ast year of life in nursing care homes study
Not Applicable
Completed
- Conditions
- nspecified dementiaNervous System DiseasesUnspecified dementia
- Registration Number
- ISRCTN76029577
- Lead Sponsor
- St Christopher's Hospice (UK)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 2311
Inclusion Criteria
1. All willing nursing care homes (NCHs), and where present their GSFCH facilitators, that care for frail older people with or without dementia who have completed an application form to take part in Phase 6 GSFCH programme at St Christopher's Hospice.
2. Participants were adults of various age ranges and genders
Exclusion Criteria
1. NCHs in the 'intervention' arm whose managers are not willing to participate in 'action learning'
2. NCHs outside the immediate St Christopher's area but whose facilitator has close contact with the project team
3. NCHs outside the private sector
4. NCHs that care for young chronic sick/disabled residents
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Reduced number of hospital deaths which will be analysed through the retrospective review of deceased residents records. This review is being undertaken over a 3-year period - one year retrostpective to the intervention and then two years during/following.
- Secondary Outcome Measures
Name Time Method 1. To understand the cost/benefit implications of providing the intervention<br>2. To examine the provision of end of life care before and after the intervention<br>3. To determine the sustainability of the programme through the intervention<br>4. The following measures to collect data are being used:<br>4.1. Nurse manager's questionnaire (pre/post)<br>4.2. 'Competency document' to all nurses in NCHs (pre/post)<br>4.3. 'Teamwork questionnaire' to all staff in NCHs (pre/post)<br>4.4. 'Palliative care quiz' questionnaire for nurse coordinators (pre)<br>4.5. VOICES questionnaire to relatives of residents who have died (pre/post) <br>4.6. The 'Family Perception of Care' questionnaire to relatives of residents who have died (during) <br>4.7. Action Learning for nurse managers in Cohort 1 (during)