Nurse Navigator Program for High-Risk Hospital Patients

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Mayo Clinic
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines whether a special nurse-led education program, the Nurse Navigator Program, can reduce hospital readmissions for patients with chronic conditions undergoing hip or knee replacement surgery. The study compares two groups: one receiving regular care and another receiving additional support from a nurse navigator, who provides ongoing guidance. The trial also aims to assess patient satisfaction with the educational program. It is suitable for those needing hip or knee replacement surgery and who have conditions such as heart failure, COPD (lung disease), or are on dialysis. As an unphased trial, it offers a unique opportunity to contribute to innovative care strategies that could enhance recovery experiences for future patients.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the Nurse Navigator Program is safe for high-risk hospital patients?

Research has shown that the Nurse Navigator Program is safe for patients. One study found that participants in a similar program spent less time in the hospital and reported high satisfaction with their care. Another study found that the program helped reduce hospital visits for older patients, although younger patients sometimes had more visits. Importantly, no reports of harmful side effects or negative outcomes emerged. This suggests that the program is well-tolerated and safe for helping patients manage their health care needs.12345

Why are researchers excited about this trial?

Researchers are excited about the Nurse Navigator Program because it aims to enhance patient care for high-risk hospital patients with chronic conditions undergoing surgery. Unlike usual practice, where patients are contacted just once pre-operatively, this program involves ongoing support from a dedicated nurse navigator. This continuous guidance and monitoring could lead to better surgical outcomes and improved patient satisfaction by providing personalized assistance and addressing patient concerns throughout the surgical journey.

What evidence suggests that the Nurse Navigator Program is effective for reducing hospital readmissions?

Research has shown that nurse navigator programs can greatly improve patient health. One study found that nurse navigators can cut hospital visits in half for people with long-term illnesses. Earlier research also highlights that nurse navigators enhance care in areas such as cancer treatment, recovery from surgery, and managing chronic diseases. These programs not only improve healthcare but also lead to more positive patient experiences. In this trial, some participants will join the Nurse Navigator arm, where nurse navigator study team members will contact them at intervals. This approach suggests that the Nurse Navigator Program could help reduce hospital readmissions for patients at high risk.13678

Who Is on the Research Team?

GP

George Pujalte, MD

Principal Investigator

Mayo Clinic

Are You a Good Fit for This Trial?

This trial is for patients needing hip or knee replacement surgery who also have heart failure, COPD, require dialysis, abuse alcohol, or have a low BMI. It's not open to those with reduced ability to consent due to cognitive issues.

Inclusion Criteria

I need a hip or knee replacement and have heart issues, lung problems, need dialysis, have alcohol abuse history, or low BMI.

Exclusion Criteria

I am unable to understand and agree to the study on my own.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Patients with chronic conditions are contacted by a pre-operative nurse and then followed up by nurse navigator study team members

8 weeks
Initial contact and follow-up contacts at intervals

Follow-up

Participants are monitored for hospital readmissions and patient satisfaction with the educational program

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Nurse Navigator Program
Trial Overview The study tests if a Nurse Navigator Program can reduce hospital readmissions and improve patient satisfaction compared to usual care in high-risk surgical patients.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Nurse NavigatorExperimental Treatment1 Intervention
Group II: Usual PracticeActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Mayo Clinic

Lead Sponsor

Trials
3,427
Recruited
3,221,000+

Published Research Related to This Trial

The review analyzed 18 primary nursing research studies and found that oncology nurse navigators positively impact measurable patient outcomes, including faster diagnosis and treatment, improved mood states, and higher patient satisfaction.
As the role of nurse navigators expands globally, it is crucial for nurses to embrace these opportunities to enhance patient care and evaluate the implications for their education and practice.
Oncology nurse navigator.Case, MA.[2022]
A new tool for clinicians in inpatient oncology units has been developed to prevent adverse events and enhance patient safety, focusing specifically on cancer patients.
The tool includes a catalog of adverse events and a risk map, which helps healthcare providers implement best practices in their daily activities to improve clinical safety.
Improving patient safety in the inpatient setting through risk assessment and mitigation.Reche Navarro, MN.[2016]
Oncology nurse navigation programs significantly reduced the time from the first provider visit to the start of therapy for patients with hematologic malignancies, improving access to care.
Patient and provider satisfaction scores were high regarding the navigation program, although it did not lead to an increase in clinical trial enrollment.
Oncology Nurse Navigation: Development and Implementation of a Program at a Comprehensive Cancer Center .Gordils-Perez, J., Schneider, SM., Gabel, M., et al.[2018]

Citations

A Study of the Effect of a Nurse Navigator Program on High ...The purpose of this study is to examine if educational intervention in high risk patients can lead to decreased hospital readmissions when compared to patients ...
A Qualitative Study of Nurse Navigator RolesPrior research has revealed that NNs improve outcomes in a variety of specialties including oncology, surgical recovery, and chronic illness ...
Patient navigators for people with chronic diseaseOur findings indicate that patient navigator programs improve processes of care, although few studies assessed patient experience, clinical ...
Hospital-based patient navigation programs for patients who ...This review's objective is to map the literature on the characteristics, impact, barriers and facilitators of hospital-based patient navigation programmes
Nurse Navigator Program for High-Risk Hospital PatientsAdditionally, a study showed a 50% reduction in hospitalizations for patients with chronic diseases when nurse navigators were involved. Show more ...
Impact of a Patient Navigator Program on Hospital-Based ...A PN program serving high-risk safety-net patients differentially impacted patients based on age, and among younger patients, outcomes varied over time.
The impact of patient navigation on length of hospital stay ...The study found a mean hospital stay of 2.8 days, lower than the provincial mean, and all participants were satisfied with the navigator's care.
A Patient Navigator Intervention to Reduce Hospital ...A patient navigator intervention among high risk, safety-net patients decreased readmission among older patients while increasing readmissions among younger ...
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