title: Implementing evidence-based patient and family education on oral anticoagulation therapy: a community-based participatory project.
abstract: OBJECTIVE
  This study aimed at developing and implementing evidence-based patient and family education on oral anticoagulation therapy.
  
  
  BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Institute of Nursing Education and Research, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.|Department of Nursing Development, Directorate of Nursing, Medical-Technical and Medical-Therapeutic Areas, Inselspital Bern University Hospital, Bern, Switzerland.
authors.forename: Maya
authors.identifier: http://orcid.org/0000-0003-4253-3123
authors.initials: M
authors.lastname: Shaha
authors.affiliation: Department of Nursing Development, Directorate of Nursing, Medical-Technical and Medical-Therapeutic Areas, Inselspital Bern University Hospital, Bern, Switzerland.|University Clinic of General Internal Medicine, Inselspital Bern University Hospital, Bern, Switzerland.
authors.forename: Erika
authors.initials: E
authors.lastname: Wüthrich
authors.affiliation: Department of Nursing, Quality and Development, University Clinic of General Internal Medicine, Inselspital Bern University Hospital, Bern, Switzerland.
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Stauffer
authors.affiliation: University Clinic of General Internal Medicine, Inselspital Bern University Hospital, Bern, Switzerland.
authors.forename: Franziska
authors.initials: F
authors.lastname: Herczeg
authors.affiliation: Department of Medicine and Rehabilitation, Hospital of Schaffhausen, Schaffhausen, Switzerland.
authors.forename: Karin
authors.initials: K
authors.lastname: Fattinger
authors.affiliation: Department of Nursing Development, Directorate of Nursing, Medical-Technical and Medical-Therapeutic Areas, Inselspital Bern University Hospital, Bern, Switzerland.
authors.forename: Kathrin
authors.initials: K
authors.lastname: Hirter
authors.affiliation: University Clinic of General Internal Medicine, Inselspital Bern University Hospital, Bern, Switzerland.
authors.forename: Marianne
authors.initials: M
authors.lastname: Papalini
authors.affiliation: Department of Nursing Development, Directorate of Nursing, Medical-Technical and Medical-Therapeutic Areas, Inselspital Bern University Hospital, Bern, Switzerland.
authors.forename: Luzia
authors.initials: L
authors.lastname: Herrmann
mesh_terms: D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000008:administration & dosage*; D003152:Community Health Nursing; D055318:Evidence-Based Nursing; D005190:Family; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D010353:Patient Education as Topic; D011795:Surveys and Questionnaires; D013557:Switzerland; D013927:Thrombosis / Q000188:drug therapy* / Q000451:nursing / Q000517:prevention & control
chemical_list: D000925:Anticoagulants
keywords: chronic disease management; community-based participatory action research; evidence-based practice; oral anticoagulation therapy; patient and family education; practice development