Researching Emergency Ambulance calls to Care Homes (REACH): a mixed methods study

PROJECT TITLE RESEARCHING EMERGENCY AMBULANCE CALLS TO CARE HOMES (REACH): A MIXED METHODS STUDY
Funding body National Institute for Health Research Applied Research Collaboration East Midlands
Total funding  £133,607
Team
  • Prof Niro Siriwardena, CaHRU, University of Lincoln
  • Mrs Nicoya Palastanga, Public and Patient Involvement contributor from Healthier Ageing PPI (HAPPI) group
  • Mrs Lissie Wilkins, Public and Patient Involvement contributor, HAPPI group
  • Rob Spaight, East Midlands Ambulance Service NHS Trust (EMAS)
  • Elizabeth Miller, East Midlands Ambulance Service NHS Trust (EMAS)
  • Dr Vanessa Botan, CaHRU, University of Lincoln
  • Ms Despina Laparidou CaHRU, University of Lincoln
  • Mr Greg Whitley, CaHRU, University of Lincoln
  • Dr Elise Rowan, CaHRU, University of Lincoln
  • Prof Adam Gordon, University of Nottingham
  • Prof Graham Law, CaHRU, University of Lincoln
  • University of Lincoln
  • Healthier Ageing PPI group
  • University of Nottingham
  • East Midlands Ambulance Service NHS Trust
Overarching aim To evaluate demographic and clinical predictors of ambulance conveyance to hospital following an emergency call from a care home and explore how outcomes and experiences of care home residents with emergency conditions and the practice capabilities and management experiences of staff involved can be improved.
Objectives
To investigate emergencies involving ambulance calls to care homes by:

  1. Systematically review studies investigating effectiveness of interventions to improve outcomes and experiences of emergency care in care homes.
  2. Describe care home approaches, policies, and protocols for emergencies.
  3. Investigate demographic, organisational, and clinical predictors of ambulance attendance and conveyance to hospital for people residing in care homes.
  4. Explore residents or their relatives and staff perceptions of past, present, and possible future interventions to improve outcomes and experiences of emergencies in care homes.
  5. Integrate data to develop a list of interventions for future improvement.
  6. Prioritise and recommend interventions that do or are likely to improve outcomes and experiences of care home residents with emergency conditions and experiences of staff involved in their care
Methods Multi-method study with systematic review, complex mixed methods, and consensus study.
Outcomes We will provide recommendations and priorities for interventions that have been shown to or are likely to improve outcomes and experiences of care home residents with emergency conditions and the experiences of staff involved in their care.
Outputs Peer reviewed research and conference presentations.
Impact We will produce a list of prioritised recommendations for future interventions and/or strategies to improve experience and outcomes of emergencies in care home. The study will provide impact through future implementation of interventions and/or strategies to improve experience and outcomes of emergencies in care homes.

 

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