Ignite Creation Date:
2024-05-06 @ 8:24 PM
Last Modification Date:
2024-10-26 @ 3:27 PM
Study NCT ID:
NCT06374992
Status:
COMPLETED
Last Update Posted:
2024-05-24
First Post:
2024-04-16
Brief Title:
Family Involvement Hospital Ethnography
Sponsor:
Duke University
Organization:
Duke University
Study Overview
Official Title:
A Hospital Ethnography of Family Involvement in the Care of Hospitalized Older Adults With Cognitive Impairment
Status:
COMPLETED
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this observational study is to learn about the role of family members in caring for hospitalized older adults with cognitive impairment The main questions it aims to answer are
1 What features of the healthcare system facilitate or hinder family involvement in care from the perspective of patients families and healthcare workers
2 How do hospital leaders understand the facilitators and barriers to family involvement
Data collection will occur via semi-structure interviews direct observation and artifact analysis
1 What features of the healthcare system facilitate or hinder family involvement in care from the perspective of patients families and healthcare workers
2 How do hospital leaders understand the facilitators and barriers to family involvement
Data collection will occur via semi-structure interviews direct observation and artifact analysis
Detailed Description:
The investigators will use three complementary ethnographic approaches to achieve the study aims direct observation Aim 1 interviews with key informants Aims 1 and 2 and analysis of artifacts such as policy documents related to visitation care of cognitively impaired older adults and family-centered care in the hospital Aim 2
AIM 1 To identify facilitators and barriers to family member involvement in the care of hospitalized older adults with cognitive impairment using in-context semi-structured interviews and unobtrusive direct observation of patients families and healthcare workers The investigators will employ participant observation and semi-structured interviews for each enrolled patient-family member dyad For each dyad the investigators will conduct two interviews each lasting approximately 30-60 minutes One interview will occur within 24 hours of admission entry interview and one within 72 hours of discharge exit interview Both interviews will address how the participant patient if able to contribute and family member perceive the family member in relation to the healthcare team and their experiences of involvement in care Each dyadic patientfamily interview will be conducted by the Principal Investigator or her delegate and digitally recorded with the consent of participants for subsequent transcription and analysis In addition three periods of direct observation will occur Direct observations will focus on interactions between hospital staff patients and families and what family members do during a patients hospital stay Observations will be recorded as field notes Finally the investigators will interview one to three healthcare workers physicians advanced practice providers nurses involved in the patients care for each enrolled patient-family dyad Healthcare worker interviews will take place either during the patients hospitalization or within a week of the patients discharge and may take place in person or remotely phone or videoconference Demographic and baseline data from the patient family member and healthcare workers that may affect family involvement will also be collected
AIM 2 To understand hospital leadership perspectives on barriers to integration of family members into care for hospitalized older adult patients with cognitive impairment For this aim the investigators will conduct one-on-one interviews hospital leadership After consent is obtained study staff will conduct each interview using a semi-structured interview guide which queries topics on system-level facilitators and barriers to family involvement in the care of hospitalized older adults with cognitive impairment eg visiting hour policies rounding schedules Aim 2 will also include an artifact analysis of policy documents related to visitation care of cognitively impaired older adults and family-centered care in the hospital
AIM 1 To identify facilitators and barriers to family member involvement in the care of hospitalized older adults with cognitive impairment using in-context semi-structured interviews and unobtrusive direct observation of patients families and healthcare workers The investigators will employ participant observation and semi-structured interviews for each enrolled patient-family member dyad For each dyad the investigators will conduct two interviews each lasting approximately 30-60 minutes One interview will occur within 24 hours of admission entry interview and one within 72 hours of discharge exit interview Both interviews will address how the participant patient if able to contribute and family member perceive the family member in relation to the healthcare team and their experiences of involvement in care Each dyadic patientfamily interview will be conducted by the Principal Investigator or her delegate and digitally recorded with the consent of participants for subsequent transcription and analysis In addition three periods of direct observation will occur Direct observations will focus on interactions between hospital staff patients and families and what family members do during a patients hospital stay Observations will be recorded as field notes Finally the investigators will interview one to three healthcare workers physicians advanced practice providers nurses involved in the patients care for each enrolled patient-family dyad Healthcare worker interviews will take place either during the patients hospitalization or within a week of the patients discharge and may take place in person or remotely phone or videoconference Demographic and baseline data from the patient family member and healthcare workers that may affect family involvement will also be collected
AIM 2 To understand hospital leadership perspectives on barriers to integration of family members into care for hospitalized older adult patients with cognitive impairment For this aim the investigators will conduct one-on-one interviews hospital leadership After consent is obtained study staff will conduct each interview using a semi-structured interview guide which queries topics on system-level facilitators and barriers to family involvement in the care of hospitalized older adults with cognitive impairment eg visiting hour policies rounding schedules Aim 2 will also include an artifact analysis of policy documents related to visitation care of cognitively impaired older adults and family-centered care in the hospital
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None