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Function focused care in hospital: A mixed-method feasibility study.

Selma Kok1,2, Janneke M de Man-van Ginkel1,2, Carolien Verstraten1

  • 1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Heidelberglaan 100, Utrecht 3584 CX, the Netherlands.

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|May 15, 2024
PubMed
Summary
This summary is machine-generated.

Function Focused Care in Hospital (FFCiH) is feasible in Dutch hospitals, despite some implementation challenges. Optimizing team involvement, nursing leadership, and patient/family engagement are key for future success.

Keywords:
Activities of Daily Living [MeSH]Feasibility studies [MeSH]Function Focused CareFunctional declineHospitals [MeSH]MobilityNursing [MeSH]Nursing care [MeSH]Nursing staff, Hospital [MeSH]Patient-centered care [MeSH]

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Area of Science:

  • Gerontology
  • Nursing Science
  • Healthcare Management

Background:

  • Hospitalized patients often experience reduced physical activity, a significant risk factor for functional decline.
  • Function Focused Care (FFC) is an evidence-based US intervention to prevent functional decline in older adults by promoting activity during care.
  • Function Focused Care in Hospital (FFCiH) is an adaptation of FFC for the Dutch hospital setting, comprising four key components.

Purpose of the Study:

  • To introduce FFCiH into Dutch hospital wards.
  • To assess the feasibility of FFCiH, examining its description, implementation, impact mechanisms, and context.

Main Methods:

  • A mixed-methods design was employed on Neurological and Geriatric wards in a Dutch hospital.
  • Data were collected from 56 nurses and nursing students through focus groups, observations, field notes, evaluation forms, and participation lists.
  • The study described the implementation process, delivery (dose, fidelity, adaptations, reach), and mechanisms of impact (facilitators and barriers).

Main Results:

  • FFCiH was detailed, with 96.4% of nurses attending educational sessions.
  • Nurses rated the education highly (mean 7.5/10), and patient files indicated goal setting.
  • Facilitators included FFCiH aligning with nurses' philosophy; barriers related to 'Education' and 'Ongoing motivation and mentoring' components.

Conclusions:

  • FFCiH is feasible in the Dutch hospital setting, though challenges exist.
  • Recommendations for optimization include emphasizing team involvement, nursing leadership, and patient/family engagement.
  • This feasibility study offers guidance for process evaluations of interventions in practice.