King's College Hospital

Research Objectives

This study aims to improve communication and holistic care for older people in community hospitals and during clinical uncertainty by developing and evaluating the feasibility of a new set of documents, SPACE – Symptom and Psychosocial and Communication Evaluation. Our objectives are…

  1. To identify evidence-based tools to manage clinical uncertainty for older people by enhancing care process of:

    a. Comprehensive assessment including priorities for the person and rehabilitation potential

    b. Communication with families and aid shared decision making

    c. Continuity of care on discharge


  2. To look at population data on admissions to community hospitals in England and outcome of mortality and the associations to inform priorities for service provision and policy

  3. To identify the components of the SPACE documents by consulting with clinical staff and using a discrete choice experiment (DCE) with patients and their families to identify important areas and preferences for care

  4. To evaluate the feasibility of using the SPACE documents to improve communication and holistic care for older people in community hospitals and during clinical uncertainty

  5. To develop protocols for a full trial of the SPACE documents

 

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