Expanded nursing roles for person-centred care for people with cognitive impairment in acute care

Not Applicable

• Conditions: People with cognitive impairment in acute hospitals; Mental and Behavioural Disorders

• Registration Number: ISRCTN81391868
• Lead Sponsor: niversity of Cologne

Brief Summary

2023 Protocol article in https://pubmed.ncbi.nlm.nih.gov/38097987/ (added 15/12/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-06-12
• Last Update Posted: 8 January 2024
• Study Completion: 2024-02-29

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 720

Inclusion Criteria

Ward level:
1. Prevalence of at least 30 people with cognitive impairment per month according to data from hospital controlling
2. Non-ICU wards

Staff level:
1. Nurses, nurse assistants and physicians working on project wards during the intervention period

Patient level:
1. Patients aged 65 years and above
2. Patients with cognitive impairment or a risk for cognitive impairment, identified by:
2.1. Pre-existing diagnosis, defined by the following ICD-10 codes: F00.*, F01.*, F02.3, F02.8, F03, F05*, U51*
2.2. Need for clarification of neurocognitive disorder, assessed by outcome-oriented nursing assessment

AcuteCare (ePA-AC ©)
1. Risk for delirium, defined by a combination of predetermined risk factors

Exclusion Criteria

Ward level:
1. Intensive care units, intermediate care units, psychiatric wards, palliative care wards, paediatric wards

Staff level:
1. Other healthcare professionals

Patient level:
1. Patients with insufficient German language skills
2. Patients without capacity to give consent and without legal guardianship
3. Patients with a planned hospital stay of <48 hours
4. Patients in the terminal phase (end of life)

Study & Design

• Study Type: Interventional
• Study Design: Not specified