scholarly journals The effectiveness of an aged care specific leadership and management program on workforce, work environment, and care quality outcomes: design of a cluster randomised controlled trial

2013 ◽  
Vol 8 (1) ◽  
Author(s):  
Yun-Hee Jeon ◽  
Judy M. Simpson ◽  
Lynn Chenoweth ◽  
Michelle Cunich ◽  
Hal Kendig
Keyword(s):  
Work Environment ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Aged Care ◽  
Management Program ◽  
Care Quality ◽  
Quality Outcomes ◽  
Leadership And Management ◽  
Cluster Randomised ◽  
Randomised Controlled

scholarly journals Effect of dietary sources of calcium and protein on hip fractures and falls in older adults in residential care: cluster randomised controlled trial

BMJ ◽  
2021 ◽  
pp. n2364
Author(s):  
S Iuliano ◽  
S Poon ◽  
J Robbins ◽  
M Bui ◽  
X Wang ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Weight ◽  
Randomised Controlled Trial ◽  
Hip Fractures ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Aged Care ◽  
Hazard Ratio ◽  
Cluster Randomised ◽  
Randomised Controlled

AbstractObjectiveTo assess the antifracture efficacy and safety of a nutritional intervention in institutionalised older adults replete in vitamin D but with mean intakes of 600 mg/day calcium and <1 g/kg body weight protein/day.DesignTwo year cluster randomised controlled trial.Setting60 accredited residential aged care facilities in Australia housing predominantly ambulant residents.Participants7195 permanent residents (4920 (68%) female; mean age 86.0 (SD 8.2) years).InterventionFacilities were stratified by location and organisation, with 30 facilities randomised to provide residents with additional milk, yoghurt, and cheese that contained 562 (166) mg/day calcium and 12 (6) g/day protein achieving a total intake of 1142 (353) mg calcium/day and 69 (15) g/day protein (1.1 g/kg body weight). The 30 control facilities maintained their usual menus, with residents consuming 700 (247) mg/day calcium and 58 (14) g/day protein (0.9 g/kg body weight).Main outcome measuresGroup differences in incidence of fractures, falls, and all cause mortality.ResultsData from 27 intervention facilities and 29 control facilities were analysed. A total of 324 fractures (135 hip fractures), 4302 falls, and 1974 deaths were observed. The intervention was associated with risk reductions of 33% for all fractures (121 v 203; hazard ratio 0.67, 95% confidence interval 0.48 to 0.93; P=0.02), 46% for hip fractures (42 v 93; 0.54, 0.35 to 0.83; P=0.005), and 11% for falls (1879 v 2423; 0.89, 0.78 to 0.98; P=0.04). The risk reduction for hip fractures and falls achieved significance at five months (P=0.02) and three months (P=0.004), respectively. Mortality was unchanged (900 v 1074; hazard ratio 1.01, 0.43 to 3.08).ConclusionsImproving calcium and protein intakes by using dairy foods is a readily accessible intervention that reduces the risk of falls and fractures commonly occurring in aged care residents.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12613000228785.

scholarly journals Treating and Preventing Influenza in Aged Care Facilities: A Cluster Randomised Controlled Trial

PLoS ONE ◽  
2012 ◽  
Vol 7 (10) ◽  
pp. e46509 ◽  
Author(s):  
Robert Booy ◽  
Richard I. Lindley ◽  
Dominic E. Dwyer ◽  
Jiehui K. Yin ◽  
Leon G. Heron ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Aged Care ◽  
Cluster Randomised ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Randomised Controlled

scholarly journals COVID-NURSE: evaluation of a fundamental nursing care protocol compared with care as usual on experience of care for noninvasively ventilated patients in hospital with the SARS-CoV-2 virus—protocol for a cluster randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e046436
Author(s):  
David A Richards ◽  
Holly VR Sugg ◽  
Emma Cockcroft ◽  
Joanne Cooper ◽  
Susanne Cruickshank ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Nursing Care ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Care Quality ◽  
Economic Evaluations ◽  
Cluster Randomised ◽  
Care Protocol ◽  
Secondary Outcomes ◽  
Randomised Controlled

IntroductionPatient experience of nursing care is correlated with safety, clinical effectiveness, care quality, treatment outcomes and service use. Effective nursing care includes actions to develop nurse–patient relationships and deliver physical and psychosocial care to patients. The high risk of transmission of the SARS-CoV-2 virus compromises nursing care. No evidence-based nursing guidelines exist for patients infected with SARS-CoV-2, leading to potential variations in patient experience, outcomes, quality and costs.Methods and analysiswe aim to recruit 840 in-patient participants treated for infection with the SARS-CoV-2 virus from 14 UK hospitals, to a cluster randomised controlled trial, with embedded process and economic evaluations, of care as usual and a fundamental nursing care protocol addressing specific areas of physical, relational and psychosocial nursing care where potential variation may occur, compared with care as usual. Our coprimary outcomes are patient-reported experience (Quality from the Patients’ Perspective; Relational Aspects of Care Questionnaire); secondary outcomes include care quality (pressure injuries, falls, medication errors); functional ability (Barthell Index); treatment outcomes (WHO Clinical Progression Scale); depression Patient Health Questionnaire-2 (PHQ-2), anxiety General Anxiety Disorder-2 (GAD-2), health utility (EQ5D) and nurse-reported outcomes (Measure of Moral Distress for Health Care Professionals). For our primary analysis, we will use a standard generalised linear mixed-effect model adjusting for ethnicity of the patient sample and research intensity at cluster level. We will also undertake a planned subgroup analysis to compare the impact of patient-level ethnicity on our primary and secondary outcomes and will undertake process and economic evaluations.Ethics and disseminationResearch governance and ethical approvals are from the UK National Health Service Health Research Authority Research Ethics Service. Dissemination will be open access through peer-reviewed scientific journals, study website, press and online media, including free online training materials on the Open University’s FutureLearn web platform.Trial registration numberISRCTN13177364; Pre-results.

Sign in / Sign up

Export Citation Format

Share Document