Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial

Rosemary Saunders; Kate Crookes; Karla Seaman; Seng Giap Marcus Ang; Caroline Bulsara; Max K. Bulsara; Beverley Ewens; Olivia Gallagher; Renee M. Graham; Karen Gullick; Sue Haydon; Jeff Hughes; Mustafa Atee; Kim-Huong Nguyen; Bev O'Connell; Debra Scaini; Christopher Etherton-Beer

doi:10.1136/bmjopen-2021-059388

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Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial

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Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial

Rosemary Saunders, Kate Crookes, Karla Seaman, Seng Giap Marcus Ang, Caroline Bulsara, Max K. Bulsara, Beverley Ewens, Olivia Gallagher, Renee M. Graham, Karen Gullick, …

BMJ open, Vol.12(6), e059388

2022

DOI: https://doi.org/10.1136/bmjopen-2021-059388

PMID: 35725261

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Abstract

General & Internal Medicine

Life Sciences & Biomedicine

Medicine, General & Internal

Science & Technology

Introduction Hospitalised older adults are prone to functional deterioration, which is more evident in frail older patients and can be further exacerbated by pain. Two interventions that have the potential to prevent progression of frailty and improve patient outcomes in hospitalised older adults but have yet to be subject to clinical trials are nurse-led volunteer support and technology-driven assessment of pain. Methods and analysis This single-centre, prospective, non-blinded, cluster randomised controlled trial will compare the efficacy of nurse-led volunteer support, technology-driven pain assessment and the combination of the two interventions to usual care for hospitalised older adults. Prior to commencing recruitment, the intervention and control conditions will be randomised across four wards. Recruitment will continue for 12 months. Data will be collected on admission, at discharge and at 30 days post discharge, with additional data collected during hospitalisation comprising records of pain assessment and volunteer support activity. The primary outcome of this study will be the change in frailty between both admission and discharge, and admission and 30 days, and secondary outcomes include length of stay, adverse events, discharge destination, quality of life, depression, cognitive function, functional independence, pain scores, pain management intervention (type and frequency) and unplanned 30-day readmissions. Stakeholder evaluation and an economic analysis of the interventions will also be conducted. Ethics and dissemination Ethical approval has been granted by Human Research Ethics Committees at Ramsay Health Care WA|SA (number: 2057) and Edith Cowan University (number: 2021-02210-SAUNDERS). The findings will be disseminated through conference presentations, peer-reviewed publications and social media.

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Title: Effectiveness of nurse-led volunteer support and technology-driven pain assessment in improving the outcomes of hospitalised older adults: protocol for a cluster randomised controlled trial
Authors/Creators: Rosemary Saunders - Edith Cowan University
Kate Crookes - Edith Cowan Univ, Sch Nursing & Midwifery, Ctr Res Aged Care, Joondalup, WA, Australia
Karla Seaman - Edith Cowan University
Seng Giap Marcus Ang - Edith Cowan Univ, Sch Nursing & Midwifery, Ctr Res Aged Care, Joondalup, WA, Australia
Caroline Bulsara - The University of Notre Dame Australia
Max K. Bulsara - The University of Notre Dame Australia
Beverley Ewens - Edith Cowan Univ, Sch Nursing & Midwifery, Joondalup, WA, Australia
Olivia Gallagher - Edith Cowan Univ, Sch Nursing & Midwifery, Ctr Res Aged Care, Joondalup, WA, Australia
Renee M. Graham - Edith Cowan University
Karen Gullick - Edith Cowan University
Sue Haydon - Hollywood Private Hosp, Clin Serv, Perth, WA, Australia
Jeff Hughes - Curtin University
Mustafa Atee - Curtin Univ, Curtin Med Sch, Perth, WA, Australia
Kim-Huong Nguyen - Univ Queensland, Ctr Hlth Serv Res, Fac Med, Brisbane, Qld, Australia
Bev O'Connell - Edith Cowan Univ, Sch Nursing & Midwifery, Ctr Res Aged Care, Joondalup, WA, Australia
Debra Scaini - Hollywood Private Hosp, Clin Serv, Perth, WA, Australia
Christopher Etherton-Beer - Univ Western Australia, Med Sch, Western Australian Ctr Hlth & Ageing, Perth, WA, Australia
Publication Details: BMJ open, Vol.12(6), e059388
Publisher: BMJ Publishing Group Ltd.
Number of pages: 7
Grant note: Ramsay Hospital Research Foundation
Identifiers: 991005868890907891
Copyright: © Author(s) (or their employer(s)) 2022.
Murdoch Affiliation: School of Nursing
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.44 Nutrition & Dietetics; 1.44.330 Geriatric Nutrition
Web Of Science research areas: Geriatrics & Gerontology
ESI research areas: Clinical Medicine