Care Delivery in Acute Hospital Settings: an Observational Study

NCT02212353 | Completed DMC

• 1 other identifier: DTC-RP-PG-0311-12004
• Study Type: observational
• Target: 180
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Dementia; Hip Fractures

Outcome Measures

Primary Outcomes (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.

  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.

  Observations in each of the 3 sites will take place for a 4 week period.

Study Arms (3)

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

Interventions

Observational study, not interventional OTHER

Site 1 Health Care Professionals; Site 2 Health Care Professionals; Site 3 Health Care Professionals

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Secondry Care

You may qualify if:

• Health Care Professioanls delivering care in the observational environments

You may not qualify if:

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

Sponsors & Collaborators

• University of East Anglia: lead

MeSH Terms

Conditions

Dementia; Hip Fractures

Interventions

Observation

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Intervention Hierarchy (Ancestors)

Methods; Investigative Techniques

Study Officials

• George C Fox

  University of East Anglia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 6, 2014
• First Posted: August 8, 2014
• Study Start: September 1, 2014
• Primary Completion: December 12, 2014
• Study Completion: December 16, 2014
• Last Updated: August 11, 2017

Record last verified: 2017-08