Understanding healthcare workers' views on a new training programme to help get patients out of bed following hip fracture surgery
| ISRCTN | ISRCTN55018123 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN55018123 |
| Integrated Research Application System (IRAS) | 337229 |
| Protocol number | 2023NONP03 |
| Sponsor | James Paget University Hospitals NHS Foundation Trust |
| Funder | University of East Anglia |
- Submission date
- 31/07/2026
- Registration date
- 31/07/2026
- Last edited
- 31/07/2026
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Musculoskeletal Diseases
Plain English summary of protocol
Background and study aims
Early mobilisation out of bed following hip fracture surgery is important to reduce complications such as decreased function, increased time spent in hospital and increased risk of dying. This task is usually seen as the sole role of physiotherapists to complete. This increases the risk that patients are not mobilised out of bed as early as they should be if physiotherapists are unavailable.
This study will look at seeking the views and perspectives of the healthcare workers involved with the roll out of a training programme that aims to increase the number of patients mobilised out of bed by healthcare assistants to determine positives, barriers and whether it could be implemented at other hospitals.
Who can participate?
Healthcare workers who work on and are involved with the delivery of the training.
What does the study involve?
The study involves being asked to take part in an interview in the period directly after the training delivery on the ward, and again at 6-months. The study will be completed through Microsoft Teams interviews.
What are the possible benefits and risks of participating?
A gift voucher will be offered as compensation for giving time to complete interviews. There were no perceived risks of taking part.
Where is the study run from?
James Paget University Hospital, UK.
When is the study starting and how long is it expected to run for?
June 2024 to December 2026.
Who is funding the study?
The University of East Anglia's Norfolk Initiative for Coastal and Rural Health Equalities (NICHE) is funding and sponsoring.
Who is the main contact?
Rene Gray, rene.gray@jpaget.nhs.uk.
Contact information
Principal investigator, Scientific, Public
James Paget University Hospital
Gorleston
Norwich
NR31 6HA
United Kingdom
 ORCID ID |
0000-0003-3782-7397 |
|---|---|
| Phone | +44 07795272941 |
| rene.gray@jpaget.nhs.uk |
Study information
| Primary study design | Observational |
|---|---|
| Observational study design | Qualitative study embedded within an observational cohort study |
| Scientific title | Qualitative study exploring the implementation of an early mobilisation intervention delivered by healthcare assistants following hip fracture surgery |
| Study objectives | Recruit the target number of participants from the healthcare groups working on the orthopaedic trauma ward. To complete semi-structured interviews at the time of the training intervention completion and 6-months later. To collate, code and analyse the qualitative data. To publish the findings in relevant forums of dissemination, including conference and peer-reviewed publication. |
| Ethics approval(s) |
Approved 22/04/2024, HRA and Health and Care Research Wales (HCRW) Approval (2 Redman Place, Stratford, London, E201JQ, United Kingdom; +44 02071048098; approvals@hra.nhs.uk), ref: 24/PR/0310 |
| Health condition(s) or problem(s) studied | Healthcare groups working on the orthopaedic trauma ward for patients who have had a hip fracture following surgical fixation. |
| Methodology | This qualitative study will be embedded within an observational cohort study. The cohort study will be looking at objective outcomes in hip fracture patients before and after the delivery of a training intervention to improve the number of healthcare assistants who mobilise patients after hip fracture surgery. This qualitative study will conduct semi-structured interviews following the completion of the training and 6-months later with a range of healthcare workers on the orthopaedic ward who have engaged with the training programme in some way. This includes the therapists, healthcare workers, nurses and ward managers. The questions were guided by an implementation science framework, RE-AIM, in order to better understand the individual, environmental and organisational factors that may impact on uptake, implementation and maintenance of the training programme. Interviews will be recorded and transcribed using MS Teams and then coded by two coders independently using reflexive thematic analysis. |
| Intervention type | Behavioural |
| Primary outcome measure(s) |
|
| Key secondary outcome measure(s) | |
| Completion date | 18/12/2024 |
Eligibility
| Participant type(s) | |
|---|---|
| Age group | Mixed |
| Lower age limit | 18 Years |
| Upper age limit | 100 Years |
| Sex | All |
| Target sample size at registration | 20 |
| Total final enrolment | 18 |
| Key inclusion criteria | 1. Healthcare workers (Health care assistants, nurses, ward managers, therapists) 2. Worked on the acute trauma ward in substantive roles for at least three months prior to the delivery of the intervention |
| Key exclusion criteria | Not meeting the key inclusion criteria |
| Date of first enrolment | 05/07/2024 |
| Date of final enrolment | 18/12/2024 |
Locations
Countries of recruitment
- United Kingdom
- England
Study participating centre
Queen Elizabeth Hospital Site
King's Lynn
PE30 4ET
England
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|
Editorial Notes
31/07/2026: Study's existence confirmed by the Health Research Authority (HRA) (UK).
