The impact of Function Focused Care in Hospital (FFCiH) on geriatric and stroke patients.

Effectiveness, Costs and Feasibility of Function Focused Care in Hospital (FFCiH).

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON24287

Enrollment

800

Registered

2018-01-20

Start date

2016-02-05

Completion date

Unknown

Last updated

2024-02-28

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

Conditions

None listed

Interventions

In the intervention group, trained nurses will stimulate patients in active engagement in daily activities instead of taking over those activities with the aim that patients maintain or restore their

Eligibility

Inclusion criteria

Inclusion criteria: - stroke (onset < 1 week) patients admitted to the neurological ward - geriatric patients admitted to the geriatric ward

Exclusion criteria

Exclusion criteria: - a life-threatening situation or in a terminal phase on admission; - Dutch language barrier regardless of cognitive or communicative impairments; - Already participated once in the FFCiH study - Hospitalization duration of < 48 hours

Design outcomes

Primary

Measure	Time frame
1. Bathing & Dressing: measured by the Barthel-Index (BI) supplemented with the total number of body parts the patient washed and dressed himself. 2. Mobility: measured by the Elderly Mobility Scale (EMS). In case of a maximum score of the EMS (patient performs all tasks without any problem), the EMS will be followed by the 2-minute walk test.	—

Secondary

Measure	Time frame
Measurements at patients 1. Depression: measured by the Patient Health Questionnaire (PHQ) or by the Signs of Depression Scale-Revised (SODS-R) in case patients are not able to communicate due to aphasia or cognitive problems. 2. Health-related quality of life: measured by the EQ-5D-5L 3. Satisfaction with care: measured by one general question of the CQ-Index 4. Fear of falling: measured by the short Falls Efficacy Scale-International (Short FES-I) 5. Self-efficacy and Outcome expectations for Functional and Exercise activities: measured by Self-Efficacy and Outcome Expectations scales for Restorative Care. 6. Motivation: measured by the Apathy evaluation scale. 7. Resilience: measured by the Psychical Resilience Measure. Measurements at nurses 1. Barriers and facilitators regarding implementation: measured by the Barriers and facilitators assessment instrument 2. Team learning: measured by the team learning scale for nursing teams 3. Knowledge of FFCiH: measured by the translated Nursing Assistants Theoretical Testing of Restorative Care Activities. 4. Self-efficacy and Outcome expectations with performing FFCiH-activities measured by the Assistant Self-efficacy (NASERC) and Outcome expectations (NAOERC) for Restorative Care Scale.	—

Measure

Time frame

Measurements at patients 1. Depression: measured by the Patient Health Questionnaire (PHQ) or by the Signs of Depression Scale-Revised (SODS-R) in case patients are not able to communicate due to aphasia or cognitive problems. 2. Health-related quality of life: measured by the EQ-5D-5L 3. Satisfaction with care: measured by one general question of the CQ-Index 4. Fear of falling: measured by the short Falls Efficacy Scale-International (Short FES-I) 5. Self-efficacy and Outcome expectations for Functional and Exercise activities: measured by Self-Efficacy and Outcome Expectations scales for Restorative Care. 6. Motivation: measured by the Apathy evaluation scale. 7. Resilience: measured by the Psychical Resilience Measure. Measurements at nurses 1. Barriers and facilitators regarding implementation: measured by the Barriers and facilitators assessment instrument 2. Team learning: measured by the team learning scale for nursing teams 3. Knowledge of FFCiH: measured by the translated Nursing Assistants Theoretical Testing of Restorative Care Activities. 4. Self-efficacy and Outcome expectations with performing FFCiH-activities measured by the Assistant Self-efficacy (NASERC) and Outcome expectations (NAOERC) for Restorative Care Scale.

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Contacts

Public ContactJanneke de Man-van Ginkel

Julius Centrum voor Gezondheidswetenschappen en Eerstelijnsgeneeskunde, Verplegingswetenschap, Universitair Medisch Centrum Utrecht, Huispostnummer Str. 6.131

J.M.deMan@umcutrecht.nl+31 88 75 648 86

Outcome results