Evaluating the Impact of the Dementia Care in Hospitals Program (DCHP) on Hospital-Acquired Complications: Study Protocol

Mark Yates, Jennifer J. Watts, Kasia Bail, Mohammadreza Mohebbi, Sean MacDermott, Jessica C. Jebramek and Henry Brodaty
Additional contact information
Mark Yates: Ballarat Health Services, Deakin University, Faculty of Health, School of Medicine, Ballarat, VIC 3350, Australia
Jennifer J. Watts: Centre for Population Health Research, Faculty of Health, Deakin University, Burwood, VIC 3125, Australia
Kasia Bail: Health Research Institute and Synergy Nursing and Midwifery Research Centre, University of Canberra, Canberra, ACT 2617, Australia
Mohammadreza Mohebbi: Biostatistics Unit, Faculty of Health, Deakin University, Geelong, VIC 3220, Australia
Sean MacDermott: La Trobe University, School of Rural Health, Mildura, VIC 3520, Australia
Jessica C. Jebramek: School of Psychology, Deakin University, Geelong, VIC 3220, Australia
Henry Brodaty: Centre for Healthy Brain Ageing, Dementia Collaborative Research Centre, University of New South Wales, Sydney, NSW 2052, Australia

IJERPH, 2018, vol. 15, issue 9, 1-11

Abstract: Despite the increasing number of older people, many with cognitive impairment (CI), in hospitals, there is yet to be an evaluation of hospital-wide interventions improving the management of those with CI. In hospitalized patients with CI, there are likely to be associations between increased complications that impact on outcomes, length of stay, and costs. This prospective study will evaluate the effectiveness of an established hospital CI support program on patient outcomes, patient quality of life, staff awareness of CI, and carer satisfaction. Using a stepped-wedge, continuous-recruitment method, the pre-intervention patient data will provide the control data for usual hospital care. The intervention, the Dementia Care in Hospitals Program, provides hospital-wide CI awareness and support education, and screening for all patients aged 65+, along with a bedside alert, the Cognitive Impairment Identifier. The primary outcome is a reduction in hospital-acquired complications: urinary tract infections, pressure injuries, pneumonia and delirium. Secondary outcome measures include cost effectiveness, patient quality of life, carer satisfaction, staff awareness of CI, and staff perceived impact of care. This large-sample study across four sites offers an opportunity for research evaluation of health service functioning at a whole-of-hospital level, which is important for sustainable change in hospital practice.

Keywords: delirium and cognitive disorders; acute hospital; nursing; nonclinical staff dementia; education; cost and cost analysis; system redesign (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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