Last year of life in nursing care homes study

The effect of different models of facilitation when implementing the Gold Standards Framework in Care Homes (GSFCH): a cluster randomised control trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN76029577

Enrollment

2311

Registered

2012-03-02

Start date

2009-10-10

Completion date

Unknown

Last updated

2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Unspecified dementia Nervous System Diseases Unspecified dementia

Interventions

The study will take place in up to 45 NCHs taking part in Phase 6 Gold Standards Framework in Care Homes [GSFCH] programme at St Christopher's Hospice. Three cohorts of nursing care homes [NCHs] will

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. All willing nursing care homes (NCHs), and where present their GSFCH facilitators, that care for frail older people with or without dementia who have completed an application form to take part in Phase 6 GSFCH programme at St Christopher's Hospice. 2. Participants were adults of various age ranges and genders

Exclusion criteria

Exclusion criteria: 1. NCHs in the 'intervention' arm whose managers are not willing to participate in 'action learning' 2. NCHs outside the immediate St Christopher's area but whose facilitator has close contact with the project team 3. NCHs outside the private sector 4. NCHs that care for young chronic sick/disabled residents

Design outcomes

Primary

Measure	Time frame
Reduced number of hospital deaths which will be analysed through the retrospective review of deceased residents records. This review is being undertaken over a 3-year period - one year retrostpective to the intervention and then two years during/following.	—

Secondary

Measure	Time frame
1. To understand the cost/benefit implications of providing the intervention 2. To examine the provision of end of life care before and after the intervention 3. To determine the sustainability of the programme through the intervention 4. The following measures to collect data are being used: 4.1. Nurse manager's questionnaire (pre/post) 4.2. 'Competency document' to all nurses in NCHs (pre/post) 4.3. 'Teamwork questionnaire' to all staff in NCHs (pre/post) 4.4. 'Palliative care quiz' questionnaire for nurse coordinators (pre) 4.5. VOICES questionnaire to relatives of residents who have died (pre/post) 4.6. The 'Family Perception of Care' questionnaire to relatives of residents who have died (during) 4.7. Action Learning for nurse managers in Cohort 1 (during)	—

Measure

Time frame

1. To understand the cost/benefit implications of providing the intervention 2. To examine the provision of end of life care before and after the intervention 3. To determine the sustainability of the programme through the intervention 4. The following measures to collect data are being used: 4.1. Nurse manager's questionnaire (pre/post) 4.2. 'Competency document' to all nurses in NCHs (pre/post) 4.3. 'Teamwork questionnaire' to all staff in NCHs (pre/post) 4.4. 'Palliative care quiz' questionnaire for nurse coordinators (pre) 4.5. VOICES questionnaire to relatives of residents who have died (pre/post) 4.6. The 'Family Perception of Care' questionnaire to relatives of residents who have died (during) 4.7. Action Learning for nurse managers in Cohort 1 (during)

—

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026