Implementing Family Participation Training in Tertiary Hospital Care in Bangladesh

The goal of this trial is to evaluate whether a family participation training intervention can reduce caregiver strain and health worker workload, and improve patient outcomes and collaboration in the medicine wards of Chittagong Medical College Hospital (CMCH). General objectives: * To assess the effect of a family participation training intervention on the medicine wards of CMCH. (Stepped-wedge) * To examine how, for whom and under what circumstances a family participation training intervention works. (Realist evaluation) Specific objectives: * To examine the implementation of a family participation training intervention. * To investigate the acceptability and feasibility of a family participation training intervention. The study will use a step-by-step roll-out, introducing training at different times in three wards, to see if it improves care compared to usual practice. Study participants will include adult patients, their family caregivers, nurses, doctors, ward assistants, and hospital administrators. Health workers will be trained to deliver sessions to family caregivers of hospitalised patients on hospital introduction, basic care tasks, warning sign detection, oral medication administration, caregiver handover, and discharge preparedness.