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PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen
PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen

PEOPLE@HES-SO
Verzeichnis der Mitarbeitenden und Kompetenzen

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Pereira Filipa

Pereira Filipa

Professeur-e HES Associé-e

Hauptkompetenzen

Enseignement supérieur

Evidence-based Practice

Empowerment

Education thérapeutique du patient

Recherche qualitative

Recherche quantitative

Recherche mixte

  • Kontakt

  • Lehre

  • Publikationen

Hauptvertrag

Professeur-e HES Associé-e

Telefon-Nummer: +41 58 606 84 42

Büro: AGA406

HES-SO Valais-Wallis - Haute Ecole de Santé
Chemin de l'Agasse 5, 1950 Sion, CH
HEdS - VS
Bereich
Santé
Hauptstudiengang
Soins infirmiers
BSc HES-SO en Soins infirmiers - HES-SO Valais-Wallis - Haute Ecole de Santé

2024

Measuring nurses’ knowledge and awareness of climate change and climate-associated diseases :
Wissenschaftlicher Artikel ArODES
systematic review of existing instruments

Omar Portela Dos Santos, Elodie Perruchoud, Filipa Pereira, Paulo Alves, Henk Verloo

Nursing reports,  2024, 14, 4, 2850-2876

Link zur Publikation

Zusammenfassung:

Background: As early as 1995, the Institute of Medicine suggested that nurses were inadequately prepared for and educated about climate change and its health consequences. The aim of this systematic review is to identify the most reliable, robust, and valid instruments for measuring nurses’ knowledge and awareness of climate change and climate-associated diseases. Methods: Included studies were appraised using the Mixed-Methods Appraisal Tool and the Appraisal tool for Cross-Sectional Studies. The psychometrics and clinimetrics of the instruments were evaluated using the COSMIN Risk of Bias checklist and the COSMIN methodology for assessing content validity. Results: Medline, PubMed, Embase, CINAHL Ebesco, Cochrane Library Wiley, Web of Science Core Collection, Trip Database, JBI OVID SP, GreenFILE EBSCO, Google Scholar, ProQuest Dissertations and Theses Global, and DART-EU were consulted. The 14 studies retained identified eight different instruments evaluating attitudes, perceptions, environmental awareness, environmental sensitivity, environmental attitudes, behaviours, motivation, concern, optimism, and experience. This review is reported according to the PRISMA guidelines. Conclusions: The New Ecological Paradigm Scale (NEPS) and the Climate, Health, and Nursing Tool (CHANT) are the most reliable, robust, and valid instruments for measuring nurses’ knowledge and awareness of climate change and climate-associated diseases.

Stressors and coping strategies in older people hospitalised for hip surgery following a fall :
Wissenschaftlicher Artikel ArODES
a multiple case study

Christine Cohen, Louise Bélanger, Matthieu Turcotte, Filipa Pereira

BMC Nursing,  23, 1, 653

Link zur Publikation

Zusammenfassung:

Background : More than half of older persons admitted to an emergency department after a fall have a hip fracture and require surgery for a total hip replacement. This procedure has a high risk of postoperative complications and consequences for older persons, their informal caregivers, and the healthcare system. This study aimed to explore the perceptions of older persons, their informal caregivers and health professionals about intra-personal, inter-personal and extra-personal stressors arising from hip surgery following the fall of an older person hospitalised in orthopaedics, as well as the coping strategies used and the results obtained. Methods : A qualitative multiple case study. The sample consisted of eight cases. Each case consisted of one older person, their informal caregiver and the professionals involved in their care: a nurse, an orthopaedic surgeon and a physiotherapist. A total of 32 participants were recruited. Data were collected between August 2018 and February 2019 in a public hospital in French-speaking Switzerland. Intra- and inter-case analyses were performed. Results : Five topics emerged: two concerning stressors for older persons (the physical and psychological consequences of the fall and hospitalisation; the loss of relational and environmental markers and habits); two relating to the coping strategies used to face the stressors (being resilient and involved in their own care; partially meeting the older person’s needs); and one regarding the results of the strategies used (reassurance through consideration of some of their needs). Conclusions : Older persons hospitalised for hip surgery after a fall are confronted with various intra-, inter- and extra-personal stressors and have to explore, together with their informal caregivers, strategies to cope with the consequences of these stressors. Healthcare professionals should possess efficient intervention strategies to help identify and support older persons who experience various types of stressors during hospitalisation for hip surgery following a fall.

2023

Development of a patient-centred medication management model for polymedicated home-dwelling older adults after hospital discharge :
Wissenschaftlicher Artikel ArODES
results of a mixed methods study

Filipa Pereira, Carla Meyer-Massetti, Armin Von Gunten, Henk Verloo, Boris Wernli

BMJ open,  13, 9, e072738

Link zur Publikation

Zusammenfassung:

Objective : This study aimed to investigate medication management among polymedicated, home-dwelling older adults after discharge from a hospital centre in French-speaking Switzerland and then develop a model to optimise medication management and prevent adverse health outcomes associated with medication-related problems (MRPs). Design : Explanatory, sequential, mixed methods study based on detailed quantitative and qualitative findings reported previously. Setting : Hospital and community healthcare in the French-speaking part of Switzerland. Participants : The quantitative strand retrospectively examined 3 years of hospital electronic patient records (n=53 690 hospitalisations of inpatients aged 65 years or older) to identify the different profiles of those at risk of 30-day hospital readmission and unplanned nursing home admission. The qualitative strand explored the perspectives of older adults (n=28), their informal caregivers (n=17) and healthcare professionals (n=13) on medication management after hospital discharge. Results : Quantitative results from older adults’ profiles, affected by similar patient-related, medication-related and environment-related factors, were enhanced and supported by qualitative findings. The combined findings enabled us to design an interprofessional, collaborative medication management model to prevent MRPs among home-dwelling older adults after hospital discharge. The model comprised four interactive fields of action: listening to polymedicated home-dwelling older adults and their informal caregivers; involving older adults and their informal caregivers in shared, medication-related decision-making; empowering older adults and their informal caregivers for safe medication self-management; optimising collaborative medication management practices. Conclusion : By linking the retrospective and prospective findings from our explanatory sequential study involving multiple stakeholders’ perspectives, we created a deeper comprehension of the complexities and challenges of safe medication management among polymedicated, home-dwelling older adults after their discharge from hospital. We subsequently designed an innovative, collaborative, patient-centred model for optimising medication management and preventing MRPs in this population.

Barriers to nurses performing physical assessments in rehabilitation care units :
Wissenschaftlicher Artikel ArODES
an observational study

Lorena Da Veiga Gonçalves, Maria Latanioti, Sabah Latif, Henk Verloo, Filipa Pereira

Journal of advanced nursing,  79, 8, 3057-3068

Link zur Publikation

Zusammenfassung:

Abstract Aims: To describe the perceived barriers to nurses performing physical assessments of patients in rehabilitation wards. Secondarily, to investigate how sociodemographic and professional characteristics influence the use and frequency of physical assessments by nurses and their perceptions of barriers to their practice. Design: A multicentre, cross-sectional, observational study. Methods: Data were collected from September to November 2020 among nurses working with inpatients in eight rehabilitation care institutions in French-speaking Switzerland. Instruments included the Barriers to Nurses' use of Physical Assessment Scale. Results: Almost half of the 112 nurses who responded reported performing physical assessments regularly. The predominant perceived barriers to performing physical assessments were ‘specialty area’, ‘lack of nursing role models’ and ‘lack of time and interruptions’. Greater clinical nursing experience in rehabilitation wards and more senior nurse specialist positions were associated with significantly lower use of physical assessment procedures by nurses. Conclusion: The present study revealed heterogeneity in the use of physical assessment by nurses practicing in rehabilitation units and highlighted their perceived barriers to this. Impact statement: Most nurses working in rehabilitation care units did not routinely perform physical assessments as part of their daily clinical practice. These results should raise stakeholders' awareness of this fact. Effective interventions to increase the use of physical assessments in nursing practice are to be recommended, including continuing education or hiring enough highly qualified nurses as role models in wards. This will promote quality of care and patient safety in rehabilitation care units. Public and patient engagement and involvement: There was no patient or public involvement in the present study.

Patterns of medication management and associated medical and clinical features among home-dwelling older adults :
Wissenschaftlicher Artikel ArODES
a cross-sectional study in central portugal

Maria dos Anjos Dixe, Joana Pinho, Filipa Pereira, Henk Verloo, Carla Meyer-Massetti, Sónia Gonçalves Pereira

International journal of environmental research and public health,  2023, vol. 20, no. 3, article no. 1701

Link zur Publikation

Zusammenfassung:

Ageing is frequently associated with multimorbidity and polypharmacy. The present study aimed to identify the current medication management patterns and the profiles of homedwelling older adults and to find any association with their conditions, including frailty and cognitive impairment. Within the scope of this cross-sectional study, 112 older adults living in the community were assessed via face-to-face structured interviews. Frailty, cognitive status, medication management and clinical and sociodemographic variables were evaluated. Descriptive and inferential statistics were calculated. The mean participant age was 76.6 7.1 years, 53.6% of participants were women, and 40.2% of participants lived alone. More than half were classified as having frailty (58.9%), almost one-fifth (19.6%) presented with a moderate cognitive impairment had more than one disease, and 60.7% were polymedicated. No associations were found between polymedication and medication self-management, the use of over-the-counter medications, living alone, having a poor understanding of pharmacological therapy and/or pathology, or having more than one prescriber. Self-management was associated with age, the number of medications, frailty and cognitive status. Binary logistic regressions showed that cognitive impairment had statistically significant differences with medication management, having a poor understanding of pharmacological therapy and/or pathology, having one prescriber and the use of medications not prescribed by physicians. Interventions to prevent medication-related problems in home-dwelling older adults are recommended.

An intervention program to reduce medication-related problems among polymedicated home-dwelling older adults (optimed) :
Wissenschaftlicher Artikel ArODES
protocol for a pre-post, multisite, pilot, and feasibility study

Filipa Pereira, Maria dos Anjos Dixe, Sónia Gonçalves Pereira, Carla Meyer-Massetti, Henk Verloo

JMIR research protocols,  2023, vol. 12, article no. e39130

Link zur Publikation

Zusammenfassung:

Background: Effective medication management is one of the essential preconditions for enabling polymedicated home-dwelling older adults with multiple chronic conditions to remain at home and preserve their quality of life and autonomy. Lack of effective medication management predisposes older adults to medication-related problems (MRPs) and adverse health outcomes, which can lead to the degradation of a patient’s acute clinical condition, physical and cognitive decline, exacerbation of chronic medical conditions, and avoidable health care costs. Nonetheless, it has been shown that MRPs can be prevented or reduced by using well-coordinated, patient-centered, interprofessional primary care interventions. Objective: This study aimed to explore the feasibility and acceptability of an evidence-based, multicomponent, interprofessional intervention program supported by informal caregivers to decrease MRPs among polymedicated home-dwelling older adults with multiple chronic conditions. Methods: This quasi-experimental, pre-post, multisite pilot, and feasibility study will use an open-label design, with participants knowing the study’s objectives and relevant information, and it will take place in primary health care settings in Portugal and Switzerland. The research population will comprise 30 polymedicated, home-dwelling adults, aged ³65 years at risk of MRPs and receiving community-based health care, along with their informal caregivers and health care professionals. Results: Before a projected full-scale study, this pilot and feasibility study will focus on recruiting and ensuring the active collaboration of its participants and on the feasibility of expanding this evidence-based, multicomponent, interprofessional intervention program throughout both study regions. This study will also be essential to projected follow-up research programs on informal caregivers’ multiple roles, enhancing their coordination tasks and their own needs. Results are expected at the end of 2024. Conclusions: Designing, establishing, and exploring the feasibility and acceptability of an intervention program to reduce the risks of MRPs among home-dwelling older adults is an underinvestigated issue. Doing so in collaboration with all the different actors involved in that population’s medication management and recording the first effects of the intervention will make this pilot and feasibility study’s findings very valuable as home care becomes an ever more common solution. Trial Registration: Swiss National Clinical Trials Portal 000004654; https://tinyurl.com/mr3yz8t4

2022

Effectiveness of educational interventions to increase skills inevidence-based practice among nurses :
Wissenschaftlicher Artikel ArODES
the EDITcare systematic review

Omar Portela Dos Santos, Pauline Melly, Roger Hilfiker, Katia Giacomino, Elodie Perruchoud, Henk Verloo, Filipa Pereira

Healthcare,  2022, vol. 10, no. 11, article no. 2204

Link zur Publikation

Zusammenfassung:

Background: Using evidence-based practice (EBP) improves the implementation of safe, high-quality healthcare for patients, reduces avoidable costs, and plays a crucial role in bridging knowledge–action gaps and reducing health inequities. EBP combines the best available evidence in the relevant literature with patient preferences and values and healthcare professionals’ (HCPs) expertise. Methods: Systematic searches of ten bibliographic databases, unpublished works, and the Grey Literature Report sought studies published up to 30 September 2022. Results: The 15 studies retained involved 2712 nurses. Three types of effective educational interventions were identified: (1) multifaceted educational strategies incorporating mentoring and tutoring; (2) single educational strategies, often delivered online; and (3) multifaceted educational strategies using the five steps of EBP. Eleven primary outcomes (EBP beliefs, EBP self-efficacy, perceived EBP implementation, EBP competencies, EBP knowledge, EBP skills, EBP attitudes, EBP behaviors, EBP desire, EBP practice, and perceptions of organizational culture and readiness) were assessed using 13 qualitative and quantitative instruments. Conclusions: Ensuring the successful implementation of EBP requires effective educational strategies. Computer-based learning seems the most cost-effective and efficient strategy, when considering caregivers’ characteristics, the clinical field, and educational interventions across the pre-, peri-, and post-implementation processes.

Collaborative medication management for older adults after hospital discharge :
Wissenschaftlicher Artikel ArODES
a qualitative descriptive study

Filipa Pereira, Marion Bieri, Maria del Rio Carral, Maria Manuela Martins, Hank Verloo

BMC nursing,  2022, vol. 21, article no. 284

Link zur Publikation

Zusammenfassung:

Background : Safe medication management for older adults after hospital discharge requires a well-coordinated,interprofessional, patient-centered approach. This study aimed to describe the perceived needs for collaborative medication management for older adults taking several different medications at home after hospital discharge. Methods : A qualitative descriptive study was conducted using semi-structured interviews with older adults (n = 28), informal (n = 17), and professional caregivers (n = 13). Results : Findings revealed four main needs: older adults and informal caregivers’ perceived needs for greater involvement in discharge planning; older adults’ perceived needs to be informed, listened to, and to be actively involved in decision-making; informal caregivers’ perceived needs for help in supporting and coordinating medication management; and older adults’ and informal and professional caregivers’ perceived needs for better communication and coordination between professional caregivers. Conclusion: This study revealed two underutilized pathways towards improving collaborative medication management: medication follow-up involving a community healthcare professional taking an overarching responsibility and empowering older adults and their informal caregivers in medication management after hospital discharge.

Consequences of nurse presenteeism in Switzerland and Portugal and strategies to minimize it :
Wissenschaftlicher Artikel ArODES
a qualitative study

Filipa Pereira, Ana Querido, Hank Verloo, Marion Bieri, Carlos Laranjeira

Healthcare,  2022, vol. 10, no. 10, article no. 1871

Link zur Publikation

Zusammenfassung:

Cette étude qualitative visait explorer les perceptions et les expériences des infirmières en Suisse et au Portugal sur les conséquences du présentéisme et les stratégies pour le minimiser dans différents contextes cliniques. Des groupes de discussion vidéo ont été utilisés impliquant 55 participants des deux pays. L'analyse thématique de leurs discussions transcrites a révélé six thèmes entourant les conséquences du présentéisme : l'impact personnel sur la santé et le bien-être des infirmières, sur leurs relations familiales, ainsi que sur la frustration et l'insatisfaction professionnelles ; l'impact sur leur santé et bien-être; l'impact sur leur qualité de vie; l'impact professionnel sur la dynamique de travail ; l'impact social sur la qualité des soins et la sécurité des patients et sur les représentations de la profession par la société. Aux niveaux individuel, collectif et institutionnel, six stratégies ont été évoquées pour minimiser le présentéisme : encourager la connaissance de soi ; créer un climat de travail positif ; faciliter les canaux de communication ; développer une culture organisationnelle positive ; mettre en place des interventions institutionnelles préventives/curatives ; identifier et documenter les situations liées au présentéisme. Ces résultats révèlent des voies sous-utilisées pour prévenir et minimiser le présentéisme infirmier en différents contextes cliniques.

Optimising medication management for home-dwelling older adults with multiple chronic conditions
Wissenschaftlicher Artikel ArODES

Filipa Pereira, Boris Wernli, Armin Von Gunten, Marie Santiago-Delefosse, María Del Rio Carral, Maria Manuela Martins

Primary and hospital care,  2022, vol. 22, no. 9, pp. 276-277

Link zur Publikation

Contributing factors of presenteeism among portuguese and swiss nurses :
Wissenschaftlicher Artikel ArODES
a qualitative study using focus groups

Carlos Laranjeira, Filipa Pereira, Ana Querido, Marion Bieri, Henk Verloo

International journal of environmental research and public health,  2022, vol. 19, no. 14, article no. 8844

Link zur Publikation

Zusammenfassung:

Evidence of nurse presenteeism has mainly focused on quantifying its prevalence and consequences on productivity, quality of care, and patient safety. Few data exist on nurses’ perceptions of their presenteeism and its related causes. We explored concepts of presenteeism and its contributing factors with frontline nurses and nurse managers in different healthcare settings in Portugal and Switzerland. Our qualitative study design involved 8 online focus groups involving 55 participants. The transcribed data was explored using thematic analysis. Three main reasons for presenteeism were identified: unfamiliar terminology; the paradoxical effect of `being present’ but absent; and presenteeism as a survival strategy. Six contributing factors were also recognized: (a) institutional disinterest toward employees; (b) paradigm shift: the tension between person-centered and task-centered care; (c) sudden changes in care practices due to the COVID-19 pandemic; (d) a lack of shared work perspectives with hierarchical superiors; (e) the financial burden of being absent from work; and (f) misfit of human responses. This study generates valuable, in-depth knowledge about the concepts and causes of presenteeism, and significant suggestions for the broader audience of nurse managers and leaders seeking to improve the quality of care.

Safe medication management for polymedicated home-dwelling older adults after hospital discharge :
Wissenschaftlicher Artikel ArODES
a qualitative study of older adults, informal caregivers and healthcare professionals’ perspectives

Filipa Pereira, Marion Bieri, Maria Manuela Martins, Henk Verloo

Nursing reports,  2022, vol. 12, no. 2, pp. 403-423

Link zur Publikation

Zusammenfassung:

Safe medication management is particularly challenging among polymedicated home-dwelling older adults after hospital discharge. This study aimed to identify and categorise the stressors experienced and reconstitution strategies adopted by older adults, their informal caregivers, and healthcare professionals as they manage older adults’ medications after hospital discharge. A primary study collected the perspectives of 28 older adults, 17 informal caregivers, and 13 healthcare professionals using a qualitative descriptive design. The Neuman Systems Model was used as the basis for a secondary deductive content analysis. Findings revealed that post-discharge medication management at home involved numerous stressors, often including dysfunctions in communication, collaboration, and coordination between the multiple stakeholders involved. Reconstitution strategies for safe medication management were not always successful or satisfactory and were sometimes identified as stressors themselves. Older adults, informal caregivers, and healthcare professionals’ perspectives highlighted several potential opportunities for improving safe medication management through nurse-led, interprofessional, patient-centred practices

Unplanned nursing home admission among discharged polymedicated older inpatients :
Wissenschaftlicher Artikel ArODES
a single-centre, registry-based study in Switzerland

Filipa Pereira, Henk Verloo, Armin Von Gunten, María Del Río Carral, Carla Meyer-Massetti, Maria Manuela Martins, Boris Wernli

BMJ Open,  2022, vol. 12, no. 3, e057444

Link zur Publikation

Zusammenfassung:

Objective : To investigate patient characteristics and the available health and drug data associated with unplanned nursing home admission following an acute hospital admission or readmission. Design : A population-based hospital registry study. Setting : A public hospital in southern Switzerland (Valais Hospital). Participants : We explored a population-based longitudinal dataset of 14 705 hospital admissions from 2015 to 2018. Outcome measures : Sociodemographic, health and drug data, and their interactions predicting the risk of unplanned nursing home admission. Results : The mean prevalence of unplanned nursing home admission after hospital discharge was 6.1% (n=903/N=14 705). Our predictive analysis revealed that the oldest adults (OR=1.07 for each additional year of age; 95% CI 1.05 to 1.08) presenting with impaired functional mobility (OR=3.22; 95% CI 2.67 to 3.87), dependency in the activities of daily living (OR=4.62; 95% CI 3.76 to 5.67), cognitive impairment (OR=3.75; 95% CI 3.06 to 4.59) and traumatic injuries (OR=1.58; 95% CI 1.25 to 2.01) had a higher probability of unplanned nursing home admission. The number of International Classification of Diseases, 10th version diagnoses had no significant impact on nursing home admissions, contrarily to the number of prescribed drugs (OR=1.17; 95% CI 1.15 to 1.19). Antiemetics/antinauseants (OR=2.53; 95% CI 1.21 to 5.30), digestives (OR=1.78; 95% CI 1.09 to 2.90), psycholeptics (OR=1.76; 95% CI 1.60 to 1.93), antiepileptics (OR=1.49; 95% CI 1.25 to 1.79) and anti-Parkinson’s drugs (OR=1.40; 95% CI 1.12 to 1.75) were strongly linked to unplanned nursing home admission. Conclusions : Numerous risk factors for unplanned nursing home admission were identified. To prevent the adverse health outcomes that precipitate acute hospitalisations and unplanned nursing home admissions, ambulatory care providers should consider these risk factors in their care planning for older adults before they reach a state requiring hospitalisation.

2021

Beliefs and implementation of evidence-based practice among nurses in the nursing homes of a Swiss canton :
Wissenschaftlicher Artikel ArODES
an observational cross-sectional study

Elodie Perruchoud, Sofia Fernandes, Henk Verloo, Filipa Pereira

Journal of clinical nursing,  2021, vol. 30, no. 21-22, pp. 3218-3229

Link zur Publikation

Zusammenfassung:

Aims and objectives : Examine beliefs about EBP and its level of implementation among nurses working in nursing homes in a bilingual canton of Switzerland and explore associations between these aspects and nurses’ sociodemographic and professional characteristics. Background : Although evidence-based practice (EBP) is recognised as an effective strategy for improving the quality and safety of care, little is known about its use in nursing homes. Nurses’ beliefs about EBP and their implementation of it in Switzerland’s nursing homes have never been explored. Design : An observational cross-sectional study. Methods : Beliefs about and implementation of EBP were evaluated using validated French- and German-language versions of the EBP Beliefs Scale and the EBP Implementation Scale, developed by Melnyk and Fineout-Overholt (Melnyk, Fineout-Overholt, & Mays, 2008, Worldviews on Evidence-Based Nursing, 5, 208). The STROBE checklist for cross-sectional studies was used in reporting this study. Results : The participation rate was 40.6% (N = 194). Most participants stated that they had some knowledge of EBP and held favourable beliefs about it. Nevertheless, 37.1% of participants found the concept complicated and 36.1% found it time-consuming. Participants were more likely to implement stages in the EBP process linked to direct clinical practice rather than those which required scientific knowledge and skills. Conclusion : Most participants had favourable beliefs about EBP, but the level of implementation of EBP among nurses in their daily clinical practice was sub-optimal. Relevance to clinical practice : A greater emphasis should be put on fostering the use of EBP among nurses working in nursing homes. This could be achieved via training and the development of individual, institutional and contextual strategies promoting the integration of EBP in clinical settings.

Integration of family caregivers in delirium prevention care for hospitalized older adults :
Wissenschaftlicher Artikel ArODES
a case study analysis

Christine Cohen, Filipa Pereira, Thomas Kampel, Louise Bélanger

Journal of Advanced Nursing,  2021, vol. 77, no. 1, pp. 318-330

Link zur Publikation

Zusammenfassung:

Aim : To understand how family caregivers of older adults hospitalized for orthopaedic surgery are integrated by nurses in delirium prevention care. Design : Multiple case study. Methods : The sample consisted of eight cases. Each case comprised an older adult, a family caregiver, and a nurse. Data were collected from September 2017 ‐ April 2018 through various instruments, including semi‐structured interviews and family caregiver logs. Within‐ and across‐case analyses were conducted, based on the model of The Care Partner Engagement developed by Hill, Yevchak, Gilmore‐Bykovskyi, & Kolanowski (Geriatric Nursing, 35, 2014, 272). Results : Two themes emerged: (a) family caregivers were engaged in caring for the older adults during their hospital stay, though they had differences in terms of views and needs; and (b) family caregivers communicated with nurses but nurses did not recognize their role and did not integrate them much in care. Conclusion : The presence and availability of family caregivers, their sense of responsibility towards the hospitalized older adults, and their positive effects on them suggest that family caregivers could be integrated more systematically in a care partnership with nurses. Poor integration of family caregivers in delirium prevention care shows that nurse delirium prevention competencies and their relational skills for communicating effectively with family caregivers need to be developed further. Impact : Integrating family caregivers in delirium prevention care for older adults is a challenge for nurses. Family caregivers are engaged during the hospitalization of older adults, though differences and problems exist between the two groups. While there is communication between patients, family caregivers, and nurses, nurses do not recognize the role of family caregivers and hardly integrated them in the delirium prevention care of hospitalized older adults. Nurses must adopt a patient‐ and family‐centred approach. Care and training facilities must make resources available to implement this approach in nursing practice.

Beliefs about polypharmacy among home-dwelling older adults living with multiple chronic conditions, informal caregivers and healthcare professionals :
Wissenschaftlicher Artikel ArODES
a qualitative study

Marion Bieri, María Del Río Carral, Marie Santiago Delefosse, Giorgia Miano, Fanny Rosset, Henk Verloo, Filipa Pereira

Healthcare,  2021, vol. 9, no. 9, 1204, pp. 1-18

Link zur Publikation

Zusammenfassung:

Although home-dwelling older adults are frequently assisted with polypharmacy management by their informal caregivers, they can still face medication-related problems. Identifying older adults’ and their informal caregivers’ beliefs about medication is a gateway to understanding and improving medication adherence. This study aimed to analyse beliefs about polypharmacy among home-dwelling older adults with multiple chronic conditions and their informal caregivers, focusing on their daily medication practices. Semi-structured interviews were conducted with 28 older adults, 17 informal caregivers, but also 13 healthcare professionals. Based on an inductive methodological approach, data were analysed using thematic content analysis. Interviews revealed the different attitudes adopted by older adults and their informal caregivers in relation to the treatment information provided by healthcare professionals. A variety of beliefs were identified and linked to medication adherence by examining daily medication practices. Polypharmacy was experienced as a habit but also an obligation, highlighting some of the strategies and negotiations underlying medication use at home. Collecting viewpoints from multiple stakeholders is an innovative way of accessing and analysing beliefs about polypharmacy. Daily medication practices provided information about medication beliefs and may contribute to developing targeted professional interventions that improve medication adherence.

Functional status among polymedicated geriatric inpatients at discharge :
Wissenschaftlicher Artikel ArODES
a population-based hospital register analysis

Filipa Pereira, Boris Wernli, Armin Von Gunten, María Del Rio Carral, Maria Manuela Martins, Henk Verloo

Geriatrics,  2021, vol. 6, no. 3, article no. 86

Link zur Publikation

Zusammenfassung:

This study explored and compared the functional status of polymedicated and non-polymedicated geriatric inpatients at hospital discharge. We used a cross-sectional registry of geriatric patients’ hospital records from a multi-site public hospital center in Switzerland. The analysis included all inpatients aged 65 years old or more admitted between 1 January 2015 and 31 December 2017 (n = 53,690), of whom 67.5% were polymedicated at hospital discharge, 52.1% were women (n = 18,909), and 42.7% were 75–84 years old (n = 15,485). On average, the polymedicated patients’ hospital lengths of stay were six days longer, they presented with more than three comorbidities, and they were prescribed more than nine medications at hospital discharge (p < 0.001). They showed more frequent general mobility decline (43.2% vs. 41.9%), gait disorders (46.2% vs. 43%), fatigue (48.6% vs. 43.4%) and dependence on lower-body care (49.7% vs. 47.6%), and presented a higher malnutrition risk (OR = 1.411; 95%CI 1.263–1.577; p < 0.001). However, the non-polymedicated inpatients had proportionally more physical and cognitive impairments. The comparison of the functional status of polymedicated and non-polymedicated geriatric inpatients at hospital discharge is important for clinicians trying to identify and monitor those who are most vulnerable to functional decline, and to design targeted strategies for the prevention of functional impairment and related adverse health outcomes

Risk of 30-day hospital readmission associated with medical conditions and drug regimens of polymedicated, older inpatients discharged home :
Wissenschaftlicher Artikel ArODES
a registry-based cohort study

Filipa Pereira, Henk Verloo, Taushanov Zhivko, Saviana Di Giovanni, Carla Meyer-Massetti, Armin Von Gunten, Maria Manuela Martins, Boris Wernli

BMJ Open,  2021, vol. 11, no. 7, e052755

Link zur Publikation

Zusammenfassung:

Objectives The present study analysed 4 years of a hospital register (2015–2018) to determine the risk of 30-day hospital readmission associated with the medical conditions and drug regimens of polymedicated, older inpatients discharged home. Design Registry-based cohort study. Setting Valais Hospital—a public general hospital centre in the French-speaking part of Switzerland. Participants We explored the electronic records of 20 422 inpatient stays by polymedicated, home-dwelling older adults held in the hospital’s patient register. We identified 13 802 hospital readmissions involving 8878 separate patients over 64 years old. Outcome measures Sociodemographic characteristics, medical conditions and drug regimen data associated with risk of readmission within 30 days of discharge. Results The overall 30-day hospital readmission rate was 7.8%. Adjusted multivariate analyses revealed increased risk of hospital readmission for patients with longer hospital length of stay (OR=1.014 per additional day; 95% CI 1.006 to 1.021), impaired mobility (OR=1.218; 95% CI 1.039 to 1.427), multimorbidity (OR=1.419 per additional International Classification of Diseases, 10th Revision condition; 95% CI 1.282 to 1.572), tumorous disease (OR=2.538; 95% CI 2.089 to 3.082), polypharmacy (OR=1.043 per additional drug prescribed; 95% CI 1.028 to 1.058), and certain specific drugs, including antiemetics and antinauseants (OR=3.216 per additional drug unit taken; 95% CI 1.842 to 5.617), antihypertensives (OR=1.771; 95% CI 1.287 to 2.438), drugs for functional gastrointestinal disorders (OR=1.424; 95% CI 1.166 to 1.739), systemic hormonal preparations (OR=1.207; 95% CI 1.052 to 1.385) and vitamins (OR=1.201; 95% CI 1.049 to 1.374), as well as concurrent use of beta-blocking agents and drugs for acid-related disorders (OR=1.367; 95% CI 1.046 to 1.788). Conclusions Thirty-day hospital readmission risk was associated with longer hospital length of stay, health disorders, polypharmacy and drug regimens. The drug regimen patterns increasing the risk of hospital readmission were very heterogeneous. Further research is needed to explore hospital readmissions caused solely by specific drugs and drug–drug interactions.

L’intégration des personnes proches aidantes dans les mesures de prévention du délirium lors d’une chirurgie orthopédique
Buchkapitel ArODES

Christine Cohen, Louise Bélanger, Filipa Pereira, Thomas Kampel

Dans Ludwig, Catherine, Oulevey Bachmann, Annie, Tétreault, Sylvie, Proches aidant.e.s : des alliés indispensables aux professionnels de la santé  (pp. 226-261). 2021,  Chêne-Bourg : Georg

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Presenteeism among nurses in Switzerland and Portugal and its impact on patient safety and quality of care :
Wissenschaftlicher Artikel ArODES
protocol for a qualitative study

Filipa Pereira, Ana Isabel Querido, Marion Bieri, Henk Verloo, Carlos António Laranjeira

JMIR Research Protocols,  2021, vol. 10, no 5, e27963

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Zusammenfassung:

Background: Nurses dispense direct care in a wide variety of settings and are considered the backbone of the health care system. They often work long hours, face emotional stress, and are at a high risk of psychosocial and somatic illnesses. Nurses sometimes fall sick but work regardless, leading to presenteeism and subsequent risks to quality of care and patient safety due to the increased likelihood of patients falling, medication errors, and staff-to-patient disease transmission. Objective: This study aims to understand presenteeism among frontline nurses and nurse managers in acute, primary, and long-term health care settings and to contribute to the development of future interventional studies and recommendations. Methods: A qualitative study based on online focus group discussions will explore the perceptions of, attitudes to, and experiences with presenteeism among frontline nurses and nurse managers. Using a pilot-tested interview guide, 8 focus group discussions will involve nurses working in acute care hospitals, primary care settings, and long-term residential care facilities in Switzerland’s French-speaking region and Portugal’s Center region. The data collected will be examined using a content analysis approach via NVivo 12 QSR International software. Results: The University of Applied Sciences and Arts Western Switzerland’s School of Health Sciences and the Polytechnic of Leiria’s School of Health Sciences in Portugal have both approved funding for the study. The research protocol has been approved by ethics committees in both countries. Study recruitment commenced in February 2021. The results of the data analysis are expected by September 2021. Conclusions: This present study aims to gain more insight into the dilemmas facing nurses as a result of all causes of presenteeism among frontline nurses and nurse managers in different health care settings. The researchers will prepare manuscripts on the study’s findings, publish them in relevant peer-reviewed journals, exhibit them in poster presentations, and give oral presentations at appropriate academic and nonscientific conferences. Regarding further knowledge transfer, researchers will engage with stakeholders to craft messages focused on the needs of nurses and nurse managers and on disseminating our research findings to deal with the issue of nursing presenteeism.

Transforming a patient registry into a customized data set for the advanced statistical analysis of health risk factors and for medication-related hospitalization research :
Wissenschaftlicher Artikel ArODES
retrospective hospital patient registry study

Zhivko Taushanov, Henk Verloo, Boris Wernli, Saviana Di Giovanni, Armin Von Gunten, Filipa Pereira

JMIR medical informatics,  2021, vol. 9, no 5, e24205

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Zusammenfassung:

Background: Hospital patient registries provide substantial longitudinal data sets describing the clinical and medical health statuses of inpatients and their pharmacological prescriptions. Despite the multiple advantages of routinely collecting multidimensional longitudinal data, those data sets are rarely suitable for advanced statistical analysis and they require customization and synthesis. Objective: The aim of this study was to describe the methods used to transform and synthesize a raw, multidimensional, hospital patient registry data set into an exploitable database for the further investigation of risk profiles and predictive and survival health outcomes among polymorbid, polymedicated, older inpatients in relation to their medicine prescriptions at hospital discharge. Methods: A raw, multidimensional data set from a public hospital was extracted from the hospital registry in a CSV (.csv) file and imported into the R statistical package for cleaning, customization, and synthesis. Patients fulfilling the criteria for inclusion were home-dwelling, polymedicated, older adults with multiple chronic conditions aged ≥65 who became hospitalized. The patient data set covered 140 variables from 20,422 hospitalizations of polymedicated, home-dwelling older adults from 2015 to 2018. Each variable, according to type, was explored and computed to describe distributions, missing values, and associations. Different clustering methods, expert opinion, recoding, and missing-value techniques were used to customize and synthesize these multidimensional data sets. Results: Sociodemographic data showed no missing values. Average age, hospital length of stay, and frequency of hospitalization were computed. Discharge details were recoded and summarized. Clinical data were cleaned up and best practices for managing missing values were applied. Seven clusters of medical diagnoses, surgical interventions, somatic, cognitive, and medicines data were extracted using empirical and statistical best practices, with each presenting the health status of the patients included in it as accurately as possible. Medical, comorbidity, and drug data were recoded and summarized. Conclusions: A cleaner, better-structured data set was obtained, combining empirical and best-practice statistical approaches. The overall strategy delivered an exploitable, population-based database suitable for an advanced analysis of the descriptive, predictive, and survival statistics relating to polymedicated, home-dwelling older adults admitted as inpatients. More research is needed to develop best practices for customizing and synthesizing large, multidimensional, population-based registries.

2020

Effectiveness of educational Interventions to increase knowledge of evidence-based practice among nurses and physiotherapists in primary health care :
Wissenschaftlicher Artikel ArODES
protocol for a systematic review

Henk Verloo, Pauline Melly, Roger Hilfiker, Filipa Pereira

JMIR research protocols,  2020, vol. 9, iss. 11, e17621, p. 1-11

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Zusammenfassung:

Background: The implementation of evidence-based practice (EBP) in daily health care practice is strongly encouraged; it is widely recognized as a means to improve the quality and safety of health care for patients and reduce avoidable costs. Primary care nurses and physiotherapists face numerous challenges in trying to ensure that they deliver effective daily care. Broadly promoted educational interventions aim to increase the integration and implementation of EBP in their daily practice. Objective: This systematic review will retrieve and evaluate publications examining the effectiveness of educational interventions to increase the integration and implementation of EBP among nurses, nurse practitioners, and physiotherapists active in primary care. Methods: We will conduct a systematic review of published articles in relevant professional, scientific journals (from their start dates) and in the following electronic databases, from inception until October 31, 2020: Medline Ovid SP (from 1946), PubMed (NOT Medline[sb]; from 1996), Embase.com (from 1947), CINAHL Ebesco (from 1937), the Cochrane Central Register of Controlled Trials Wiley (from 1992), PsycINFO Ovid SP (from 1806), Web of Science Core collection (from 1900), PEDro (from 1999), the JBI Database of Systematic Reviews and Implementation Reports (from 1998), and the Trip Database (from 1997). We will use the predefined search terms of “evidence-based practice,” “nurses,” or “physiotherapists” and combinations with other terms, such as “educational interventions.” We will also conduct a hand search of the bibliographies of all the relevant articles and a search for unpublished studies using Google Scholar, the ProQuest Dissertations and Theses dissemination, Mednar, WorldCat, OpenGrey, and Grey Literature Report. We will consider publications in English, French, German, and Portuguese. Results: The electronic database searches were completed in October 2020. Retrieved articles are currently being screened, and the entire study is expected to be completed by March 2021. Conclusions: This systematic review will provide specific knowledge about the effectiveness of educational interventions to increase the implementation and integration of EBP in the daily practice of nurses and physiotherapists providing primary care services. Its findings will inform us about the types and frequencies of the most successful educational interventions.

Adaptation and validation of the evidence-based practice beliefs and implementation scales into German
Wissenschaftlicher Artikel ArODES

Emmanuelle Kerwien-Jacquier, Henk Verloo, Filipa Pereira, Karin Anne Peter

Nursing open,  2020, no. 00, pp. 1– 12

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Zusammenfassung:

Aims : To culturally adapt and translate the Evidence‐Based Practice Belief Scale (EBP‐B) and the Evidence‐Based Practice Implementation Scale (EBP‐I), explore the psychometric properties of their validated German versions and compare results with those of the original scales. Design : Cross‐sectional descriptive study. Method : The study was conducted on a sample of 131 Registered Nurses in a Swiss German hospital. Internal consistency was rated using Cronbach's alpha. Principal component analysis using varimax rotation was used to determine construct validity. The study was undertaken in accordance with the STROBE‐checklist in Appendix S1. Results : German versions of the EBP‐B and EBP‐I showed good reliability. Their Cronbach alphas showed lower values than those of the original scales. Principal component analysis showed medium‐to‐high factor loading. Principal component analyses using varimax rotations of the EBP‐B's 16 items and the EBP‐I's 17 items resulted in four‐factor and five‐factor solutions, respectively.

2019

The spatial dimensions of medication management by home-dwelling older adults after hospital discharge
Wissenschaftlicher Artikel ArODES

Pauline Roux, Henk Verloo, Marie Santiago-Delefosse, Filipa Pereira

Health place,  2019, Vol. 60, 102230, pp. 1-9

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Zusammenfassung:

Ageing in place raises pressing questions about medication practices at home. Understanding how medication practices are integrated into older adults’ domestic settings requires an interest in where activities linked to medication take place and why. This study aimed to describe the medication practices and spatial dimensions of medication management for home-dwelling older adults after hospital discharge, using a qualitative research design. Semi-structured interviews were carried out with ten older adults aged 65 years old or more and discharged home from hospital, together with nine informal caregivers. Thematic content analysis identified two main themes dealing with the spatial dimensions of medication management in this specific context: the process of integrating medication changes into routines and familiar spaces, and the individual and collective management of medication changes linked to a renegotiation of the boundaries between public and private spaces.

Optimising medication management for polymedicated home-dwelling older adults with multiple chronic conditions :
Wissenschaftlicher Artikel ArODES
a mixed-methods study protocol

Filipa Pereira, Pauline Roux, Marie Santiago-Delefosse, Armin Von Gunten, Boris Wernli, Maria Manuela Martins, Henk Verloo

BMJ open,  2019, no. 9, e030030, pp. 1-8

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Zusammenfassung:

Introduction Optimal medication management is one of the basic conditions necessary for home-dwelling older adults living with multiple chronic conditions (OAMCC) to be able to remain at home and preserve their quality of life. Currently, the reasons for such high numbers of emergency department visits and the very significant rate of hospitalisations for OAMCC, due to medication-related problems (MRPs), is poorly explored. This study aims to reveal the current state of the medication management practices of polymedicated, home-dwelling OAMCC and to make proposals for improving clinical and medication pathways through an innovative and integrated model for supporting medication management and preventing adverse health outcomes. Methods and analysis A mixed-methods study will address the medication management of polymedicated, home-dwelling OAMCC. Its explanatory sequential design will involve two major phases conducted sequentially over time. The quantitative phase will consist of retrospectively exploiting the last 5 years of electronic patient records from a local hospital (N ≈ 50 000) in order to identify the different profiles—made up of patient-related, medication-related and environment-related factors—of the polymedicated, home-dwelling OAMCC at risk of hospitalisation, emergency department visits, hospital readmission (notably for MRPs), institutionalisation or early death. The qualitative study will involve: (a) obtaining and understanding the medication management practices and experiences of the identified profiles extracted from the hospital data of OAMCC who will be interviewed at home (N ≈ 30); (b) collecting and analysing the perspectives of the formal and informal caregivers involved in medication management at home in order to cross-reference perspectives about this important dimension of care at home. Finally, the mixed-methods findings will enable the development of an innovative, integrated model of medication management based on the Agency for Clinical Innovation framework and Bodenheimer and Sinsky’s quadruple aim. Ethics and dissemination Ethical approval has been obtained from the Human Research Ethics Committee of the Canton Vaud (2018-02196). Findings will be disseminated in peer-reviewed journals, professional conferences and other knowledge transfer activities with primary healthcare providers, hospital care units, informal caregivers’ and patients’ associations.

Medication management models for polymedicated home-dwelling older adults with multiple chronic conditions :
Wissenschaftlicher Artikel ArODES
protocol of a systematic review

Filipa Pereira, Pauline Roux, Joëlle Rosselet Amoussou, Maria Manuela Martins, Armin Von Gunten, Henk Verloo

JMIR Research Protocols,  2019, 8(5), e13582

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Zusammenfassung:

Background: Older adults with multiple chronic diseases commonly require complex medication regimes. When combined with frailty, cognitive impairment, and changing pharmacological prescriptions, older adults’ polymedication regimes increase the risk of medication-related problems (MRPs) and hospitalization. Effective, well-organized medication management could avoid MRPs and their clinical outcomes. Objective: Identify medication management models and analyze their impact on managing and preventing MRPs for polymedicated, home-dwelling older adults. Methods: We will conduct a systematic review of published articles in relevant professional scientific journals from inception until March 31, 2019, in the following electronic databases,: Embase; Medline OvidSP; PubMed (NOT Medline[sb]); Cumulative Index to Nursing and Allied Health Literature (CINAHL) EBSCO; PsycINFO OvidSP; Cochrane Library, Wiley; and Web of Science. We will also hand search the bibliographies of all the relevant articles found and search for unpublished studies. We will consider publications in English, French, German, Spanish, Italian, and Portuguese. Retrieved articles will be screened for eligibility. Statistical analyses will be conducted following the recommendations of the Cochrane Handbook for Systematic Reviews of Interventions, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and Meta-analysis Of Observational Studies in Epidemiology (MOOSE) statements. Data will be analyzed using SPSS Statistics for Windows, version 25.0 (IBM Corp), and Review Manager, version 5.5 (The Nordic Cochrane Centre, The Cochrane Collaboration). Results: A preliminary search in Embase delivered 3272 references. This preliminary search allows us to complete our research strategy with equation development and to search the other databases. Relevant articles identified will allow for searching the reference lists for unpublished studies. The inclusion and exclusion criteria will be rigorously respected in the study selection. The entire study is expected to be completed by January 2020. Conclusions: This review will provide an exhaustive view of medication management models that could be effective for polymedicated, home-dwelling older adults and will allow us to analyze their impact on managing and preventing MRPs.

Understanding the integration of family caregivers in delirium prevention care for hospitalized older adults :
Wissenschaftlicher Artikel ArODES
a case study protocol

Christine Cohen, Filipa Pereira, Thomas Kampel, Louise Bélanger

Journal of Advanced Nursing,  2019, vol. 75, no. 8, pp. 1782-1791

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Zusammenfassung:

Aim: To understand family caregiver involvement in delirium prevention care for older adults hospitalized for orthopaedic surgery hospitals and family caregiver integration by nurses. Design: Multiple‐case study. Methods: The model of Care Partner Engagement was selected as theoretical frame ‐ work. Eight cases will comprise an older adult hospitalized a family caregiver and a ward nurse. They will be recruited with a non‐probability sampling on two orthopae ‐ dic surgery wards in two hospitals. Semi‐structured interviews with participants will be audiotaped. Sociodemographic data will be collected. These data, researcher field notes and interview transcripts will be subjected to within‐ and across‐case thematic analysis. Regional ethics committee approved the study protocol in August 2018. Discussion: The study will allow surgical nursing teams to gain a better understanding of the issues and possibilities regarding family caregiver integration in delirium prevention care for older adults.

2018

Medication practices and experiences of older adults discharged home from hospital :
Wissenschaftlicher Artikel ArODES
a feasibility study protocol

Pauline Roux, Filipa Pereira, Marie Santiago-Delefosse, Henk Verloo

Patient preference and adherence,  2018, vol. 12, pp. 1055–1063

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Zusammenfassung:

Background: Switzerland’s aging population raises pressing questions about maintaining older adults in their home environments and the problems associated with managing complex treatments requiring medication in such contexts. Few studies have examined older adults’ experiences of changes in their medication on discharge home following hospitalization for illness or an accident. Similarly, few studies have evaluated the involvement of informal and professional caregivers in the medication practices used with older adults living at home. However, medication practices are complex and understanding them requires an interest in their underlying logic and the interactions that constitute them. This study will explore the feasibility of recruiting older adults and then collecting and analyzing data on their medication practices and their experiences of discharge home after hospitalization for an illness or following an accident. Furthermore, it will describe the involvement of informal caregivers and homecare professionals in these processes. Design and methods: The study will use a qualitative methodology. The first phase will be developed in the general medicine and surgery wards of Sion hospital and in the town’s community healthcare center. This phase will aim to build a close collaboration between the research team and the health care professionals of Valais hospitals and the community healthcare center. It will enable data collection from professional caregivers to identify the tools, and potentially the interventions, which are used to prepare older adults for hospital discharge and return home, particularly with regard to the medication prescribed to them. In the second phase, semi-structured interviews will be conducted with eight patients aged 75 years old or more who have returned home after hospitalization. Interviews will also be conducted with their informal and professional caregivers. Conclusion: This feasibility study will enable the identification of tools that leverage improved adhesion to a medical treatment that has been adjusted and stabilized following discharge home from hospital. It will incorporate the points of view of older adults and the different stakeholders involved in the management of their medication and the development of tangible solutions to encourage treatment adhesion on discharge home. This study’s findings will enable us to design a much larger future study.

Beliefs and implementation of evidence-based practice among community health nurses :
Wissenschaftlicher Artikel ArODES
a cross-sectional descriptive study

Filipa Pereira, Victoria Pellaux, Henk Verloo

Journal of clinical nursing,  2018, vol. 27, no. 9-10, pp. 2052-2061

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Zusammenfassung:

Aims and objectives To describe beliefs about evidence‐based practice and record levels of implementation among community health nurses working independently and in community healthcare centres in the canton of Valais, Switzerland. Background In many settings, evidence‐based practice is considered a key means of delivering better and secure health care. However, there is a paucity of published studies on the implementation of evidence‐based practice in community health care. Design Cross‐sectional descriptive study (n = 100). Methods Beliefs about evidence‐based practice and levels of implementation were measured using validated scales developed by Melnyk et al. (Worldviews on Evidence‐Based Nursing, 5, 2008, 208). Information on respondents’ sociodemographic and professional characteristics was collected. Data were analysed using descriptive and inferential statistics. Results The final response rate was 32.3% (n = 100). More than half of respondents had previously heard about evidence‐based practice; most believed in the value of using evidence to guide their practice and were prepared to improve their skills to be able to do so. However, the rate of implementation of evidence‐based practice in daily practice in the 8 weeks before the survey was poor. Statistically significant positive associations were found between beliefs about evidence‐based practice and how respondents had heard about it and between implementation rates and whether they had heard about evidence‐based practice and how they had done so. Evidence‐based practices requiring scientific knowledge and skills were implemented less frequently. Greater professional community healthcare experience and management roles did not increase implementation of evidence‐based practice. Conclusions The systematic implementation of evidence‐based practice by community health nurses working independently and in healthcare centres in Valais was rare, despite their positive beliefs about it. Relevance to clinical practice These results revealed the level of implementation of evidence‐based practice by nurses in community healthcare settings in Valais. Further research is required to better understand their needs and expectations and to develop suitable strategies that will allow the integration of evidence‐based practice into nurses’ daily practice. What does this paper contribute to the wider global clinical community? • To the best of our knowledge, this article is the first investigation of beliefs about and implementation of EBP among community health nurses working independently and in healthcare centres in Switzerland. • The article reveals low rates of implementation of EBP by responding community health nurses, despite their positive beliefs about it. • Results suggest the need for programmes of continuing education and a concerted effort to support EBP in community care settings to ensure better healthcare delivery.

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