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Perceptions of nurses in nursing homes on the usage of benzodiazepines

Sibyl Anthierens UGent, Maria Grypdonck UGent, Liesbeth De Pauw UGent and Thierry Christiaens UGent (2009) JOURNAL OF CLINICAL NURSING. 18(22). p.3098-3106
abstract
Aim. This paper reports the findings of a qualitative study on how nurses perceive their own role in the use of benzodiazepines in nursing homes and to identify the factors that have an impact on the nurses' role in the use of benzodiazepines. Background. The use of benzodiazepines in nursing homes is of particular concern, as nursing-home residents receive considerably more benzodiazepines than non-institutionalised older persons. Evidence of their long-term effectiveness is lacking. Nurses are important partners in the decision-making process of starting and discontinuation of benzodiazepines. Design. Qualitative descriptive. Method. Three focus group interviews and 10 additional semi-structured interviews were used with 33 registered nurses. The interviews were thematically analysed. Findings. Nurses' main concern is to work towards the comfort of the patient. Benzodiazepines are an easy option with not too many side effects and administration of benzodiazepines is experienced as a routine action. When prescribed they will almost automatically lead to chronic usage as there is no evaluation of their effect. There are three aspects that have an impact on nurse's perceptions of their role in benzodiazepine usage: their own individual attitude and perceptions, their knowledge and organisational factors. Conclusion. Nurses do not see benzodiazepines as a problem drug and once a prescription is initiated it will almost automatically lead to chronic usage. Nurses should work towards a pro-active promotion of addressing sleeping problems and they can play a key role in non-pharmacological interventions. Relevance to clinical practice. Nurses can play a key role in suggesting non-pharmacological alternatives. Education to provide more insight into the problems of insomnia and anxiety may positively influence their attitudes and behaviour. All caregivers in nursing homes should be informed about the relevance of this issue.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Belgium, benzodiazepines, nurses, nursing, older people, INAPPROPRIATE MEDICATION USE, PSYCHOTROPIC-DRUG USE, QUALITATIVE RESEARCH, EXPLICIT CRITERIA, ELDERLY-PEOPLE, FOCUS GROUPS, RESIDENTS, CARE, SLEEP, INSOMNIA
journal title
JOURNAL OF CLINICAL NURSING
J. Clin. Nurs.
volume
18
issue
22
pages
3098 - 3106
Web of Science type
Article
Web of Science id
000265035200002
JCR category
NURSING
JCR impact factor
1.194 (2009)
JCR rank
16/70 (2009)
JCR quartile
1 (2009)
ISSN
0962-1067
DOI
10.1111/j.1365-2702.2008.02758.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
670712
handle
http://hdl.handle.net/1854/LU-670712
date created
2009-05-28 14:23:15
date last changed
2016-12-19 15:43:47
@article{670712,
  abstract     = {Aim. This paper reports the findings of a qualitative study on how nurses perceive their own role in the use of benzodiazepines in nursing homes and to identify the factors that have an impact on the nurses' role in the use of benzodiazepines. 
Background. The use of benzodiazepines in nursing homes is of particular concern, as nursing-home residents receive considerably more benzodiazepines than non-institutionalised older persons. Evidence of their long-term effectiveness is lacking. Nurses are important partners in the decision-making process of starting and discontinuation of benzodiazepines. 
Design. Qualitative descriptive. 
Method. Three focus group interviews and 10 additional semi-structured interviews were used with 33 registered nurses. The interviews were thematically analysed. 
Findings. Nurses' main concern is to work towards the comfort of the patient. Benzodiazepines are an easy option with not too many side effects and administration of benzodiazepines is experienced as a routine action. When prescribed they will almost automatically lead to chronic usage as there is no evaluation of their effect. There are three aspects that have an impact on nurse's perceptions of their role in benzodiazepine usage: their own individual attitude and perceptions, their knowledge and organisational factors. 
Conclusion. Nurses do not see benzodiazepines as a problem drug and once a prescription is initiated it will almost automatically lead to chronic usage. Nurses should work towards a pro-active promotion of addressing sleeping problems and they can play a key role in non-pharmacological interventions. 
Relevance to clinical practice. Nurses can play a key role in suggesting non-pharmacological alternatives. Education to provide more insight into the problems of insomnia and anxiety may positively influence their attitudes and behaviour. All caregivers in nursing homes should be informed about the relevance of this issue.},
  author       = {Anthierens, Sibyl and Grypdonck, Maria and De Pauw, Liesbeth and Christiaens, Thierry},
  issn         = {0962-1067},
  journal      = {JOURNAL OF CLINICAL NURSING},
  keyword      = {Belgium,benzodiazepines,nurses,nursing,older people,INAPPROPRIATE MEDICATION USE,PSYCHOTROPIC-DRUG USE,QUALITATIVE RESEARCH,EXPLICIT CRITERIA,ELDERLY-PEOPLE,FOCUS GROUPS,RESIDENTS,CARE,SLEEP,INSOMNIA},
  language     = {eng},
  number       = {22},
  pages        = {3098--3106},
  title        = {Perceptions of nurses in nursing homes on the usage of benzodiazepines},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2008.02758.x},
  volume       = {18},
  year         = {2009},
}

Chicago
Anthierens, Sibyl, Maria Grypdonck, Liesbeth De Pauw, and Thierry Christiaens. 2009. “Perceptions of Nurses in Nursing Homes on the Usage of Benzodiazepines.” Journal of Clinical Nursing 18 (22): 3098–3106.
APA
Anthierens, S., Grypdonck, M., De Pauw, L., & Christiaens, T. (2009). Perceptions of nurses in nursing homes on the usage of benzodiazepines. JOURNAL OF CLINICAL NURSING, 18(22), 3098–3106.
Vancouver
1.
Anthierens S, Grypdonck M, De Pauw L, Christiaens T. Perceptions of nurses in nursing homes on the usage of benzodiazepines. JOURNAL OF CLINICAL NURSING. 2009;18(22):3098–106.
MLA
Anthierens, Sibyl, Maria Grypdonck, Liesbeth De Pauw, et al. “Perceptions of Nurses in Nursing Homes on the Usage of Benzodiazepines.” JOURNAL OF CLINICAL NURSING 18.22 (2009): 3098–3106. Print.