Basiszorg in het verpleeghuis: longitudinale weergave van zorgproblemen gemeten door de Landelijke Prevalentiemeting Zorgproblemen

Sinds 1998 wordt door de projectgroep Landelijke Prevalentiemeting Zorgproblemen (LPZ), jaarlijks bij een groot aantal gezondheidszorginstellingen de prevalentie, de preventie en de behandeling van een aantal zorgproblemen, zoals decubitus, incontinentie, smetten, ondervoeding, vallen en vrijheidsbeperkende maatregelen, gemeten. In dit artikel worden de trends van prevalentie, preventie en behandeling over de afgelopen jaren beschreven voor cliënten die verblijven op psychogeriatrische en/of somatische afdelingen van verpleeghuizen. Over het algemeen blijkt de prevalentie van deze zorgproblemen in de afgelopen jaren gedaald te zijn. Toch lijken de individuele interventies (preventieve maatregelen en behandeling) de afgelopen jaren over het algemeen niet echt veranderd. Geconcludeerd wordt dat de extra aandacht voor deze zorgproblemen waarschijnlijk tot een daling van de prevalentie heeft geleid. De achtergronden hiervan zullen verder onderzocht moeten worden. Voor een verdere daling zullen in ieder geval extra vervolgstappen gezet moeten worden. Beschreven wordt welke stappen de projectgroep hiervoor al genomen heeft

Knowledge and use of pressure ulcer preventive measures in nursing homes: a comparison of Dutch and German nursing staff

Aims and objectives To examine the knowledge and use of pressure ulcer preventive measures among nursing staff in Dutch and German nursing homes. Background Studies in the Netherlands and Germany have shown a large discrepancy in pressure ulcer prevalence rates among nursing homes in both countries and concluded that some of this variance could be explained by differences in pressure ulcer prevention. Design A cross-sectional questionnaire survey nested in a prospective multicenter cohort study. Methods A questionnaire was distributed to nursing staff employed in 10 Dutch nursing homes (n=600) and 11 German nursing homes (n=578). Data were collected in January 2009. Results The response rate was 75 center dot 7% in the Netherlands (n=454) and 48 center dot 4% in Germany (n=283). Knowledge about useful pressure ulcer preventive measures was moderate in both countries, while nonuseful preventive measures were poorly known. On average, only 19 center dot 2% (the Netherlands) and 24 center dot 6% (Germany) of preventive measures were judged correctly as nonuseful. The same pattern could be seen with regard to the use of preventive measures, because nonuseful preventive measures were still commonly used according to the respondents. Conclusions The results indicate that the respondents' knowledge and use of pressure ulcer preventive measures could be improved in both countries, especially for nonuseful measures. Changes and improvements can be achieved by providing sufficient education and refresher courses for nurses and nursing assistants employed within Dutch and German nursing homes. Relevance to clinical practice Recurring education about pressure ulcer prevention is required among nursing staff employed in Dutch and German nursing homes, particularly in relation to the use of ineffective and outdated preventive measures. Obstacles regarding the implementation of preventive measures should be addressed to achieve a change in practice