Pain Intervention for people with Dementia in nursing homes (PID): study protocol for a quasi-experimental nurse intervention.
- Koppitz A Zurich University of Applied Sciences, School of Health Professions, Institute of Nursing, Technikumstrasse 81, 8401, Winterthur, Switzerland. andrea.koppitz@zhaw.ch.
- Bosshard G University Hospital Zurich, Clinic for Geriatric Medicine and Centre on Aging and Mobility at the University of Zurich, Gloriastrasse 25, 8091, Zurich, Switzerland.
- Blanc G Zurich University of Applied Sciences, School of Health Professions, Institute of Nursing, Technikumstrasse 81, 8401, Winterthur, Switzerland.
- Hediger H Zurich University of Applied Sciences, School of Health Professions, Institute of Nursing, Technikumstrasse 81, 8401, Winterthur, Switzerland.
- Payne S Lancaster University, International Observatory on End of Life Care, Division of Health Research, Faculty of Health and Medicine, Lancaster, LA1 4YG, UK.
- Volken T Zurich University of Applied Sciences, School of Health Professions, Institute of health science, Technikumstrasse 81, 8401, Winterthur, Switzerland.
- 2017-04-23
Published in:
- BMC palliative care. - 2017
Dementia
Intervention
Nursing home
Pain
Dementia
Female
Humans
Nursing Homes
Pain Management
Pain Measurement
Patient Care Planning
Quality Improvement
Quality of Life
Switzerland
English
BACKGROUND
It is estimated that 19 to 83% of people with dementia suffer from pain that is inadequately treated in the last months of life. A large number of healthcare workers who care for these people in nursing homes lack appropriate expertise and may therefore not always recognise, assess and treat pain in those with dementia who have complex problems on time, properly and efficiently. The aim of this intervention trial is to identify care needs of people with dementia suffering from pain living in a nursing home.
METHODS
A quasi-experimental nurse-led intervention trial based on a convenience sample of four nursing homes in the Swiss Canton of Zurich examines the effects on dementia patients (n = 411), the healthcare institution and the qualification level of the healthcare workers compared to historical controls, using an event analysis and a multilevel analysis. Healthcare workers will be individually trained how to assess, intervene and evaluate acute and chronic pain. There are three data-monitoring cycles (T0, T1, T2) and two intervention cycles (I1, I2) with a total study duration of 425 days. There is also a process evaluation based on Dobbins analyses that analyse in particular the potentials for change in clinical practice of change agents.
DISCUSSION
The aim of the intervention trial is to improve pain management strategies in older people with dementia in nursing homes. Clinically significant findings will be expected that will help reduce suffering in the sense of "total pain" for people with dementia. The joint intra- and interdisciplinary collaboration between practice and supply-oriented (nursing) research will have both a lasting effect on the efficiency measurement and provide scientifically sound results. Nursing homes can integrate the findings from the intervention trial into their internal quality control process. The potential for improvements can be directly influenced by the nursing home itself.
TRIAL REGISTRATION
Registration trial number: DRKS00009726 on DRKS, registered 10 January 2017, retrorespectively registered. Clearance certificate is available of the ethics committees of the canton of Thurgau, Switzerland, number: TG K201-02, and Zurich, Switzerland, number: ZH 01-2016.
It is estimated that 19 to 83% of people with dementia suffer from pain that is inadequately treated in the last months of life. A large number of healthcare workers who care for these people in nursing homes lack appropriate expertise and may therefore not always recognise, assess and treat pain in those with dementia who have complex problems on time, properly and efficiently. The aim of this intervention trial is to identify care needs of people with dementia suffering from pain living in a nursing home.
METHODS
A quasi-experimental nurse-led intervention trial based on a convenience sample of four nursing homes in the Swiss Canton of Zurich examines the effects on dementia patients (n = 411), the healthcare institution and the qualification level of the healthcare workers compared to historical controls, using an event analysis and a multilevel analysis. Healthcare workers will be individually trained how to assess, intervene and evaluate acute and chronic pain. There are three data-monitoring cycles (T0, T1, T2) and two intervention cycles (I1, I2) with a total study duration of 425 days. There is also a process evaluation based on Dobbins analyses that analyse in particular the potentials for change in clinical practice of change agents.
DISCUSSION
The aim of the intervention trial is to improve pain management strategies in older people with dementia in nursing homes. Clinically significant findings will be expected that will help reduce suffering in the sense of "total pain" for people with dementia. The joint intra- and interdisciplinary collaboration between practice and supply-oriented (nursing) research will have both a lasting effect on the efficiency measurement and provide scientifically sound results. Nursing homes can integrate the findings from the intervention trial into their internal quality control process. The potential for improvements can be directly influenced by the nursing home itself.
TRIAL REGISTRATION
Registration trial number: DRKS00009726 on DRKS, registered 10 January 2017, retrorespectively registered. Clearance certificate is available of the ethics committees of the canton of Thurgau, Switzerland, number: TG K201-02, and Zurich, Switzerland, number: ZH 01-2016.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.1186/s12904-017-0200-5
- PMID 28431539
- Persistent URL
- https://sonar.ch/global/documents/191279
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