- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03963778
Organisational Culture and Nutritional Care
A Study Investigating the Impact of Organisational Culture on Nutritional Care in Hospitalised Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study adopts an action research (AR) approach given that sustained change is more likely if it incorporates authentic staff engagement. The key choice made in formulating the research design is to adopt an approach that is collaborative and participatory in a process of action and learning.
Here, eligible health practitioners involved in any aspect of the patients' food and nutritional care or helping to feed patients during mealtimes would be represented in one central team, engaging as co-researchers in the study.
Patients and/or relatives will participate in a focus group or interview session. The AR team participants will be involved in the iterative action research cycle, reflecting on current nutritional care practices, collectively evaluate patients' stories and consider ways to improve eating and drinking on the wards. The AR team will meet throughout the course of 12 months.
The study will provide insight into the impact of organisational culture ('the way the investigators do things') in the delivery of good nutritional care and elucidate the roles and responsibilities of nurses and other staff groups involved in the provision of nutritional care.
This research will provide data on the organisational culture of interdisciplinary teams working at both micro and macro levels while providing insight into the potential for AR to be used in a wider arena within the hospital to improve practice.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Dorset
-
Bournemouth, Dorset, United Kingdom, BH1 3LH
- Bournemouth University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Recently discharged patients aged 65 or over
- Recently discharged patients at the time of data collection
- Who at the time of admission received oral nutrition and hydration
Exclusion Criteria:
- Patients aged under 65
- Current in-patients
- Patients who have had no oral nutrition. e.g patients who had Percutaneous Endoscopic Gastrostomy (PEG) feeds whilst admitted
- Patients who are feeling too unwell to participate
- Patients lacking the mental capacity to give verbal or written consent
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Focus Group sessions / Action research team meetings
Time Frame: 12 months
|
The action research team will have focus group/meetings involving health professionals willing to participate as co-researchers to collectively draw on their experiences to collaborate and implement interventions to improve nutritional care delivery for patients following the iterative AR cycles; planning, taking action, observing and evaluating interventions. The group meetings will be spread across 12 months. Outcome measures are obtained from interventions implemented as agreed by the team and as informed by preliminary data (such as the Malnutrition Universal Screening Tool ('MUST') audit). |
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Interview/focus group
Time Frame: 8 months
|
Semi-structured interview or focus group with patients and /or their relatives willing to share their experiences on food and nutritional care.
|
8 months
|
Malnutrition Universal Screening Tool Hospital Audit.
Time Frame: 18 months
|
Evaluation of 'MUST' Audit pre and post intervention.
|
18 months
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Janet Scammell, PhD, Associate Professor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 1718/IRASGY/1
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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