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Care Delivery in Acute Hospital Settings: an Observational Study (PERFECTED)

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ClinicalTrials.gov Identifier: NCT02212353
Recruitment Status : Completed
First Posted : August 8, 2014
Last Update Posted : August 11, 2017
Sponsor:
Information provided by (Responsible Party):
University of East Anglia

Brief Summary:

This small observational study is a contractual component of a 5-year (2013-18) NIHR funded programme called PERFECTED (Peri-operative Enhanced Recovery hip FracturE Care of paTiEnts with Dementia) whose overall aim is to develop and pilot an evidence-based intervention to improve the hospital care of patients with dementia suffering a fractured hip. The findings from this particular observational study will support other PERFECTED work-packages in establishing current care practices in acute hospital settings for older people in general with hip fractures.

Observation is a well-established qualitative technique widely used to understand cultures, processes and interactions in defined locations including hospitals. In this study, researchers will observe day-to-day practices on specific ortho-geriatric wards and Emergency Departments in three English hospitals (Norfolk and Norwich University Hospital, Bradford Royal Infirmary and Queen's Medical Centre in Nottingham). Observations will occur intermittently over a 4-week period, covering the full 24h cycle. The prime objective of the study is to describe delivery of care to older patients with a hip fracture including an assessment of cost consequences. Crucially, the observations will focus exclusively upon the hospital personnel that routinely provide care in the designated locations being observed. Other individuals who frequent the locations (patients, visitors and other more peripheral health care professionals) are NOT the focus of the research and will be regarded as "incidental others" rather than "participants". This approach is common in observational research.

Observations will be conducted by experienced qualitative researchers and assisted by specifically trained lay researchers to provide a valuable service-user dimension to the study. Field-notes and contextual information will be collected and thematically analysed, again in partnership with trained 'lay' researchers. Resulting data will address the pre-defined aims of the observational study and feed into the findings reported across the whole of work package 1 of PERFECTED.


Condition or disease Intervention/treatment
Dementia Hip Fractures Other: Observational study, not interventional

  Show Detailed Description

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Study Type : Observational
Actual Enrollment : 180 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Care Delivery in Acute Hospital Settings: an Observational Study. WP1 P3
Actual Study Start Date : September 1, 2014
Actual Primary Completion Date : December 12, 2014
Actual Study Completion Date : December 16, 2014


Group/Cohort Intervention/treatment
Site 1 Health Care Professionals
Observational research. This is a cohort of health care professionals working in site 1 in delivering to care to neck of femur patients.
Other: Observational study, not interventional
Site 2 Health Care Professionals
Observational research. This is a cohort of health care professionals working in site 2 in delivering to care to neck of femur patients.
Other: Observational study, not interventional
Site 3 Health Care Professionals
Observational research. This is a cohort of health care professionals working in site 3 in delivering to care to neck of femur patients.
Other: Observational study, not interventional



Primary Outcome Measures :
  1. To observe and describe the general day-to-day practices and routines in three English acute hospitals for treating older patients with hip fracture. [ Time Frame: Observations in each of the 3 sites will take place for a 4 week period. ]
    The overall aim of this study (phase 3, WP1 of PERFECTED) is to observe and describe the general day-to-day practices and routines in three English acute hospitals for treating older patients with hip fracture. The influence on care practices of significant co-morbidities, particularly dementia, will especially be noted. Observations will take place in defined areas on specified ortho-geriatric wards and in EDs. The study's aims and objectives focus on the delivery of care. As such, the focus of the observations is solely upon those health professionals who routinely deliver care in the designated spaces.



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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Secondry Care
Criteria

Inclusion Criteria:

  • Health Care Professioanls delivering care in the observational environments

Exclusion Criteria:

  • Those who are not Health Care Professioanls delivering care in the observational environments

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02212353


Sponsors and Collaborators
University of East Anglia
Investigators
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Principal Investigator: George C Fox University of East Anglia

Additional Information:
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Responsible Party: University of East Anglia
ClinicalTrials.gov Identifier: NCT02212353     History of Changes
Other Study ID Numbers: DTC-RP-PG-0311-12004
First Posted: August 8, 2014    Key Record Dates
Last Update Posted: August 11, 2017
Last Verified: August 2017
Additional relevant MeSH terms:
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Hip Fractures
Femoral Fractures
Fractures, Bone
Wounds and Injuries
Hip Injuries
Leg Injuries