Healthcare of older people Not Applicable Healthcare of older people
Conditions
Interventions
1. HCAs in wards randomised to relational care training will receive two one-day training sessions approximately one week apart. Training will be delivered by HCA trainers based at each of the partici
Sponsors
University of East Anglia (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Ward inclusion criteria: general medicine or care of the elderly/older people wards where the median age of the inpatient population is 70 years or greater 2. Healthcare assistant inclusion criteria: healthcare assistants working either full time or part time within enrolled wards 3. Patient inclusion criteria: patients aged 70 years or over and discharged from an inpatient stay on an enrolled ward during the four-week period prior to the start of the intervention and during the four-week period following the end of the intervention
Exclusion criteria
Exclusion criteria: 1. Ward exclusion criteria: specialist dementia wards; medical admissions units 2. Health-care assistants exclusion criteria: healthcare assistants who are employed as bank staff and are not part of the named staff on the ward roster 3. Patients exclusion criteria: patients discharged to another ward or hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure will be at the patient level: Patient Evaluation of Emotional Care during Hospitalisation inventory (PEECH) . The PEECH contains 23 items and four subscales (levels of security, knowing, personal value, connection) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures will be taken at the level of ward and individual HCAs. Ward outcomes: 1. Quality of interaction with older patients, measured using the Care Kindness and Compassion Observation Tool. It is used to assess three domains of care: 1.1. General care 1.2. Patient and visitor engagement 1.3. Patient safety. Interactions are rated by an observer 2. HCA outcomes: 2.1. Change in empathy, measured using the Toronto Empathy Questionnaire (TEQ). The TEQ conceptualises empathy as an emotional process and contains 16 items 2.2. Change in attitude towards older people, measured using the age group evaluation and description (AGED) inventory, a measure of the extent to which stereotypes about ageing are held by the respondent | — |
Countries
United Kingdom
Outcome results
None listed