Implementing a ward-based programme to improve care for older inpatients: process evaluation of the cluster randomised CHERISH trial.

ABSTRACT:

Background

Older inpatients are at high risk of hospital-associated complications, particularly delirium and functional decline. These can be mitigated by consistent attention to age-friendly care practices such as early mobility, adequate nutrition and hydration, and meaningful cognitive and social activities. Eat Walk Engage is a ward-based improvement programme theoretically informed by the i-PARIHS framework which significantly reduced delirium in a four-hospital cluster trial. The objective of this process evaluation was to understand how Eat Walk Engage worked across trial sites.

Methods

Prospective multi-method implementation evaluation on medical and surgical wards in four hospitals implementing Eat Walk Engage January 2016-May 2017. Using UK Medical Research Council

SUBMITTER: Mudge AM 

PROVIDER: S-EPMC10283300 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature