NCT04833153

Brief Summary

The aim of this study is to evaluate the effectiveness of the Person-First - Please (PFP) intervention in supporting nurse's competence and collective competence of Person-Centred Care (PCC) in older people Long-Term Care (LTC). The goal is to promote PCC culture in older people LTC. Research question 1: What is the effectiveness of the PFP intervention on the PCC collective competency of nurses in older people LTC? Hypothesis for research question 1 are: 1\. Nurses in intervention group will have higher level of competence of PCC than control. Research question 2: How PCC climate has been maintained in older people LTC from the point of view of the nurses, next of kin and older people? Hypothesis for research question 2 are:

  1. 1.PCC climate will be better in intervention group than control from point of view of the nurses, next of kin and older people.
  2. 2.The higher competence of nurses the higher level of PCC climate from point of view of the next of kin and older people.
  3. 3.The higher collective competence of the nurses the higher level of the PCC climate from point of view of the next of kin and older people.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
250

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 13, 2021

Completed
24 days until next milestone

First Posted

Study publicly available on registry

April 6, 2021

Completed
5 months until next milestone

Study Start

First participant enrolled

August 30, 2021

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 2, 2022

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2022

Completed
Last Updated

November 10, 2022

Status Verified

November 1, 2022

Enrollment Period

4 months

First QC Date

March 13, 2021

Last Update Submit

November 5, 2022

Conditions

Nurse-Patient Relations

Keywords

Person-centred careContinuing educationLong-term careOlder people

Outcome Measures

Primary Outcomes (1)

  • Changes in nurses PCC competency

    The competence data will be collected by the Patient-centred Care Competency (PCC) scale as primary outcome. The PCC scale consists of 17 items with 5-point Likert scale (1 = minimal, 2 = below average, 3 = average, 4 = good, 5 = excellent), divided subscales: respecting patients' perspectives, promoting patient involvement in care processes, providing for patient comfort, and advocating for patients.

    baseline - after the intervention - 6 week follow up

Secondary Outcomes (2)

  • Changes in PCC climate in lens of nurses, older people and next of kin

    baseline - after the intervention - 6 week follow up

  • Evaluation of the continuing education named PFP in lens of the nurses

    during the intervention

Study Arms (2)

PFP intervention

EXPERIMENTAL

PFP 10 week continuing education intervention

Behavioral: Person-First - Please (PFP)

Control arm

NO INTERVENTION

Usual care

Interventions

Person-First - Please (PFP)BEHAVIORAL

PFP takes 10 weeks and consist of four modules: Information, Person, Autonomy and Dignity. Information module takes 1 hour contact on first week. The other modules will follow every third weeks, starting from week 2. So that on week 2, 5 and 8 researcher meet nurses in 4 hours education session. Between the modules, nurses can take contact online to the researcher.

PFP intervention

Eligibility Criteria

AgeUp to 110 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • The criteria for older people participating alone are that older people have enough cognitive capacity assessed by managers of the units. The criteria for next of kin participating is they will visit at least weekly in LTC.

You may not qualify if:

  • short- time deputy nurses
  • older people in terminal care

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Social services and health care

Rauma, Satakunta, 26100, Finland

Location

Related Publications (1)

  • Pakkonen M, Stolt M, Edvardsson D, Pasanen M, Suhonen R. Person-centred care competence and person-centred care climate described by nurses in older people's long-term care-A cross-sectional survey. Int J Older People Nurs. 2023 May;18(3):e12532. doi: 10.1111/opn.12532. Epub 2023 Mar 14.

    PMID: 36918384DERIVED

Study Officials

  • Suhonen, Professor

    University of Turku

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
PhD-candidate

Study Record Dates

First Submitted

March 13, 2021

First Posted

April 6, 2021

Study Start

August 30, 2021

Primary Completion

January 2, 2022

Study Completion

March 31, 2022

Last Updated

November 10, 2022

Record last verified: 2022-11

Data Sharing

IPD Sharing
Will not share

small sample size and vulnerable participants

Locations

FI(1)