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Falls are a critical problem for older people, including those from ethnically diverse communities, who are under-represented in research. The aim of this pilot trial is to evaluate (1) the implementability of a co-designed intervention developed to support the sustained uptake of tailored exercise to reduce falls (MOVE Together: Reduce Falls) and (2) the feasibility of conducting a randomised controlled trial (RCT) in older people from Italian, Arabic, Cantonese or Mandarin-speaking communities.
Investigator and assessor-blinded pilot two-arm parallel RCT. 60 older people at risk of falls from Italian, Arabic, Cantonese or Mandarin speaking communities will be recruited, with the option to enrol on their own or with another participant (dyad). Participants or dyads will be randomly assigned to the experimental or control arm. The experimental arm will receive MOVE Together: Reduce Falls, which provides up to 12 sessions with a physiotherapist over 12 months and supports participants to engage in individualised exercises. Both arms will receive educational resources in the participant’s preferred language. The primary outcome is implementability of the co-designed intervention, MOVE Together: Reduce Falls; operationalised as fidelity (>70% of intended sessions delivered), feasibility (> 95% of sessions delivered with no serious adverse events related or likely related to the intervention) and acceptability (>50% acceptability score). The secondary outcome is feasibility of the RCT protocol, which will be evaluated quantitatively (eg, recruitment and retention rates, completion of clinical outcome data including prospective collection of falls data for 12 months via falls calendars) and qualitatively (eg, barriers and enablers to data collection).
Ethical approval has been granted for this study (HREC/106010/MH-2024). Study findings will be published in peer-reviewed journals and presented at relevant conferences and community forums.
ACTRN12624000658516.
To evaluate the impact of implementing a prototype of simulation-based educational technology on raising awareness among ICU nurses, improving communication in nursing handover, and promoting patient safety.
Qualitative study based on the conceptual framework of patient safety. The COREQ tool guided the presentation of the research report.
The research was conducted with 18 nurses from the ICU of a public hospital in Rio de Janeiro, Brazil, who worked directly in nursing handover. The technology implemented was developed based on communication failures identified in a previous stage of the macro research project. This evidence supported the development of a simulated scenario of a nursing handover of a critical patient, which was recorded in audio and video. The video addressed content (absence, incompleteness and lack of ordering of information) and behavioural errors (interruptions, distractions, noise and lack of clarity) during communication between intensive care nurses. The video was implemented with nurses through the use of telesimulation with debriefing. Finally, the nurses were subjected to a semi-structured interview to evaluate the potential of the technology, whose data underwent thematic analysis with an inductive model.
The nurses recognised the communication failures portrayed as part of their daily practice, reflected on their mistakes, and on actions to be adopted to change behaviour during the handover.
The simulation-based technology prototype has the potential to promote self-reflection and raise nurses' awareness of the need to change behaviours during the handover.
The simulation-based technology prototype can be applied as an educational strategy to improve communication safety in nursing handover.
No patient or public contribution.
Objetivo principal: Analizar si una intervención de enfermería de información sobre la cirugía y el circuito quirúrgico, tendría como efecto la disminución del nivel de ansiedad en el familiar del paciente quirúrgico programado. Metodología: Ensayo clínico controlado no aleatorizado. Se efectúa la comparación del nivel de ansiedad entre los familiares pertenecientes al grupo control (con intervención estándar preexistente) respecto a los del grupo intervención (sometidos a la nueva intervención de enfermería). Se utiliza un instrumento validado como el inventario de ansiedad estado-rasgo (STAI) para medir el nivel de ansiedad. Resultados principales: Participaron en el estudio 76 familiares, 37 en el grupo control y 39 en el grupo intervención. Ambos grupos eran comparables respecto a sus características basales. Se observa una disminución estadísticamente significativa en la ansiedad situacional durante el postoperatorio en el grupo intervención respecto al grupo control. Conclusión principal: Una intervención de enfermería de información sobre la cirugía y el circuito quirúrgico reduce la ansiedad situacional del familiar del paciente quirúrgico programado.
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