State of Knowledge Among Nurses Regarding the Screening for Orthostatic Hypotension in Elderly Individuals in Acute Geriatric Medicine and Medical and Rehabilitation Services (HTO-IDE)
Orthostatic hypotension is a common geriatric syndrome associated with an increased risk of falls, syncope, functional decline and mortality in older adults. Current European recommendations provide standardized procedures for its detection, including blood pressure measurements in the supine and standing positions at specific time intervals.
Despite these recommendations, variability in clinical practice and potential gaps in healthcare professionals' knowledge may limit effective screening. The aim of this study is to assess nurses' knowledge and practices regarding orthostatic hypotension screening within the geriatric department of Hôpital NOVO.
The study hypothesis is that nurses' knowledge and practices regarding orthostatic hypotension screening are heterogeneous and may differ from current recommendations.
Panoramica dello studio
Stato
Condizioni
Descrizione dettagliata
Orthostatic hypotension (OH) is defined as a decrease in systolic blood pressure of at least 20 mmHg and/or a decrease in diastolic blood pressure of at least 10 mmHg occurring within three minutes of standing. It is highly prevalent among older adults and is associated with adverse outcomes including falls, syncope, hospitalization, loss of autonomy and increased mortality.
Recent recommendations from the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC) emphasize the importance of systematic screening for orthostatic hypotension in older adults and other at-risk populations. These recommendations also describe standardized measurement procedures, including blood pressure assessment after a period of rest in the supine position followed by measurements after standing at defined time points.
Although these recommendations are available, several studies suggest that orthostatic hypotension remains underdiagnosed in routine clinical practice. Inadequate knowledge of diagnostic criteria, inconsistent measurement techniques and variability in screening indications may contribute to this under-recognition.
The present study is a monocentric observational study conducted within the geriatric department of Hôpital NOVO. It aims to describe nurses' knowledge and self-reported practices regarding orthostatic hypotension screening.
Data will be collected through an anonymous self-administered questionnaire developed from current recommendations. The questionnaire explores three domains: theoretical knowledge of orthostatic hypotension, practical aspects of blood pressure measurement, and clinical situations prompting screening.
The results of this study will help identify potential knowledge gaps and areas for improvement in clinical practice. Findings may support the development of targeted educational interventions, standardized protocols and quality improvement initiatives to enhance the detection of orthostatic hypotension in older adults.
Tipo di studio
Iscrizione (Stimato)
Contatti e Sedi
Contatto studio
- Nome: Mathilde WLODARCZYK
- Numero di telefono: 0130754650
- Email: mathilde.wlodarczyk@ght-novo.fr
Luoghi di studio
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Pontoise, Francia, 95300
- Hopital Novo
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Contatto:
- Lila HIRED
- Numero di telefono: 003130754040
- Email: lila.hired@ght-novo.fr
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Metodo di campionamento
Popolazione di studio
Descrizione
Inclusion Criteria:
- State-registered nurses
- Working in the Acute Geriatric Medicine department (Pontoise site), or in the Medical Care and Rehabilitation department (SMR: Marines or Pontoise sites) of NOVO Hospital
Exclusion Criteria:
- Patient refusal
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Assessment of the knowledge level of nurses working in geriatrics regarding orthostatic hypotension
Lasso di tempo: Through study completion, an average of 1 year
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The nurses' level of knowledge will be assessed using a questionnaire which they will complete either in person or online via the secure Microsoft Forms platform. This questionnaire consists of 3 parts: - Definition of orthostatic hypotension (Question 2.1) - Measurement methods (Question 3) - Diagnostic criteria (Questions 2.2 and 2.3) |
Through study completion, an average of 1 year
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Evaluate the influence of the nurse's experience on their knowledge regarding the screening for orthostatic hypotension in the elderly.
Lasso di tempo: Through study completion, an average of 1 year
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Nurses' knowledge will be assessed using the study-specific questionnaire developed from current European recommendations on orthostatic hypotension screening.
Professional experience will be assessed by self-reported years of practice as a registered nurse.
The association between questionnaire responses and years of professional experience will be analyzed.
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Through study completion, an average of 1 year
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Evaluate the influence of experience in geriatrics on the RN's knowledge regarding the screening for orthostatic hypotension in the elderly.
Lasso di tempo: Through study completion, an average of 1 year
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Nurses' knowledge will be assessed using the study-specific questionnaire.
Experience in geriatric care will be assessed by self-reported years of practice in geriatric settings.
The association between questionnaire responses and years of experience in geriatrics will be analyzed.
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Through study completion, an average of 1 year
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Compare the level of knowledge between RNs working in acute geriatric care (AGC) and in long-term care (SMR)
Lasso di tempo: Through study completion, an average of 1 year
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Nurses' knowledge will be assessed using the study questionnaire.
Questionnaire responses will be compared between nurses working in acute geriatric care and those working in geriatric rehabilitation (SMR).
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Through study completion, an average of 1 year
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Collaboratori e investigatori
Sponsor
Investigatori
- Investigatore principale: Lila HIRED, Hopital Novo
Pubblicazioni e link utili
Pubblicazioni generali
- Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, Cheshire WP, Chelimsky T, Cortelli P, Gibbons CH, Goldstein DS, Hainsworth R, Hilz MJ, Jacob G, Kaufmann H, Jordan J, Lipsitz LA, Levine BD, Low PA, Mathias C, Raj SR, Robertson D, Sandroni P, Schatz I, Schondorff R, Stewart JM, van Dijk JG. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res. 2011 Apr;21(2):69-72. doi: 10.1007/s10286-011-0119-5. No abstract available.
- Mancia G, Kreutz R, Brunstrom M, Burnier M, Grassi G, Januszewicz A, Muiesan ML, Tsioufis K, Agabiti-Rosei E, Algharably EAE, Azizi M, Benetos A, Borghi C, Hitij JB, Cifkova R, Coca A, Cornelissen V, Cruickshank JK, Cunha PG, Danser AHJ, Pinho RM, Delles C, Dominiczak AF, Dorobantu M, Doumas M, Fernandez-Alfonso MS, Halimi JM, Jarai Z, Jelakovic B, Jordan J, Kuznetsova T, Laurent S, Lovic D, Lurbe E, Mahfoud F, Manolis A, Miglinas M, Narkiewicz K, Niiranen T, Palatini P, Parati G, Pathak A, Persu A, Polonia J, Redon J, Sarafidis P, Schmieder R, Spronck B, Stabouli S, Stergiou G, Taddei S, Thomopoulos C, Tomaszewski M, Van de Borne P, Wanner C, Weber T, Williams B, Zhang ZY, Kjeldsen SE. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023 Dec 1;41(12):1874-2071. doi: 10.1097/HJH.0000000000003480. Epub 2023 Sep 26.
- McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, Christodorescu RM, Daskalopoulou SS, Ferro CJ, Gerdts E, Hanssen H, Harris J, Lauder L, McManus RJ, Molloy GJ, Rahimi K, Regitz-Zagrosek V, Rossi GP, Sandset EC, Scheenaerts B, Staessen JA, Uchmanowicz I, Volterrani M, Touyz RM; ESC Scientific Document Group. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension. Eur Heart J. 2024 Oct 7;45(38):3912-4018. doi: 10.1093/eurheartj/ehae178. No abstract available.
- Whelton PK, Carey RM, Aronow WS, et al. Orthostatic Hypotension. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024
- Ricci F, De Caterina R, Fedorowski A. Orthostatic Hypotension: Epidemiology, Prognosis, and Treatment. J Am Coll Cardiol. 2015 Aug 18;66(7):848-860. doi: 10.1016/j.jacc.2015.06.1084.
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Altri numeri di identificazione dello studio
- CHRD 1226
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