Table A

Table B

Input from nursing and therapy teams for community hospital (intervention) group

 

Table A [As supplied by authors] Characteristics of the community hospital

Number of beds:

18

Accepts:

Medically stable patients for short-stay rehabilitation (typically less than 6 weeks)

 

Social care assessment

 

Palliative care

Staffing:

 

   Nurse

9.8 WTE

   Health care assistant

5.0 WTE

   Physiotherapist

0.5 WTE

   Occupational therapist

0.5 WTE

   Therapy helper

1.0 WTE

   Dietician

Weekly visits

   Speech and language therapist

Weekly visits

   Hospital practitioner

3 sessions weekly

   Consultant geriatrician

2 sessions weekly

 

+ out of hours cover by GPs

Average length of stay (year 2000)

15 days

% patients fulfilling definition for intermediate care*

80%

WTE = whole time equivalent; GP = general practitioner

*Department of Health(9)

 

 

Table B [As supplied by authors] Outcome measures used in the study

Outcome measure

Domain(s)

(sub-categories)

Number

of items

Score range

(worst → best)

Patient

     

Nottingham extended

Current extended activities of daily living

22

0 → 66

activities of daily living scale

(mobility)

(6)

(0 → 18)

 

(kitchen tasks)

(5)

(0 →15)

 

(domestic tasks)

(5)

(0 → 15)

 

(leisure activities)

(6)

(0 → 18)

       

Barthel index

Current basic activities of daily living

10

0 → 20

       

Nottingham health profile

Perceived state of health

   

(17)

(energy)

3

(100 → 0)

 

(pain)

8

(100 → 0)

 

(emotional reaction)

9

(100 → 0)

 

(sleep)

5

(100 → 0)

 

(social isolation)

5

(100 → 0)

       

Hospital anxiety and

Mood

14

 

depression scale (18)

(anxiety)

7

(21 → 0)

 

(depression)

7

(21 → 0)

       

Hospsat (19)

Satisfaction with services in hospital

8

Dissatisfied/satisfied

       

Homesat (19)

Satisfaction with services after discharge

5

Dissatisfied/satisfied

       

Carer

     

General health

Emotional stress

28

28 → 0

questionnaire 28

(somatic symptoms)

7

(21 → 0)

 

(anxiety and insomnia)

7

(21 → 0)

 

(social dysfunction)

7

(21 → 0)

 

(severe depression)

7

(21 → 0)

       

Carer strain index (20)

Burden of caring

13

13 → 0

       

Carer hospsat (21)

Satisfaction with services in hospital

4

Dissatisfied/satisfied

       

Carer homesat (21)

Satisfaction with services after discharge

5

Dissatisfied/satisfied

 
 

Input from nursing and therapy teams for community hospital (intervention) group

Nursing team

Nurses—9.8 whole time equivalent

Healthcare assistants—5.0 whole time equivalent

Therapy team

Physiotherapists—0.5 whole time equivalent

Occupational therapists—0.5 whole time equivalent

Therapy assistants—1.0 whole time equivalent

Dieticians—Weekly visit

Speech and language therapists—Weekly visit

 





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