Patienten i centrum

​Projekter i afdelingen

PROJECTS

OPTICARE

A qualitative PhD project which is part of an interprofessional intervention project aiming to optimize the medication and nutrition condition of acutely admitted older medical patients, called optiNAM.

Older patients are frequently associated with multi-morbidity, polypharmacy, poor medication adherence and poor outcome. In previous studies, we have shown that 85 % of acutely admitted old patients +65 y are prescribed drugs considered to be inappropriate to old people, and 80 % is treated with five or more drugs.

To target this problem, OPTICARE aim to qualify an interprofessional medication conversation by applying Shared Decision Making (SDM) supported by a Decision Aid (DA) tailored older patients with polypharmacy. The DA will be developed from a generic SDM template.

This project will bring insight into the potential of involving old frail patients in the medical treatment. The perspectives are to implement the findings in the future Fælles AkutModtagelser in order to reduce re-admission rate due to medication errors, adverse effect and non-adherence and increase life quality.

Project Lead: Pia Fabricius

Status: PhD project initiated in 2018

 

Integrated acute nursing care/FOC

Integrated nursing care in emergency medicine and shared perspective by the Degree-Of-Worry scale

Integrated nursing care entails a relation with patients and relatives, which is challenged by the organizational and social structure in emergency medicine. The project aims to explore nurses’ perception of relational work in emergency medicine and patient-centered measures that might enhance unbiased clinical decision making. Several publications are under preparation, among others: 1) concordance between patients’ self-rated worry and nurses’ rating of patients DOW, 2) nurses perception of the DOW scale as a tool to achieve shared perspective in short encounters, 3) nurses’ perception of relational work in emergency medicine – a focus group study

Methods: Qualitative and quantitative methods

Project Lead: Hejdi Gamst-JensenHejdi Gamst-Jensen

Status: The project is in progress


Validation and exploration of the DOW-scale

This project builds on a data collection conducted from January 2020 to February 2021. More than 1,000 patients in the emergency department were interviewed survey-style about their illness perception, DOW and related indicators. Several publications are under preparation, among others: 1) association between DOW and the B-IPQ, 2) DOW and representation to the Emergency Department, 3) DOW and loneliness

Methods: Mixed methods

Project Lead: Hejdi Gamst-JensenHejdi Gamst-Jensen

Status: The project is in progress


PUBLICATION

Nedergaard Jensen A, Kristiansen M, Tolstrup J, Gamst-Jensen H. Self-reported degree-of-worry and self-rated health and the association with hospitalization when contacting out-of-hours medical services: a Danish prospective cohort study (accepted for publication in BMJ open)

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