Communication management: a trial comparing two strategies for information communication to patients

INTERVENTION: Control group: this group will be subject to the current communication strategy in Donostia University Hospital. Experimental group: this strategy is based on the existence of a nurse communication manager. This nurse manager is responsible for reconciling the transmission of information between doctors and patients on admission and discharge. The schedule of the nurse manager will be from 8:00 to 15:00. For reconciliation to be as homogeneous as possible between the various nurse managers there will be a written document to follow. Intervention lasted till discharge. CONDITION: Emotional distress ; Mental and Behavioural Disorders ; Other reactions to severe stress PRIMARY OUTCOME: 1. Emotional distress measured by the distress thermometer. Quantitative variable is measured at entry and exit from the study. ; 2. Number of contradictory messages detected. Quantitative variable will be collected daily by the communication manager. They will be identified by comparing the clinical record information with the information the patient has. SECONDARY OUTCOME: Perceived communication quality measured by a questionnaire, communication assessment tool. Quantitative variable will be measured at the end of the study. INCLUSION CRITERIA: Patients, male and female aged over 18 years admitted to Donostia University Hospital chronic patient service.