跳至主要内容
临床试验/NCT05308862
NCT05308862招募中不适用

Prevention of Pressure Ulcers, Malnutrition, Poor Oral Health and Falls Among Older Persons Receiving Municipal Health Care and Are Registered in the Quality Registry Senior Alert

Malmö University2 个研究点 分布在 1 个国家目标入组 330 人开始时间: 2022年1月19日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
330
试验地点
2
主要终点
Risk assessments and prevention care interventions focusing on pressure ulcers.

研究概览

简要总结

Inclusion criteria for study I and II is nurse aides, registered nurses and managers working in nursing homes who register in Senior Alert. To develop an intervention aiming to reduce the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, workshops will be conducted in collaboration with nurse aides, registered nurses and managers (study I). Cluster randomization is going to take place via a computerized program prior to the workshops meaning that only those nurse aides, registered nurses and managers working in nursing homes allocated to the intervention group are going to develop an intervention together with the research group and then test it (study II). The remaining nurse aides, registered nurses and managers working in nursing homes in the control group continue with regular care.

详细描述

Study I The workshops (tentative plan) Groups of one-two nurse aides, one-two registered nurses and one-two managers from the nursing homes in the intervention group will form a workshop. In total, four-five workshops will be conducted. Each workshop will begin with an introductory framing of the workshop followed by addressed activities in four stations. The activities in the four stations are designed to give the participants possibility to be active in order to develop the intervention. The participants will write down conclusions of the discussions and the discussions will be audio recorded. The written documentation and the recorded discussions will constitute data and will be analyzed using content analysis.

Station one: the participants will discuss beforehand written questions based on the results of our previous studies, and literature in order to stimulate reflection and discussion. The participants will discuss how to work in a better/different way with risk assessments, care interventions and follow-ups that can contribute to improve the preventive work so that older persons are risk assessed, get the right care interventions planned, performed and evaluated to a greater extend. They will also discuss how the organization/routines around the preventive care process be developed. The participants will write down conclusions of the discussion.

Station two: the participants will discuss beforehand written questions concerning the preventive care process according to Senior Alert. The participants will work creatively to identify barriers and challenges in the preventive care process according to Senior Alert and how this process could be done in a smoother way. The participants will write down conclusions of the discussion.

Station three: the participants will discuss how the intervention could be design. Focus of the discussion will be on the core components of the intervention, e.g. context, activity, participants, time required and implementation. The participants will write down the discussion.

Station four: summary of the workshop.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Nursing homes registering in Senior Alert, which is a national quality registry

排除标准

  • not meetin inclusion criteria

结局指标

主要结局

Risk assessments and prevention care interventions focusing on pressure ulcers.

时间窗: 12 months after intervention

Registry data from Senior Alert based on the following assessment: The Modified Norton scale to measure risk for pressure ulcer.

Risk assessments and prevention care interventions focusing on falls.

时间窗: 12 months after intervention

Registry data from Senior Alert based on the following assessment: Downtown Fall Risk Index.

Risk assessments and prevention care interventions focusing on malnutrition.

时间窗: 12 months after intervention

Registry data from Senior Alert based on the following assessment: The Short Form-Mini Nutritional Assessment measure malnutrition.

Risk assessments and prevention care interventions focusing on poor oral health.

时间窗: 12 months after intervention

Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.

Risk assessments and prevention care interventions focusing on poor oral health

时间窗: Baseline 6 months prior to intervention

Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.

次要结局

  • Psychosocial Aspects of Job Satisfaction Questionnarie(Baseline and six months after intervention)
  • Perceived Stress Scale stress (PSS)(Baseline and six months after intervention)
  • Stress of Conscience (SCQ),(Baseline and six months after intervention)

研究者

发起方
Malmö University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Malin Axelsson

Associate professor

Malmö University

研究点 (2)

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