Application of the Functional Independence Measure® (FIM) With the Aim of Strengthening the Interdisciplinary and Inter Sectoral Collaboration in Stroke Rehabilitation - a Mixed Methods Multicenter Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Functional Independence Measure® (FIM)
研究概览
简要总结
This study seeks to explore ways to strengthening the interdisciplinary and inter sectoral collaboration in stroke rehabilitation through the application of Functional Independence Measure® (FIM) and common interdisciplinary patient related tasks. The study will be evaluated through interviews with staff, participant observation and quantitative patient data.
详细描述
Bispebjerg Hospital is considering implementing the FIM instrument in the Neurological Department. Before decisions making a more thorough examination is needed to see if the extra resources used to apply the FIM measurement is offset by improvement in the clinic. At Neurorehabilitering Copenhagen FIM measurement has recently been implemented in a trial period of 2 years hence an exploration of the application of FIM is needed.
The study seeks to explore experiences with application of the FIM instrument combined with structured interdisciplinary tasks related to the patient's everyday routines.
Aims:
- To explore behavior, reaction and experiences in multidisciplinary staff members when applying the FIM instrument combined with interdisciplinary collaboration related to common patient tasks.
Including:
- the exploration of practical settings.
- the staffs experiences both pros and cons with the application of the FIM instrument.
- the staffs experiences of the interdisciplinary and inter sectoral collaboration.
- To nuance the findings in the qualitative part of the study with quantitative data from the FIM including data on change in FIM score on the short term (2-3 weeks) and long term (approx. 4 months).
- To evaluate on practicalities when applying the FIM instrument including the feasibility of scoring within 72 hours within admittance to and before discharge from the departments and the change in score between the 2 sectors.
- To compare FIM to baseline characteristics such as National Institutes of Health Stroke Scale (NIHSS), Functional oral intake Scale (FOIS), and Pre-Stroke Modified Rankin Score.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with stroke (i61 and i63).
- •Hospitalized for stroke rehabilitation in Bispebjerg Hospital.
- •Hospitalized in Regional Beds (given to patients with a brain damage of moderate to severe character who receives intensive rehabilitation) within 1 week of arrival at the hospital.
- •Living in the Municipality of Copenhagen.
- •Consenting to participate.
排除标准
- •Discharged to other facility than Neurorehabilitering Copenhagen.
- •Unable to participate in neuro-rehabilitation in more than one week continuously due to e.g. infection.
- •Qualitative study participants:
- •Interview Study Participants:
- •Inclusion Criteria:
- •Interdisciplinary staff at Bispebjerg Hospital Neurological Rehabilitation Department and Neurorehabilitering Copenhagen.
- •Participant in the project group experimenting with the FIM
- •Consenting to participate.
- •Participant observation:
- •Inclusion Criteria:
- •Interdisciplinary staff at Bispebjerg Hospital Neurological Rehabilitation Department and Neurorehabilitering Copenhagen.
- •Participant in FIM team meetings.
- •Consenting to participate.
结局指标
主要结局
Functional Independence Measure® (FIM)
时间窗: Admittance to hospital to discharge from a facility in the municipality, approx. 4 months.
FIM® measures disability by the amount of assistance needed during daily activities. FIM consists of 18 items, 13 in the motor and 5 in the cognitive domain. The scale ranges from 18-126.
次要结局
未报告次要终点
研究者
Jon Damsager Lauesen
Consultant
Neurorehabilitering - Kbh, City of Copenhagen