Clinical trial NCT06632288: Family Participation in Ghana Hospital Care
Official title: Family Caregiver Participation in Hospital Care in Ghana: a Mixed Methods Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Hospitalized Patients
Keywords: Family caregivers
Hospital
Adult
Family
Care
Mixed method
Observational
Cohort
Prospective
Qualitative
Time and Motion
Ghana
Lead sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Sponsor class: OTHER
Collaborators: name: Amsterdam UMC, location AMC
name: Korle Bu Teaching Hospital
name: University of Ghana Medical School
First posted: 2024-10-09
Enrollment: 170
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: This study includes the patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators admitted/caring/working in the medicine wards of Korle Bu Teaching Hospital.

Brief summary: This mixed methods study aims to understand family care participation in the adult medicine wards of Korle Bu Teaching Hospital, Ghana. The main questions it aims to answer, from the perspective of the patient, family caregiver, nurse, doctor, ward assistant, and hospital administrator, are:

1. What is the role of the family caregiver in hospital care?
2. What is the perceived effect of family participation in hospital care?
3. What are the barriers and facilitators experienced in family participation?
4. What are suggestions for family participation interventions?

These questions will be answered with three study arms:

1. A prospective observational cohort (population: patients and family caregivers)
2. A time and motion study (population: nurses and doctors)
3. Interviews and focus group discussions (population: patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators)


Eligibility criteria: Prospective Observational Cohort

* Inclusion Criteria

  * Population
  * Patient: Admitted to the ward (in-patient)
  * Family caregiver: caregiver providing care at the bedside of the patient on the ward
  * Environment: Admitted to a medicine ward of KBTH
  * Admission time: Admitted in the last 48 hours
  * Adult: ≥18 years
* Exclusion criteria

  * Admission time: Planned discharge or transfer within the first 24 hours of admission
  * Child: \<18 years
  * Previously enrolled in this study arm
  * No consent given

Time and Motion

* Inclusion Criteria

  * Population: Nurses and doctors
  * Environment: Working in a medicine wards of KBTH
* Exclusion Criteria

  * Population: \<6 months of work experience on a medicine ward of KBTH
  * Previously enrolled in this study arm
  * No consent given

Qualitative (interviews and focus group discussions)

* Inclusion Criteria

  * Population
  * Patient: Admitted to the ward (in-patient)
  * Family caregiver: Caregiver providing care at the bedside of the patient on the ward
  * Health workers: Nurses, doctors and ward assistants
  * Hospital administrator: Managers and professors
  * Environment
  * Patient: Admitted to a medicine ward of KBTH
  * Family caregiver: Caring for their relative on a medicine ward of KBTH
  * Health worker: Working on a ward medicine of KBTH
  * Hospital administrator: Responsible for care delivery of a medicine ward of KBTH
* Exclusion Criteria

  * Population
  * Patient: Unconscious or unable to participate in a conversation
  * Family caregiver: Unable to leave the patient for reasons of safety
  * Health worker: \<6 months of work experience on a medicine ward of KBTH
  * Hospital administrator: \<6 months in a management role of a medicine ward of KBTH
  * Admission time
  * Patient: Admitted \<48 hours
  * Child: \<18 years
  * Previously enrolled in this study arm
  * No consent given

Primary outcomes:
measure: The role of family participation in hospital care
timeFrame: During admission to the general medicine ward
measure: The perceived effect of family participation in hospital care
timeFrame: During admission to the general medicine ward
measure: The barriers and facilitators of family participation in hospital care
timeFrame: During admission to the general medicine ward
measure: The intervention suggestions for family participation in hospital care
timeFrame: During admission to the general medicine ward
Secondary outcomes:
Other outcomes:
Locations:
city: Accra
country: Ghana
facility: Korle Bu Teaching Hospital
Study officials:
References: