None listed
Conditions
Brief summary
ImPaCt is a study to trial the PCI within the community nursing service to enhance detection of the patient complexity in our service. The primary objective is to explore whether adding the PCI to usual assessment process could enhance detection of complexity of patients. The secondary objective is to explore whether using the PCI derived patient complexity could facilitate appropriate resource allocation; this resource being the time allocated to providing clinical care to the complex patient. The study will also explore issues around feasibility and acceptability of the PCI in the community nursing service.It is anticipated that the study will explore if the PCI is a suitable tool to enhance the detection of complexity and support resource and time allocation for patient. This study has the potential to provide recommendations to the developer for modifications for Australian use and inform a larger multi-site trial.
Interventions
An introduction to the project will be provided as a 15 min powerpoint delivered 3 times or until all staff have been included. Delivered by the researcher and in groups, consent will be obtained at this point. An information sheet on the PCI and how to use it will be provided as part of this session, given to staff once. All staff receive this, it is not specifically part of the intervention. Staff will be asked to complete a pre-trial survey once to gather information about current knowledge o
An introduction to the project will be provided as a 15 min powerpoint delivered 3 times or until all staff have been included. Delivered by the researcher and in groups, consent will be obtained at this point. An information sheet on the PCI and how to use it will be provided as part of this session, given to staff once. All staff receive this, it is not specifically part of the intervention. Staff will be asked to complete a pre-trial survey once to gather information about current knowledge of complexity. Usual care: the documentation, questioning and assessment that would normally occur will continue to occur. The intervention is usual assessment plus the PCI. The registered nurses will complete their usual care and on return to the office collect the randomized envelope. The intervention group will complete a survey regarding their current interpretation of the usual care, then complete the PCI for each admission in the intervention group, could be daily. They then redo the survey to identify a change. The intervention is delivered to each admission allocated to this group, this may be daily. The trial is conducted in a regional Victorian community nursing service, the intervention is physically administered in an office.
Sponsors
Jennifer Boak
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
The inclusion criteria are new referrals of patients aged 65 and over and meet the criteria for Commonwealth home support program (CHSP) funded services. This criteria is that the care is delivered to support the client to remain in their home and active in the community. Recently discharged patients falling under the episodic Post-Acute-Care (PAC) will be included if they require continuing care which is eligible for CHSP funding. All Registered Nurses employed as District Nurses in the community nursing service and are assigned to perform new patient assessment during the trial period will be included. Assessments will be those performed during weekdays as those occurring on weekends are invariably Post Acute Care episodic care that are not eligible for CHSP funded care.
Exclusion criteria
Exclusions will be patients referred for specific episodic care such as anti-coagulant therapy or eye drops post-eye surgery. Patients who are due for follow up and re-assessment during the trial period will also be excluded. Nurse participation is voluntary therefore, assessments completed by a nurse who declines to participate in the study will not be considered. The relationship with the nurse, other staff and the organisation will not be affected by their decision.
Outcome results
None listed