Fall Prevention, Long Term Care Facility, Old Age
Conditions
Keywords
long term care, falls management
Brief summary
AIM: To co-produce a novel model for implementation of falls management for older people living in care homes SECONDARY OBJECTIVES Component One Objectives: Primary :To co-produce a novel model for the implementation of falls management in care homes Secondary * To facilitate a series of co-production workshops with representation of key stakeholders * To co-produce a novel implementation model for falls management * To co-produce an outcomes framework to evaluate the implementation model * To explore the feasibility of delivering the model and using the outcomes framework across Nottingham and Nottinghamshire Integrated Care Systems (ICSs) Component Two Objectives: * To evaluate how and the extent to which co-production occurs during the process of developing a novel model and an outcomes framework for the implementation for falls management in care homes * To reflect on challenges and facilitators of using co-production approaches in this context * To evaluate how care home residents can be supported to voice their priorities within the process.
Detailed description
Component One: Co-production of the implementation model and outcomes framework A series of co-production workshops will be undertaken using a systemic action research methodology to develop and explore the feasibility of a novel implementation model and outcomes framework. This will involve three small workshop groups consisting of residents and relatives, care home staff only, and representatives from ICS partner organisations. All participants will be invited to attend a multi-stakeholder workshop in the later stages of the process to share ideas. Data collected for component one will be collected by the PI and PhD student. The novel model will be co-produced as part of this project but may include activities such as a care home audit programme, a reporting process, training and education and a community of practice. Following co-production of the model it will be delivered across Nottinghamshire ICB and refined in line with the systemic action research process. Component Two: Evaluating the co-production process A process evaluation will be undertaken to explore how and the extent to which co-production occurs in component one, including reflection on challenges and facilitators, and how resident involvement is supported. Data collected for component two will be collected by the PhD student.
Interventions
OTHERCo-design workshop
Co-design workshops to develop the implementation model
OTHERSurvey
Survey of care staff knowledge and confidence
OTHERInterview
Interview to explore care staff experience of the falls management support
Sponsors
Nottingham University Hospitals NHS Trust
University of Nottingham
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Key stakeholders within an ICS system including: carers, registered health professionals, managers and owners/executives from care homes commissioners, health care professionals and regulators involved in care home and falls management pathways, residents living in care homes relatives of residents living in care homes * 18 years and over (no upper age limit) * Any member of staff working in the 10 case study care homes in Nottinghamshire
Exclusion criteria
* Unable to read and understand written English * Lack of capacity to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Key features of the falls management implementation model and outcomes framework using thematic analysis from the co-design workshops through study completion anticipated at 18 months | From enrolment to the end of the co-design workshops at 12 months | The data collected to address this primary includes: * The number of workshops, location, duration and range of stakeholders attending * Summary of key themes from each meeting drawn together from flipcharts, online flipchart programmes such as padlet and field notes * Cross-comparison of themes between the stakeholder groups * Record of between meeting activities to describe the types of information and activities undertaken * List of problems and potential solutions * Facilitator maintained notes on the decisions made in developing the model and the factors influencing the decisions * Description of the key features of the model Description of outcomes framework |
Countries
United Kingdom
Outcome results
None listed