Time Together: A Multi-site Nursing Intervention Project Using a Single System Experimental Design
试验速览
- 阶段
- 不适用
- 入组人数
- 3
- 主要终点
- Perceived stress [staff]
研究概览
简要总结
The aim of this project is to test and evaluate a nursing intervention, Time Together (TT), created to enable quality interactions between patients and staff in psychiatric inpatient care. The research questions are:
Does TT influence the quality of interactions between staff and patients? Does TT influence patients' levels of anxiety and depressive symptoms? Does TT influence staffs' levels of perceived stress and levels of stress of conscience? Does TT influence the prevalence of coercive measures, mean length of hospital stay and the use of PRN medication?
In parallel, a process evaluation will be conducted, answering questions such as:
How do staff and patients describe their experiences of the intervention and how do contextual factors influence the effects of the intervention? What are the relationship between the outcome variables and the degree of compliance with the intended intervention? What problems are there with recruitment and dropouts?
详细描述
BACKGROUND:
Despite the long known significance of the nurse-patient relationship, research in psychiatric inpatient care still reports on unfulfilled expectations of, and difficulties in interactions and relationships between patients and staff. As one solution to the contemporary circumstances, interventions that creates structures that allow quality interactions between patients and staff are needed.
INTERVENTION TT is an intervention, developed from the intervention Protected Engagement Time. The structure of TT is that staff, for a fixed time during the day, dedicates their time to exclusively engage with the patients. Other duties of more administrative nature, visits and meetings are organized to be performed at other times during the day. This structure will be tested at three psychiatric inpatient care wards in the north of Sweden.
DESIGN AND METHODS An experimental single system design (A-B-Follow-up) will be used. As TT will be introduced as a routine ward activity during the B phase, all patients and staff on the participating wards will be participating in TT. However, participating in the evaluation will be voluntary. Data will be collected through questionnaires once every seventh weekday during 5 weeks for the A phase, and 12 weeks during B phase.
In parallel, a process evaluation will be conducted using semi structured interviews and participating observations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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
- 否
入选标准
- •for patients:
- •18 years or older
- •Admitted to the wards during either A phase, B phase and/or follow-up
- •Experience of at least one TT session is required to participate in the B phase
排除标准
- •for patients:
- •- Does not master the Swedish language well enough to complete questionnaires and participate in interviews.
- •Inclusion criteria for staff:
- •- Regularly employed at the ward during A and B phase and/or follow-up.
研究组 & 干预措施
Time Together
Time Together as described under "Interventions"
干预措施: Time Together (Other)
结局指标
主要结局
Perceived stress [staff]
时间窗: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
PSS consists of 10 items answered on a 5-point Likert scale
Quality of interactions [patients]
时间窗: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
This is measured using The Caring Professional Scale (CPS) that consists of 14 items answered on a 5-point Likert scale.
次要结局
- Stress of Conscience [staff](Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks))
- Global quality of interactions [patients, staff](Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks))
- Number of PRN medications given(Changes during baseline and intervention period (measured weekly for a total of 16 weeks))
- Length of hospital stay(Changes during baseline and intervention period (measured weekly for a total of 16 weeks))
- Use of coercion and violent situations(Changes during baseline and intervention period (measured weekly for a total of 16 weeks))
- Anxiety and depressive symptoms [patients](Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks))
- Quality of care [staff](Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks))