{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:24:55Z","timestamp":1779287095449,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T00:00:00Z","timestamp":1607817600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Sedative\u2010use disorder can occur in elderly individuals, but remains a taboo subject. France is the second top\u2010consuming country of benzodiazepines (BZDs) and Z drugs in Europe, with 38% of women &gt;80\u00a0years old using these drugs. Despite the recommendations of the French National Authority for Health (HAS) to general practitioners, deprescription remains rare. The aim of this study was to understand the perception of healthcare providers towards BZD or Z drug withdrawal within a psychogeriatric unit and to provide insights from advanced practice nurses (APRNs) on this topic. Eight healthcare providers from different professions in a psychogeriatric unit were interviewed. The interviews were recorded and transcribed verbatim, and the data were analysed following the interpretive phenomenological approach. The COREQ statement was used as a guide in the reporting of the study. Four themes were identified in the interview transcripts: (i) problems specific to the elderly; (ii) problems specific to BZD or Z drug consumption; (iii) present care; and (iv) envisioned practice. While the healthcare providers interviewed appeared to have knowledge on the adverse effects of BZDs, it appears difficult to taper the use of BZDs outside crisis periods of behaviour disorders in elderly patients. Caregivers recommend an evolution of practices, such as introducing BDZ and Z drug withdrawal programs that could involve the emerging profession of APRNs in general practice in France. APRNs could be a valuable resource to screen for BZD\u2010related disorders and to manage withdrawal strategies in complex cases.<\/jats:p>","DOI":"10.1111\/inm.12831","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T04:46:30Z","timestamp":1607921190000},"page":"653-666","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Benzodiazepine and Z drug cessation in elderly patients: A qualitative study on the perception of healthcare providers and the place of advanced practice nurses"],"prefix":"10.1111","volume":"30","author":[{"given":"Camille","family":"Lefebvre\u2010Durel","sequence":"first","affiliation":[{"name":"D\u00e9partement de Psychiatrie et de M\u00e9decine Addictologique H\u00f4pital Fernand Widal Assistance Publique \u2010 H\u00f4pitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Bailly","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychiatrie et de M\u00e9decine Addictologique H\u00f4pital Fernand Widal Assistance Publique \u2010 H\u00f4pitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Hunault","sequence":"additional","affiliation":[{"name":"Public Health Student Universit\u00e9 de Paris \u2013 EHESP Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ljiljana","family":"Jovic","sequence":"additional","affiliation":[{"name":"ECEVE UMR 1123 Inserm Directrice des soins\u2010Conseill\u00e8re technique r\u00e9gionale ARS Ile\u2010de\u2010France Universit\u00e9 de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martine","family":"Novic","sequence":"additional","affiliation":[{"name":"Directrice des soins Universit\u00e9 de Paris Paris France"},{"name":"Directrice adjointe du D\u00e9partement Universitaire des Sciences Infirmi\u00e8res et R\u00e9\u00e9ducation Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Vorspan","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychiatrie et de M\u00e9decine Addictologique H\u00f4pital Fernand Widal Assistance Publique \u2010 H\u00f4pitaux de Paris Paris France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 de Paris et INSERM UMRS 1144 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Bellivier","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychiatrie et de M\u00e9decine Addictologique Centres Experts Bipolaire et Paris France"},{"name":"D\u00e9pression R\u00e9sistante H\u00f4pital Fernand WIDAL INSERM UMR\u2010S1144 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Drunat","sequence":"additional","affiliation":[{"name":"Department of Psycho\u2010Geriatrics Bretonneau Hospital Assistance Publique\u2010H\u00f4pitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0764-4370","authenticated-orcid":false,"given":"S\u00e9bastien","family":"Kerever","sequence":"additional","affiliation":[{"name":"Departments of Anesthesiology and Critical Care Lariboisi\u00e8re University Hospital AP\u2010HP Universit\u00e9 de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/NUR.0000000000000098"},{"key":"e_1_2_8_3_1","unstructured":"Arr\u00eat des BZD \u2010 Echelle ECAB \u2010 arret_des_bzd_\u2010_echelle_ecab.pdf (no date). 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