Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial
Introduction Hospitalised older adults are prone to functional deterioration, which is more evident in frail older patients and can be further exacerbated by pain. Two interventions that have the potential to prevent progression of frailty and improve patient outcomes in hospitalised older adults bu...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e059388.full |
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| author | Max K Bulsara Christopher Etherton-Beer Rosemary Saunders Kate Crookes Mustafa Atee Caroline Bulsara Beverley Ewens Olivia Gallagher Renee M Graham Karen Gullick Sue Haydon Kim-Huong Nguyen Bev O'Connell Karla Seaman Jeff Hughes Seng Giap Marcus Ang Debra Scaini |
| author_facet | Max K Bulsara Christopher Etherton-Beer Rosemary Saunders Kate Crookes Mustafa Atee Caroline Bulsara Beverley Ewens Olivia Gallagher Renee M Graham Karen Gullick Sue Haydon Kim-Huong Nguyen Bev O'Connell Karla Seaman Jeff Hughes Seng Giap Marcus Ang Debra Scaini |
| author_sort | Max K Bulsara |
| collection | DOAJ |
| description | Introduction Hospitalised older adults are prone to functional deterioration, which is more evident in frail older patients and can be further exacerbated by pain. Two interventions that have the potential to prevent progression of frailty and improve patient outcomes in hospitalised older adults but have yet to be subject to clinical trials are nurse-led volunteer support and technology-driven assessment of pain.Methods and analysis This single-centre, prospective, non-blinded, cluster randomised controlled trial will compare the efficacy of nurse-led volunteer support, technology-driven pain assessment and the combination of the two interventions to usual care for hospitalised older adults. Prior to commencing recruitment, the intervention and control conditions will be randomised across four wards. Recruitment will continue for 12 months. Data will be collected on admission, at discharge and at 30 days post discharge, with additional data collected during hospitalisation comprising records of pain assessment and volunteer support activity. The primary outcome of this study will be the change in frailty between both admission and discharge, and admission and 30 days, and secondary outcomes include length of stay, adverse events, discharge destination, quality of life, depression, cognitive function, functional independence, pain scores, pain management intervention (type and frequency) and unplanned 30-day readmissions. Stakeholder evaluation and an economic analysis of the interventions will also be conducted.Ethics and dissemination Ethical approval has been granted by Human Research Ethics Committees at Ramsay Health Care WA|SA (number: 2057) and Edith Cowan University (number: 2021-02210-SAUNDERS). The findings will be disseminated through conference presentations, peer-reviewed publications and social media.Trial registration number ACTRN12620001173987. |
| format | Article |
| id | doaj-art-9b603f61d5af462dacd7da372c533406 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-9b603f61d5af462dacd7da372c5334062025-01-27T19:15:08ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-059388Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trialMax K Bulsara0Christopher Etherton-Beer1Rosemary Saunders2Kate Crookes3Mustafa Atee4Caroline Bulsara5Beverley Ewens6Olivia Gallagher7Renee M Graham8Karen Gullick9Sue Haydon10Kim-Huong Nguyen11Bev O'Connell12Karla Seaman13Jeff Hughes14Seng Giap Marcus Ang15Debra Scaini16Centre for Health Services Research, School of Population and Global Health, The University of Western Australia, Perth, Western Australia, AustraliaWestern Australian Centre for Health and Ageing, The University of Western Australia, Perth, Western Australia, AustraliaCentre for Research in Aged Care, School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, AustraliaCentre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, AustraliaSchool of Pharmacy and Biomedical Sciences, Curtin University, Bentley, Western Australia, AustraliaSchool of Nursing and Midwifery, University of Notre Dame, Fremantle, Western Australia, AustraliaCentre for Research in Aged Care, School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, AustraliaCentre for Research in Aged Care, School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, AustraliaCentre for Research in Aged Care, School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, AustraliaClinical Services, Hollywood Private Hospital, Nedlands, Western Australia, AustraliaClinical Services, Hollywood Private Hospital, Nedlands 6009, Western Australia, AustraliaFaculty of Medicine and Biomedical Sciences, The University of Queensland, Saint Lucia, Queensland, AustraliaCentre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, AustraliaAustralian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, AustraliaCurtin Medical School, Curtin University, Perth, Western Australia, AustraliaCentre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, AustraliaClinical Services, Hollywood Private Hospital, Perth, Western Australia, AustraliaIntroduction Hospitalised older adults are prone to functional deterioration, which is more evident in frail older patients and can be further exacerbated by pain. Two interventions that have the potential to prevent progression of frailty and improve patient outcomes in hospitalised older adults but have yet to be subject to clinical trials are nurse-led volunteer support and technology-driven assessment of pain.Methods and analysis This single-centre, prospective, non-blinded, cluster randomised controlled trial will compare the efficacy of nurse-led volunteer support, technology-driven pain assessment and the combination of the two interventions to usual care for hospitalised older adults. Prior to commencing recruitment, the intervention and control conditions will be randomised across four wards. Recruitment will continue for 12 months. Data will be collected on admission, at discharge and at 30 days post discharge, with additional data collected during hospitalisation comprising records of pain assessment and volunteer support activity. The primary outcome of this study will be the change in frailty between both admission and discharge, and admission and 30 days, and secondary outcomes include length of stay, adverse events, discharge destination, quality of life, depression, cognitive function, functional independence, pain scores, pain management intervention (type and frequency) and unplanned 30-day readmissions. Stakeholder evaluation and an economic analysis of the interventions will also be conducted.Ethics and dissemination Ethical approval has been granted by Human Research Ethics Committees at Ramsay Health Care WA|SA (number: 2057) and Edith Cowan University (number: 2021-02210-SAUNDERS). The findings will be disseminated through conference presentations, peer-reviewed publications and social media.Trial registration number ACTRN12620001173987.https://bmjopen.bmj.com/content/12/6/e059388.full |
| spellingShingle | Max K Bulsara Christopher Etherton-Beer Rosemary Saunders Kate Crookes Mustafa Atee Caroline Bulsara Beverley Ewens Olivia Gallagher Renee M Graham Karen Gullick Sue Haydon Kim-Huong Nguyen Bev O'Connell Karla Seaman Jeff Hughes Seng Giap Marcus Ang Debra Scaini Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial BMJ Open |
| title | Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial |
| title_full | Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial |
| title_fullStr | Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial |
| title_full_unstemmed | Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial |
| title_short | Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial |
| title_sort | effectiveness of nurse led volunteer support and technology driven pain assessment in improving the outcomes of hospitalised older adults protocol for a cluster randomised controlled trial |
| url | https://bmjopen.bmj.com/content/12/6/e059388.full |
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