Catherine Ludwig | HESSO - Academia.edu (original) (raw)
Papers by Catherine Ludwig
Trotz grosser Armut verzichten einige Menschen auf Sozialleistungen, die ihnen eigentlich zustünd... more Trotz grosser Armut verzichten einige Menschen auf Sozialleistungen, die ihnen eigentlich zustünden. Leider bleibt dies häufig nicht ohne Auswirkungen auf ihre Gesundheit. Eine Studie aus Genf zeigt erstmals für die Schweiz auf, welche Probleme dabei für die Betroffenen im Vordergrund stehen
Recherche en soins infirmiers, 2020
Coding applied to the items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary... more Coding applied to the items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary information reports the detailed coding applied to each of the items selected in the Swiss RAI-HC MDS to derive the FI. (DOCX 19Â kb)
Set of items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary information pr... more Set of items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary information provides the set of items selected in the Swiss RAI-HC MDS to derive the FI. For each item, the information includes the original code from the reference manual, the health domain documented and the specific outcome assessed. (DOCX 19Â kb)
This project proposes to investigate the living conditions of the aged population in Switzerland ... more This project proposes to investigate the living conditions of the aged population in Switzerland and to address the diversity of these conditions using an interdisciplinary approach. The study will rely on a survey that will be conducted in 2011 in two French-speaking, two German-speaking areas, and Ticino. Rooted in a common theoretical model, shared concepts, and common objectives, together, we aim to solve the tension between continuity (comparison of our findings with studies conducted in 1979 and 1994) and innovation (better tools, new issues, and a more national representation). In the past century, industrialized countries - among which Switzerland - have witnessed a drastic increase of life expectancy, and a decrease in the prevalence of dependency decreased among the elderly. While a substantial number of positive changes occurred, nothing ensures that similar trends are persisting. Indeed, new generations carrying their own their specificities will soon reach the age of re...
Revue medicale suisse, 2020
The Covid-19 pandemic has brought the concept of frailty back to the centre of debate, particular... more The Covid-19 pandemic has brought the concept of frailty back to the centre of debate, particularly for its relevance as a determinant of health outcomes. Frailty is concept that has long been a used gerontology. Today, several theoretical models of frailty are proposed in the literature, with as many tools to operationalize it. This article provides a brief outline of the three main models of frailty and the corresponding measurement instruments. The choice of the model as well as the choice of the assessment tool are discussed in the light of the clinical objectives pursued by health professionals. More generally, this article highlights the value of assessing frailty in routine practice to determine health outcomes and adapt care to individual needs.
With aging, bimanual movements are performed with increased cerebral activity in frontal and pari... more With aging, bimanual movements are performed with increased cerebral activity in frontal and parietal areas. In contrast, motor switching is poorly documented and is expected to engage increasing resources in the elderly. In this study, spontaneous electroencephalographic activity (EEG) was recorded while 39 young participants (YP) and 37 elderly (EP) performed motor transitions from unimanual tapping to symmetric bimanual tapping (= Activation), and opposite (= Inhibition). We measured the delay of switching using the mean and standard deviation of transition time (meanTT and sdTT). Task-related power (TRPow) in alpha frequency band (8-12Hz) was used to measure electro-cortical changes, negative values corresponding to increased cerebral activity. A balance index (BI) was computed between frontal and parietal regions, values non-significantly different from "zero" representing a comparable level of cerebral activity in these regions. The results reveal higher sdTT 1) in E...
Alliés indispensables des professionnels de la santé, les proches aidant∙e∙s représentent une res... more Alliés indispensables des professionnels de la santé, les proches aidant∙e∙s représentent une ressource extrêmement précieuse pour assurer des soins de qualité. Considérant le nombre restreint de professionnels pour répondre à l’augmentation de la demande de soins et de soutien auprès de la population, le domaine Santé de la Haute Ecole Spécialisée de Suisse Occidentale (HES-SO) a mené durant quatre ans un programme de recherche « Pénurie de main-d’œuvre qualifiée dans les professions de la santé : place, intégration et soutien des proches aidants » (PePA). Cet ouvrage présente les résultats de ce programme. Les différentes études y soulignent le rôle crucial qu’occupent les proches aidant∙e·s et documentent leur situation de vie et leurs besoins. Illustrant l’engagement de la HES-SO en faveur de la reconnaissance de la valeur stratégique des proches aidant∙e∙s pour faire face aux défis à venir, ce livre présente des pistes pour les intégrer dans les soins formels et différentes mes...
Recherche en soins infirmiers, 2020
While complexity theory has gradually influenced the field of health and social sciences, it has ... more While complexity theory has gradually influenced the field of health and social sciences, it has also had an impact on nursing care by introducing a wealth of terminology into the field. The terms "complex patient," "complex case," "complex care," "complex practice," and "complex needs" have been proposed to describe different aspects of complexity in nursing care. As these qualifiers reflect, nurses become actors in multidefined care and must integrate complexity into their reflective practice. By way of a narrative literature review, this article aims to offer a new perspective on nursing by explaining the different terms used in the discipline, using a multi-level approach. At the end of this review, the authors propose a new integrative conceptual framework for complexity in nursing practice.
Gérontologie et société, 2017
Le vieillissement demographique observe dans les pays industrialises amene les acteurs de la sant... more Le vieillissement demographique observe dans les pays industrialises amene les acteurs de la sante a revoir et adapter les modeles de soins en agissant en amont des situations de dependance des personnes âgees. Cet article discute des potentiels et des limites du « Resident Assesment Instrument – Home Care » (RAI-HC), un instrument utilise en routine clinique par les infirmieres des soins a domicile. Le RAI-HC permet d’evaluer l’etat de sante global des beneficiaires et d’etablir des objectifs individualises de prise en charge. La qualite et la nature des informations ainsi collectees sont suffisamment riches pour permettre le developpement d’indicateurs et de scores refletant des concepts utilises dans le domaine de la gerontologie (fragilite, comorbidites, complexite). Neanmoins, pour repondre pleinement aux enjeux de prevention de la dependance, l’utilisation du RAI-HC necessite d’etre completee par le recours a des instruments cliniques specifiques aux domaines de sante evalues et accompagnee de formations adaptees. Ce point est illustre par deux situations domiciliaires : le reperage de la denutrition et celui des troubles cognitifs.
Recherche en soins infirmiers, 2018
Distribution électronique Cairn.info pour Association de recherche en soins infirmiers (ARSI). © ... more Distribution électronique Cairn.info pour Association de recherche en soins infirmiers (ARSI). © Association de recherche en soins infirmiers (ARSI). Tous droits réservés pour tous pays. La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.
Recherche en soins infirmiers, 2019
Introduction: The increasingly frequent mention of complexity by different health care actors cha... more Introduction: The increasingly frequent mention of complexity by different health care actors challenges the measurement of this construct. The COMID, a tool that helps home nurses to identify complex situations, provides a multidimensional and operational definition of complexity. Context: While an acceptability study showed that nurses took a keen interest in the COMID, its psychometric properties have not yet been examined. Objective: This article reports on two studies testing the reliability of the scale. Method: Study 1 focuses on 5,401 COMIDs completed by home care nurses in their usual practice. The internal consistency was estimated using Cronbach's alpha. Study 2 focuses on 38 COMIDs, completed by home care nurses (rater group 1) and specialized nurses (rater group 2). Inter-rater agreement was examined using an intraclass correlation coefficient (ICC). Results: The COMID has an acceptable internal consistency α = 0.797 and an excellent inter-rater agreement ICC = 0.839. Discussion: The metrological properties of the COMID will need to be complemented by an analysis of its validity. Conclusion: The COMID has good measurement accuracy and therefore has good potential for identifying complexity in nursing practice.
European Spine Journal, 2017
Purpose The present study aims at investigating the effects of low back pain (LBP), i.e., type of... more Purpose The present study aims at investigating the effects of low back pain (LBP), i.e., type of symptoms, activity limitations, frequency, duration, and severity on health-related quality of life (HRQoL) in a sample of 707 community-dwelling men and women aged ≥ 65 years living in Switzerland. Methods The study is part of a larger survey conducted in Switzerland on a sample of older adults selected randomly from population records, stratified by age and sex. The Standardized Back Pain Definition was used to investigate LBP, and HRQoL was assessed by means of the EQ-5D, including Health Utility Index (HUI) measures. Results For more than half of the sufferers, pain was chronic, occurred most days or every day and induced activity limitations. One-third of the sufferers reported sciatica symptoms. Individuals reporting every day pain, severe pain and more than 3 years since the last episode without pain lost nearly 10 points of HRQoL. Amongst the dimension of HRQoL, Mobility was the most affected by LBP. Conclusions These results provide further insight into the impact of qualitative aspects of LBP and in particular the importance of radiating leg pain and pain frequency and duration. While LBP-related activity limitations had little impact on both self-rated overall health and HUI, radiating leg pain and pain frequency and duration were associated with significantly decreased scores on both dimensions.
European Geriatric Medicine, 2018
Purpose Regarding the epidemiology of pain in older adults, data are lacking about the associatio... more Purpose Regarding the epidemiology of pain in older adults, data are lacking about the association between pain severity and its impact on health-related quality of life (HRQoL). This study was aimed to investigate pain prevalence and sites, selfreported interferences with daily life activities, and the effect of pain severity on HRQoL in a Swiss community-dwelling population aged ≥ 65 years. Methods This is a cross-sectional survey conducted with a national sample of individuals randomly selected from population records, stratified by age and gender. Respondents answered a face-face interview addressing pain location, intensity and interferences, and quality-of-life variables. Logit regression models were applied for binary outcomes, linear regression for continuous outcomes, and Poisson regression for count outcomes. For each analysis, Wald Chi square and 95% confidence intervals were used. Results Among the 2995 individuals considered, 36.4% reported pain. The results indicate that pain prevalence and intensity increased from age 80 onwards. Pain intensity was strongly associated with functional health, i.e., all scales involving physical activities were affected in individuals reporting severe pain; it was also associated with the individuals' perception of their overall HRQoL. Conclusion Our results point to the importance of devoting attention to pain intensity rather than to the number of pain sites. Because of the demographic transition, the management of pain problems should emphasize early referral and timely treatment to prevent the burden of disease and functional loss associated with pain intensity.
Journal of Family Issues, 2017
This study explores the interrelationships between health-related quality of life and conflict st... more This study explores the interrelationships between health-related quality of life and conflict structures in family networks of older adults. Data were derived from a sample of 2,858 elders (aged 65 years and older) from the Vivre/Leben/ Vivere study, a large survey addressing family life and health conditions of older people in Switzerland. Conflict density in family networks and the betweenness centrality of respondents in family conflict are significantly associated with health-related quality of life measures. Furthermore, the results demonstrate that conflict-health associations are mediated by the level of perceived individual stress where psychological health is concerned. Family conflict structures depend to a large extent on family composition and age. This study stresses the importance of older adults actively shaping the composition of their family contexts in ways that promote both conflict and stress avoidance.
Trotz grosser Armut verzichten einige Menschen auf Sozialleistungen, die ihnen eigentlich zustünd... more Trotz grosser Armut verzichten einige Menschen auf Sozialleistungen, die ihnen eigentlich zustünden. Leider bleibt dies häufig nicht ohne Auswirkungen auf ihre Gesundheit. Eine Studie aus Genf zeigt erstmals für die Schweiz auf, welche Probleme dabei für die Betroffenen im Vordergrund stehen
Recherche en soins infirmiers, 2020
Coding applied to the items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary... more Coding applied to the items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary information reports the detailed coding applied to each of the items selected in the Swiss RAI-HC MDS to derive the FI. (DOCX 19Â kb)
Set of items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary information pr... more Set of items selected in the Swiss RAI-HC MDS to derive the FI. This supplementary information provides the set of items selected in the Swiss RAI-HC MDS to derive the FI. For each item, the information includes the original code from the reference manual, the health domain documented and the specific outcome assessed. (DOCX 19Â kb)
This project proposes to investigate the living conditions of the aged population in Switzerland ... more This project proposes to investigate the living conditions of the aged population in Switzerland and to address the diversity of these conditions using an interdisciplinary approach. The study will rely on a survey that will be conducted in 2011 in two French-speaking, two German-speaking areas, and Ticino. Rooted in a common theoretical model, shared concepts, and common objectives, together, we aim to solve the tension between continuity (comparison of our findings with studies conducted in 1979 and 1994) and innovation (better tools, new issues, and a more national representation). In the past century, industrialized countries - among which Switzerland - have witnessed a drastic increase of life expectancy, and a decrease in the prevalence of dependency decreased among the elderly. While a substantial number of positive changes occurred, nothing ensures that similar trends are persisting. Indeed, new generations carrying their own their specificities will soon reach the age of re...
Revue medicale suisse, 2020
The Covid-19 pandemic has brought the concept of frailty back to the centre of debate, particular... more The Covid-19 pandemic has brought the concept of frailty back to the centre of debate, particularly for its relevance as a determinant of health outcomes. Frailty is concept that has long been a used gerontology. Today, several theoretical models of frailty are proposed in the literature, with as many tools to operationalize it. This article provides a brief outline of the three main models of frailty and the corresponding measurement instruments. The choice of the model as well as the choice of the assessment tool are discussed in the light of the clinical objectives pursued by health professionals. More generally, this article highlights the value of assessing frailty in routine practice to determine health outcomes and adapt care to individual needs.
With aging, bimanual movements are performed with increased cerebral activity in frontal and pari... more With aging, bimanual movements are performed with increased cerebral activity in frontal and parietal areas. In contrast, motor switching is poorly documented and is expected to engage increasing resources in the elderly. In this study, spontaneous electroencephalographic activity (EEG) was recorded while 39 young participants (YP) and 37 elderly (EP) performed motor transitions from unimanual tapping to symmetric bimanual tapping (= Activation), and opposite (= Inhibition). We measured the delay of switching using the mean and standard deviation of transition time (meanTT and sdTT). Task-related power (TRPow) in alpha frequency band (8-12Hz) was used to measure electro-cortical changes, negative values corresponding to increased cerebral activity. A balance index (BI) was computed between frontal and parietal regions, values non-significantly different from "zero" representing a comparable level of cerebral activity in these regions. The results reveal higher sdTT 1) in E...
Alliés indispensables des professionnels de la santé, les proches aidant∙e∙s représentent une res... more Alliés indispensables des professionnels de la santé, les proches aidant∙e∙s représentent une ressource extrêmement précieuse pour assurer des soins de qualité. Considérant le nombre restreint de professionnels pour répondre à l’augmentation de la demande de soins et de soutien auprès de la population, le domaine Santé de la Haute Ecole Spécialisée de Suisse Occidentale (HES-SO) a mené durant quatre ans un programme de recherche « Pénurie de main-d’œuvre qualifiée dans les professions de la santé : place, intégration et soutien des proches aidants » (PePA). Cet ouvrage présente les résultats de ce programme. Les différentes études y soulignent le rôle crucial qu’occupent les proches aidant∙e·s et documentent leur situation de vie et leurs besoins. Illustrant l’engagement de la HES-SO en faveur de la reconnaissance de la valeur stratégique des proches aidant∙e∙s pour faire face aux défis à venir, ce livre présente des pistes pour les intégrer dans les soins formels et différentes mes...
Recherche en soins infirmiers, 2020
While complexity theory has gradually influenced the field of health and social sciences, it has ... more While complexity theory has gradually influenced the field of health and social sciences, it has also had an impact on nursing care by introducing a wealth of terminology into the field. The terms "complex patient," "complex case," "complex care," "complex practice," and "complex needs" have been proposed to describe different aspects of complexity in nursing care. As these qualifiers reflect, nurses become actors in multidefined care and must integrate complexity into their reflective practice. By way of a narrative literature review, this article aims to offer a new perspective on nursing by explaining the different terms used in the discipline, using a multi-level approach. At the end of this review, the authors propose a new integrative conceptual framework for complexity in nursing practice.
Gérontologie et société, 2017
Le vieillissement demographique observe dans les pays industrialises amene les acteurs de la sant... more Le vieillissement demographique observe dans les pays industrialises amene les acteurs de la sante a revoir et adapter les modeles de soins en agissant en amont des situations de dependance des personnes âgees. Cet article discute des potentiels et des limites du « Resident Assesment Instrument – Home Care » (RAI-HC), un instrument utilise en routine clinique par les infirmieres des soins a domicile. Le RAI-HC permet d’evaluer l’etat de sante global des beneficiaires et d’etablir des objectifs individualises de prise en charge. La qualite et la nature des informations ainsi collectees sont suffisamment riches pour permettre le developpement d’indicateurs et de scores refletant des concepts utilises dans le domaine de la gerontologie (fragilite, comorbidites, complexite). Neanmoins, pour repondre pleinement aux enjeux de prevention de la dependance, l’utilisation du RAI-HC necessite d’etre completee par le recours a des instruments cliniques specifiques aux domaines de sante evalues et accompagnee de formations adaptees. Ce point est illustre par deux situations domiciliaires : le reperage de la denutrition et celui des troubles cognitifs.
Recherche en soins infirmiers, 2018
Distribution électronique Cairn.info pour Association de recherche en soins infirmiers (ARSI). © ... more Distribution électronique Cairn.info pour Association de recherche en soins infirmiers (ARSI). © Association de recherche en soins infirmiers (ARSI). Tous droits réservés pour tous pays. La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.
Recherche en soins infirmiers, 2019
Introduction: The increasingly frequent mention of complexity by different health care actors cha... more Introduction: The increasingly frequent mention of complexity by different health care actors challenges the measurement of this construct. The COMID, a tool that helps home nurses to identify complex situations, provides a multidimensional and operational definition of complexity. Context: While an acceptability study showed that nurses took a keen interest in the COMID, its psychometric properties have not yet been examined. Objective: This article reports on two studies testing the reliability of the scale. Method: Study 1 focuses on 5,401 COMIDs completed by home care nurses in their usual practice. The internal consistency was estimated using Cronbach's alpha. Study 2 focuses on 38 COMIDs, completed by home care nurses (rater group 1) and specialized nurses (rater group 2). Inter-rater agreement was examined using an intraclass correlation coefficient (ICC). Results: The COMID has an acceptable internal consistency α = 0.797 and an excellent inter-rater agreement ICC = 0.839. Discussion: The metrological properties of the COMID will need to be complemented by an analysis of its validity. Conclusion: The COMID has good measurement accuracy and therefore has good potential for identifying complexity in nursing practice.
European Spine Journal, 2017
Purpose The present study aims at investigating the effects of low back pain (LBP), i.e., type of... more Purpose The present study aims at investigating the effects of low back pain (LBP), i.e., type of symptoms, activity limitations, frequency, duration, and severity on health-related quality of life (HRQoL) in a sample of 707 community-dwelling men and women aged ≥ 65 years living in Switzerland. Methods The study is part of a larger survey conducted in Switzerland on a sample of older adults selected randomly from population records, stratified by age and sex. The Standardized Back Pain Definition was used to investigate LBP, and HRQoL was assessed by means of the EQ-5D, including Health Utility Index (HUI) measures. Results For more than half of the sufferers, pain was chronic, occurred most days or every day and induced activity limitations. One-third of the sufferers reported sciatica symptoms. Individuals reporting every day pain, severe pain and more than 3 years since the last episode without pain lost nearly 10 points of HRQoL. Amongst the dimension of HRQoL, Mobility was the most affected by LBP. Conclusions These results provide further insight into the impact of qualitative aspects of LBP and in particular the importance of radiating leg pain and pain frequency and duration. While LBP-related activity limitations had little impact on both self-rated overall health and HUI, radiating leg pain and pain frequency and duration were associated with significantly decreased scores on both dimensions.
European Geriatric Medicine, 2018
Purpose Regarding the epidemiology of pain in older adults, data are lacking about the associatio... more Purpose Regarding the epidemiology of pain in older adults, data are lacking about the association between pain severity and its impact on health-related quality of life (HRQoL). This study was aimed to investigate pain prevalence and sites, selfreported interferences with daily life activities, and the effect of pain severity on HRQoL in a Swiss community-dwelling population aged ≥ 65 years. Methods This is a cross-sectional survey conducted with a national sample of individuals randomly selected from population records, stratified by age and gender. Respondents answered a face-face interview addressing pain location, intensity and interferences, and quality-of-life variables. Logit regression models were applied for binary outcomes, linear regression for continuous outcomes, and Poisson regression for count outcomes. For each analysis, Wald Chi square and 95% confidence intervals were used. Results Among the 2995 individuals considered, 36.4% reported pain. The results indicate that pain prevalence and intensity increased from age 80 onwards. Pain intensity was strongly associated with functional health, i.e., all scales involving physical activities were affected in individuals reporting severe pain; it was also associated with the individuals' perception of their overall HRQoL. Conclusion Our results point to the importance of devoting attention to pain intensity rather than to the number of pain sites. Because of the demographic transition, the management of pain problems should emphasize early referral and timely treatment to prevent the burden of disease and functional loss associated with pain intensity.
Journal of Family Issues, 2017
This study explores the interrelationships between health-related quality of life and conflict st... more This study explores the interrelationships between health-related quality of life and conflict structures in family networks of older adults. Data were derived from a sample of 2,858 elders (aged 65 years and older) from the Vivre/Leben/ Vivere study, a large survey addressing family life and health conditions of older people in Switzerland. Conflict density in family networks and the betweenness centrality of respondents in family conflict are significantly associated with health-related quality of life measures. Furthermore, the results demonstrate that conflict-health associations are mediated by the level of perceived individual stress where psychological health is concerned. Family conflict structures depend to a large extent on family composition and age. This study stresses the importance of older adults actively shaping the composition of their family contexts in ways that promote both conflict and stress avoidance.