A Systems Approach to Falls and Discharge Planning

NCT03958994 | Completed

• 1 other identifier: 1819-IRASMDO
• Study Type: observational
• Target: 52
• Locations: 1 country
• Sites: 1

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

Conditions

Dementia; Falls; Discharge Planning

Outcome Measures

Primary Outcomes (1)

• Systems approach interview guide

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

  3 months

Interventions

Qualitative interviews OTHER

What are the roles of organisational factors, education and policy in shaping the experiences of staff and carers who care for people with dementia?

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Hospital staff and carers of people with dementia

You may qualify if:

• 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.
• Carers of people with dementia (paid or unpaid) - those who visit the ward regularly and who are able and willing to give informed consent

You may not qualify if:

• 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.
• 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.

Sponsors & Collaborators

• Bournemouth University: lead

Study Sites (1)

Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust

Bournemouth, United Kingdom

Location

Related Publications (5)

• Duah-Owusu White M, Vassallo M, Kelly F, Nyman S. Can a systems approach reduce adverse outcomes in patients with dementia in acute settings? (innovative practice). Dementia (London). 2020 May;19(4):1280-1286. doi: 10.1177/1471301217737690. Epub 2017 Nov 3. No abstract available.

  PMID: 29096545 BACKGROUND

• Duah-Owusu White, M., Kelly, F., Vassallo, M., & Nyman, S. Using a systems perspective to understand hospital falls among patients with dementia. Aging and Health Research. 2022; 2(4).

  BACKGROUND

• Duah-Owusu White M, Vassallo M, Kelly F, Nyman S. Two factors that can increase the length of hospital stay of patients with dementia. Rev Esp Geriatr Gerontol. 2022 Nov-Dec;57(6):298-302. doi: 10.1016/j.regg.2022.10.004. Epub 2022 Nov 18.

  PMID: 36411104 BACKGROUND

• Duah-Owusu White M, Kelly F. A narrative review of staff views about dementia care in hospital through the lens of a systems framework. J Res Nurs. 2023 Mar;28(2):120-140. doi: 10.1177/17449871221142104. Epub 2022 Dec 29.

  PMID: 37152201 BACKGROUND

• Duah-Owusu White M, Kelly F, Vassallo M, Nyman SR. Understanding the hospital discharge planning process for medical patients with dementia. Contemp Nurse. 2023 Aug-Oct;59(4-5):323-333. doi: 10.1080/10376178.2023.2266530. Epub 2023 Nov 30.

  PMID: 37864828 BACKGROUND

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Samuel Nyman

  Bournemouth University

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: May 10, 2019
• First Posted: May 22, 2019
• Study Start: September 23, 2019
• Primary Completion: January 31, 2020
• Study Completion: April 15, 2020
• Last Updated: November 1, 2023

Record last verified: 2023-10

Locations

GB (1)