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4. Barriers and facilitators in using a Clinical Decision Support System for fall risk management for older people: a European survey

Author

Ploegmakers, Kim J., Medlock, Stephanie, Linn, Annemiek J., Lin, Yumin, Seppälä, Lotta J., Petrovic, Mirko, Topinkova, Eva, Ryg, Jesper, Mora, Maria Angeles Caballero, Landi, Francesco, Thaler, Heinrich, Szczerbińska, Katarzyna, Hartikainen, Sirpa, Bahat, Gulistan, Ilhan, Birkan, Morrissey, Yvonne, Masud, Tahir, van der Velde, Nathalie, and van Weert, Julia C. M.

Published
2022
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5. Potentially Inappropriate Treatments at the End of Life in Nursing Home Residents: Findings From the PACE Cross-Sectional Study in Six European Countries

Author

Gatsolaeva, Yuliana, Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Van Den Noortgate, Nele, Froggatt, Katherine, Pasman, H. Roeline W., Baranska, Ilona, Oosterveld-Vlug, Mariska, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Leppäaho, Suvi, Pautex, Sophie, Bassal, Catherine, Mammarella, Federica, Mercuri, Martina, Rossi, Paola, Segat, Ivan, Stodolska, Agata, Adang, Eddy, Kylänen, Marika, Andreasen, Paula, Kuitunen-Kaija, Outi, Moore, Danni Collingridge, Pac, Agnieszka, Kijowska, Violetta, Ten Koppel, Maud, van der Steen, Jenny T., de Paula, Emilie Morgan, Honinx, Elisabeth, Van den Block, Lieve, Piers, Ruth, Van Kuijk, Sander M.J., Onwuteaka-Philipsen, Bregje D., Payne, Sheila A., Szczerbińska, Katarzyna, Gambassi, Giovanni G., Finne-Soveri, Harriet, Deliens, Luc, and Smets, Tinne

Published
2021
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7. Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper

Author

Van den Block, Lieve, Arrue, Borja, Baranska, Ilona, Moore, Danni Collingridge, Deliens, Luc, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Honincx, Elisabeth, Kijowska, Viola, Koppel, Maud ten, Kylanen, Marika, Mammarella, Federica, Miranda, Rose, Smets, Tinne, Onwuteaka-Philipsen, Bregje, Oosterveld-Vlug, Mariska, Pasman, Roeline, Payne, Sheila, Piers, Ruth, Pivodic, Lara, van der Steen, Jenny, Szczerbińska, Katarzyna, Van Den Noortgate, Nele, van Hout, Hein, Wichmann, Anne, Vernooij-Dassen, Myrra, Froggatt, Katherine A., Ling, Julie, and Payne, Sheila A.

Published
2020
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9. Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study

Author

Adang, Eddy, Andreasen, Paula, Moore, Danni Collingridge, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna

Published
2020
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10. Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries

Author

Gatsolaeva, Yuliana, Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Van Den Noortgate, Nele, Froggatt, Katherine, Onwuteaka-Philipsen, Bregje, Szczerbińska, Katarzyna, Oosterveld-Vlug, Mariska, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Leppäaho, Suvi, Pautex, Sophie, Bassal, Catherine, Mammarella, Federica, Mercuri, Martina, Rossi, Paola, Segat, Ivan, Stodolska, Agata, Adang, Eddy, Andreasen, Paula, Kuitunen-Kaija, Outi, Moore, Danni Collingridge, Pac, Agnieszka, Kijowska, Violetta, Koppel, Maud ten, van der Steen, Jenny T., Morgan de Paula, Emilie, Honinx, Elisabeth, Smets, Tinne, Piers, Ruth, Deliens, Luc, Payne, Sheila, Kylänen, Marika, Barańska, Ilona, Pasman, H. Roeline W., Gambassi, Giovanni, and Van den Block, Lieve

Published
2019
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14. The prevalence of non-pharmacological interventions in older homecare recipients: an overview from six European countries

Author

Kooijmans, Eline C. M., primary, Hoogendijk, Emiel O., additional, Pokladníková, Jitka, additional, Smalbil, Louk, additional, Szczerbińska, Katarzyna, additional, Barańska, Ilona, additional, Ziuziakowska, Adrianna, additional, Fialová, Daniela, additional, Onder, Graziano, additional, Declercq, Anja, additional, Finne-Soveri, Harriet, additional, Hoogendoorn, Mark, additional, van Hout, Hein P. J., additional, and Joling, Karlijn J., additional

Published
2023
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18. Optimising the care for older persons with complex chronic conditions in home care and nursing homes: design and protocol of I-CARE4OLD, an observational study using real-world data

Author

Hoogendijk, Emiel O, primary, Onder, Graziano, additional, Smalbil, Louk, additional, Vetrano, Davide L, additional, Hirdes, John P, additional, Howard, Elizabeth P, additional, Morris, John N, additional, Fialová, Daniela, additional, Szczerbińska, Katarzyna, additional, Kooijmans, Eline CM, additional, Hoogendoorn, Mark, additional, Declercq, Anja, additional, De Almeida Mello, Johanna, additional, Leskelä, Riikka-Leena, additional, Häsä, Jokke, additional, Edgren, Johanna, additional, Ruppe, Georg, additional, Liperoti, Rosa, additional, Joling, Karlijn J, additional, and van Hout, Hein PJ, additional

Published
2023
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19. Factors associated with burnout among hospital‐based healthcare workers during the COVID‐19 pandemic: A cross‐sectional CRACoV‐HHS study.

Author

Szczerbińska, Katarzyna, Barańska, Ilona, Kijowska, Violetta, Stodolska, Agata, Wójcik, Grzegorz, Różańska, Anna, and Wójkowska‐Mach, Jadwiga

Subjects
*PSYCHOLOGICAL burnout, *HEALTH facility employees, *WORK environment, *KRUSKAL-Wallis Test, *CONFIDENCE intervals, *CROSS-sectional method, *AGE distribution, *REGRESSION analysis, *MANN Whitney U Test, *OCCUPATIONAL exposure, *INFECTION control, *T-test (Statistics), *PSYCHOSOCIAL factors, *DISEASE prevalence, *DESCRIPTIVE statistics, *QUESTIONNAIRES, *RESEARCH funding, *PERSONAL protective equipment, *DATA analysis software, *COVID-19 pandemic
Abstract

Aims: To assess the prevalence of burnout and associated factors among healthcare workers (HCWs) working in a hospital admitting patients with COVID‐19. Background: Burnout among HCWs is related to age, gender and occupation. However, little is known about organisational factors associated with burnout during the COVID‐19 pandemic. Design: A cross‐sectional study of 1412 hospital HCWs (748 nurses) was carried out via online survey during the COVID‐19 pandemic between 4 and 19 January 2021. Methods: The Maslach Burnout Inventory‐Human Services Survey, the Checklist Individual Strength questionnaire, the interRAI items covering mental health, the WHO questionnaire items assessing HCWs' preparedness and exposure to SARS‐CoV‐2 were used. Univariable and multivariable linear regression analyses were conducted to clarify factors associated with emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA). This study adheres to the STROBE guidelines. Results: Burnout prevalence varied from 10.0% to 22.0%. Most respondents (83.6%) reported low PA, 22.9% high EE and 18.7% high DP. Nurses and physicians had the highest levels of EE and DP. Staff exposed or uncertain if exposed to contaminated patients' body fluids and materials had higher levels of burnout. Preparedness (training) (b = 1.15; 95%CI 0.26 to 2.05) and adherence to infection prevention and control procedures (b = 1.57; 95%CI 0.67 to 2.47) were associated with higher PA, and accessibility of personal protective equipment (PPE) (b = −1.37; 95%CI ‐2.17 to −0.47) was related to lower EE. HCWs working in wards for patients with COVID‐19 reported lower EE (b = −1.39; 95%CI ‐2.45 to −0.32). HCWs who contracted COVID‐19 reported lower DP (b = −0.71, 95%CI ‐1.30 to −0.12). Conclusions: Organisational factors such as better access to PPE, training, and adherence to infection prevention and control procedures were associated with a lower level of burnout. Relevance to clinical practice: Healthcare managers should promote strategies to reduce burnout among HCWs with regard to preparedness of all staff. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Optimising the care for older persons with complex chronic conditions in home care and nursing homes: design and protocol of I-CARE4OLD, an observational study using real-world data

Author

Hoogendijk, Emiel O, Onder, Graziano, Smalbil, Louk, Vetrano, Davide L, Hirdes, John P, Howard, Elizabeth P, Morris, John N, Fialová, Daniela, Szczerbińska, Katarzyna, Kooijmans, Eline Cm, Hoogendoorn, Mark, Declercq, Anja, De Almeida Mello, Johanna, Leskelä, Riikka-Leena, Häsä, Jokke, Edgren, Johanna, Ruppe, Georg, Liperoti, Rosa, Joling, Karlijn J, van Hout, Hein Pj, and I-CARE4OLD consortium

Subjects
Aged, 80 and over, Aging, Observational Studies as Topic, geriatric medicine, Artificial Intelligence, health services administration & management, Chronic Disease, Humans, epidemiology, Home Care Services, decision making, Algorithms, Aged
Abstract

INTRODUCTION: In ageing societies, the number of older adults with complex chronic conditions (CCCs) is rapidly increasing. Care for older persons with CCCs is challenging, due to interactions between multiple conditions and their treatments. In home care and nursing homes, where most older persons with CCCs receive care, professionals often lack appropriate decision support suitable and sufficient to address the medical and functional complexity of persons with CCCs. This EU-funded project aims to develop decision support systems using high-quality, internationally standardised, routine care data to support better prognostication of health trajectories and treatment impact among older persons with CCCs. METHODS AND ANALYSIS: Real-world data from older persons aged ≥60 years in home care and nursing homes, based on routinely performed comprehensive geriatric assessments using interRAI systems collected in the past 20 years, will be linked with administrative repositories on mortality and care use. These include potentially up to 51 million care recipients from eight countries: Italy, the Netherlands, Finland, Belgium, Canada, USA, Hong Kong and New Zealand. Prognostic algorithms will be developed and validated to better predict various health outcomes. In addition, the modifying impact of pharmacological and non-pharmacological interventions will be examined. A variety of analytical methods will be used, including techniques from the field of artificial intelligence such as machine learning. Based on the results, decision support tools will be developed and pilot tested among health professionals working in home care and nursing homes. ETHICS AND DISSEMINATION: The study was approved by authorised medical ethical committees in each of the participating countries, and will comply with both local and EU legislation. Study findings will be shared with relevant stakeholders, including publications in peer-reviewed journals and presentations at national and international meetings. ispartof: BMJ Open vol:13 issue:6 pages:e072399- ispartof: location:England status: Published online

Published
2023

25. Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study

Author

Adang, Eddy, Andreasen, Paula, Collingridge Moore, Danni, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna

Published
2020
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28. Stress and social exclusion of caregivers of older persons with dementia at the beginning of caregiving - scoping review

Author

Perek-Białas, Jolanta, Szczerbińska, Katarzyna, Stodolska, Agata, Odziemczyk, Idalina, Urbaniak, Anna, Kijowska, Violetta, Barańska, Ilona, Ayalon, Liat, Drapała, Natalia, Ziuziakowska, Adrianna, and Sekulak, Katarzyna

Subjects
Medicine and Health Sciences, Social and Behavioral Sciences
Abstract

People living with dementia (PD) are mainly taken care by informal caregivers (IC) who themselves might also be facing health issues during the onset of caregiving role. Being carer for PD creates stressful situations with the risk of social exclusion. The aim of the scoping review is to find out in what way providing care for a person with dementia (PD) might have impact on health and exclusion from social relations experienced by ICs during the onset of the caregiving role. The review should provide investigation-based knowledge on the experiences of IC of PD in the initial stage of caregiving including the experience of stress and exclusion from social relationships, as well as identify factors which might be associated with negative outcomes of being IC of PD.

Published
2023
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32. interRAI för Sarskilt Boende (Long-Term Care Facilities, LTCF) Bedömningsformular och Anvandarmanual, Version 10.0, Svensk utgava

Author

Morris, John N., Hackman, George, Berg, Katherine, Björkgren, Magnus, Costa, Andrew P., Declercq, Anja, Finne-Soveri, Ulla Harriet, Fries, Brant E., Frijters, Dinnus, Gray, Len, Head, Michael J., Henrard, Jean-Claude, Hirdes, John P., James, Mary L., Ljunggren, Gunnar, Meehan, Brigette, Steward, Shannon L., Szczerbińska, Katarzyna, and Topinkova, Eva

Published
2023

39. Integrating palliative care in long-term care facilities across Europe (PACE): protocol of a cluster randomized controlled trial of the ‘PACE Steps to Success’ intervention in seven countries

Author

Smets, Tinne, Onwuteaka-Philipsen, Bregje B. D., Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Pasman, Roeline H. R. W., Oosterveld-Vlug, Mariska, Piers, Ruth, Van Den Noortgate, Nele, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Froggatt, Katherine, Payne, Sheila, Szczerbińska, Katarzyna, Kylänen, Marika, Leppäaho, Suvi, Barańska, Ilona, Gambassi, Giovanni, Pautex, Sophie, Bassal, Catherine, Deliens, Luc, Van den Block, Lieve, and on behalf of the PACE trial group

Published
2018
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40. Fall-Risk-Increasing Drugs: A Systematic Review and Meta-Analysis: II. Psychotropics

Author

Blain, Hubert, Bousquet, Jean, Bucht, Gösta, Caballero-Mora, Maria Angeles, van der Cammen, Tischa, Eklund, Patrik, Emmelot-Vonk, Marielle, Gustafson, Yngve, Hartikainen, Sirpa, Kenny, Rose Anne, Laflamme, Lucie, Landi, Francesco, Masud, Tahir, O'Byrne-Maguire, Irene, Petrovic, Mirko, Rodriguez, Leocadio, Seppälä, Lotta, Svensson, Olle, Szczerbińska, Katarzyna, Thaler, Heinrich, van der Velde, Nathalie, Seppala, Lotta J., Wermelink, Anne M.A.T., de Vries, Max, Ploegmakers, Kimberley J., van de Glind, Esther M.M., and Daams, Joost G.

Published
2018
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41. Fall-Risk-Increasing Drugs: A Systematic Review and Meta-analysis: III. Others

Author

Blain, Hubert, Bousquet, Jean, Bucht, Gösta, Caballero-Mora, Maria Angeles, van der Cammen, Tischa, Eklund, Patrik, Emmelot-Vonk, Marielle, Gustafson, Yngve, Hartikainen, Sirpa, Kenny, Rose Anne, Laflamme, Lucie, Landi, Francesco, Masud, Tahir, O'Byrne-Maguire, Irene, Petrovic, Mirko, Rodriguez, Leocadio, Seppälä, Lotta, Svensson, Olle, Szczerbińska, Katarzyna, Thaler, Heinrich, van der Velde, Nathalie, Seppala, Lotta J., van de Glind, Esther M.M., Daams, Joost G., Ploegmakers, Kimberley J., de Vries, Max, and Wermelink, Anne M.A.T.

Published
2018
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42. Fall-Risk-Increasing Drugs: A Systematic Review and Meta-Analysis: I. Cardiovascular Drugs

Author

Blain, Hubert, Bousquet, Jean, Bucht, Gösta, Caballero-Mora, Maria Angeles, van der Cammen, Tischa, Eklund, Patrik, Emmelot-Vonk, Marielle, Gustafson, Yngve, Hartikainen, Sirpa, Kenny, Rose Anne, Laflamme, Lucie, Landi, Francesco, Masud, Tahir, O'Byrne-Maguire, Irene, Petrovic, Mirko, Rodriguez, Leocadio, Seppälä, Lotta, Svensson, Olle, Szczerbińska, Katarzyna, Thaler, Heinrich, van der Velde, Nathalie, de Vries, Max, Seppala, Lotta J., Daams, Joost G., and van de Glind, Esther M.M.

Published
2018
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45. Hospitalisation in the last month of life and in-hospital death of nursing home residents: a cross-sectional analysis of six European countries

Author

Honinx, Elisabeth, primary, Piers, Ruth D, additional, Onwuteaka-Philipsen, Bregje D, additional, Payne, Sheila, additional, Szczerbińska, Katarzyna, additional, Gambassi, Giovanni, additional, Kylänen, Marika, additional, Deliens, L, additional, Van den Block, Lieve, additional, and Smets, Tinne, additional

Published
2021
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48. Additional file 2 of No difference in effects of ‘PACE steps to success’ palliative care program for nursing home residents with and without dementia: a pre-planned subgroup analysis of the seven-country PACE trial

Author

Miranda, Rose, Tinne Smets, Noortgate, Nele Van Den, Steen, Jenny T. Van Der, Deliens, Luc, Payne, Sheila, Szczerbińska, Katarzyna, Pautex, Sophie, Humbeeck, Liesbeth Van, Gambassi, Giovanni, Kylänen, Marika, and Block, Lieve Van Den

Subjects
Data_FILES
Abstract

Additional file 2.

Published
2021
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49. Potentially inappropriate treatments at the end of life in nursing home residents : findings from the PACE cross-sectional study in 6 European countries

Author

Honinx, Elisabeth, Van den Block, Lieve, Piers, Ruth, Van Kuijk, Sander M.J., Onwuteaka-Philipsen, Bregje D., Payne, Sheila A., Szczerbińska, Katarzyna, Gambassi, Giovanni G., Finne-Soveri, Harriet, Deliens, Luc, Smets, Tinne, and on behalf of PACE, [ missing ]‎

Subjects
Europe, End-of-life care, Potentially inappropriate treatments, Medicine and Health Sciences, Nursing homes
Abstract

Context Certain treatments are potentially inappropriate when administered to nursing homes residents at the end of life and should be carefully considered. An international comparison of potentially inappropriate treatments allows insight into common issues and country-specific challenges of end-of-life care in nursing homes and helps direct health-care policy in this area. Objectives To estimate the prevalence of potentially inappropriate treatments in the last week of life in nursing home residents and analyze the differences in prevalence between countries. Methods A cross-sectional study of deceased residents in nursing homes (2015) in six European countries: Belgium (Flanders), England, Finland, Italy, The Netherlands, and Poland. Potentially inappropriate treatments included enteral administration of nutrition, parental administration of nutrition, artificial fluids, resuscitation, artificial ventilation, blood transfusion, chemotherapy/radiotherapy, dialysis, surgery, antibiotics, statins, antidiabetics, new oral anticoagulants. Nurses were questioned about whether these treatments were administered in the last week of life. Results We included 1384 deceased residents from 322 nursing homes. In most countries, potentially inappropriate treatments were rarely used, with a maximum of 18.3% of residents receiving at least one treatment in Poland. Exceptions were antibiotics in all countries (between 11.3% in Belgium and 45% in Poland), artificial nutrition and hydration in Poland (54.3%) and Italy (41%) and antidiabetics in Poland (19.7%). Conclusion Although the prevalence of potentially inappropriate treatments in the last week of life was generally low, antibiotics were frequently prescribed in all countries. In Poland and Italy, the prevalence of artificial administration of food/fluids in the last week of life was high, possibly reflecting country differences in legislation, care organization and culture, and the palliative care competences of staff.

Published
2021

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