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A Systems Approach to Falls and Discharge Planning

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ClinicalTrials.gov Identifier: NCT03958994
Recruitment Status : Recruiting
First Posted : May 22, 2019
Last Update Posted : September 25, 2019
Sponsor:
Information provided by (Responsible Party):
Bournemouth University

Brief Summary:

The aim of this study is to generate knowledge on how to improve care for people living with dementia who are in acute hospital. The framework for data collection will be the SHEL [Software (policy) , Hardware (equipment), Environment and Liveware (people)] guidelines. This tool has been chosen for this research because Adams (2008) as well as George, Long, and Vincent (2013) argue that in order to improve care for people with dementia it is important to focus on both wider distal elements like the structural components of an organisation in addition to proximal features like the people factor.

This framework will allow for interview data to be collected on the following:

  1. Interactions between patient, carers and staff.
  2. Hardware (equipment) used on the ward.
  3. Software (paperwork/policy).
  4. The hospital environment.

Condition or disease Intervention/treatment
Dementia Falls Discharge Planning Other: Qualitative interviews

Detailed Description:

Background: The Care Quality Commission (2016) notes that the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust (RBCH) has implemented a number of initiatives aimed at improving care given to people with dementia. However, feedback from patients with dementia indicate that improvements are still required (Care Quality Commission, 2016). Therefore, the main aim of this study is to explore how a systems based approach can be used to help with the discharge planning process and the reduction of falls amongst people with dementia by conducting interviews with hospital staff and carers of people with dementia.

Research question: How can a systems perspective contribute to reducing length of stay for people with dementia in an acute hospital through improvements in discharge planning and falls prevention?

Setting: This study will be conducted at the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust.

Duration:This study is not expected to last longer than three months.

Methods: The researcher will interview hospital staff and carers of people with dementia for a period of approximately thirty minutes. This study will use a hospital systems approach to identify the following: 1) communication and interpersonal strategies used by professionals in the discharge planning process and the reduction of falls, 2) the effectiveness of equipment such as manual handling aides in helping with the discharge planning process and the reduction of falls amongst people with dementia, 3) the impact of policies in the discharge planning process and the reduction of falls, and 4) the influence of the ward environment in helping with the discharge planning process and the reduction of falls. These questions are embedded in Edwards's (1972), Hawkins's (1987) and Zecevic et al.'s (2007) theoretical framework (interactions, environment, policies and equipment).

The findings from this study will be used to inform practice.


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Study Type : Observational
Estimated Enrollment : 40 participants
Observational Model: Other
Time Perspective: Other
Official Title: Improving the Short Term Management of Patients With Dementia Admitted to Hospital
Actual Study Start Date : September 23, 2019
Estimated Primary Completion Date : October 23, 2019
Estimated Study Completion Date : April 15, 2020

Resource links provided by the National Library of Medicine



Intervention Details:
  • Other: Qualitative interviews
    What are the roles of organisational factors, education and policy in shaping the experiences of staff and carers who care for people with dementia?


Primary Outcome Measures :
  1. Systems approach interview guide [ Time Frame: 3 months ]
    Hospital staff and carers experiences of caring for patients with dementia.



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Hospital staff and carers of people with dementia
Criteria

Inclusion Criteria:

  1. Staff (nursing, medical, allied healthcare professionals, support staff) - those who have worked with people who have dementia and are able and willing to provide informed consent.
  2. Carers of people with dementia (paid or unpaid) - those who visit the ward regularly and who are able and willing to give informed consent

Exclusion Criteria:

  1. Staff (nursing, medical, allied healthcare professionals, support staff)

    • Staff who have not worked with people who have dementia
    • Staff who are unable or unwilling to provide informed consent.
  2. Carers of people with dementia

    • People who do not visit patient's on the ward, regularly.
    • People who are unable or unwilling to provide informed consent.

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): NCT03958994


Contacts
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Contact: Mary Duah-Owusu White, Nursing 01202962539 mduahowusuwhite@bournemouth.ac.uk
Contact: Julie Northam 01202961208 jnortham@bournemouth.ac.uk

Locations
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United Kingdom
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Recruiting
Bournemouth, United Kingdom
Contact: Mary Duah-Owusu White       mduahowusuwhite@bournemouth.ac.uk   
Contact: Research Office       ResearchOffice@rbch.nhs.uk   
Sponsors and Collaborators
Bournemouth University
Investigators
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Study Director: Samuel Nyman Bournemouth University

Publications:
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Responsible Party: Bournemouth University
ClinicalTrials.gov Identifier: NCT03958994     History of Changes
Other Study ID Numbers: 1819-IRASMDO
First Posted: May 22, 2019    Key Record Dates
Last Update Posted: September 25, 2019
Last Verified: September 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Dementia
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Neurocognitive Disorders
Mental Disorders