Improving the Short Term Management of Patients With Dementia Admitted to Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Systems approach interview guide
研究概览
简要总结
The aim of this study is to generate knowledge on how to improve care for people living with dementia who are in acute hospital. The framework for data collection will be the SHEL [Software (policy) , Hardware (equipment), Environment and Liveware (people)] guidelines. This tool has been chosen for this research because Adams (2008) as well as George, Long, and Vincent (2013) argue that in order to improve care for people with dementia it is important to focus on both wider distal elements like the structural components of an organisation in addition to proximal features like the people factor.
This framework will allow for interview data to be collected on the following:
- Interactions between patient, carers and staff.
- Hardware (equipment) used on the ward.
- Software (paperwork/policy).
- The hospital environment.
详细描述
Background: The Care Quality Commission (2016) notes that the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust (RBCH) has implemented a number of initiatives aimed at improving care given to people with dementia. However, feedback from patients with dementia indicate that improvements are still required (Care Quality Commission, 2016). Therefore, the main aim of this study is to explore how a systems based approach can be used to help with the discharge planning process and the reduction of falls amongst people with dementia by conducting interviews with hospital staff and carers of people with dementia.
Research question: How can a systems perspective contribute to reducing length of stay for people with dementia in an acute hospital through improvements in discharge planning and falls prevention?
Setting: This study will be conducted at the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust.
Duration:This study is not expected to last longer than three months.
Methods: The researcher will interview hospital staff and carers of people with dementia for a period of approximately thirty minutes. This study will use a hospital systems approach to identify the following: 1) communication and interpersonal strategies used by professionals in the discharge planning process and the reduction of falls, 2) the effectiveness of equipment such as manual handling aides in helping with the discharge planning process and the reduction of falls amongst people with dementia, 3) the impact of policies in the discharge planning process and the reduction of falls, and 4) the influence of the ward environment in helping with the discharge planning process and the reduction of falls. These questions are embedded in Edwards's (1972), Hawkins's (1987) and Zecevic et al.'s (2007) theoretical framework (interactions, environment, policies and equipment).
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Staff (nursing, medical, allied healthcare professionals, support staff) - those who have worked with people who have dementia and are able and willing to provide informed consent.
- •Carers of people with dementia (paid or unpaid) - those who visit the ward regularly and who are able and willing to give informed consent
排除标准
- •Staff (nursing, medical, allied healthcare professionals, support staff)
- •Staff who have not worked with people who have dementia
- •Staff who are unable or unwilling to provide informed consent.
- •Carers of people with dementia
- •People who do not visit patient's on the ward, regularly.
- •People who are unable or unwilling to provide informed consent.
结局指标
主要结局
Systems approach interview guide
时间窗: 3 months
Hospital staff and carers experiences of caring for patients with dementia.
次要结局
未报告次要终点