Medication
KN 10 Medication out of control? The evidence base of inappropriate prescribing in older people
Prof. Gabriele Meyer PhD, Martin Luther University Halle-Wittenberg, Medical Faculty, Institute for Health and Nursing Science, Germany
There is a bulk of literature on inappropriate medication prescription in older people. Many terms are used within this context, e.g. hyperpharmacotherapy, polypharmacy, or multiple medication use. Numerous publications report prevalence data of cohorts or analyses of claims data of statutory health insurances, identifying risk factors as well as barriers to appropriate prescribing. A number of assessment tools comprising explicit criteria for assessing inappropriate prescribing have been derived. Beyond descriptive research, intervention approaches aimed at optimization of geriatric pharmacotherapy and deprescribing have been developed and evaluated. The aim of this presentation is to give an overview about the evidence base on the prevalence of inappropriate prescribing, related risk factors and proven adverse events, criteria for assessing inappropriate prescribing and the feasibility, usefulness and reach of assessment tools, approaches for optimization of prescribing in older people and specifically vulnerable subgroups, the role of nurses in inappropriate prescribing in care dependent older people and nurses’ options towards optimized medication.The presentation will point out the current best evidence as well as research gaps and will outline knowledge requirements of nurses caring for older people with multiple treatment needs.

Best Poster Presentation Award Ceremony
Prizegiving by the jury Gaby Jacobs and Roelof Ettema

Gaby Jacobs

Roelof Ettema

Community nursing
KN 11 Safe, professional and inspiring community care for older people: how can nurses contribute?
Crystal Oldman PhD, Chief Executive, Queen’s Nursing Institute (QNI), United Kingdom
The Queen’s Nursing Institute (QNI) is a national charity, created in 1887 by William Rathbone, with support from Florence Nightingale, to provide education and training for nurses supporting people to be cared for in their own homes and communities. Almost 130 years later, the QNI as a national charity, continues to focus on influencing policy and supporting community nurses to deliver innovative and evidence based care. The presentation will focus on three key aspects of the QNI’s work to support the UK policy for more care to be delivered in the community, in particular for the older population: The current work of the QNI on identifying the factors which determine ‘safe caseloads’ in the District Nursing service will be presented. This is part of the national work in England, led by NHS Improvement, on developing guidance for safe staffing for providers of nursing services. Linked to the work on safe caseloads is the need to ensure the ‘right nurse with the right skills’ is employed to lead the service. In 2014, the QNI and the QNI Scotland supported the development of a consensus view on the role of the District Nurse team leader in the UK and published standards of education and practice required to support the role. The impact of these standards two years after publication will be presented. Lastly, the presentation will cover the QNI work to inspire new and experienced nurses to develop a career in the community. There is a pressing need to encourage more nurses to work in the community in order to achieve the policy initiative of caring for an increased number of people in their own homes and to reduce avoidable hospital admissions.

Symposium Education and learning (Room: Van Beuningen Zaal)
Category: Prevention-societal care (Innovation)
G1-S172 Educational innovations of gerontology and geriatrics
Chair: P. Huizenga, NHL University of Applied Sciences, the Netherlands

1. Innovation workplace well-being and care of the elderly: learning by innovating
   P. Groenewoud, NHL University of Applied Sciences, the Netherlands
2. Educational program on gerontology and geriatrics for bachelor nurses in the Netherlands
   A. Keuning-Plantinga, NHL University of Applied Sciences, the Netherlands
3. Serious gaming to support mobility and social activities for older people
   A. Dijkstra, NHL University of Applied Sciences, the Netherlands
4. Transdisciplinary knowledge and boundary crossing skills of healthy and happy ageing
   P. Huizenga, NHL University of Applied Sciences, the Netherlands

Symposium Patient and public involvement (Room: Van Weelde Zaal)
Category: Transitional care (Science)
G2-S116 Person-centred care in research and practice
Chair: C.J.M. van der Cingel, Windesheim University of Applied Sciences, the Netherlands

1. A framework analysis on the concepts of person-centred care in five empirical studies
   C.J.M. van der Cingel, Windesheim University of Applied Sciences, the Netherlands
2. The house of person-centred care; a practical model for implementing person-centred care
   R.E. Pel-Littel, Vilans Centre of expertise for long-term care, the Netherlands
3. The implementation of person-centred care in long term care, results of a pilot
   J. Engels, Vilans Centre of expertise for long-term care, the Netherlands
4. Person-centred health promotion for older adults: a different perspective on healthy living
   A.E. Marcus-Varwijk, Windesheim University of Applied Sciences/University of Groningen, the Netherlands

Oral presentations Multimorbidity and frailty (Room: Ruys Zaal)
Category: Home care, Hospital care, Prevention-societal care (Science)
Chair: K. Cox, Fontys University of Applied Sciences, the Netherlands
G3-186 Association between self-management and frailty in older people receiving home care
P.E. Kaiser, Inholland University of Applied Sciences, the Netherlands
G3-120 A successful clinical-academic partnership: research about cancer treatment in people with dementia
J.B. Hopkinson, Cardiff University, United Kingdom
G3-252 Home-based lifestyle physical activity for sedentary older women: outcomes from a clinical trial
L.L. Lefler, University of Arkansas for Medical Sciences, United States of America

Symposium Quality of care and patient safety (Room: Arcadis Zaal)
Category: Long-term care intramural (Science)
G4-S158 Quality of care in Swiss nursing homes: what can we learn from staff and residents’ perspectives?
Chair: S. Hahn, Bern University of Applied Sciences, Switzerland

1. Quality of care and the implicit rationing of nursing care in the Swiss Nursing Home Human Resources Project (SHURP)
   F. Zúñiga, Basel University, Switzerland
2. Residents’ perspectives of living in nursing homes in Switzerland (RESPONS)
   S. Hahn, Bern University of Applied Sciences, Switzerland
3. Work environment and residents’ perspectives of quality of care in Swiss nursing homes
   A. Conca, Bern University of Applied Sciences, Switzerland
4. Investigating QoC from staff and residents‘ perspectives; implications in Swiss nursing homes
   M. Simon, Basel University/Inselspital Berne University Hospital, Switzerland

Symposium Workforce (Room: Hudig Zaal)
Category: Long-term care intramural (Science)
G5-S191 Increasing participation of nurses in an academic network for long-term elderly care
Chair: A. Persoon, Radboud University Medical Center, the Netherlands

1. Rehabilitation decision tree: also for geriatric patients
   N. de Wijs-Antens, Stichting tante Louise-Vivensis, the Netherlands
2. Towards a prevention program of diabetic foot care in nursing homes: prevalence of foot complications and risk factors
   A. Goedhart, Attent, the Netherlands
3. Care program on geriatric rehabilitation for stroke patients: content and process of development
   E. Derksen, Radboud University Medical Center, the Netherlands
4. Physician substitution by NPs, PAs and/or nurses in healthcare for older people
   M.H. Lovink, Radboud University Medical Center, the Netherlands

Oral presentations Patient systems and informal care (Room: Willem Burger Zaal)
Category: Home care, Hospital care (Science)
Chair: P. Roodbol, University Medical Center Groningen, the Netherlands
G6-257 Topics on family caregivers in formal conversations between nurses, patients and family caregivers
E.I. Hagedoorn, Hanze University of Applied Sciences, the Netherlands
G6-74 Predictors of utilization of community care services by people with dementia and their carers
A. Bieber, Martin Luther University Halle-Wittenberg, Germany
G6-79 Access to formal care for people with dementia and carers. A focus group study in eight countries
A. Stephan, Martin Luther University Halle-Wittenberg, Germany
G6-295 Screening of elderly abuse and neglect in prehospital ambulance and emergency nursing care
C. Minkhorst-Otten, HAN University of Applied Sciences, the Netherlands

Oral presentations Technology (Room: Zeelenberg Zaal)
Category: Home care (Science)
Chair: B. de Brouwer, Dutch Nurses Association
G7-86 Supporting older adults in the use of digital healthcare technology: a mixed-method study
C.T.M. van Houwelingen, University of Applied Sciences Utrecht, the Netherlands
G7-189 Is there evidence for effects of eHealth for people confronted with cancer?
V.N. Slev, VU University Medical Center Amsterdam, the Netherlands

Workshop Writing (Room: Van Rijckevorsel Zaal)
G8-271 Planning and reporting your research accurately: using the Equator Reporting Guidelines for Academic Papers
D.A. Richards, University of Exeter Medical School, United Kingdom

Sponsored symposium Essentials or fundamentals of care (Room: Schadee Zaal)
Category: Rehabilitation (Innovation)
G9-S272 Research on nurse supported self-management of elderly and chronically ill
D. Abels, Netherlands Organisation for Health Research and Development ZonMw, the Netherlands

1. What self-management strategies do family caregivers use when faced with behavior and mood changes of their relative with dementia?
   A. Francke, VU University Medical Center, the Netherlands
2. Cardiac Care Bridge trial: the role of the community-care nurse in the transition from hospital to home
   B.M. Buurman, Amsterdam University of Applied Sciences, the Netherlands
3. Ethical dilemmas in self-management support: how research leads to action and reflection
   A. van Staa, Rotterdam University of Applied Sciences, the Netherlands

Transitional care
KN 12 Getting transition care of older people right
Prof. Marit Kirkevold Ed.D., Head of Department of Nursing Science, Institute of Health and Society, University of Oslo, Norway
Older people undergo many transitions as they age. The transitions are related to changes in health state, functioning, social relations and roles, and in priorities and goals in life. Together these changes may lead to a broad range of care and service needs, which may be addressed by a combination of informal and formal care. The formal health and social services involve a number of different professions and are organized by different providers and at different organizational levels. Together the changes and their associated transitions generate a number of challenges for older people to cope with and adjust to. We have limited understanding of the nature of many of these transitions and about how they may interact in the lives of older people. Although some research exists on transitions in late life, they are usually studied in isolation. Lack of knowledge about the transitions and how they interact may lead to suboptimal services and care. This presentation will reflect on how increased focus on transition care may assist in designing better services that matches the caring needs of older people in different transitions, at the same time acknowledging and respecting the older people’s own preferences, coping resources and self-care abilities.

Knowledge translation
KN 13 Applied research in residential care – is transformative change possible?
Carole A. Estabrooks PhD, Professor & Canada Research Chair in Knowledge Translation, Faculty of Nursing, University of Alberta, Canada
TREC (Translating Research in Elder Care) is a pan-Canadian, longitudinal program of applied health services research that has been in place for a decade. Our long term aim is to leverage the tools, partnerships and knowledge gained to date to transform the Long Term Care sector in Canada by capitalizing on the partnerships and knowledge gained from over a decade of focused and intentional work. This presentation will show how we are shaping a context that is ready for best practice, that will support scale-up and spread of transformative innovations, and that readily implements routine and quality feedback mechanisms at point of care.

Quality of care and patient safety
KN 14 Care for older people in nursing homes: can registered nurses make the difference?
Prof. Jan Hamers PhD, Maastricht University, Maastricht, the Netherlands
The quality of care in nursing homes is on the agenda in many countries, and in most cases is reported as inadequate or poor. Often it is argued that more staff is needed to provide better outcomes. The question is, if this is a valid proposition. Therefore, we have conducted a review recently (1), including 183 peer-reviewed studies published in scientific journals between 1990 and 2016, on the relation between staffing and quality of care. The conclusion is that there is no evidence for an association between higher staffing levels and better quality of care in nursing homes. If increasing staff will not lead to better care, what solutions can be brought up then? This question will be answered by summarizing research presented during this Fifth European Nursing Congress, and focusing at the future care in nursing homes. Nursing home care is highly complex (e.g. severe dementia and palliative care), increasingly uses new technology, and has to deal with rapidly changing demands and expectations of residents and their relatives. It will be argued that a better skill-mix is needed, and that baccalaureate-educated nurses can make the difference. Their competencies are badly needed to address the needs and meet the expectations of an ageing society.

Closure concert
Soprano Francis van Broekhuizen