ISRCTN16789770已完成未知
Creating Learning Environments for Compassionate Care (CLECC): a feasibility study
niversity of Southampton0 个研究点目标入组 1,038 人开始时间: 2015年4月15日最近更新:
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 1,038
研究概览
简要总结
2017 Results article in https://www.ncbi.nlm.nih.gov/pubmed/28916581 results 2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/29472258 results 2018 Results article in https://pubmed.ncbi.nlm.nih.gov/30226698/ (added 17/05/2023)
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •1. Wards: The two adult medical inpatient wards in each NHS hospital trust with the highest proportion of patients aged 65+ years will be included in the study. These are likely to be medical wards specialising in older people's care. In addition we will include the medical/surgical ward with the highest proportion of older patients that is not a medicine for older people ward. This ward mix will enable us to explore feasibility in a mix of medicine for older people and nonmedicine for older people wards.
- •2. Staff: All nurses and care assistants (CAs) (health care assistants, assistant practitioner, nursing auxiliaries) working on participating wards during any data collection period will be invited to be interviewed and eligible to complete the nursing questionnaires. For the observations, all interactions between patients and staff (of any discipline) working on the ward or visiting the ward will be recorded during the planned periods.
- •3. Patients: All adult patients on participating wards will be eligible to take part in the qualitative interviews, to be included in observations of care and to complete the questionnaires. Routine collection of age and cognitive status data will enable assessment of the relative participation rates of different groups. Only people who are able to complete a questionnaire in English with interviewer help (as assessed by the researcher and/or ward staff) will be invited to take part in the patient survey. The decision to focus on including people who understand English is a practical one, in that we anticipate some communication difficulties in relation to old age in a high proportion of the sample, and we are concerned that the likely small sample of people with language differences will not enable us to properly represent the views of people who have language difficulties. Ability to speak English will not determine whether or not patients are invited to have their care observed. Only people who speak English and who have the cognitive and communicative capacity to agree to take part in a research interview and to be interviewed (as assessed by the researcher and/or ward staff) will be invited to take part in the qualitative interviews.
- •4. Carers/visitors: Primary family carers of patients on participating wards or, where there is no primary family carer, regular visitors (visits 3+ times per week).
排除标准
- •1. Wards: Critical care units will not be included. Wards will be excluded if departure of ward manager is anticipated in the subsequent 6 months of attempted recruitment
- •2. Staff: all nurses and care assistants (CAs) (health care assistants, assistant practitioner, nursing auxiliaries) working on participating wards during any data collection period will be invited to be interviewed and eligible to complete the nursing questionnaires. Nursing students, bank and agency staff will not be eligible. For the observations, all interactions between patients and staff (of any discipline) working on the ward or visiting the ward will be recorded during the planned periods.
- •3. Patients: Patients will be excluded if they:
- •3.1. Are assessed by the recruiter or by clinical staff who know the patients as
- •lacking capacity to decide about taking part in the research and/or unable to communicate their choices about taking part in the research AND
- •3.2. A consultee (as defined by the Mental Capacity Act) cannot be consulted (NB patients who
- •lack capacity will be included if a consultee advises this is appropriate and the patient indicates that they are happy for data collection to proceed)
- •3.4. Patients who indicate either verbally or nonverbally that they do not wish to take part
- •3.5. Patients who are unconscious or where there are clinical concerns that may preclude them from being approached
- •3.6. Patients receiving continual clinical care that would impair their capacity to make a decision about taking part that is free from distraction
- •3.7. Patients with communication difficulties, including e.g. language differences, auditory impairments, that impair the recruiter's ability to communicate the research or the patient's ability to communicate their choice about taking part
- •3.8. Patients are unable to complete a questionnaire in English with or without interviewer help
- •3.9. People will be excluded from the qualitative interviews if the researcher and/or clinical staff assess them as lacking the cognitive and communicative capacity to be interviewed
研究者
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