A Systems Approach to Falls and Discharge Planning

October 30, 2023 updated by: Bournemouth University

Improving the Short Term Management of Patients With Dementia Admitted to Hospital

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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 Type

Observational

Enrollment (Actual)

52

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United Kingdom
      • Bournemouth, United Kingdom
        • Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Hospital staff and carers of people with dementia

Description

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.

  2. 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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Other
  • Time Perspectives: Other

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Systems approach interview guide
Time Frame: 3 months
Hospital staff and carers experiences of caring for patients with dementia.
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Bournemouth University

Investigators

  • Study Director: Samuel Nyman, Bournemouth University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 23, 2019

Primary Completion (Actual)

January 31, 2020

Study Completion (Actual)

April 15, 2020

Study Registration Dates

First Submitted

May 10, 2019

First Submitted That Met QC Criteria

May 21, 2019

First Posted (Actual)

May 22, 2019

Study Record Updates

Last Update Posted (Actual)

November 1, 2023

Last Update Submitted That Met QC Criteria

October 30, 2023

Last Verified

October 1, 2023

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 1819-IRASMDO

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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