Value and Impact of a Stakeholder-operationalised Carer Support Nurse Role and Feasibility of a Future Wider Implementation Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 61
- 试验地点
- 1
- 主要终点
- Carer Preparedness for Caregiving
研究概览
简要总结
Families and friends play a crucial role supporting people they care for as their unpaid carers. However, they are not always well prepared for this, and it can damage their own health and wellbeing. This can impact their ability to keep 'caring'. Carers often lack time to look after themselves, putting their own needs last. These needs tend to be hidden until crises. Carers need support to (1) look after their own health and wellbeing and (2) boost their skills and confidence to care. Healthcare policy says this should happen, but healthcare professionals can find this difficult alongside supporting the patient.
To address this, we have worked with carers, health and social care professionals, voluntary organisations and national leaders in carer support, to develop a new Carer Support Nurse role. This role is designed to help carers who have their own needs, or who need extra support for their caring role, that cannot be met by their usual healthcare team. The nurse will also work with other healthcare providers to raise their awareness of carer needs and how to support them.
The Carer Support Nurse is now in post. This study explores the role's value and impact by analysing data on (1) what the nurse does, and (2) the views of carers, patients, health and social care professionals, voluntary organisations, and the nurse themself. This will involve collecting data from (1) the nurse (through a weekly diary and monthly interviews), (2) carers who have had contact with the nurse (through a survey and interviews), (3) patients these carers support (through interviews), and (4) health and social care professionals and voluntary organisations (through interviews and focus groups). It will also develop recommendations for whether, and how, the role could be introduced more widely, and the design of a future multi-site study.
详细描述
Five-task study using qualitative and quantitative data to answer its research questions. Sample sizes are indicators rather than target sample sizes.
TASK 1) Carer Support Nurse role data capture:
The Carer Support Nurse (CSN) will receive a recruitment pack comprising an invitation letter, participant information sheet, and with reply by email. The CSN job description informed applicants of the research being conducted alongside the role, and it was discussed at interview. The CSN will therefore expect to receive the recruitment pack and will have an opportunity to ask further questions before informed consent is taken.
Once consented, the CSN will complete a very brief templated Weekly Reflective Diary [Gabbay, 2003] (what was done, what worked, what didn't) and CSNAT-I Activity Template (anonymised group-level data on carer needs identified and types of actions taken: no names/identifiers included). Monthly data-generating meetings (informed by the data collected weekly) will monitor how the role is working and identify/address any emerging barriers to the role. Additionally, an adapted version of a tool designed to capture the activities the nurse is carrying out within the role will be used (the Cassandra tool [https://www.apollonursingresource.com/showing-how-i-spend-my-time/cassandra-app/\]) and costs. Data collected through these monthly meetings will include:
- referral sources (including repeat referrals)
- CSN's use of time (e.g., working hours, activities with carers, activities not directly with carers)
- delivery of five Evidence-based Design Principles for the role, or whether these had to be modified
- types of actions taken in response to carers' needs
- potential impacts (costs/benefits) on the CSN, carers, patients, or other services.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
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
- •Adult unpaid carers who have been referred to, or who have contacted (self-referral), the Carer Support Nurse
排除标准
- •Unable to understand or communicate in English
- •Serious mental health problem
- •Unable to give informed consent
结局指标
主要结局
Carer Preparedness for Caregiving
时间窗: 6 weeks
Preparedness for Caregiving Scale
次要结局
- Carer resource use(6 weeks)
- Carer wellbeing(6 weeks)
- Health-related quality of life(6 weeks)
