DementiaNCT03958994
A Systems Approach to Falls and Discharge Planning
An observational study of Dementia and Falls, run by Bournemouth University at 1 site in United Kingdom.
Trial 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. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Dementia, Falls, Discharge Planning
- What is being tested?
- Qualitative interviews
- How many people
- 52 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 23 Sep 2019to 15 Apr 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Hospital staff and carers of people with dementia
Who may be able to join
- 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
Who cannot join
- 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.
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
Bournemouth
About this study
Official title: 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:
- Interactions between patient, carers and staff.
- Hardware (equipment) used on the ward.
- Software (paperwork/policy).
- The hospital environment.
Read the 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.
- Conditions
- Dementia, Falls, Discharge Planning
- Being tested
- Qualitative interviews
- Medical subject headings
- Dementia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Qualitative interviewsOther
What are the roles of organisational factors, education and policy in shaping the experiences of staff and carers who care for people with dementia?
What is being measured
The primary outcome is the main question the study is designed to answer.
Systems approach interview guide
Hospital staff and carers experiences of caring for patients with dementia.
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2019
- Study start23 Sep 2019
- Primary completion31 Jan 2020
- Study completion15 Apr 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for DementiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Other
- Enrolment
- 52 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bournemouth University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Samuel Nyman, Study director, Bournemouth University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03958994
- Sponsor's protocol ID
- 1819-IRASMDO
- Status last verified
- Oct 2023
- First submitted
- 10 May 2019
- Last updated
- 1 Nov 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
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.
PubMed 29096545Duah-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).
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.
PubMed 36411104Duah-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.
PubMed 37152201Duah-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.
PubMed 37864828
Study at a glance
From the registry record, last updated by the sponsor on 1 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Improving the Short Term Management of Patients With Dementia Admitted to Hospital
- ClinicalTrials.gov ID
- NCT03958994
- Acronym / sponsor ID
- 1819-IRASMDO
- Conditions
- Dementia, Falls, Discharge Planning
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 52 participants (actual)
- Lead sponsor
- Bournemouth UniversityUniversity, hospital or other
- Study start
- 23 Sep 2019 (actual)
- Primary completion
- 31 Jan 2020 (actual)
- Study completion
- 15 Apr 2020 (actual)
- First posted
- 22 May 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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:
- Interactions between patient, carers and staff.
- Hardware (equipment) used on the ward.
- Software (paperwork/policy).
- The hospital environment.
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 design
- Observational model
- Other
- Time perspective
- Other
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Hospital staff and carers of people with dementia
Key inclusion criteria (2 listed)
- 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
Key exclusion criteria (6 listed)
- Staff (nursing, medical, allied healthcare professionals, support staff)
- Carers of people with dementia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Qualitative interviewsWhat are the roles of organisational factors, education and policy in shaping the experiences of staff and carers who care for people with dementia? | Other | – |
Primary outcome
Systems approach interview guide
Time frame: 3 months
Hospital staff and carers experiences of caring for patients with dementia.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Nov 2023.
- Background: PubMed 29096545Duah-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.
- BackgroundDuah-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: PubMed 36411104Duah-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.
- Background: PubMed 37152201Duah-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.
- Background: PubMed 37864828Duah-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.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Samuel Nyman study director
Bournemouth University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Dementia and Falls, run by Bournemouth University at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Systems approach interview guide (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03958994, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Nov 2023.