Hospitalized Patients
Conditions
Keywords
Family caregivers, Hospital, Adult, Family, Care, Mixed method, Observational, Cohort, Prospective, Qualitative, Time and Motion, Ghana
Brief summary
This mixed methods study aims to understand family care participation in the adult medicine wards of Korle Bu Teaching Hospital, Ghana. The main questions it aims to answer, from the perspective of the patient, family caregiver, nurse, doctor, ward assistant, and hospital administrator, are: 1. What is the role of the family caregiver in hospital care? 2. What is the perceived effect of family participation in hospital care? 3. What are the barriers and facilitators experienced in family participation? 4. What are suggestions for family participation interventions? These questions will be answered with three study arms: 1. A prospective observational cohort (population: patients and family caregivers) 2. A time and motion study (population: nurses and doctors) 3. Interviews and focus group discussions (population: patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators)
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Prospective Observational Cohort * Inclusion Criteria * Population * Patient: Admitted to the ward (in-patient) * Family caregiver: caregiver providing care at the bedside of the patient on the ward * Environment: Admitted to a medicine ward of KBTH * Admission time: Admitted in the last 48 hours * Adult: ≥18 years *
Exclusion criteria
* Admission time: Planned discharge or transfer within the first 24 hours of admission * Child: \<18 years * Previously enrolled in this study arm * No consent given Time and Motion * Inclusion Criteria * Population: Nurses and doctors * Environment: Working in a medicine wards of KBTH *
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The role of family participation in hospital care | During admission to the general medicine ward | The role of family participation will be described with data from: 1. Prospective observational cohort: patient baseline characteristics, family caregiver baseline characteristics, care characteristics during follow-up (for example: tasks performed, number of caregivers present, hours caregiver is present), end of follow-up status (example: discharged, transferred, death). 2. Interviews and FDG: with patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators. |
| The perceived effect of family participation in hospital care | During admission to the general medicine ward | The perceived effect of family participation will be described with data from: 1. Time and motion: division of work time of nurses and doctors, time spend interacting with patients and family caregivers. 2. Interviews and FDG: with patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators. |
| The barriers and facilitators of family participation in hospital care | During admission to the general medicine ward | The barriers and facilitators of family participation will be described with data from: 1. Prospective observational cohort: patient baseline characteristics, family caregiver baseline characteristics, care characteristics during follow-up (for example: tasks performed, number of caregivers present, hours caregiver is present), end of follow-up status (example: discharged, transferred, death). 2. Time and motion: division of work time of nurses and doctors, time spend interacting with patients and family caregivers. 3. Interviews and FDG: with patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators. |
| The intervention suggestions for family participation in hospital care | During admission to the general medicine ward | The barriers and facilitators of family participation will be described with data from: 1\. Interviews and FDG: with patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators. |
Countries
Ghana