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Improved quality of care by using the PRISMS form to support self-management in patients with COPD: A Randomized Controlled Trial
Örebro University, School of Health Sciences. Örebro University Hospital. Department of University Healthcare Research Center.ORCID iD: 0000-0002-8370-8834
Centre for Clinical Research, Region Värmland, Sweden, Västerås; Department of Medical Sciences, Respiratory, Allergy & Sleep Research, Uppsala University, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Sweden, Uppsala.
Karolinska Institute, NVS, Division of Family Medicine and Primary Care, Stockholm, Sweden; Academic Primary Health Care Centre, Stockholm, Sweden.
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2020 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, no 13-14, p. 2410-2419Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVE: To investigate the effects on the quality of care of the Patient Report Informing Self-Management Support (PRISMS) form compared with usual care among patients with Chronic Obstructive Pulmonary Disease (COPD) consulting a COPD nurse in primary health care.

BACKGROUND: Patients with COPD experience symptoms affecting their everyday lives and there is a need for interventions in self-management support. The delivery of chronic care in an organized, structured, and planned manner can lead to more productive relationships between professionals and patients.

DESIGN: A multicentre randomised controlled trial with a post-test design, according to the CONSORT checklist, in one intervention group (n=94) and one control group (n=108).

METHODS: In addition to usual care, the intervention group (n=94) completed the PRISMS form to indicate areas where they wanted self-management support before the consultation with the COPD nurse. This form comprises 17 items that patients with COPD commonly experience as problems. The control group received usual care (n=108). The primary outcome was patients' satisfaction with quality of care, assessed using the Quality from the Patient's Perspective (QPP) questionnaire. Means and (SD) are presented where applicable. Differences between the intervention and control group were analysed with Student's t-test for independent groups for interval data, and the Mann-Whitney U-test for ordinal data.

RESULTS: Participants in the intervention group were more satisfied with the QPP domains "personal attention", regarding both "Perceived reality" (p=0.021) and "Subjective Importance" (p=0.012). The PRISMS form revealed "Shortness of breath" as the most commonly experienced problem and the issue most desired to discuss.

CONCLUSION: The PRISMS form improved patient satisfaction with quality of care regarding personal attention, which is an important factor in patient participation and improving relationships and communication.

RELEVANCE TO CLINICAL PRACTICE: The PRISMS form can be a useful tool in improving person-centred care when delivering self-management support.

Place, publisher, year, edition, pages
Blackwell Science Ltd. , 2020. Vol. 29, no 13-14, p. 2410-2419
Keywords [en]
Chronic obstructive pulmonary disease, nursing, patient education, primary care, quality of care, self-management support
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-80909DOI: 10.1111/jocn.15253ISI: 000529619900001PubMedID: 32220091Scopus ID: 2-s2.0-85084207598OAI: oai:DiVA.org:oru-80909DiVA, id: diva2:1417668
Note

Funding Agency:

Uppsala-Örebro Regional Research Council

Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-01-02Bibliographically approved

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Zakrisson, Ann-Britt

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