Archstone Spiritual Care Demonstration Project: Outcomes for Patients, Families, and Staff
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Change over time in number of unduplicated palliative care patients screened for spiritual concerns and spiritual history
研究概览
简要总结
This clinical trial studies spiritual care in improving quality of life of patients, caregivers, and hospital staff. Spiritual care may help understand the impact cancer and its treatment has on patients, caregivers and hospital staff.
详细描述
OBJECTIVES:
I. To improve the quality of spiritual care provided by palliative care teams. II. To measure the effectiveness of integrating spiritual care recommendations in palliative care at City of Hope (COH) and the impact it has on cancer patients, families, and hospital staff.
OUTLINE:
The expanded psychosocial/spiritual assessment administered by social workers includes a spiritual history and a spiritual needs screening. Social worker knowledge and competence is surveyed at baseline, immediately after the course, and after a bedside chaplain-mentoring process. Inpatient cancer patients' and their caregivers' perceptions about spiritual care is surveyed at baseline prior to the social work curriculum and after the course has been completed and the new psychosocial/spiritual assessment has been implemented. Data collected from patients, family members, and staff includes number of unduplicated palliative care patients screened for spiritual concerns, spiritual history, number and type of spiritual issues, number of referrals to the chaplain, number seen by the chaplain, number of unduplicated palliative care patients with documented spiritual care plan, number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Admitted during the study quarter
- •Admitted >= 5 days
- •English speaking
- •Alert and able to answer questions
排除标准
- •Non-cancer diagnosis
- •Previously accrued to study
结局指标
主要结局
Change over time in number of unduplicated palliative care patients screened for spiritual concerns and spiritual history
时间窗: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number and type of spiritual issues
时间窗: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number of referrals to the chaplain and number seen by the chaplain
时间窗: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number of unduplicated palliative care patients with documented spiritual care plan
时间窗: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice
时间窗: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Identification of common themes and patterns that answer the key evaluation questions
时间窗: At baseline and quarterly for one year
Analyzed using Atlas.ti. coding and analysis. Qualitative data, e.g., open ended questions, included narrative responses by staff summarized for reporting purposes.
次要结局
未报告次要终点