Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial.

ABSTRACT:

Background

Community-dwelling older clients are becoming increasingly complex. Detecting this complexity in clinical practice is limited, with greater reliance on community nurses' clinical judgment and skills. The lack of a consistent approach to complexity impacts the level of care and support for older clients to remain in their homes for longer.

Objective

To examine the effectiveness of the Patient Complexity Instrument (PCI) in addition to nurses' clinical judgment to enhance detection of complexity, and subsequent older clients' resource allocation compared to usual nursing assessment.

Design

A pragmatic randomized controlled trial will be conducted within a community nursing service in regional Victoria, Australia. Clients 65 years and over referred to the serv

SUBMITTER: Boak J 

PROVIDER: S-EPMC8544575 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature