Dementia Clinical Trial
Official title:
PERFECTED WP1 P4: A Qualitative Exploration of Lay and Professional Stakeholder Views of Care Delivery in Hospitals for Patients With Hip-fracture & Memory Difficulties
This qualitative study is part of the 5-year long (2013-18) PERFECTED (Peri-operative
Enhanced Recovery hip-fracture Care of paTiEnts with Dementia) National Institute for Health
Research (NIHR) funded research programme. PERFECTED's overall aim is to develop and pilot an
evidence-based intervention to improve the hospital care of patients living with dementia who
have fractured their hip. The findings from this particular study will support PERFECTED's
other activities by exploring stakeholder (lay and professional) views of the hospital care
experiences of hip-fracture patients who are experiencing memory difficulties. Best practices
and priorities, including attention to cost-consequences will be explored.
Semi-structured interviews will be conducted with 15-30 hip-fracture patients with mild
memory difficulties recently discharged from acute hospitals in Norwich, Nottingham and
Bradford. Equal attention will be given to those patients discharged directly home and those
discharged to community hospitals for further rehabilitation. Interviews will be conducted
with 15-30 recognised carers of hip-fracture patients with moderate/severe memory
difficulties who have recently been discharged from acute hospitals in the same three
regions. Semi-structured interviews will also be carried out with a nominated dementia lead
in each region. Finally, in each region, small focus groups, face-to-face or telephone
interviews will be conducted, with clinical staff of various grades and professions, hospital
managers and with NHS commissioners. This study will enable a range of topics and
perspectives to be explored and potential components for PERFECTED's intervention to be
identified.
As part of PERFECTED's on-going commitment to Public Patient Involvement (PPI), lay
researchers will be trained to assist in interviewing recognised carers of hip-fracture
patients with moderate/severe memory difficulties. Interviews and focus groups will be
recorded, transcribed and analysed thematically. Resulting data will address the pre-defined
aims of the current study and feed into findings reported across the whole of Work Package 1
of PERFECTED.
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