Describing care delivery by healthcare professionals to older patients with hip fracture in acute hospital settings: an observational study
| ISRCTN | ISRCTN96280545 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN96280545 |
| ClinicalTrials.gov (NCT) | NCT02212353 |
| Clinical Trials Information System (CTIS) | Nil known |
| Protocol serial number | 16998 |
| Sponsor | University of East Anglia (UK) |
| Funder | Programme Grants for Applied Research; Grant Codes: DTC-RP-PG-0311-12004 |
- Submission date
- 21/08/2014
- Registration date
- 16/09/2014
- Last edited
- 29/05/2020
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Injury, Occupational Diseases, Poisoning
Plain English summary of protocol
Background and study aims
Hip fracture is a common injury amongst older adults and has a great impact on the health and independence of patients and therefore their families. People with dementia have a four-fold increased risk of hip fracture compared to those without mental problems. They also have a higher death rate and greater risk of complications. Improving critical hospital care for people with dementia is very important, as this group is particularly vulnerable to poor quality care. This research study aims to develop and test an evidence-based intervention to improve the hospital care of patients with dementia suffering a fractured hip. The study will also look at the cost and resource required to deliver that care.
Who can participate?
Any healthcare professional working in a ward or emergency department
What does the study involve?
Experienced researchers select and train members of the public as research observers to help in observing the way healthcare professionals treat patients in an ortho-geriatric ward (where older patients with orthopaedic issues are seen) and the Emergency Department (ED) in each of the partner hospitals. Data is collected in the form of field notes and these are analysed.
What are the possible benefits and risks of participating?
Participants will help to improve care for hip fracture patients and particularly those who have dementia. The risks and burdens to the participant group are extremely minimal in that the observation is non-invasive and should not affect their usual daily tasks and care of patients.
Where is the study run from?
The study runs from three hospitals in the UK:
1. Norfolk and Norwich University Hospital
2. Bradford Royal Infirmary
3. Queens Medical Centre in Nottingham
When is the study starting and how long is it expected to run for?
September 2014 to February 2015
Who is funding the study?
National Institute for Health Research (UK)
Who is the main contact?
Dr Simon Hammond
s.hammond@uea.ac.uk
Contact information
Scientific
Earlham Road
Norwich
NR4 7TJ
United Kingdom
| s.hammond@uea.ac.uk |
Study information
| Primary study design | Observational |
|---|---|
| Study design | Non-randomised; Observational; Design type: Qualitative |
| Secondary study design | Other |
| Study type | Participant information sheet |
| Scientific title | Care delivery in acute hospital settings: an observational study |
| Study acronym | PERFECTED |
| Study objectives | The study aims to describe the delivery of care by healthcare professionals to patients who have broken their hips in ward and emergency department contexts. Learning gained will inform the creation of an enhanced recovery pathway for people with dementia who have broken their hip. |
| Ethics approval(s) | MREC, 09/06/2014, ref: 14/EM/1020 |
| Health condition(s) or problem(s) studied | Topic: Injuries and emergencies, Musculoskeletal disorders, Ageing; Subtopic: Injuries and Emergencies (all Subtopics), Musculoskeletal (all Subtopics), Ageing; Disease: Injuries and Emergencies, Musculoskeletal, All Ageing |
| Intervention | The study aims to describe the delivery of care by healthcare professionals to patients who have broken their hips in ward and emergency department contexts. We will use focused ethnographic observations to provide a thick description of the care climate and will elicit the perspectives of healthcare professionals delivering care within the two observational environments. |
| Intervention type | Other |
| Primary outcome measure(s) |
The description constructed will provide knowledge for subsequent phases of the five-year perfected programme. This will culminate in the creation and evaluation of an enhanced recovery pathway for people dementia are broken their hip. |
| Key secondary outcome measure(s) |
Not provided at time of registration |
| Completion date | 01/02/2015 |
Eligibility
| Participant type(s) | Health professional |
|---|---|
| Age group | Adult |
| Sex | All |
| Target sample size at registration | 150 |
| Key inclusion criteria | 1. Any healthcare professional assigned to work within either the selected ward or emergency department 2. Target Gender: Male & Female |
| Key exclusion criteria | Due to the sample of participants selected and methodology employed there are no exclusion criteria - any consenting participant is able to take part |
| Date of first enrolment | 08/09/2014 |
| Date of final enrolment | 01/02/2015 |
Locations
Countries of recruitment
- United Kingdom
- England
Study participating centres
United Kingdom
United Kingdom
United Kingdom
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| HRA research summary | 28/06/2023 | No | No | ||
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |
| Study website | Study website | 11/11/2025 | 11/11/2025 | No | Yes |
Editorial Notes
29/05/2020: No publications found.
02/05/2019: No publications found, verifying study status with principal investigator.
12/05/2017: No publications found, verifying study status with principal investigator.
