RESUMO
Long-term use of benzodiazepines (BZDs) is known to induce tolerance and dependence, and increase the risk of falls-related injuries in older adults. We present a study carried out in a French nursing home that concerns the implementation of a BZD withdrawal program reassessed at one year. BZD deprescription was achieved by gradual cessation of doses. A secondary benefit of this program was assessed by comparing the number of falls among residents before and after withdrawal. The number of falls was recorded over a six-month period prior to the onset of withdrawal (T1) and then over a six-month period after reassessment at one year (T2). At the beginning, 31 (28.7%) of the patients were under BZD. Total deprescription was obtained for 11 patients. The number of falls per patient over the T1 period was not different between the two groups (future non-withdrawn and withdrawn patients in BZD): 2.1 ± 1.3 and 2.3 ± 0.6 falls per resident, respectively. Conversely, the number of falls per patient was significantly decreased in the population completely withdrawn in BZD between the T1 and T2 periods (2.3 ± 0.6 vs. 0.5 ± 0.2 falls, p = 0.01). The results show that BZD deprescription, through a gradual reduction of doses, is possible to achieve.
RESUMO
OBJECTIVES: To evaluate the impact of a debate on pharmacy students' perceptions, using online pharmacy practice as the debate topic. METHODS: This is a quasi-experimental interrupted time-series study. A 60 min debate was organized as a lunchtime meeting. A four-category Likert scale questionnaire (fully agree, partially agree, partially disagree, fully disagree) measured the debate participants' level of agreement with 25 statements (main issues associated with online pharmacy) in the pre-phase (before the debate), post-phase 1 (after the debate) and post-phase 2 (6 months after the debate). One hundred and seventy-seven students were recruited (response rate of 100% in the pre-phase and post-phase 1, 31% in post-phase 2). Four questions measured the perceptions of the students on this pedagogical technique. KEY FINDINGS: The overall proportion of respondents in favour of online pharmacy practice showed little variation among the three phases. However, on average (mean ± SD) 43 ± 8% of the respondents changed their opinion, 21 ± 7% reversed their opinion, 22 ± 4% nuanced their opinion and 1 ± 1% radically changed their opinion. Respectively 98% (post-phase 1) and 96% (post-phase 2) of the respondents were of the opinion that debate was a very useful teaching formula in their pharmacist training and 79 and 66% thought debate significantly changed their opinion of the issue. CONCLUSIONS: Few data have been collected on the use of debates as part of healthcare professional training. The impact of a debate on how pharmacy students feel about online pharmacy practice is described.
Assuntos
Educação em Farmácia/métodos , Internet , Assistência Farmacêutica/organização & administração , Estudantes de Farmácia/psicologia , Adolescente , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Percepção , Inquéritos e Questionários , Adulto JovemRESUMO
The nurse preceptor holds a specific role in the healthcare staff linked with both educational and nursing cultures. This article presents the analysis of the training program developed at the CHUV (Switzerland). The analysis indicates tra- how the training model centered on thefields of nursing and education, improves the development of a bi cultural identity, and the implementation of the preceptorship role. This training model effectively enables nurse preceptors to support students learning in a care perspective and allow them to cope with the potential conflicts between educational and nursing approaches. An evaluation of the training experience and some potential directions for the program are discussed.
