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
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:
- Interactions between patient, carers and staff.
- Hardware (equipment) used on the ward.
- Software (paperwork/policy).
- The hospital environment.
|Condition or disease||Intervention/treatment|
|Dementia Falls Discharge Planning||Other: Qualitative interviews|
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.
|Study Type :||Observational|
|Estimated Enrollment :||40 participants|
|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|
- 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?
- Systems approach interview guide [ Time Frame: 3 months ]Hospital staff and carers experiences of caring for patients with dementia.
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
|Contact: Mary Duah-Owusu White, Nursingfirstname.lastname@example.org|
|Contact: Julie Northamemail@example.com|
|Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust||Recruiting|
|Bournemouth, United Kingdom|
|Contact: Mary Duah-Owusu White firstname.lastname@example.org|
|Contact: Research Office ResearchOffice@rbch.nhs.uk|
|Study Director:||Samuel Nyman||Bournemouth University|