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A Systems Approach to Falls and Discharge Planning

Sponsor
Bournemouth University (Other)
Overall Status
Completed
CT.gov ID
NCT03958994
Collaborator
(none)
52
Enrollment
1
Location
6.7
Actual Duration (Months)
7.7
Patients Per Site Per Month

Study Details

Study Description

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 Phase
  • 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.

Study Design

Study Type:
Observational
Actual Enrollment :
52 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 :
Sep 23, 2019
Actual Primary Completion Date :
Jan 31, 2020
Actual Study Completion Date :
Apr 15, 2020

Outcome Measures

Primary Outcome Measures

  1. Systems approach interview guide [3 months]

    Hospital staff and carers experiences of caring for patients with dementia.

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
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.

  1. 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.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Bournemouth United Kingdom

Sponsors and Collaborators

  • Bournemouth University

Investigators

  • Study Director: Samuel Nyman, Bournemouth University

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
Bournemouth University
ClinicalTrials.gov Identifier:
NCT03958994
Other Study ID Numbers:
  • 1819-IRASMDO
First Posted:
May 22, 2019
Last Update Posted:
Jul 7, 2020
Last Verified:
Jul 1, 2020
Individual Participant Data (IPD) Sharing Statement:
Undecided
Plan to Share IPD:
Undecided
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:
Dementia

Study Results

No Results Posted as of Jul 7, 2020