Prevention of Pressure Ulcers, Malnutrition, Poor Oral Health and Falls Among Older Persons Receiving Municipal Health Care and Are Registered in the Quality Registry Senior Alert
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 330
- Locations
- 2
- Primary Endpoint
- Risk assessments and prevention care interventions focusing on pressure ulcers.
Study Overview
Brief Summary
Inclusion criteria for study I and II is nurse aides, registered nurses and managers working in nursing homes who register in Senior Alert. To develop an intervention aiming to reduce the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, workshops will be conducted in collaboration with nurse aides, registered nurses and managers (study I). Cluster randomization is going to take place via a computerized program prior to the workshops meaning that only those nurse aides, registered nurses and managers working in nursing homes allocated to the intervention group are going to develop an intervention together with the research group and then test it (study II). The remaining nurse aides, registered nurses and managers working in nursing homes in the control group continue with regular care.
Detailed Description
Study I The workshops (tentative plan) Groups of one-two nurse aides, one-two registered nurses and one-two managers from the nursing homes in the intervention group will form a workshop. In total, four-five workshops will be conducted. Each workshop will begin with an introductory framing of the workshop followed by addressed activities in four stations. The activities in the four stations are designed to give the participants possibility to be active in order to develop the intervention. The participants will write down conclusions of the discussions and the discussions will be audio recorded. The written documentation and the recorded discussions will constitute data and will be analyzed using content analysis.
Station one: the participants will discuss beforehand written questions based on the results of our previous studies, and literature in order to stimulate reflection and discussion. The participants will discuss how to work in a better/different way with risk assessments, care interventions and follow-ups that can contribute to improve the preventive work so that older persons are risk assessed, get the right care interventions planned, performed and evaluated to a greater extend. They will also discuss how the organization/routines around the preventive care process be developed. The participants will write down conclusions of the discussion.
Station two: the participants will discuss beforehand written questions concerning the preventive care process according to Senior Alert. The participants will work creatively to identify barriers and challenges in the preventive care process according to Senior Alert and how this process could be done in a smoother way. The participants will write down conclusions of the discussion.
Station three: the participants will discuss how the intervention could be design. Focus of the discussion will be on the core components of the intervention, e.g. context, activity, participants, time required and implementation. The participants will write down the discussion.
Station four: summary of the workshop.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Nursing homes registering in Senior Alert, which is a national quality registry
Exclusion Criteria
- •not meetin inclusion criteria
Outcomes
Primary Outcomes
Risk assessments and prevention care interventions focusing on pressure ulcers.
Time Frame: 12 months after intervention
Registry data from Senior Alert based on the following assessment: The Modified Norton scale to measure risk for pressure ulcer.
Risk assessments and prevention care interventions focusing on falls.
Time Frame: 12 months after intervention
Registry data from Senior Alert based on the following assessment: Downtown Fall Risk Index.
Risk assessments and prevention care interventions focusing on malnutrition.
Time Frame: 12 months after intervention
Registry data from Senior Alert based on the following assessment: The Short Form-Mini Nutritional Assessment measure malnutrition.
Risk assessments and prevention care interventions focusing on poor oral health.
Time Frame: 12 months after intervention
Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.
Risk assessments and prevention care interventions focusing on poor oral health
Time Frame: Baseline 6 months prior to intervention
Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.
Secondary Outcomes
- Psychosocial Aspects of Job Satisfaction Questionnarie(Baseline and six months after intervention)
- Perceived Stress Scale stress (PSS)(Baseline and six months after intervention)
- Stress of Conscience (SCQ),(Baseline and six months after intervention)
Investigators
Malin Axelsson
Associate professor
Malmö University