Improving caring quality for people with dementia in nursing homes using IPOS-Dem: A stepped-wedge cluster randomized controlled trial protocol.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_C0919F7DBC06
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Improving caring quality for people with dementia in nursing homes using IPOS-Dem: A stepped-wedge cluster randomized controlled trial protocol.
Journal
Journal of advanced nursing
Author(s)
Spichiger F., Koppitz A.L., De Wolf-Linder S., Murtagh FEM, Volken T., Larkin P.
ISSN
1365-2648 (Electronic)
ISSN-L
0309-2402
Publication state
Published
Issued date
10/2021
Peer-reviewed
Oui
Volume
77
Number
10
Pages
4234-4245
Language
english
Notes
Publication types: Clinical Trial Protocol ; Journal Article
Publication Status: ppublish
Abstract
We aim to evaluate the effectiveness of the Integrated Palliative Care Outcome Scale for people with dementia-based case studies to improve the caring quality for people with dementia in nursing homes by frontline staff and family members.
Swiss nursing homes mostly care for people with dementia. This population is at high risk of receiving little to no palliation for their complex needs. The majority of Swiss frontline healthcare staff do not systematically report on the needs of their residents. Additionally, family members do not routinely participate in assessment processes.
We will conduct a stepped-wedge cluster randomized trial of repeated assessment using the Integrated Palliative Care Outcome Scale for people with dementia (IPOS-Dem) and subsequent case studies. Clusters will consist of Swiss nursing homes randomly assigned to one of three sequential intervention time points.
The study population will consist of people with dementia living in nursing homes with and without specialized dementia care facilities. Over 16 months, staff working at the frontline and family members will assess the needs and concerns of people with dementia using IPOS-Dem. Depending on sequence allocation, facilitated case studies will start after 3, 6 or 9 months. The primary outcome will be caring quality measured by QUALIDEM. The secondary outcome will be symptoms and concerns, as indicated by the IPOS-Dem sum-score. The Zürich Ethics Committee approved the study in 2019 (2019-01847).
The results of this study will contribute to improving the effectiveness of person-centred care for people with dementia. Collaboration between healthcare staff and family members will be systematically developed and built upon thorough assessment using the IPOS-Dem and related case studies. The use of IPOS-Dem will offer all frontline staff a systematic approach to have an independent voice within the nursing process, regardless of their qualification or grade.
Keywords
Dementia, Family, Humans, Nursing Homes, Palliative Care, Quality of Health Care, Randomized Controlled Trials as Topic, caring, dementia, family, needs, nursing, nursing home, palliative care, quality of life
Pubmed
Web of science
Open Access
Yes
Create date
23/07/2021 15:27
Last modification date
12/01/2022 7:13
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