Continuing Education Intervention "Person First - Please" of Person-Centred Care Targeted to Nurses in Older People Long-term Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Changes in nurses PCC competency
研究概览
简要总结
The aim of this study is to evaluate the effectiveness of the Person-First - Please (PFP) intervention in supporting nurse's competence and collective competence of Person-Centred Care (PCC) in older people Long-Term Care (LTC). The goal is to promote PCC culture in older people LTC.
Research question 1:
What is the effectiveness of the PFP intervention on the PCC collective competency of nurses in older people LTC?
Hypothesis for research question 1 are:
- Nurses in intervention group will have higher level of competence of PCC than control.
Research question 2:
How PCC climate has been maintained in older people LTC from the point of view of the nurses, next of kin and older people?
Hypothesis for research question 2 are:
- PCC climate will be better in intervention group than control from point of view of the nurses, next of kin and older people.
- The higher competence of nurses the higher level of PCC climate from point of view of the next of kin and older people.
- The higher collective competence of the nurses the higher level of the PCC climate from point of view of the next of kin and older people.
详细描述
The study takes place in older people long-term care on two cities in western part of Finland. The long-term care units are similar as stuff structure, nurse/resident ration, working ideology and quality management.
The research design is quasi-experimental research with pre- and post- test measurements in the intervention and control groups. The intervention group will follow the protocol and the control group participants will follow the usually care. Data are being collected at baseline, immediately after 10 weeks intervention and at follow-up 6 weeks after intervention.
Continuing education named "Person First - Please" (PFP) based on Person-Centered Care (PCC) Practice Framework and Theory of Collective Competence and it consist of four modules: Information, Person, Autonomy and Dignity. Information module will take one hour in the first intervention week, and it will include information about the study; informed consent; short clarification about concept PCC and prerequisites for PCC. Tree other modules takes 4 hours contact with researcher in every three weeks.
Power analyses for the sample size showed that for 0.8 effect size, power of 0.8 and statistical significance of 0.05 with three main hypotheses, for intervention group n=64 and for control group n=128. ICC of 0.1 was used based on previous sample of the primary outcome measurement.
The sampling based on cluster sampling. Two cities will be constituting the clusters in western part of Finland. From these cities will be selected first all public long-term care units for the older people. To avoid contamination, one of the cities will be selected to participate in the intervention and the other in the control.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- — 至 110 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Nurses (RNs, Licensed Practice Nurses, Caregiver Assistants) who works in older people LTC. The inclusion criteria for nurses are that they work permanently or on a long-term deputy (at least 6 months) in units.
- •The criteria for older people participating alone are that older people have enough cognitive capacity assessed by managers of the units. The criteria for next of kin participating is they will visit at least weekly in LTC.
排除标准
- •short- time deputy nurses
- •older people in terminal care
研究组 & 干预措施
PFP intervention
PFP 10 week continuing education intervention
干预措施: Person-First - Please (PFP) (Behavioral)
Control arm
Usual care
结局指标
主要结局
Changes in nurses PCC competency
时间窗: baseline - after the intervention - 6 week follow up
The competence data will be collected by the Patient-centred Care Competency (PCC) scale as primary outcome. The PCC scale consists of 17 items with 5-point Likert scale (1 = minimal, 2 = below average, 3 = average, 4 = good, 5 = excellent), divided subscales: respecting patients' perspectives, promoting patient involvement in care processes, providing for patient comfort, and advocating for patients.
次要结局
- Changes in PCC climate in lens of nurses, older people and next of kin(baseline - after the intervention - 6 week follow up)
- Evaluation of the continuing education named PFP in lens of the nurses(during the intervention)
研究者
Mari Pakkonen
PhD-candidate
University of Turku