pain of people with dementia in nursing homes.
Conditions
Interventions
Group 1: The intervention nurse is a nurse with a Master of Science in Nursing degree. The intervention consists of two parts:
Intervention 1 – pain assessment
Aim: to reinforce the systematic pain as
Sponsors
Zurich University of Applied Science
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: All nurses are included in the study, trained and coached in the provision of interventions. The following inclusion criteria apply to nursing home employees (at assistant, secondary and tertiary level): • must be at least 18 years old; • must have been employed at least 12 months in the respective organisation; • must work for at least 30% of a working week; • be able to communicate in German.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes Pain is measured in all people with dementia by means of: • pain events per shift and per week; • degree of pain intensity per work shift, per week day; • pain-free intervals. Pain will be measured by the PAINAD scale (=BPSD in German) which is a standardised instrument for pain assessment. Hypotheses for primary outcomes Ha1:There is a 20% reduction in pain events over time before and after the intervention and between intervention and comparison groups among nursing home older people. Ha2: There is a 50% reduction in pain intensity over time before and after the intervention and between intervention and comparison groups among older people. Ha3:There is a 20% reduction in the duration of pain free intervals over time before and after the intervention and between intervention and comparison groups among older people. Furthermore the following hypotheses will be explored: • There is a difference in the behavioural problems score (NPI) before and after the intervention and between intervention and comparison groups among older people. • There is a difference in the psychopharmacological drug numbers / dosage before and after the intervention and between intervention and comparison groups among older people. • There is a difference in the numbers / dosage of painkillers before and after the intervention and between intervention and comparison groups among older people. • There is a difference in pain assessment over time before and after the intervention and between intervention and comparison groups among nursing home older people. • There is still a difference in pain assessment by healthcare workers on assistant level over time before and after the intervention • There is still a difference in pain assessment between healthcare workers on assistant level and registered nurses level over time before and after the intervention. Event history analyses The required number of events for a two-tailed test of individual coefficients within a Cox m | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome variables • frequency of behavioural problems (Neuropsychiatric Inventory NPI) • number / dosages of psychotropic drugs; • Number / dosages of analgesics. Tertiary outcome variables The documentation regarding the assessment of pain by nurses is always done in duplicate, by a health care worker on different education level. • changes in the assessment of pain by healthcare worker on healthcare assistant level and • changes between the two healthcare worker groups on healthcare assistant level and registered nurse level. Analysis will be done at the end of all data collection: T0 (day 1-49), T1 (day 159-207) and T2 (day 377-425). | — |
Countries
Switzerland
Contacts
Public ContactAndrea Koppitz
Zürcher Hochschule für angewandte Wissenschaften, Department Gesundheit, Institut für Pflege
Outcome results
None listed