Implementation of Enhanced Recovery Pathway Clinical Trial
— PERFECTEDOfficial title:
PERFECTED WP2: Implementing the Optimisation of Hospital Care Delivery to Older Adults by NHS Staff Via Action Research
| Verified date | May 2015 |
| Source | University of East Anglia |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Observational [Patient Registry] |
This 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 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. This protocol
relates to Work Package 2 (WP2) of PERFECTED only.
By working collaboratively with local clinicians and stakeholders, an action research
(plan-do-study-act) approach will be used to generate knowledge to understand how to best
implement the intervention (PERFECTED Enhanced Recovery Pathway), which was developed from
learning and research undertaken as part of Work Package 1. During the current study the
PERFECTED Enhanced Recovery Pathway (ERP) will be used to optimise care on three
ortho-geriatric wards for 12 months. These wards are located in Norfolk, Nottinghamshire and
Yorkshire. The sole participants are NHS personnel delivering care on selected wards.
Data collection activities (observations, in-field interviews, documentary analysis and
quantitative data generated from the PERFECTED ERP implementation checklist) will determine
the staff training and cultural changes required to implement and maximise adherence to the
PERFECTED ERP. Simultaneously, enabling the identification and exploration of areas of
optimised, satisfactory and sub-optimal care. By working in partnership within and across the
partner wards, action plans to address sub-optimal care will be generated, implemented and
reviewed. Findings will inform the best ways to optimise care via the implementation of the
PERFECTED ERP. Knowledge generated during this study will be used to develop an ERP and staff
training manual. This will aid implementation of the intervention arm of a latter Cluster
Randomised Control Trial (Work Package 3), ensuring the PERFECTED ERP can be utilised in the
real world.
As part of PERFECTED's commitment to Public Patient Involvement (PPI), lay researchers will
be trained to assist with qualitative research activities.
| Status | Completed |
| Enrollment | 270 |
| Est. completion date | September 1, 2016 |
| Est. primary completion date | July 1, 2016 |
| Accepts healthy volunteers | Accepts Healthy Volunteers |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility |
Inclusion Criteria: - NHS employee or student nurse - Involved in the delivery of care to patients on partner wards in which the PERFECTED ERP is being implemented Exclusion Criteria: * None |
| Country | Name | City | State |
|---|---|---|---|
| n/a | |||
| Lead Sponsor | Collaborator |
|---|---|
| University of East Anglia |
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | PERFECT-ER | Improvement toolkit | 12 months |