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Patient and Staff Experience of Ambulatory Emergency Care on the Surgical Admissions Unit (SAU)

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ClinicalTrials.gov Identifier: NCT03514043
Recruitment Status : Recruiting
First Posted : May 2, 2018
Last Update Posted : May 29, 2019
Sponsor:
Collaborator:
Royal Devon and Exeter NHS Foundation Trust
Information provided by (Responsible Party):
University of Exeter

Brief Summary:

Emergency ambulatory care ("day-case" care that does not involve staying in a hospital bed overnight) is now well-established for medical patients and is being used increasingly for surgical patients. However, it is not known how emergency surgical patients feel about being managed in this way compared to being admitted to a hospital ward. The investigating team believe that some people will find it easier and would prefer to be able to stay at home overnight but others may find this difficult or dislike this method of care.

The investigators want to explore staff and patients' experience of this type of care with semi-structured telephone interviews. The interviews will take around 20-30mins each. The anticipated number of patient participants needed is 20 and 12-15 staff members.


Condition or disease
Emergencies Surgery

  Show Detailed Description

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Study Type : Observational
Estimated Enrollment : 35 participants
Observational Model: Other
Time Perspective: Prospective
Official Title: Patient and Staff Experience of Ambulatory Emergency Care on the Surgical Admissions Unit (SAU)
Actual Study Start Date : November 5, 2018
Estimated Primary Completion Date : October 2, 2019
Estimated Study Completion Date : December 31, 2019

Resource links provided by the National Library of Medicine


Group/Cohort
Ambulatory care surgical patients
Patients who have attended the surgical assessment unit with an emergency general surgical condition and have their care completed without an inpatient stay.
Surgical assessment unit staff
Staff who are involved in the care of patients on the surgical assessment unit. This includes senior and junior doctors, nurses, healthcare assistants and ward receptionists.



Primary Outcome Measures :
  1. Factors affecting patient satisfaction: semi-structured interviews [ Time Frame: Will be measured within 3 weeks of attendance ]
    Factors that influence patients' experience of emergency general surgical care [semi-structured interviews with patients]

  2. Factors affecting implementation of ambulatory emergency care [ Time Frame: Interviews will be conducted at a single timepoint from May 2019 to October 2019. ]

    Factors which affect how staff use ambulatory emergency care and what they perceive this issues to be with this method of care.

    This will be measured using semi-structured interviews with staff.




Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Adults presenting to the surgical assessment unit under the care of general surgeons who have their care managed in an ambulatory manner without inpatient admission.

Staff who are involved in the care of these patients in the groups described in the group section.

Criteria

Inclusion Criteria:

  • English-speaking adult patients of any gender over the age of 18 undergoing emergency ambulatory care via the surgical assessment unit for a general surgical condition will be included.

Exclusion Criteria:

  • Children under the age of 18
  • Adults without capacity to consent as participants for the study

Patient participant exclusion criteria:

  • Those who have primarily presented with a condition that is not within the remit of general surgeons
  • Those who had their care continued as an inpatient immediately following their initial presentation.
  • Unable to understand or speak English to the level required to understand the information sheet or conduct the interview

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03514043


Contacts
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Contact: Lisa H Massey, MBBS (BSc) 07866750285 lisa.massey1@nhs.net
Contact: Rob Bethune, MBBS MA MSc rob.bethune@nhs.net

Locations
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United Kingdom
Royal Devon and Exeter Hospital NHS Foundation Trust Recruiting
Exeter, Devon, United Kingdom, EX2 5DW
Contact: Lisa H Massey, MBBS (BSc)    07866750285    lisa.massey1@nhs.net   
Contact: Rob Bethune, MBBS MA MSc       rob.bethune@nhs.net   
Principal Investigator: Lisa H Massey, MBBS (BSc)         
Principal Investigator: Rob Bethune, MBBS MA MSc         
Principal Investigator: Iain Lang, MA Msc DPhil         
Sponsors and Collaborators
University of Exeter
Royal Devon and Exeter NHS Foundation Trust
Investigators
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Principal Investigator: Lisa H Massey, MBBS (BSc) Royal Devon and Exeter Hospital NHS Trust
  Study Documents (Full-Text)

Documents provided by University of Exeter:
Study Protocol  [PDF] March 6, 2019


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Responsible Party: University of Exeter
ClinicalTrials.gov Identifier: NCT03514043     History of Changes
Other Study ID Numbers: 1718/01
First Posted: May 2, 2018    Key Record Dates
Last Update Posted: May 29, 2019
Last Verified: May 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Plan Description: At the end of the study the research data will be uploaded to an open access repository held on a University of Exeter server. Depending on practicality this may include individual participant data at interview level or may include the data post-analysis.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by University of Exeter:
Ambulatory care
Emergency general surgery
Patient satisfaction
Additional relevant MeSH terms:
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Emergencies
Disease Attributes
Pathologic Processes