disease. This model will allow the advanced practice nurse to co-construct with the patient partner a care trajectory that will be integrative, considering his aspirations and priorities to carry out his life project, while coping with his chronic pathology(ies). To do this, particular attention to the determinants of adaptation to chronic disease: self-management capacity, health literacy, quality of life and experience of care is pay.
The IMPACT program will use the theoretical framework of the MPHS model of care to structure the advanced practice nursing care management and will incorporate validated measurement tools to address the determinants of patient adaptation to chronic disease. The specific management of the IMPACT program will consist of 3 phases: (1) co-definition of the health situation, (2) co-planning of care and co-actions, and (3) co-assessment with the patient and the team caring for him/her.
Interventions
- Other IMPACT Program
care at 3 levels: (1) co-definition of the health situation, (2) co-planning of care and co-actions, and (3) co-assessment with the patient and with the team caring for him or her, and incorporating evidence-based measurement tools. - Other usal care
usual management with a Nurse in Advanced Practice.
Primary outcome measures
- The patient/advanced practice nurse partnership [Time frame: At month 9]
Secondary outcome measures (9)
- The patient/advanced practice nurse partnership across the continuum of care [Time frame: baseline, 3 and 6 months]
- Perception of health-related quality of life [Time frame: At inclusion, 3, 6 and 9 months.]
- Health literacy level [Time frame: at inclusion, 3, 6 and 9 months]
- Impact of the quality of advanced practice nurse consultation from patient's perspective [Time frame: At baseline, 3, 6 and 9 months]
- Adoption of IMPACT program by advanced practice nurse [Time frame: 3 years]
- Participation in IMPACT program [Time frame: 3 years]
- IMPACT program satisfaction for advanced practice nurse [Time frame: 3 years]
- effectiveness of IMPACT program [Time frame: 3 years]
- Context of IMPACT program [Time frame: 3 years]
Eligibility criteria
Inclusion criteria
- A patient receiving care from an advanced practice nurse (APN) for the management of one or more of the following chronic conditions: stroke; chronic arterial disease; heart disease, coronary artery disease; type 1 diabetes and type 2 diabetes; chronic respiratory failure; Parkinson's disease; epilepsy.
- Care provided by an IPA falls under one of the following categories:
Either as direct care when the IPA practices within a healthcare facility, in accordance with current regulations, Or as care referred or prescribed by a physician when the IPA practices in private practice.
- Affiliated or entitled to a social security plan
- Having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study
Exclusion criteria
\- A patient who is not under the care of a nurse practitioner under the conditions set forth in the Public Health Code (lack of authorized direct access or a required physician referral, depending on the practice model).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Other
Study locations
France · 5 centers
- CH le Corbusier - Firminy — Firminy
- Hôpital du Gier — Saint-Chamond
- Centre Hospitalier Universitaire - Pneumologie — Saint-Etienne
- Centre Hospitalier Universitaire - Cardiologie — Saint-Etienne
- Direction de la Prévention et de la Santé des Populations — Saint-Etienne
Identifiers
NCT: NCT05780762 · 21GI262 · ANSM