Specialty: Health Services Research, Primary sub-specialty: Health Services Research
Conditions
Interventions
This study combines two existing interventions.
1. The Creating Learning Environments in Compassionate Care (CLECC) intervention - this been designed for use by ward nursing teams in i
Sponsors
University of Southampton
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Staff (interviews, surveys): 1. All nurses and care assistants (CAs) (Health care assistants, assistant practitioner, nursing auxiliaries) working on participating wards during any data collection period will be invited to be interviewed and eligible to complete the nursing questionnaires. 2. Age: 18+ 3. Gender: Both Patients (interviews, surveys): 1. Age: 18+ 2. Gender: Both 3. Only people who speak English and who have the cognitive and communicative capacity to participate in a research interview (as assessed by the researcher and/or ward staff) will be invited to take part Care interactions (patients and staff): 1. Age: 18+ 2. Gender: both 3. Patients who are able to consent OR if lacking mental capacity, advice will be taken from an appropriate consultee in deciding whether or not to include someone
Exclusion criteria
Exclusion criteria: Staff: 1. Nursing students, bank and agency staff will not be eligible to be interviewed nor to complete the nursing questionnaires Patients 1. Reverse-barrier nursed, receiving palliative care or are critically ill (research team will be advised by the nurse-in-charge when coming onto the ward) 2. Lacking capacity to decide about taking part in the research and/or unable to communicate their choices about taking part in the research AND a consultee (as defined by the Mental Capacity Act) cannot be consulted (NB patients who lack capacity will be included in care interaction observations if a consultee advises this is appropriate and the patient does not show signs of dissent) 3. Indicate either verbally or non verbally that they do not wish to take part 4. Unconscious or where there are clinical concerns that may preclude them from being approached (we will check with the nurse-in-charge on arrival on the ward whom we should not approach) 5. Receiving continual clinical care that would impair their capacity to make a decision about taking part 6. Communication difficulties, including e.g. language differences, auditory impairments, impair the recruiter's ability to communicate about the research or the patient's ability to communicate their choice about taking part 7. Unable to complete a questionnaire in English with interviewer help 8. Qualitative interviews - lacking the cognitive and communicative capacity to be interviewed
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pre- and post-intervention surveys and observations will be taken: 1. Patient-centredness of care measured using the patient version of the Individualised Care Scale (ICS) and the Person-centred Climate Questionnaire (PCCQ) 2. Nurses' perceptions of patient-centredness of care measured using the staff versions of the Individualised Care Scale (ICS) and the Person-centred Climate Questionnaire (PCCQ) 3. Quality of staff-patient interactions measured using the QUIS, a time sampling tool that gives a measure of both the volume and quality of interactions. Interactions between staff and patients are observed by independent raters and coded as positive social, positive care, neutral, negative protective and negative restrictive. Observations will be divided into ten 2 hour periods (per ward at each assessment period) to ensure representation of a range of patients, times of day, nurses and days of week. | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s): Pre- and post-intervention surveys: 1. Carer experiences of care; all eligible carers/visitors on each ward over a six week period will be invited to complete a Carer Experiences of Care (CEC) questionnaire 2. Feasibility of study design to inform a future definitive trial, capturing levels of recruitment, recruitment difficulties and feasibility of intervention (through interviews with staff) 3. Pressure ulcer prevalence (as a proxy for fundamental care activities being carried out satisfactorily) measured using audit data | — |
Countries
England, United Kingdom
Outcome results
None listed