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Int. J. Environ. Res. Public Health 2018, 15(9), 1878; https://doi.org/10.3390/ijerph15091878

Evaluating the Impact of the Dementia Care in Hospitals Program (DCHP) on Hospital-Acquired Complications: Study Protocol

1
Ballarat Health Services, Deakin University, Faculty of Health, School of Medicine, Ballarat, VIC 3350, Australia
2
School of Psychiatry, University of New South Wales, Sydney, NSW 2052, Australia
3
Centre for Population Health Research, Faculty of Health, Deakin University, Burwood, VIC 3125, Australia
4
Health Research Institute and Synergy Nursing and Midwifery Research Centre, University of Canberra, Canberra, ACT 2617, Australia
5
Biostatistics Unit, Faculty of Health, Deakin University, Geelong, VIC 3220, Australia
6
La Trobe University, School of Rural Health, Mildura, VIC 3520, Australia
7
School of Psychology, Deakin University, Geelong, VIC 3220, Australia
8
Centre for Healthy Brain Ageing, Dementia Collaborative Research Centre, University of New South Wales, Sydney, NSW 2052, Australia
*
Author to whom correspondence should be addressed.
Received: 4 July 2018 / Revised: 24 August 2018 / Accepted: 25 August 2018 / Published: 30 August 2018
(This article belongs to the Section Health Economics)
Full-Text   |   PDF [522 KB, uploaded 30 August 2018]   |  

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. View Full-Text
Keywords: delirium and cognitive disorders; acute hospital; nursing; nonclinical staff dementia; education; cost and cost analysis; system redesign delirium and cognitive disorders; acute hospital; nursing; nonclinical staff dementia; education; cost and cost analysis; system redesign
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Yates, M.; Watts, J.J.; Bail, K.; Mohebbi, M.; MacDermott, S.; Jebramek, J.C.; Brodaty, H. Evaluating the Impact of the Dementia Care in Hospitals Program (DCHP) on Hospital-Acquired Complications: Study Protocol. Int. J. Environ. Res. Public Health 2018, 15, 1878.

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