Implementing evidence‐based patient and family education on oral anticoagulation therapy: a community‐based participatory project. Issue 11 (12th March 2015)

• Record Type: Journal Article
• Authors: Shaha, Maya; Wüthrich, Erika; Stauffer, Yvonne; Herczeg, Franziska; Fattinger, Karin; Hirter, Kathrin; Papalini, Marianne; Herrmann, Luzia
• Is Part Of: Journal of clinical nursing. Volume 24:Issue 11/12(2015)
• Page Start: 1534
• Page End: 1545
• Publication Date: 2015-03-12
• Subjects: Nursing -- Periodicals; Clinical medicine -- Periodicals; 610.7305
• DOI: 10.1111/jocn.12743
• Languages: English
• ISSNs: 0962-1067

Abstract

<abstract abstract-type="main" id="jocn12743-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jocn12743-sec-0001" sec-type="section"> <title>Aims and objectives</title> <p>This study aimed at developing and implementing evidence‐based patient and family education on oral anticoagulation therapy.</p> </sec> <sec id="jocn12743-sec-0002" sec-type="section"> <title>Background</title> <p>The number of persons with chronic diseases who live at home is increasing. They have to manage multiple diseases and complex treatments. One such treatment is oral anticoagulation therapy, a high risk variable dose medication. Adherence to oral anticoagulation therapy is jeopardised by limited information about the medications, their risk and complications, the impact of individual daily routine and the limited inclusion of family members in education. Hence, improved and tailored education is essential for patients and families to manage oral anticoagulation therapy at home.</p> </sec> <sec id="jocn12743-sec-0003" sec-type="section"> <title>Design and methods</title> <p>A community‐based participatory research design combined with the Precede‐Proceed model was used including a systematic literature review, posteducation analysis, an online nurse survey, a documentation analysis and patient/family interviews. The study was conducted between April 2010–December 2012 at a department of general internal medicine in a teaching hospital in Switzerland. Participants were the department's nursing and medical professionals including the patients and their families.</p> </sec> <sec id="jocn12743-sec-0004" sec-type="section"> <title>Results</title> <p>The evidence‐based patient and family education on oral anticoagulation therapy emerged comprising a learning assessment, teaching units, clarification of responsibilities of nurse professionals and documentation guidelines.</p> </sec> <sec id="jocn12743-sec-0005" sec-type="section"> <title>Conclusion and clinical relevance</title> <p>The inclusion of the whole department has contributed to the development and implementation of this evidence‐based patient family education on oral anticoagulation therapy, which encompasses local characteristics and patient preferences. This education is now being used throughout the department.</p> </sec> </abstract>