Storm Marianne, Groene Oliver, Testad Ingelin, Dyrstad Dagrunn N, Heskestad Randi N, Aase Karina
Department of Health Studies, University of Stavanger, Stavanger, Norway.
Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
BMJ Open. 2014 Jul 31;4(7):e005962. doi: 10.1136/bmjopen-2014-005962.
Transitional care and patient handover are important areas to ensure quality and safety in elderly healthcare services. Previous studies showed that healthcare professionals have little knowledge of the setting they are transferring patients to and a limited understanding of roles and functions; these constitute barriers to effective communication and shared care responsibilities across levels of care.
The main objective is to implement a cross-level education-based intervention programme with healthcare professionals aimed at (1) increasing professionals' awareness and competencies about quality and safety in the transitional care of the elderly; (2) creating a discussion platform for knowledge exchange and learning across levels and units of care and (3) improving patient safety culture, in particular, in transitional care.
A quasi-experimental control group study design with an intervention group and a control group; this includes a pretest, post-test and 1-year follow-up test assessment of patient safety culture. Qualitative data will be collected during the intervention programme and between the measurements. The study design will be beneficial for addressing the effects of the cross-level educational intervention programme on reports of patient safety culture and for addressing the feasibility of the intervention measures.
The study has been approved by the Regional Committees for Medical and Health Research Ethics in Norway, Ref. No. 2011/1978. The study is based on informed written consent; informants can withdraw from the study at any point in time. The results will be disseminated at research conferences, in peer review journals and through public presentations outside the scientific community.
过渡性护理和患者交接是确保老年医疗服务质量和安全的重要领域。先前的研究表明，医护人员对他们将患者转至的机构了解甚少，对其角色和功能的认识有限；这些构成了不同护理层面间有效沟通和共同承担护理责任的障碍。
主要目标是对医护人员实施一项基于跨层面教育的干预计划，旨在（1）提高专业人员对老年患者过渡性护理中质量和安全的认识及能力；（2）创建一个跨护理层面和单位进行知识交流与学习的讨论平台；（3）改善患者安全文化，尤其是在过渡性护理方面。
采用类实验对照组研究设计，设有干预组和对照组；这包括对患者安全文化进行预测试、后测试及1年的随访测试评估。在干预计划实施期间及各次测量之间收集定性数据。该研究设计将有助于探讨跨层面教育干预计划对患者安全文化报告的影响，并探讨干预措施的可行性。
该研究已获得挪威医学和健康研究伦理区域委员会的批准，编号为2011/1978。该研究基于知情书面同意；参与者可在任何时间退出研究。研究结果将在研究会议、同行评审期刊上发表，并通过面向科学界以外的公开演讲进行传播。
