Inclusion criteria for study I and II is nurse aides, registered nurses and managers working in nursing homes who register in Senior Alert. To develop an intervention aiming to reduce the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, workshops will be conducted in collaboration with nurse aides, registered nurses and managers (study I). Cluster randomization is going to take place via a computerized program prior to the workshops meaning that only those nurse aides, registered nurses and managers working in nursing homes allocated to the intervention group are going to develop an intervention together with the research group and then test it (study II). The remaining nurse aides, registered nurses and managers working in nursing homes in the control group continue with regular care.
Nursing homes registering in Senior Alert, which is a national quality registry
not meetin inclusion criteria
Parallel
Care process for assessements of risks
BehavioralIntervention aiming to reduce the risk of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes, workshops will be conducted in collaboration with nurse aides, registered nurses and managers. Cluster randomization is going to take place via a computerized program prior to the workshops meaning that only those nurse aides, registered nurses and managers working in nursing homes allocated to the intervention group are going to develop an intervention together with the research group and then test it .
Risk assessments and prevention care interventions focusing on falls.
Registry data from Senior Alert based on the following assessment: Downtown Fall Risk Index.
Risk assessments and prevention care interventions focusing on pressure ulcers.
Registry data from Senior Alert based on the following assessment: The Modified Norton scale to measure risk for pressure ulcer.
Risk assessments and prevention care interventions focusing on malnutrition.
Registry data from Senior Alert based on the following assessment: The Short Form-Mini Nutritional Assessment measure malnutrition.
Risk assessments and prevention care interventions focusing on poor oral health
Registry data from Senior Alert based on the following assessment: The Revised Oral Assessment Guide (ROAG) to assess poor oral health.
Perceived Stress Scale stress (PSS)
Among nursing staff. 10 items scaled 0-4, higher scores indicate higher level of stress
Stress of Conscience (SCQ),
Among nursing staff. 9 items scaled 0-5, higher scores indicate higher level of SCQ.
Psychosocial Aspects of Job Satisfaction Questionnarie
Among nursing staff. 49 items, scaled 0-4, higher scores indicate higher level of psychosocial job satisfaction
Feasibility test of the co-created intervention designed to reduce the evidence-base practice gap regarding prevention of the risk for pressure ulcer, malnutrition, poor oral health and falls using questionnaire data
Data collected by a questionnaire specifically developed for evalutation of the co-created intervention called Evaluation of the intervention. The questionnaire contains 12 items on a dichtomous scale and two open questions.
Feasibility test of the co-created intervention designed to reduce the evidence-base practice gap regarding prevention of the risk for pressure ulcer, malnutrition, poor oral health and falls using interview data
Individual and focus group interviews
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Malmö University
Lead sponsor
Malmö City
Collaborator
