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Can I read Implementing a ward-based programme to improve care for older inpatients: process evaluation of the cluster randomised CHERISH trial on EtoBox?
Implementing a ward-based programme to improve care for older inpatients: process evaluation of the cluster randomised CHERISH trial by Alison M. Mudge; Prue McRae; Adrienne Young; Irene Blackberry; Karen Lee-Steere; Sally Barrimore; Tara Quirke; Gillian Harvey is a Health Professions article available to read on EtoBox.
What is Implementing a ward-based programme to improve care for older inpatients: process evaluation of the cluster randomised CHERISH trial about?
## 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 guidance, this process evaluation assessed context, implementation (core components, implementation strategies and improvements) and mechanisms of impact (practice changes measured through older person interviews, structured mealtime observations and activity mapping) at each site. ## Results The four wards had varied contextual barriers which altered dynamically with time. One ward with complex outer org
Who reads Implementing a ward-based programme to improve care for older inpatients: process evaluation of the cluster randomised CHERISH trial?
It is typically read by researchers, students, and practitioners in Health Professions.
- Author
- Alison M. Mudge; Prue McRae; Adrienne Young; Irene Blackberry; Karen Lee-Steere; Sally Barrimore; Tara Quirke; Gillian Harvey
- Publisher
- Springer Science and Business Media LLC
- Published
- 2023
- Language
- EN
- Field
- Health Professions (Health Sciences)