Evidence map›Paper›PMID 38097987›Full record

ArticleBMC geriatrics2023

Expanded nursing roles to promote person-centred care for people with cognitive impairment in acute care (ENROLE-acute): study protocol for a controlled clinical trial, process and economic evaluation.

Verena von der Lühe, Marcelina Roos, Mareike Löbberding, Nadine Scholten, Wiebke Müller, Martin Hellmich, Dusan Simic, Sascha Köpke, Martin N Dichter

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Verena von der Lühe *University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Gleueler Straße 176-178, Cologne, Germany.
Marcelina Roos *University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Gleueler Straße 176-178, Cologne, Germany. marcelina.roos@uk-koeln.de.
Mareike LöbberdingUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Gleueler Straße 176-178, Cologne, Germany.
Nadine ScholtenUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Chair of Health Services Research, Eupener Straße 129, Cologne, Germany.
Wiebke MüllerUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Statistics and Computational Biology, Robert-Koch-Straße 10, Cologne, Germany.
Martin HellmichUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Medical Statistics and Computational Biology, Robert-Koch-Straße 10, Cologne, Germany.
Dusan SimicUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Health Economics and Clinical Epidemiology, Gleueler Straße 176-178, Cologne, Germany.
Sascha KöpkeUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Gleueler Straße 176-178, Cologne, Germany.
Martin N DichterUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Nursing Science, Gleueler Straße 176-178, Cologne, Germany.
University of Cologne · DEUniversity Hospital Cologne · DE

Funding

German Federal Ministry of Education and Research 01GY2005
6 · The paper itself

Abstract

backgroundFor people with cognitive impairment, hospitalisation is challenging and associated with adverse events as well as negative outcomes resulting in a prolonged hospital stay. Person-centred care can improve the quality of care and the experience of people with cognitive impairment during hospitalisation. However, current care processes in German hospitals are rarely person-centred. To enable successful implementation of person-centred care on hospital wards, change agents within the interprofessional team are key. The aim of this study is to test the feasibility and initial effects of a newly developed complex person-centred care intervention for people with cognitive impairment provided by expanded practice nurses in acute care.

methodsWe will conduct an exploratory non-randomised controlled clinical trial with accompanying process and cost evaluation with three intervention and three control wards at one university hospital. The person-centred care intervention consists of 14 components reflecting the activities of expanded practice nurses within the interprofessional team on the intervention wards. The intervention will be implemented over a six-month period and compared with optimised care on the control wards. We will include people aged 65 years and older with existing cognitive impairment and/or at risk of delirium. The estimated sample size is 720 participants. The primary outcome is length of hospital stay. Secondary outcomes include prevalence of delirium, prevalence of agitation, sleep quality, and person-centred care. We will collect patient level data at six time points (t DISCUSSION: The ENROLE-acute study will provide insights into the effectiveness and underlying processes of a person-centred care intervention for people with cognitive impairment provided by expanded practice nurses on acute hospitals wards. Results may contribute to intervention refinement and evidence-based decision making.

trial registrationCurrent controlled trials: ISRCTN81391868. Date of registration: 12/06/2023. URL: https://doi.org/10.1186/ISRCTN81391868.

Indexed as

Cognitive DysfunctionDeliriumCost-Benefit AnalysisHospitalizationHumansPatient-Centered CareAdvanced Practice NursingComplex interventionControlled clinical trialEconomic evaluationExpanded nursing rolesHospitalPeople with cognitive impairmentPerson-centred careProcess evaluationStudy protocol

Identifiers

PMID38097987
PMCPMC10722805
OpenAlexW4389721627

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.