Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1195
Title: Evaluating the impact of the Dementia Care in Hospitals Program (DCHP) on hospital-acquired complications: study protocol.
Author: Yates, Mark
Watts, Jennifer J.
Bail, Kasia
Mohebbi, Mohammadreza
MacDermott, Sean
Jebramek, Jessica C.
Brodaty, Henry
Issue Date: 2018
Publication Title: International Journal of Environmental Research and Public Health
Volume: 15
Issue: 9
Start Page: 1878
Abstract: Despite the increasing number of older people, many with cognitive impairment (CI), in hospitals, there is yet to be an evaluation of hospital-wide interventions improving the management of those with CI. In hospitalized patients with CI, there are likely to be associations between increased complications that impact on outcomes, length of stay, and costs. This prospective study will evaluate the effectiveness of an established hospital CI support program on patient outcomes, patient quality of life, staff awareness of CI, and carer satisfaction. Using a stepped-wedge, continuous-recruitment method, the pre-intervention patient data will provide the control data for usual hospital care. The intervention, the Dementia Care in Hospitals Program, provides hospital-wide CI awareness and support education, and screening for all patients aged 65+, along with a bedside alert, the Cognitive Impairment Identifier. The primary outcome is a reduction in hospital-acquired complications: urinary tract infections, pressure injuries, pneumonia and delirium. Secondary outcome measures include cost effectiveness, patient quality of life, carer satisfaction, staff awareness of CI, and staff perceived impact of care. This large-sample study across four sites offers an opportunity for research evaluation of health service functioning at a whole-of-hospital level, which is important for sustainable change in hospital practice.
URI: http://hdl.handle.net/11054/1195
ISSN: 1660-4601
Internal ID Number: 01182
Health Subject: DEMENTIA
DCHP
DEMENTIA CARE IN HOSPITALS
DELIRIUM
COGNITIVE DISORDERS
ACUTE HOSPITAL
EDUCATION
SYSTEM REDESIGN
NURSING
NONCLINICAL STAFF
Type: Journal Article
Article
Appears in Collections:Research Output

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