A Person-centred and Thriving Promoting Care Model for Residential Aged Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 865
- 试验地点
- 2
- 主要终点
- Change in relatives' satisfaction with care measured by the Pyramid questionnaire
研究概览
简要总结
The overall aim of this study is to evaluate the effects, meaning and significance of a person-centred and thriving promoting model for residential aged care in Australia, Norway and Sweden. More specifically, the following research questions will be explored:
- Can a person-centred and thriving promoting care model increase residents' thriving, and have a positive impact on residents' perception of the caring environment?
- Can a person-centred and thriving promoting care model increase relatives' satisfaction with care, and have a positive impact on their experience of visiting their relative, and perception of the caring environment?
- Can a person-centred and thriving promoting care model increase staff's job satisfaction, decrease stress of conscience, and have a positive impact on their perception of the caring environment and person-centred care?
- What meaning and significance do relatives and staff ascribe to the intervention? The study is designed as a multi-centre, controlled group before-after design with participating sites in Victoria (Australia), Oslo (Norway) and Västerbotten (Sweden). Two residential aged care facilities at each site will be allocated to either intervention or control, in total three intervention and three control facilities divided over the three sites.
Care staff at the intervention facilities will participate in a 12-month education on how to integrate aspects of person-centredness, thriving and a caring environment into daily care practice. Participating staff will work together with their colleagues and members from the research group to create a reflective and creative learning environment that builds on and develops the staff members' clinical experience and skills, and combines it with theoretical and research-based knowledge.
At the control facilities, care staff will participate in a 2-hour lecture on the theoretical and philosophical foundations of person-centredness, thriving and a caring environment, and then continue with practice without further involvement from the research team.
Evaluation data will be collected by study specific questionnaires before the education starts, immediately after the education and at a 6-month follow-up. In addition, focus group interviews and individual interviews will be conducted with a selection of staff members and relatives at the intervention facilities to explore meaning and significance of the intervention.
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
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •minimum 18 years of age
- •living in the facility for >1 month by the time of data collection
- •visiting the residential aged care facility on a regular basis (>1/month)
- •working in the residential aged care facility on a temporary and or permanent basis (>1month contract)
- •have been working >1 month in the residential aged care facility by the time of data collection.
排除标准
- •newly moved in to the facility
- •visiting the facility more seldom than once a month
- •working on a short-term contract
研究组 & 干预措施
Intervention
Person-centred care
干预措施: Person-centred care (Behavioral)
Control
Conventional care
结局指标
主要结局
Change in relatives' satisfaction with care measured by the Pyramid questionnaire
时间窗: Change from baseline satisfaction at 12 and 18 months
Data will be collected from relatives at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up
Change in The Thriving of Older People Assessment Scale between baseline and follow-up
时间窗: Change from baseline thriving at 12 and 18 months
Data will be collected from residents at both intervention and control facilities by either self-rating or proxy-rating surveys at baseline and at 12 and 18 months follow-up
Change in staff's job satisfaction measured by the The Job satisfaction questionnaire
时间窗: Change from baseline job satisfaction at 12 and 18 months
Data will be collected from staff at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up
次要结局
- Change in staff's perception of the person-centredness of care measured by the Person-centred Care Assessment Tool(Change from baseline perception at 12 and 18 months)
- Change in relatives' experienced satisfaction with visiting the nursing home and their relative, measured by Visual Analogue Scales of participants' subjective experiences of 12 statements, ranging from 0 (totally disagree) to 10 (totally agree).(Change from baseline satisfaction at 12 and 18 months)
- Change in participants' experience of the caring environment measured by The Person-centred Climate Questionnaire(Change from baseline experience at 12 and 18 months)
- Change in staff's stress of conscience measured by the Stress of Conscience questionnaire(Change from baseline stress of conscience at 12 and 18 months)