Furthering the development of nursing care quality at nursing homes focusing on the admission process (SANS, Swiss Admission into Nursing home Study)

• Register: German Clinical Trials Register
• Last refreshed on: 8 April 2024
• Main ID: DRKS00006278
• Date of registration: 15/07/2014
• Prospective Registration: No
• Primary sponsor: Zürcher Hochschule für angewandte Wissenschaften, Department Gesundheit, Institut für Pflege
• Public title: Furthering the development of nursing care quality at nursing homes focusing on the admission process (SANS, Swiss Admission into Nursing home Study)
• Scientific title: Furthering the development of nursing care quality at nursing homes focusing on the admission process (SANS, Swiss Admission into Nursing home Study) - SANS (Admission into nursing home)
• Date of first enrolment: 14/02/2013
• Target sample size: 300
• Recruitment status: Complete
• URL: http://drks.de/search/en/trial/DRKS00006278
• Study type: observational
• Study design: Allocation: ; Masking: ; Control: ; Assignment: ; Study design purpose: supportive care

Countries of recruitment

Switzerland

Contacts

• Name: Andrea Koppitz
• Affiliation: Zürcher Hochschule für angewandte Wissenschaften, Department Gesundheit, Institut für Pflege

• Name: Andrea Koppitz
• Affiliation: Zürcher Hochschule für angewandte Wissenschaften, Department Gesundheit, Institut für Pflege

Key inclusion & exclusion criteria

Inclusion criteria: All Participants:
• = 18 years of age
• Able to communicate in German
• Signed informed consent form

Seniors:
• Seniors with dementia and/or depression will be interviewed together with a family member. The family member will be chosen by the senior.
• Seniors with dementia and/or depression with a legal representative will be accepted into the study only upon written consent. If no family member can be found to take part, the legal representative will take part in the interview, should they be willing to do so.

Families:
• A contact person from the family involved or from the social network of the senior being interviewed must make him or herself available. This person must be explicitly authorized by the senior in order to be interviewed. If no person makes him or herself available, the senior may not take part in the study.

Staff:
• Staff members must have worked at the selected nursing homes for at least 12 months and be employed at a minimum of 50% of full time employment. They will be recruited from the areas of nursing (RNs), housekeeping, administration, kitchen and activity therapy and perform a practical function during the admission of a senior.

Exclusion criteria: • Participants under 18 years of age.
• Participants not able to communicate in German.
• Participants who have not provided a signed informed consent form for participation in the study.
• Seniors with cognitive impairments who are unable to make themselves understood verbally.
• Seniors with dementia and/or depression and a legal representative:
Signed consent for participation has not been provided.
• Seniors with dementia and/or depression and a legal representative: No family member has agreed to the planned joint interview nor does the legal representative want to take part in the interview.
• Seniors with dementia and/or depression with a legal representative will be excluded from the questionnaire validation that will run concurrently with the measurement of adaptation.
• Staff of selected nursing homes who have been employed for less than 12 months and those employed at less than 50% of full-time employment.


Age minimum: 65 Years
Age maximum: None
Gender: All

Health Condition(s) or Problem(s) studied

coping mechanism during adoption into nursing home

Intervention(s)

Group 1: In the first phase, an individual interview will be conducted with the seniors and family members, once in the first month following admission and once again in the third month.
In order to capture the emotional reactions described in the literature in connection with higher mortality rates in the first month after admission (and in particular, the acute crisis-prone processes in the transition and adaptation phases up to the third month) seniors and family members will be interviewed twice. Once in the first month after admission and once again in the third month.
In the case of a senior showing signs of dementia and/or depression, these interviews will proceed only with the inclusion of a family member (= joint interview). A joint interview occurs for the support and protection of the senior. A joint interview does not replace the family member interview. No data will be collected from the family member during the joint interview. The family member (joint and family member interviews) will be defined as a trusted attachment figure and need not be related to the senior.
Individual interviews will be conducted with the seniors of six other nursing homes in the Canton of Zurich to measure their adoption score.
Individual interviews will be conducted with staff members without regard to the time/date of admission.
Socio-demographic data such as age, gender and marital status will be collected for the description of the sample. In addition to documenting the medical diagnoses of the seniors and the degree to which they need care, a genogram will be generated. Information on the familial relationship of the family member interviewed will be gathered, as well as the qualifications, position and professional experience of the staff.

After completing an analysis

Primary Outcome(s)

1. Description and understanding of the admissions process and the associated social changes from the viewpoint of seniors and their families in the first three months following admission to a nursing home.
2. Illustration and analysis of how staff at a nursing home organize the admissions process.
3. Identification of criteria and factors that impact the admissions process at a nursing home.
4. Development of strategies and quality indicators for a constructive organization as well as routine evaluation of the admissions process to support successful adaptation.

Secondary Outcome(s)

1. Measurement of quality of care using the Nursing Home Quality Index (NCI).
2. Measurement of an adoption score using the Geriatric Psychosocial Adaptation Scale which will be translated into German (D-GAPS) once after admission.

Source(s) of Monetary Support

Age Stiftung

Ethics review

Status: Approved
Approval date: 08/08/2012
Contact:

Ethikkommission beider Basel EKBB [Ethikkommission beider Basel, Schweiz (federführend. leading) und Ethikkommission Zürich; ethics commission of Basel, Switzerland (leading ethic commitee) and ethic commitee of the Canton of Zurich]

Results

• Date Completed: 31/01/2014
• URL: http://drks.de/search/en/trial/DRKS00006278#studyResults