An Oral Intake Screening Tool for Patients Receiving Non-Invasive Ventilation

NCT ID: NCT02090868

Last Updated: 2020-08-27

Basic Information

• Recruitment Status: WITHDRAWN
• Study Classification: OBSERVATIONAL
• Study Start Date: 2013-04-30
• Study Completion Date: 2013-08-31

Brief Summary

This study aims to explore how the introduction of an oral intake screening tool can benefit patients requiring noninvasive ventilation. The Quality Care Commission has identified nutritional problems in hospital and there is much literature on the importance of nutrition when critically ill. Literature is short however concerning the specialized population of those requiring noninvasive ventilation and they are a high risk group of suffering from malnutrition.

This study will potentially benefit patients by improving their nutritional care through guided assessment and nurse training.

The study will use mixed methodology, a prospective cohort study and qualitative interviews. The prospective cohort study will collect data from patients prior to the tool introduction, the control group, and post the tool introduction, the exposure group. This will enable comparisons to be made between the exposure and the control groups.

Nurses will be interviewed in semi structured focus groups prior to tool introduction and post to identify themes and sub themes to give a deeper understanding of nutrition in hospital and to examine the use of the tool in practice.

Patients will be eligible if they are over 18 and requiring noninvasive ventilation and nurses will be eligible if they work on the high dependency unit. Patients will be visited daily and have four mid arm circumference measurements at day 1, day 3, day 7 and day 14. The other daily visits will involve collecting data, which is recorded as part of routine care.

Nurses will undergo 2 focus group interviews and a teaching session. The study will take place at St Mary's hospital funded by Imperial College London. The study will be split into two periods with a two week gap in between. Each period will last until 22 patient participants have been recruited.

Detailed Description

No patients were recruited to the study due to decreased levels of patients requiring non-invasive ventilation during the study period and time constraints owing to an academic award submission date. Six nurse participants were recruited to the study and underwent two focus group interviews, one prior to tool implementation and one post.

Conditions

Patients Requiring Non-invasive Ventilation

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Pre Introduction

Pre tool introduction cohort 22 patient participants who will receive standard care (no patients were recruited)

No interventions assigned to this group

Nurses

12 nurse participants who will take part in 2 focus group interviews and a teaching session (6 nurse participants were recruited)

No interventions assigned to this group

Post Introduction

Pre tool introduction cohort 22 patient participants who's ability to eat and drink orally will be assessed using the Oral Intake Screening Tool (no patient participants were recruited)

Oral Intake Screening Tool

Intervention Type: OTHER

A screening tool developed from a literature review and expert opinion. It will be used by nurses to assess patients receiving non-invasive ventilation ability to eat and drink orally and suggest what actions should be taken if they are unable to do so

Interventions

Oral Intake Screening Tool

A screening tool developed from a literature review and expert opinion. It will be used by nurses to assess patients receiving non-invasive ventilation ability to eat and drink orally and suggest what actions should be taken if they are unable to do so

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• over 18 years old
• require non-invasive ventilation as defined by the protocol

• full time employees
• work in the medical high dependency unit

Exclusion Criteria

• Patients on the Liverpool Care Pathway
• Patients requiring nocturnal non-invasive ventilation only
• Patients with a tracheostomy
• Patients with a nasogastric feeding tube insitu on admission
• Patients with a PEG/RIG tube insitu on admission

Staff

• staff only working bank or agency shifts on the medical high dependency unit
• staff who have not had formal high dependency/critical care training
• staff who do not work more than 5 shifts per month in the medical high dependency unit
• staff who have not held a full time post on Douglas Acute Admissions Unit for more than six months

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Imperial College London

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Gary Frost

Role: PRINCIPAL_INVESTIGATOR

Imperial College London

Locations

St Marys Hospital

London, , United Kingdom

Imperial College Healthcare NHS Trust

London, , United Kingdom

Countries

United Kingdom

Other Identifiers

13IC0065

Identifier Type: -

Identifier Source: org_study_id