Cargando…
Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation
INTRODUCTION: Health and social care professionals (HSCPs) have increasingly contributed to enhance the care of patients in emergency departments (EDs), particularly for older adults who are frequent ED attendees with significant adverse outcomes. For the first time, the effectiveness of a HSCP team...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661884/ https://www.ncbi.nlm.nih.gov/pubmed/31315881 http://dx.doi.org/10.1136/bmjopen-2019-032645 |
_version_ | 1783439548511944704 |
---|---|
author | Cassarino, Marica Cronin, Úna Robinson, Katie Quinn, Rosie Boland, Fiona Ward, Marie E MacNamara, Rosa O’Connor, Margaret McCarthy, Gerard Ryan, Damien Galvin, Rose |
author_facet | Cassarino, Marica Cronin, Úna Robinson, Katie Quinn, Rosie Boland, Fiona Ward, Marie E MacNamara, Rosa O’Connor, Margaret McCarthy, Gerard Ryan, Damien Galvin, Rose |
author_sort | Cassarino, Marica |
collection | PubMed |
description | INTRODUCTION: Health and social care professionals (HSCPs) have increasingly contributed to enhance the care of patients in emergency departments (EDs), particularly for older adults who are frequent ED attendees with significant adverse outcomes. For the first time, the effectiveness of a HSCP team intervention for older adults in the ED has been tested in a large randomised controlled trial (Clinicaltrials.gov, NCT03739515), providing an opportunity to explore the implementation process for this type of intervention. This protocol describes a process evaluation that will to investigate the implementation, delivery and impact of an HSCP team intervention in the ED. METHODS AND ANALYSIS: Using the Medical Research Council Framework for process evaluations, we will employ a mixed-methods approach to provide a description of the process of implementation and delivery of the HSCP intervention in the ED, evaluate its fidelity, dose and reach and explore the perceptions of key staff members in relations to the mechanisms and contexts of impact at the levels of individuals, physical environment, operations, communication and the broader hospital and healthcare system. ETHICS AND DISSEMINATION: Ethical approval for this study was received from the HSE Mid-Western Regional Hospital Research Ethics Committee (Ref: 103/18). All participants will be invited to read and sign a written consent form prior to participation. The results of this review will be disseminated through publication in a peer-review journal and presented at relevant conferences. |
format | Online Article Text |
id | pubmed-6661884 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-66618842019-08-07 Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation Cassarino, Marica Cronin, Úna Robinson, Katie Quinn, Rosie Boland, Fiona Ward, Marie E MacNamara, Rosa O’Connor, Margaret McCarthy, Gerard Ryan, Damien Galvin, Rose BMJ Open Health Services Research INTRODUCTION: Health and social care professionals (HSCPs) have increasingly contributed to enhance the care of patients in emergency departments (EDs), particularly for older adults who are frequent ED attendees with significant adverse outcomes. For the first time, the effectiveness of a HSCP team intervention for older adults in the ED has been tested in a large randomised controlled trial (Clinicaltrials.gov, NCT03739515), providing an opportunity to explore the implementation process for this type of intervention. This protocol describes a process evaluation that will to investigate the implementation, delivery and impact of an HSCP team intervention in the ED. METHODS AND ANALYSIS: Using the Medical Research Council Framework for process evaluations, we will employ a mixed-methods approach to provide a description of the process of implementation and delivery of the HSCP intervention in the ED, evaluate its fidelity, dose and reach and explore the perceptions of key staff members in relations to the mechanisms and contexts of impact at the levels of individuals, physical environment, operations, communication and the broader hospital and healthcare system. ETHICS AND DISSEMINATION: Ethical approval for this study was received from the HSE Mid-Western Regional Hospital Research Ethics Committee (Ref: 103/18). All participants will be invited to read and sign a written consent form prior to participation. The results of this review will be disseminated through publication in a peer-review journal and presented at relevant conferences. BMJ Publishing Group 2019-07-16 /pmc/articles/PMC6661884/ /pubmed/31315881 http://dx.doi.org/10.1136/bmjopen-2019-032645 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Health Services Research Cassarino, Marica Cronin, Úna Robinson, Katie Quinn, Rosie Boland, Fiona Ward, Marie E MacNamara, Rosa O’Connor, Margaret McCarthy, Gerard Ryan, Damien Galvin, Rose Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation |
title | Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation |
title_full | Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation |
title_fullStr | Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation |
title_full_unstemmed | Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation |
title_short | Implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation |
title_sort | implementing an allied health team intervention to improve the care of older adults in the emergency department: protocol for a process evaluation |
topic | Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661884/ https://www.ncbi.nlm.nih.gov/pubmed/31315881 http://dx.doi.org/10.1136/bmjopen-2019-032645 |
work_keys_str_mv | AT cassarinomarica implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT croninuna implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT robinsonkatie implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT quinnrosie implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT bolandfiona implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT wardmariee implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT macnamararosa implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT oconnormargaret implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT mccarthygerard implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT ryandamien implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation AT galvinrose implementinganalliedhealthteaminterventiontoimprovethecareofolderadultsintheemergencydepartmentprotocolforaprocessevaluation |