Patient Reported Experiences of Receiving Person-Centred, Nurse-Led Follow-Up After Revascularisation for Intermittent Claudication: Secondary Analysis of a Randomised Controlled Trial.
Sara Tibebe Haile, Mina Olsson, Ronnie Lindstrand and 4 others
PMID 40390575WHAT IT FOUND
Patients receiving person-centred nurse-led follow-up after surgery for intermittent claudication reported better self-care information, clearer nurse responsibility and more opportunity to talk privately with nurses.
At 1 year, most quality-of-care items showed no difference.
Key findings
01At 4-8 weeks after surgery, the nurse-led group scored higher perceived quality of care for information about self-care, knowing which nurse was responsible, and having opportunity to talk to nurses in private.
02At 1 year after surgery, perceived quality of care was higher in the nurse-led group only for knowing which nurses were responsible; all other perceived quality items showed no significant difference.
03At 1 year, the nurse-led group rated several care aspects as more subjectively important, including nurse responsibility, medication information, respect, nurse commitment, needs-based care and clinic atmosphere.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The 4-8 week questionnaire was introduced after the study had started, so only 104 patients were analysed at that time point compared with 159 at 1 year. More women were in the control group at 1 year, which could affect subjective importance scores. Some items were marked not applicable by many patients, so comparisons for those items may be unstable. The study was done in two specialised vascular surgery centres in Sweden with a selected group, so it may not apply to other settings, staffing models, or patient groups. At 1 year, intervention patients met the FASTIC nurses they had seen during follow-up, while control patients met a non-FASTIC nurse, so experience differences may reflect nurse familiarity. The outcomes were patient-reported experiences of care, not clinical outcomes after surgery.
Declared interests
The authors declared no conflicts of interest. The questionnaire was modified with the assistance and approval of ImproveIt, which administers it.
The easy way to misread this
Do not read this as evidence that nurse-led follow-up improved overall quality of care. At 1 year, perceived quality differed only for knowing which nurses were responsible, and most items showed no difference.