The focus is on the staff perspective: The stress experienced by carers in the care of patients with cognitive impairments and a tendency to get out of bed is examined.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All nursing staff with at least 3 years of nursing training or equivalent international training with professional recognition in Germany, who work on the Riechert (Neurosurgery), Stromeyer (Orthopaedics/Trauma surgery and Marie Curie I and II (Radiotherapeutics) wards at Freiburg University Hospital during the period of the study.
Exclusion criteria
Exclusion criteria: All staff of the wards Riechert (Neurosurgery), Stromeyer (Orthopaedics/Trauma surgery) and Marie Curie I and II (Radiotherapeutics), who belong to other professional groups, reserve employees, nurses from other wards who help out on the wards mentioned, trainees, employees* of the nursing service without a three-year training.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Burden of nurses in the care of patients with cognitive impairments, who are not supposed to get out of bed alone or not at all, without and with the use of Actilog Basic S. The survey is carried out both in a questionnaire survey at the beginning of the first phase (T0.1) and after completion of the 6-month study period (T1.1) and in group discussions in the first two-month phase without the use of aids (T0.2) and after the second questionnaire survey (T1.2). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Assessments by carers on the use of the Actilog Basic S (expectations, usability, acceptance, changes in carer-patient interaction and professional self-image) 2. Experiences of carers in caring for patients with a tendency to get out of bed and/or wandering. 3. Identification of inhibiting and promoting factors when using bed exit information systems. 4. Identification of criteria or decision algorithms for applicating thetechnology. 5. Description of possible ethical implications, when using Actilog Basic S. 6. Identification of guiding definitions of adverse events and measures involving deprivation of libety The survey regarding points 1-6 is also carried out in context of the questionnaire survey at the beginning of the first phase (T0.1) and after completion of the 6-month study period (T1.1) as well as in context of group discussions in the first two-month phase without the use of aids (T0.2) and after the second questionnaire survey (T1.2). In addition, over the entire study period of 6 months, the number of adverse events associated with bed exit is recorded daily with the help of a documentation sheet in relation to the number of patients with cognitive impairments and bed exit tendency. In the second phase of the study, a data logger is used to record the number and timing of the nurse calls over a period of four months. | — |
Countries
Germany
Contacts
Universitätsklinikum Freiburg, Pflegedirektion, Pflegepraxiszentrum Freiburg,