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Sabbe K, van der Mast R, Dilles T, Van Rompaey B. Validation of the Delirium Observation Screening Scale in long-term care facilities in Flanders. Geriatr Gerontol Int 2024. [PMID: 38624223 DOI: 10.1111/ggi.14878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 02/22/2024] [Accepted: 04/01/2024] [Indexed: 04/17/2024]
Abstract
AIM The aim of this study was to validate the Delirium Observation Screening Scale (DOSS) in a population of long-term care facility (LTCF) residents in Flanders. Currently there is no validated screening tool for delirium available for the population in this setting in Flanders. METHODS A multisite, cross-sectional study was conducted in six LTCFs. A total of 338 residents aged 65 years and older were included. Sociodemographic and clinical data, including data from the Montreal Cognitive Assessment (MoCA), Confusion Assessment Method (CAM) and DOSS, were obtained by three trained nurse researchers. For the DOSS, internal consistency was determined, and inter-rater reliability was calculated. To validate the DOSS, the sensitivity, specificity, and positive and negative predictive value of the DOSS relative to the CAM were determined through receiver operating characteristic analysis. This article adheres to the Strengthening the Reporting of Observational Studies (STROBE) checklist for observational research. RESULTS For 338 residents, delirium assessments were completed during an early or late shift. The prevalence of delirium was 14.2% as measured with the DOSS. The reliability (α) for the CAM and DOSS was assessed, as was the inter-rater reliability (κ) and the area under the curve. The sensitivity and specificity for a cut-off value of 3 on the DOSS by Youden's index were very high, as was the negative predictive value. The positive predictive value was good. CONCLUSIONS This study showed that the DOSS is a reliable and valid instrument to screen for delirium in LTCF residents in Flanders. Geriatr Gerontol Int 2024; ••: ••-••.
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Affiliation(s)
- Kelly Sabbe
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium
- Health Service Research, Belgian Health Care Knowledge Centre (KCE), Brussels, Belgium
| | - Roos van der Mast
- Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp, Antwerp, Belgium
- Leiden University Medical Centre, University of Leiden, Leiden, The Netherlands
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Department of Family Medicine and Population Health (FAMPOP), University of Antwerp, Antwerp, Belgium
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Loots E, Dilles T, Van Rompaey B, Morrens M. Attitudes of patients with schizophrenia spectrum or bipolar disorders towards medication self-management during hospitalisation. J Clin Nurs 2024; 33:1459-1469. [PMID: 38041238 DOI: 10.1111/jocn.16936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 09/06/2023] [Accepted: 10/30/2023] [Indexed: 12/03/2023]
Abstract
BACKGROUND Medication self-management (MSM) is defined as a person's ability to cope with medication treatment for a chronic condition, along with the associated physical and psychosocial effects that the medication causes in their daily lives. For many patients, it is important to be able to self-manage their medication successfully, as they will often be expected to do after discharge. AIM The aim of this study was to describe the willingness and attitudes of patients with schizophrenia spectrum or bipolar disorders regarding MSM during hospital admission. A secondary aim was to identify various factors associated with patient willingness to participate in MSM and to describe their assumptions concerning needs and necessary conditions, as well as their attitudes towards their medication. METHODS A multicentre, quantitative cross-sectional observational design was used to study the willingness and attitudes of psychiatric patients regarding MSM during hospitalisation. The study adhered to guidelines for Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). RESULTS In this study, 84 patients, of which 43 were patients with schizophrenia spectrum disorders and 41 were patients with bipolar disorders, participated. A majority of the patients (81%) were willing to participate in MSM during their hospitalisation. Analysis revealed patients are more willing to MSM if they are younger (r = -.417, p < .001) and a decreasing number of medicines (r = -.373, p = .003). Patients' willingness was positively associated with the extent of support by significant others during and after hospitalisation (Pearson's r = .298, p = .011). Patients were convinced that they would take their medication more correctly if MSM were to be allowed during hospitalisation (65%). CONCLUSION Most of the patients were willing to self-manage their medication during hospitalisation, however, under specific conditions such as being motivated to take their medication correctly and to understand the benefits of their medication. RELEVANCE TO CLINICAL PRACTICE From a policy point of view, our study provided useful insights into how patients look at MSM to enable the development of future strategies. Since patients are willing to self-manage their medication during hospitalisation, this may facilitate its implementation. PATIENT CONTRIBUTION Patients were recruited for this study. Participation was voluntary, and signed informed consent was obtained from all participants prior to the questionnaire.
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Affiliation(s)
- Elke Loots
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium
| | - Manuel Morrens
- Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute, University Department of Psychiatry, University of Antwerp, Antwerp, Belgium
- University Psychiatric Centre Duffel, Duffel, Belgium
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De Baetselier E, Dijkstra NE, Batalha LM, Carvalho Ferreira PA, Filov I, Grøndahl VA, Heczkova J, Helgesen AK, Jordan S, Karnjuš I, Kolovos P, Langer G, Lillo-Crespo M, Malara A, Padyšaková H, Prosen M, Pusztai D, Raposa B, Riquelme-Galindo J, Rottková J, Sino CGM, Talarico F, Tingle N, Tziaferi S, Van Rompaey B, Dilles T. Cross-sectional evaluation of pharmaceutical care competences in nurse education: how well do curricula prepare students of different educational levels? BMC Nurs 2024; 23:96. [PMID: 38321491 PMCID: PMC10845807 DOI: 10.1186/s12912-023-01646-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 12/09/2023] [Indexed: 02/08/2024] Open
Abstract
BACKGROUND Nurses play an important role in interprofessional pharmaceutical care. Curricula related to pharmaceutical care, however, vary a lot. Mapping the presence of pharmaceutical care related domains and competences in nurse educational programs can lead to a better understanding of the extent to which curricula fit expectations of the labour market. The aim of this study was to describe 1) the presence of pharmaceutical care oriented content in nursing curricula at different educational levels and 2) nursing students' perceived readiness to provide nurse pharmaceutical care in practice. METHODS A quantitative cross-sectional survey design was used. Nursing schools in 14 European countries offering educational programs for levels 4-7 students were approached between January and April 2021. Through an online survey final year students had to indicate to what extent pharmaceutical care topics were present in their curriculum. RESULTS A total of 1807 students participated, of whom 8% had level 4-5, 80% level 6, 12% level 7. Up to 84% of the students indicated that pharmaceutical care content was insufficiently addressed in their curriculum. On average 14% [range 0-30] felt sufficiently prepared to achieve the required pharmaceutical care competences in practice. In level 5 curricula more pharmaceutical care domains were absent compared with other levels. CONCLUSIONS Although several pharmaceutical care related courses are present in current curricula of level 4-7 nurses, its embedding should be extended. Too many students perceive an insufficient preparation to achieve pharmaceutical care competences required in practice. Existing gaps in pharmaceutical care should be addressed to offer more thoroughly prepared nurses to the labour market.
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Affiliation(s)
- Elyne De Baetselier
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
| | - Nienke E Dijkstra
- University of Applied Sciences Utrecht, Research Group Care for the Chronically Ill, Utrecht, Netherlands
| | - Luis M Batalha
- Higher School of Nursing of Coimbra, Health Sciences Research Unit: Nursing, Coimbra, Portugal
| | | | - Izabela Filov
- University "St.Kliment Ohridski", Bitola, Republic of North Macedonia
| | - Vigdis A Grøndahl
- Østfold University College, Faculty of Health and Welfare, Halden, Norway
| | - Jana Heczkova
- Institute of Nursing Theory and Practice, First Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Ann K Helgesen
- Østfold University College, Faculty of Health and Welfare, Halden, Norway
| | - Sue Jordan
- Department of Nursing, Swansea University, Swansea, Wales, UK
| | - Igor Karnjuš
- Department of Nursing, Faculty of Health Sciences, University of Primorska, Izola, Slovenia
| | - Petros Kolovos
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece
| | - Gero Langer
- Medical Faculty, Institute of Health and Nursing Sciences, Martin-Luther-Universitat Halle-Wittenberg, Halle (Saale), Germany
| | | | | | - Hana Padyšaková
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia
| | - Mirko Prosen
- Department of Nursing, Faculty of Health Sciences, University of Primorska, Izola, Slovenia
| | - Dorina Pusztai
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, University of Pecs Faculty of Health Sciences, Pecs, Hungary
| | - Bence Raposa
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, University of Pecs Faculty of Health Sciences, Pecs, Hungary
| | | | - Jana Rottková
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia
| | - Carolien G M Sino
- University of Applied Sciences Utrecht, Research Group Care for the Chronically Ill, Utrecht, Netherlands
| | | | - Nicola Tingle
- Department of Nursing, Swansea University, Swansea, Wales, UK
| | - Styliani Tziaferi
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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Sabbe K, Van Der Mast R, Van Rompaey B. Delirium in Home Care: A Case Report. Cureus 2023; 15:e47094. [PMID: 38021756 PMCID: PMC10646439 DOI: 10.7759/cureus.47094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2023] [Indexed: 12/01/2023] Open
Abstract
Delirium is a challenging medical problem, particularly in the home care setting, and greatly affects both patients and family caregivers. When delirium is not immediately detected and effectively managed, various outcomes are adversely affected. This report describes delirium in an older home-bound man and offers strategies for detecting and managing delirium in a home care setting. The patient is a frail 86-year-old man with multiple medical comorbidities and functional decline after bronchitis that was diagnosed by a general practitioner. Following the diagnosis and subsequent treatment of bronchitis, the patient suffered a major decline in cognitive and physical functioning during normal daily activities. Medical screening revealed confusion, apathy, and extreme fatigue. Using the assessment tool of the Functional Independence Measures and Delirium Observation Screening Scale (DOSS), the presence of functional decline and delirious symptoms were found. Through multidisciplinary collaboration, a treatment plan was initiated. It consisted of hydration following a fixed schedule, adapted nutrition, a temporary adapted medication schedule for pre-diabetes, and an exercise plan. No specific pharmaceuticals were given. The patient made a full recovery over time. All professional and informal caregivers should be aware of the potential presence of delirium when an older patient with a deteriorating physical or mental condition presents itself. Good diagnostics for delirium and possible underlying diseases are necessary. Adequate treatment, with the help of paramedics such as dieticians, physiotherapists, etc. must be provided when necessary.
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Affiliation(s)
- Kelly Sabbe
- Medicine and Health Sciences, University of Antwerp, Antwerp, BEL
| | - Roos Van Der Mast
- Psychiatry and Behavioral Sciences, University of Leiden, Leiden, NLD
| | - Bart Van Rompaey
- Family Medicine and Population Health, University of Antwerp, Antwerp, BEL
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Van den Branden L, Van de Craen N, Van Leugenhaege L, Bleijenbergh R, Mestdagh E, Timmermans O, Van Rompaey B, Kuipers YJ. On cloud nine? Maternal emotional wellbeing six weeks up to one year postpartum - A cross-sectional study. Sex Reprod Healthc 2023; 36:100856. [PMID: 37229926 DOI: 10.1016/j.srhc.2023.100856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 03/31/2023] [Accepted: 05/02/2023] [Indexed: 05/27/2023]
Abstract
BACKGROUND Little is known about the full scope of emotional wellbeing of mothers up to one year postpartum, to adequately support women during transition to motherhood. Reduced emotional wellbeing (REW) affects women's adaption to the changes and challenges in becoming a mother. We aimed to increase the knowledge and understanding of mothers' emotional wellbeing and the influencing factors. METHODS This cross-sectional study includes 385 Flemish mothers up to one year postpartum. Online data were collected with the General Health Questionnaire-12, Postpartum Bonding Questionnaire, Personal Well-Being Index-Adult, The Basic Psychological Needs Scale, Sense of Coherence-13 and Coping Operations Preference Enquiry. RESULTS A total of 63.9% of the participants reported REW. Mothers with REW more often had (a history of) psychological problems compared to mothers with healthy emotional wellbeing (p = 0.007). Multiple linear regression analysis showed negative associations between emotional wellbeing and satisfaction (p = 0.002; p < 0.001), comprehensibility (p = 0.013) and positive associations between emotional wellbeing and bonding (p < 0.001), manageability (p = 0.033), problem solving (p = 0.030) and avoidance (p = 0,011) - with an explained variance of 55.5%. LIMITATIONS Some limitations of our study are the GHQ-12 cut-off value, the nature and implication of (a history of) psychological problems and the self-selected population. CONCLUSION It would be of worth for midwives to discuss with mothers (to be) what to expect. This - to support mothers in making sense of their life as a mother and how various factors might influence their emotional wellbeing. The high prevalence of REW is worrying, but needs to be interpreted with caution.
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Affiliation(s)
- Laura Van den Branden
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium.
| | - Natacha Van de Craen
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium
| | - Luka Van Leugenhaege
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Roxanne Bleijenbergh
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Eveline Mestdagh
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Olaf Timmermans
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Professorship Healthy Region, HZ University of Applied Sciences, Edisonweg 4, 4382 NW Vlissingen, the Netherlands
| | - Bart Van Rompaey
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Yvonne J Kuipers
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Edinburgh Napier University, School of Health & Social Care, Sighthill Court, Edinburgh EH11 4BN, Scotland, UK
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Dankoly US, Vissers D, El Mostafa SB, Ziyyat A, Van Rompaey B, Van Royen P, Maamri A. Perceived barriers, benefits, facilitators, and attitudes of health professionals towards type 2 diabetes management in Oujda, Morocco: a qualitative focus group study. Int J Equity Health 2023; 22:29. [PMID: 36750841 PMCID: PMC9903508 DOI: 10.1186/s12939-023-01826-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 01/05/2023] [Indexed: 02/09/2023] Open
Abstract
BACKGROUND In Morocco, the treatment of type 2 diabetes (T2D) is mainly focused on medication and only 2% of patients are coached towards a healthier lifestyle. In Oujda, Eastern Morocco the prevalence of T2D is 10.2%, and the current trend is alarming, especially for women. Therefore, the aim of this study is to explore healthcare professionals (HCP) views on the perceived barriers and benefits of an integrated care approach in primary healthcare centers (PHCCs) to T2D management in Oujda. METHODS A qualitative descriptive study using focus groups in 8 PHCCs. This resulted in a sample of 5 doctors and 25 nurses caring for diabetes patients. The transcripts of all conversations were coded to allow for thematic analysis. RESULTS The participants mentioned different barriers to an integrated approach to DM management:: excessive workload; poor reimbursement policy; lack of staff and equipment; interrupted drug supply; poor working environment; limited referral; gap in the knowledge of general practitioners; health beliefs; poverty; advanced age; gender; the use of psychotropic drugs. An integrated approach could be facilitated by simplified electronic records and referrals; uninterrupted free care; staff recruitment; continuous professional development; internships. BENEFITS structured care; promotion of care in PHCCs; empowerment of self-management. CONCLUSION HCP views reflect the urge to strengthen the management of T2D in PHCCs. There is a need for HCP with expertise in physical activity and nutrition to solve the current gap in the multidisciplinary integrated care approach. The specific local context in this Eastern Moroccan region, with limited resources and remote hard-to-reach rural areas, can contribute to patients' reluctance to change their lifestyles, and is a challenge to provide care in an efficient and sustainable manner. More research is needed to see how a patient-centered multidisciplinary approach to T2D management can help motivate patients in Morocco to change to a healthier lifestyle.
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Affiliation(s)
- Usman Sani Dankoly
- grid.5284.b0000 0001 0790 3681Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Dirk Vissers
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium. .,Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Campus Drie Eiken, Universiteitsplein 1, 2610, Wilrijk, Belgium.
| | - Souad Ben El Mostafa
- grid.410890.40000 0004 1772 8348Faculty of Sciences, University Mohammed Premier, Oujda, Morocco
| | - Abderrahim Ziyyat
- grid.410890.40000 0004 1772 8348Faculty of Sciences, University Mohammed Premier, Oujda, Morocco
| | - Bart Van Rompaey
- grid.5284.b0000 0001 0790 3681Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Paul Van Royen
- grid.5284.b0000 0001 0790 3681Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Abdellatif Maamri
- grid.410890.40000 0004 1772 8348Faculty of Sciences, University Mohammed Premier, Oujda, Morocco
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Bleijenbergh R, Mestdagh E, Timmermans O, Van Rompaey B, Kuipers YJ. Digital adaptability competency for healthcare professionals: a modified explorative e-Delphi study. Nurse Educ Pract 2023; 67:103563. [PMID: 36758264 DOI: 10.1016/j.nepr.2023.103563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 01/05/2023] [Accepted: 01/14/2023] [Indexed: 02/01/2023]
Abstract
AIM To establish items of the digital adaptability competency for healthcare professionals. BACKGROUND While the application and deployment of eHealth has continued at a rapid pace, healthcare professionals are expected to keep up and join the digital evolution. The implementation of eHealth requires a change in the healthcare professionals' competencies of which the ability to adapt to technological change is fundamental. There's more needed than just ICT skills, overall competencies to be digitally adaptable between patientcare and the use of eHealth are needed. Today, a distinct and relevant list of items for healthcare professionals related to the competency of digital adaptability is missing. DESIGN An exploratory modified e-Delphi study. METHODS This study was conducted in Flanders, Belgium. An expert group (n = 12) consisting of 2 policymakers of the Belgian federal government, 3 eHealth managers of large organizations in the Belgian healthcare sector, 1 nurse, 1 midwife, 2 health service users and 3 researchers specialized in eHealth research. Through a literature review an initial list of items was developed, consisting of 67 statements. A two-round Delphi survey was performed where experts could rate the relevance of each item. The third round comprised an online meeting, where the expert group discussed the remaining items until agreement was reached to retain, modify, or eliminate the item. RESULTS In round 1, eleven items were included to the final document. In round 2, ten items were included. In round 3, the panel unanimously agreed to add six items, one item was modified into two separate items. In total, 29 items were included in the final document. CONCLUSIONS The rather abstract concept of digital adaptability is now transformed into a more pragmatic concept of 29 items, reflecting the practical competencies of healthcare professionals necessary to be digital adaptable.
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Affiliation(s)
- Roxanne Bleijenbergh
- School of Health and Social Care, AP University of Applied Sciences, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
| | - Eveline Mestdagh
- School of Health and Social Care, AP University of Applied Sciences, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
| | - Olaf Timmermans
- Centre for Research and Innovation in Care, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; Research Group Healthy Region, HZ University of Applied Sciences, Edisonweg 4, 4382 NW Vlissingen, The Netherlands.
| | - Bart Van Rompaey
- Family Medicine and Population Health, University of Antwerp, Fort VI straat 226 -262, 2610 Antwerp, Belgium.
| | - Yvonne J Kuipers
- School of Health and Social Care, AP University of Applied Sciences, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; Edinburgh Napier University, School of Health and Social Care, Edinburgh, Scotland, UK.
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Sabbe K, Aerts N, van der Mast R, Van Rompaey B. Certified Nursing Assistants' Perspectives on Delirium Care. J Gerontol Nurs 2023; 49:43-51. [PMID: 36719657 DOI: 10.3928/00989134-20230106-07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The current descriptive qualitative study provides an in-depth understanding of the perspectives of certified nursing assistants (CNAs, N = 7) regarding delirium. Data were collected through interviews with seven CNAs working in a long-term care facility. Five themes emerged: Knowledge About Delirium, Caring for Residents With Delirium, Delirium Education, Psychological Burden, and Quality of Care. CNAs' care of residents with delirium was based on prior experiences and gut feelings, indicating a high need for delirium training. [Journal of Gerontological Nursing, 49(2), 43-51.].
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Loots E, Dilles T, Hadouchi S, Van Rompaey B, Morrens M. The attitude of healthcare providers towards medication self-management in hospitalized patients diagnosed with schizophrenia or bipolar disorders. J Psychiatr Ment Health Nurs 2023. [PMID: 36691725 DOI: 10.1111/jpm.12903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 01/05/2023] [Accepted: 01/11/2023] [Indexed: 01/25/2023]
Abstract
BACKGROUND Medication self-management (MSM) is considered an important aspect of pharmacotherapy and plays an essential role in the treatment of various illnesses. To date, research into the willingness and attitude of psychiatric healthcare providers toward MSM in patients diagnosed with schizophrenia or bipolar disorders during hospitalization is lacking. AIM The aim of this study was to identify healthcare providers' willingness to MSM and assess their attitude, conditions, benefits, and ability toward it during hospitalization. METHODS A multicenter, quantitative cross-sectional observational design was used to study psychiatric healthcare providers' attitude to MSM during hospitalization in patients diagnosed with schizophrenia or bipolar disorders. RESULTS In this study, 173 healthcare providers, of which 147 were nurses and 26 psychiatrists, participated. During hospitalization, 86% of the healthcare providers were willing to MSM. Regularly evaluating patients' ability regarding MSM during hospitalization was seen as an important condition (94%). Psychiatrists were significantly less convinced that MSM during hospitalization has a positive impact on adherence when compared to nurses (respectively 54% vs. 77%, p = .009). DISCUSSION Most healthcare providers indicated that they were willing to MSM in patients diagnosed with schizophrenia or bipolar disorders during hospitalization under specific conditions.
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Affiliation(s)
- Elke Loots
- Faculty of Medicine and Health Sciences, Centre For Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, Centre For Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium
| | - Sarah Hadouchi
- Faculty of Medicine and Health Sciences, Centre For Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium
| | - Manuel Morrens
- Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute, University Department of Psychiatry, University of Antwerp, Antwerp, Belgium.,University Psychiatric Centre Duffel, Duffel, Belgium
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Luecha T, Van Rompaey B, Peremans L. From abstainer to current drinker: a qualitative investigation of the process of alcohol use initiation among early adolescents in Thailand. J Ethn Subst Abuse 2023; 22:106-120. [PMID: 33752577 DOI: 10.1080/15332640.2021.1897050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Background: Recent evidence shows that young people started their first alcohol initiation when they were early adolescents (10-14 years of age), while there is still very little scientific understanding concerning the process of alcohol use of this age group. This study examined how adolescents in Thailand emerge to become drinkers. Method: The semi-structured interview with 10-14-year-olds (n = 61) in Chonburi, province of Thailand. Data were collected, and analysis followed the method of content analysis. Results: Our analyzes revealed three steps of alcohol initiation among early adolescents: (a) the pre-stage; (b) the initiation; and (c) the self-adjustment stage. Parent, peer, and the taste of alcohol were noteworthy as the factors that promote young people to accept alcohol sipping and consumption as part of their life. Nevertheless, law, social norms, culture, parents, and health consequences discouraged young people from emerging alcohol initiation. Conclusion: The preliminary evidence from this study recommends the interventions that address both individual-level and interpersonal circumstances as potentially being effective solutions to the provision of precautionary measures against underage alcohol use.
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Affiliation(s)
- Trakulwong Luecha
- Community Nursing Group, Faculty of Nursing, Burapha University, Thailand.,Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium
| | - Bart Van Rompaey
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium
| | - Lieve Peremans
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium.,Department of Primary and Interdisciplinary care, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium.,Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel, Belgium
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11
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De Baetselier E, Dijkstra NE, Batalha LM, Ferreira PAC, Filov I, Grøndahl VA, Heczkova J, Helgesen AK, Hirdle J, Jordan S, Kolovos P, Langer G, Ličen S, Lillo-Crespo M, Malara A, Padyšáková H, Prosen M, Pusztai D, Raposa B, Riquelme-Galindo J, Rottková J, Sino CG, Talarico F, Tziaferi S, Van Rompaey B, Dilles T. Nurse students’ competences in interprofessional pharmaceutical care in Europe: Cross-sectional evaluation. Nurse Educ Pract 2022; 65:103485. [DOI: 10.1016/j.nepr.2022.103485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 10/12/2022] [Accepted: 10/24/2022] [Indexed: 11/09/2022]
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12
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Loots E, Leys J, Proost S, Morrens M, Glazemakers I, Dilles T, Van Rompaey B. Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers. Int J Environ Res Public Health 2022; 19:ijerph19084835. [PMID: 35457700 PMCID: PMC9027742 DOI: 10.3390/ijerph19084835] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 04/05/2022] [Accepted: 04/12/2022] [Indexed: 01/05/2023]
Abstract
Aim(s): The aim of the study was to explore perspectives of hospitalised patients with schizophrenia or a bipolar disorder and their healthcare providers on medication self-management. Methods: In a qualitative descriptive design, semi-structured interviews were used. Forty-nine interviews were completed (nurses n = 18; psychiatrists n = 3; hospital pharmacists n = 2; patients n = 26). Data analysis was iterative using an inductive and thematic approach. Results: From the thematic analysis of the interviews, three main themes emerged: monitoring and shared decision-making, relationship based on trust, and patient satisfaction and rehabilitation; as well as three sub-themes: available tools, patient readiness, and safety. Regular monitoring and follow-ups were considered conditions for medication self-management. All stakeholders considered that the patient, the nursing staff, and the psychiatrist should all be involved in the process of medication self-management. All healthcare providers emphasized the importance of regular re-evaluations of the patient and were worried about medication errors and misuse. Most patients considered medication self-management during hospitalisation to increase their confidence, self-reliance, and satisfaction. Many participants thought it would make a positive contribution to the recovery process. Discussion: All stakeholders were positive towards medication self-management under specific conditions. According to the participants, medication self-management offered many benefits, including the implementation of more structure for the patient, an ameliorated preparatory phase towards discharge, and an actual improvement of future adherence. All participants considered medication self-management to contribute to more profound medication knowledge and an overall improvement of their health literacy. Implications and future perspectives: These findings will be used to develop a medication self-management tool in hospitalised patients with schizophrenia or bipolar disorders.
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Affiliation(s)
- Elke Loots
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (J.L.); (S.P.); (T.D.); (B.V.R.)
- Correspondence:
| | - Josée Leys
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (J.L.); (S.P.); (T.D.); (B.V.R.)
| | - Shara Proost
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (J.L.); (S.P.); (T.D.); (B.V.R.)
| | - Manuel Morrens
- Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute, University Department of Psychiatry, University of Antwerp, 2610 Antwerp, Belgium;
| | - Inge Glazemakers
- Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute, University Centre for Child and Adolescent Psychiatry Antwerp (ZNA-UKJA), University of Antwerp, 2610 Antwerp, Belgium;
| | - Tinne Dilles
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (J.L.); (S.P.); (T.D.); (B.V.R.)
| | - Bart Van Rompaey
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (J.L.); (S.P.); (T.D.); (B.V.R.)
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13
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Lillo-Crespo M, Riquelme-Galindo J, De Baetselier E, Van Rompaey B, Dilles T. Understanding pharmaceutical care and nurse prescribing in Spain: A grounded theory approach through healthcare professionals’ views and expectations. PLoS One 2022; 17:e0260445. [PMID: 35073326 PMCID: PMC8786147 DOI: 10.1371/journal.pone.0260445] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 11/09/2021] [Indexed: 11/29/2022] Open
Abstract
Background Pharmaceutical care has been implemented and regulated differently across Europe with no consensus among countries in relation with professional competencies and especially on nurse prescribing. Demophac Project funded by the European Commission aims to develop a Pan-European Pharmaceutical Care Model with collaboration of 14 partner teams across Europe including Spain where nurse prescribing is starting its implementation at regional level. The aim of the study was to increase understanding of the role of nurses in Pharmaceutical care in Spain after the Nurse Prescribing Regulation approved in 2018 throughout exploring the views and expectations of health professionals involved in the representative settings. Methods and findings In depth interviews were conducted in a structure previously agreed by the European Demophac partnership around four topics associated with the Nursing ideal role in pharmaceutical care and the ideal interaction with other healthcare professionals. A grounded-theory approach based on Corbin & Strauss was conducted to interpret collected data from the Spanish most representative settings (primary care, specialized care and residential care for older population). Participants were health professionals involved in pharmaceutical care that accepted to participate (nurses (n = 7), physicians (n = 8) and pharmacists (n = 9)). A pharmaceutical care comprehensive model for the Spanish context considering the recently approved Nurse Prescribing role and the interprofessional collaboration and communication was developed towards facilitating the understanding in such context and the contribution to the unified European Demophac Framework. Conclusions Nurses are primarily responsible for population’s Pharmaceutical Care while other professionals pivot on them to provide quality healthcare on a multidisciplinary level. Nurse prescribing may contribute efficiently to the Spanish Health System though more consensus in terms of nurses’ training nationwide and enhancement in communication among different professionals within healthcare organizations is required to achieve adequate integrated care into practice.
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Affiliation(s)
- Manuel Lillo-Crespo
- Department of Nursing, Faculty of Health Sciences, University of Alicante, Alicante, Spain
| | - Jorge Riquelme-Galindo
- Department of Nursing, Faculty of Health Sciences, University of Alicante, Alicante, Spain
| | - Elyne De Baetselier
- Department of Nursing and Pharmaceutical Care, University of Antwerp, Antwerp, Belgium
| | - Bart Van Rompaey
- Department of Nursing and Pharmaceutical Care, University of Antwerp, Antwerp, Belgium
| | - Tinne Dilles
- Department of Nursing and Pharmaceutical Care, University of Antwerp, Antwerp, Belgium
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14
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Franck E, Goossens E, Haegdorens F, Geuens N, Portzky M, Tytens T, Dilles T, Beeckman K, Timmermans O, Slootmans S, Van Rompaey B, Van Bogaert P. Role of resilience in healthcare workers' distress and somatization during the COVID-19 pandemic: A cross-sectional study across Flanders, Belgium. Nurs Open 2021; 9:1181-1189. [PMID: 34918478 PMCID: PMC8859066 DOI: 10.1002/nop2.1159] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 09/26/2021] [Accepted: 11/16/2021] [Indexed: 11/11/2022] Open
Abstract
AIM To evaluate the impact and the possible role of psychological resilience in the COVID-19 pandemic outbreak on healthcare workers' mental and physical well-being in Belgium. DESIGN This cross-sectional, survey-based study enrolled 1376 healthcare workers across Belgium from 17 April 2020 to 24 April 2020. METHODS The study sample consisted of direct care workers (nurses and doctors), supporting staff and management staff members. The main outcomes are resilience, distress and somatization. RESULTS Higher educational level was associated with lower symptoms of distress and somatization. Physicians exhibited the lowest risk of experiencing heightened levels of distress and somatization. Controlling for confounding factors, higher levels of resilience were associated with a 12% reduced chance of increased distress levels and 5% lower chance of increased somatization levels. Our results suggest the potentially buffering role of mental resilience on those working on the frontline during the COVID-19 pandemic outbreak.
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Affiliation(s)
- Erik Franck
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium.,Nursing and Midwifery, Karel de Grote University College Antwerp, Antwerpen, Belgium
| | - Eva Goossens
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium.,Department of Public Health and Primary Care, University of Leuven - KU Leuven, Leuven, Belgium.,Department of Patient Care, Antwerp University Hospital - UZA, Antwerp, Belgium
| | - Filip Haegdorens
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium
| | - Nina Geuens
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium.,Nursing and Midwifery, Karel de Grote University College Antwerp, Antwerpen, Belgium
| | | | - Tinneke Tytens
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium
| | - Katrien Beeckman
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium.,Nursing and Midwifery Research Group, Vrije Universiteit Brussel, Brussel, Belgium
| | - Olaf Timmermans
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium.,HZ University of Applied Sciences, Research Group Healthy Region, Vlissingen, The Netherlands
| | - Stijn Slootmans
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium
| | - Peter Van Bogaert
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium
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15
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Van den Branden L, Van de Craen N, Van Leugenhaege L, Mestdagh E, Timmermans O, Van Rompaey B, Kuipers YJ. Flemish midwives' perspectives on supporting women during the transition to motherhood - A Q-methodology study. Midwifery 2021; 105:103213. [PMID: 34902679 DOI: 10.1016/j.midw.2021.103213] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 11/05/2021] [Accepted: 11/24/2021] [Indexed: 12/17/2022]
Abstract
OBJECTIVE In this study we aimed to reveal midwives' distinct perspectives about midwifery support of women in their transition process during the continuum from pregnancy to one-year postpartum. DESIGN A Q-methodology study, a mixed quantitative-qualitative approach, was conducted. Participants (P-set) rank-ordered 36 statements (Q-set) about how midwives provide support during the woman's transition to motherhood, followed by interviews to motivate their ranking. To extract the perspectives/factors on support during this transition process, centroid by-person factor analysis and varimax rotation was used. The transcripts of the interviews were interpreted per factor. SETTING Independent (self-employed) and employed, community and hospital-based practising midwives in Flanders, Belgium. PARTICIPANTS 83 practicing midwives participated, selected on: variation in practice setting, years of experience, views on the woman's domestic role in family life, and motherhood status. FINDINGS Two distinct perspectives (factors) on supporting women in transition to motherhood emerged. The job-focused midwife acts according to evidence, knowledge and guidelines and adheres to the scope and tasks within the professional profile (Factor 1). The woman-focused midwife acts within a relationship of trust emphasizing the one-on-one connection while supporting transition to motherhood and the woman's needs (Factor 2). Both factors showed an explained total variance of 59% of the Q-set. KEY CONCLUSIONS Both the job-focused midwife and the woman-focused midwife represent distinct perspectives about the midwife's execution of supporting transition to motherhood, including salotugenic elements. This provides an understanding of midwives' thoughts and experiences about why and how support is given. IMPLICATIONS FOR PRACTICE More awareness about the subjective distinct ways of thinking about supporting transition to motherhood should be integrated in practice, midwifery education and professional development.
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Affiliation(s)
- Laura Van den Branden
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium.
| | - Natacha Van de Craen
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium
| | - Luka Van Leugenhaege
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Eveline Mestdagh
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Olaf Timmermans
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Professorship Healthy Region, HZ University of Applied sciences, Edisonweg 4, 4382 NW Vlissingen, The Netherlands
| | - Bart Van Rompaey
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Yvonne J Kuipers
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Edinburgh Napier University, School of Health & Social Care, Sighthill Court, Edinburgh EH11 4BN, Scotland, UK
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16
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Sabbe K, van der Mast R, Dilles T, Van Rompaey B. The prevalence of delirium in belgian nursing homes: a cross-sectional evaluation. BMC Geriatr 2021; 21:634. [PMID: 34742251 PMCID: PMC8571852 DOI: 10.1186/s12877-021-02517-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Accepted: 09/28/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Delirium is a common geriatric syndrome, but only few studies have been done in nursing home residents. Therefore, the aim of this study was to investigate (point) prevalence of and risk factors for delirium in nursing homes in Belgium. METHODS A multisite, cross-sectional study was conducted in six nursing homes in Belgium. Residents of six nursing homes were screened for delirium. Exclusion criteria were coma,'end-of-life' status and residing in a dementia ward. Delirium was assessed using the Delirium Observation Screening Scale. RESULTS 338 of the 448 eligible residents were included in this study. Of the 338 residents who were evaluated, 14.2 % (95 %CI:3.94-4.81) screened positive for delirium with the Delirium Observation Screening Scale. The mean age was 84.7 years and 67.5 % were female. Taking antipsychotics (p = 0.009), having dementia (p = 0.005), pneumonia (p = 0.047) or Parkinson's disease (p = 0.03) were more present in residents with delirium. The residents were more frequently physically restrained (p = 0.001), participated less in activities (p = 0.04), had had more often a fall incident (p = 0.007), had lower levels of cognition (p < 0.001; MoCA ≥ 26, p = 0.04; MoCA ≥ 25, p = 0.008) and a higher "Activities of Daily Living" score (p = 0.001). In multivariable binary logistic regression analysis, a fall incident (2.76; 95 %CI: 1.24-6.14) and cognitive impairment (OR: 0.69; 95 %CI: 0.63-0.77) were significantly associated with delirium. CONCLUSIONS Delirium is an important clinical problem affecting almost 15 % of the nursing home residents at a given moment. Screening of nursing home residents for risk factors and presence of delirium is important to prevent delirium if possible and to treat underlying causes when present.
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Affiliation(s)
- Kelly Sabbe
- University of Antwerp, Centre for Research and Innovation in Care, Universiteitsplein 1, 2610, Antwerp, Belgium.
- Attaché statistician at Statistics Belgium, 1000, Brussels, Belgium.
| | - Roos van der Mast
- University of Antwerp, Centre for Research and Innovation in Care, Universiteitsplein 1, 2610, Antwerp, Belgium
- University of Leiden, Leids Universitair Medisch Centrum, Albinusdreef 2, 2333 ZA, Leiden, Netherlands
| | - Tinne Dilles
- University of Antwerp, Centre for Research and Innovation in Care, Universiteitsplein 1, 2610, Antwerp, Belgium
- University of Antwerp, Nurse and Pharmaceutical Care, Universiteitsplein 1, 2610, Antwerp, Belgium
| | - Bart Van Rompaey
- University of Antwerp, Centre for Research and Innovation in Care, Universiteitsplein 1, 2610, Antwerp, Belgium
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17
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Loots E, Goossens E, Vanwesemael T, Morrens M, Van Rompaey B, Dilles T. Interventions to Improve Medication Adherence in Patients with Schizophrenia or Bipolar Disorders: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2021; 18:10213. [PMID: 34639510 PMCID: PMC8508496 DOI: 10.3390/ijerph181910213] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 09/24/2021] [Accepted: 09/24/2021] [Indexed: 11/16/2022]
Abstract
Adherence to prescribed medication regimes improves outcomes for patients with severe mental illness such as schizophrenia or bipolar disorders. The aim of this systematic review and meta-analysis was to compare the effectiveness among interventions to improve medication adherence in patients with schizophrenia or bipolar disorders. Literature published in the last decade was searched for interventions studies to improve adherence in patients with schizophrenia or a bipolar disorder. Interventions were categorised on the basis of type, and the context and effectiveness of the interventions were described. Two review authors independently extracted and assessed data, following criteria outlined by the Cochrane Handbook for Systematic Reviews of Interventions. The GRADEPro (McMaster University, 2020, Ontario, Canada) was used for assessing the quality of the evidence. Twenty-three publications met the selection criteria. Different types of interventions aiming to improve adherence were tested: educational, behavioural, family-based, technological, or a combination of previous types. Meta-analysis could be performed for 10 interventions. When considered separately by subgroups on the basis of intervention type, no significant differences were found in adherence among interventions (p = 0.29; I2 = 19.9%). This review concluded that successful interventions used a combination of behavioural and educational approaches that seem easy to implement in daily practice.
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Affiliation(s)
- Elke Loots
- Centre For Research and Innovation in Care (CRIC), Department of Nursing Science and Midwifery, Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (E.G.); (T.V.); (B.V.R.); (T.D.)
| | - Eva Goossens
- Centre For Research and Innovation in Care (CRIC), Department of Nursing Science and Midwifery, Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (E.G.); (T.V.); (B.V.R.); (T.D.)
- Department of Public Health and Primary Care, University of Leuven, 3000 Leuven, Belgium
- Research Foundation Flanders (FWO), 1000 Brussels, Belgium
- Department of Patient Care, Antwerp University Hospital (UZA), 2610 Antwerp, Belgium
| | - Toke Vanwesemael
- Centre For Research and Innovation in Care (CRIC), Department of Nursing Science and Midwifery, Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (E.G.); (T.V.); (B.V.R.); (T.D.)
| | - Manuel Morrens
- Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp, 2610 Antwerp, Belgium;
| | - Bart Van Rompaey
- Centre For Research and Innovation in Care (CRIC), Department of Nursing Science and Midwifery, Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (E.G.); (T.V.); (B.V.R.); (T.D.)
| | - Tinne Dilles
- Centre For Research and Innovation in Care (CRIC), Department of Nursing Science and Midwifery, Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (E.G.); (T.V.); (B.V.R.); (T.D.)
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18
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Dijkstra NE, De Baetselier E, Dilles T, Van Rompaey B, da Cunha Batalha LM, Filov I, Grøndahl VA, Heczkova J, Helgesen AK, Jordan S, Kafková Z, Karnjus I, Kolovos P, Langer G, Lillo-Crespo M, Malara A, Padyšáková H, Prosen M, Pusztai D, Talarico F, Tziaferi S, Sino CGM. Developing a competence framework for nurses in pharmaceutical care: A Delphi study. Nurse Educ Today 2021; 104:104926. [PMID: 34274774 DOI: 10.1016/j.nedt.2021.104926] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 03/22/2021] [Accepted: 04/13/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Nurses play an important role in pharmaceutical care. They are involved in: detecting clinical change; communicating/discussing pharmacotherapy with patients, their advocates, and other healthcare professionals; proposing and implementing medication-related interventions; and ensuring follow-up of patients and medication regimens. To date, a framework of nurses' competences on knowledge, skills, and attitudes as to interprofessional pharmaceutical care tasks is missing. OBJECTIVES To reach agreement with experts about nurses' competences for tasks in interprofessional pharmaceutical care. METHODS A two-phase study starting with a scoping review followed by five Delphi rounds was performed. Competences extracted from the literature were assessed by an expert panel on relevance by using the RAND/UCLA method. The experts (n = 22) involved were healthcare professionals, nurse researchers, and educators from 14 European countries with a specific interest in nurses' roles in interprofessional pharmaceutical care. Descriptive statistics supported the data analysis. RESULTS The expert panel reached consensus on the relevance of 60 competences for 22 nursing tasks. Forty-one competences were related to 15 generic nursing tasks and 33 competences were related to seven specific nursing tasks. CONCLUSIONS This study resulted in a competence framework for competency-based nurse education. Future research should focus on imbedding these competences in nurse education. A structured instrument should be developed to assess students' readiness to achieve competence in interprofessional pharmaceutical care in clinical practice.
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Affiliation(s)
- Nienke E Dijkstra
- Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands.
| | - Elyne De Baetselier
- Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
| | - Tinne Dilles
- Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
| | - Bart Van Rompaey
- Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.
| | - Luis M da Cunha Batalha
- Higher School of Nursing of Coimbra Health Sciences Research Unit Nursing, Coimbra, Portugal.
| | - Izabela Filov
- Saint Kliment, Ohridski University Bitola, Bitola, Macedonia
| | | | - Jana Heczkova
- Institute of Nursing Theory and Practice, Charles University First Faculty of Medicine, Praha, Czech Republic.
| | - Ann Karin Helgesen
- Faculty of Health and Welfare, Østfold University College, Halden, Norway.
| | - Sue Jordan
- Department of Nursing, Midwifery and Health Care, University of Wales, Swansea, UK.
| | - Zuzana Kafková
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia.
| | - Igor Karnjus
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia.
| | - Petros Kolovos
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece
| | - Gero Langer
- Medical Faculty, Institute of Health and Nursing Sciences, Martin-Luther-Universitat Halle-Wittenberg, Halle (Saale), Germany.
| | - Manuel Lillo-Crespo
- Department of Nursing, Universitat d'Alacant, Alacant, Spain. https://twitter.com/manuellilloc
| | | | - Hana Padyšáková
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia.
| | - Mirko Prosen
- Faculty of Health Sciences, University of Primorska, Izola, Slovenia.
| | - Dorina Pusztai
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, University of Pecs Faculty of Health Sciences, Pecs, Hungary.
| | | | - Styliani Tziaferi
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Tripolis, Greece
| | - Carolien G M Sino
- Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands.
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De Baetselier E, Van Rompaey B, Dijkstra NE, Sino CG, Akerman K, Batalha LM, Fernandez MID, Filov I, Grøndahl VA, Heczkova J, Helgesen AK, Keeley S, Kolovos P, Langer G, Ličen S, Lillo-Crespo M, Malara A, Padyšáková H, Prosen M, Pusztai D, Raposa B, Riquelme-Galindo J, Rottková J, Talarico F, Tziaferi S, Dilles T. The NUPHAC-EU Framework for Nurses' Role in Interprofessional Pharmaceutical Care: Cross-Sectional Evaluation in Europe. Int J Environ Res Public Health 2021; 18:ijerph18157862. [PMID: 34360162 PMCID: PMC8345454 DOI: 10.3390/ijerph18157862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 07/16/2021] [Accepted: 07/21/2021] [Indexed: 11/16/2022]
Abstract
Clear role descriptions promote the quality of interprofessional collaboration. Currently, it is unclear to what extent healthcare professionals consider pharmaceutical care (PC) activities to be nurses’ responsibility in order to obtain best care quality. This study aimed to create and evaluate a framework describing potential nursing tasks in PC and to investigate nurses’ level of responsibility. A framework of PC tasks and contextual factors was developed based on literature review and previous DeMoPhaC project results. Tasks and context were cross-sectionally evaluated using an online survey in 14 European countries. A total of 923 nurses, 240 physicians and 199 pharmacists responded. The majority would consider nurses responsible for tasks within: medication self-management (86–97%), patient education (85–96%), medication safety (83–95%), monitoring adherence (82–97%), care coordination (82–95%), and drug monitoring (78–96%). The most prevalent level of responsibility was ‘with shared responsibility’. Prescription management tasks were considered to be nurses’ responsibility by 48–81% of the professionals. All contextual factors were indicated as being relevant for nurses’ role in PC by at least 74% of the participants. No task nor contextual factor was removed from the framework after evaluation. This framework can be used to enable healthcare professionals to openly discuss allocation of specific (shared) responsibilities and tasks.
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Affiliation(s)
- Elyne De Baetselier
- Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Department of Nursing and Midwifery Science, Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (B.V.R.); (T.D.)
- Correspondence:
| | - Bart Van Rompaey
- Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Department of Nursing and Midwifery Science, Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (B.V.R.); (T.D.)
| | - Nienke E. Dijkstra
- Research Group Care for the Chronically III, University of Applied Sciences Utrecht, 3584 CH Utrecht, The Netherlands; (N.E.D.); (C.G.S.)
| | - Carolien G. Sino
- Research Group Care for the Chronically III, University of Applied Sciences Utrecht, 3584 CH Utrecht, The Netherlands; (N.E.D.); (C.G.S.)
| | - Kevin Akerman
- Department of Nursing, Swansea University, Swansea SA2 8PP, UK;
| | - Luis M. Batalha
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3046851 Coimbra, Portugal; (L.M.B.); (M.I.D.F.)
| | - Maria I. D. Fernandez
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3046851 Coimbra, Portugal; (L.M.B.); (M.I.D.F.)
| | - Izabela Filov
- Higer Medical School, University “St. Kliment Ohridski”, 7000 Bitola, North Macedonia;
| | - Vigdis A. Grøndahl
- Faculty of Health and Welfare, Østfold University College, 1757 Halden, Norway; (V.A.G.); (A.K.H.)
| | - Jana Heczkova
- First Faculty of Medicine, Institute of Nursing Theory and Practice, Charles University, 11000 Prague, Czech Republic;
| | - Ann Karin Helgesen
- Faculty of Health and Welfare, Østfold University College, 1757 Halden, Norway; (V.A.G.); (A.K.H.)
| | - Sarah Keeley
- Department of Nursing and Clinical Science, Bournemouth University, Bournemouth BH12 5BB, UK;
| | - Petros Kolovos
- Department of Nursing, University of Peloponnese, 22100 Tripolis, Greece; (P.K.); (S.T.)
| | - Gero Langer
- Medical Faculty, Institute of Health and Nursing Science, Martin Luther University Halle-Wittenberg, 06108 Halle/Saale, Germany;
| | - Sabina Ličen
- Department of Nursing, Faculty of Health Sciences, University of Primorska, 6310 Izola, Slovenia; (S.L.); (M.P.)
| | - Manuel Lillo-Crespo
- Department of Nursing, Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain; (M.L.-C.); (J.R.-G.)
| | - Alba Malara
- ANASTE-Humanitas Foundation, 00192 Rome, Italy; (A.M.); (F.T.)
| | - Hana Padyšáková
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, 83101 Bratislava, Slovakia; (H.P.); (J.R.)
| | - Mirko Prosen
- Department of Nursing, Faculty of Health Sciences, University of Primorska, 6310 Izola, Slovenia; (S.L.); (M.P.)
| | - Dorina Pusztai
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (D.P.); (B.R.)
| | - Bence Raposa
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary; (D.P.); (B.R.)
| | - Jorge Riquelme-Galindo
- Department of Nursing, Faculty of Health Sciences, University of Alicante, 03690 Alicante, Spain; (M.L.-C.); (J.R.-G.)
| | - Jana Rottková
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, 83101 Bratislava, Slovakia; (H.P.); (J.R.)
| | | | - Styliani Tziaferi
- Department of Nursing, University of Peloponnese, 22100 Tripolis, Greece; (P.K.); (S.T.)
| | - Tinne Dilles
- Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Department of Nursing and Midwifery Science, Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium; (B.V.R.); (T.D.)
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20
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De Baetselier E, Dilles T, Feyen H, Haegdorens F, Mortelmans L, Van Rompaey B. Nurses' responsibilities and tasks in pharmaceutical care: A scoping review. Nurs Open 2021; 9:2562-2571. [PMID: 34268910 PMCID: PMC9584497 DOI: 10.1002/nop2.984] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 04/27/2021] [Accepted: 06/08/2021] [Indexed: 11/22/2022] Open
Abstract
Aim To provide an overview of responsibilities and tasks of nurses in pharmaceutical care. Design Scoping review. Methods Two databases were systematically searched (MEDLINE and Scopus) for recent original research papers concerning nurses’ responsibilities and tasks in pharmaceutical care. The definition of responsibility was based on literature, moral and ethical discussions. Existing responsibilities and tasks beyond preparation and administration of medication were collected and synthesized. This main study outcome was extracted from titles and abstracts only. Results were reported in accordance with PRISMA‐ScR guidelines. Results Of the 3,805 titles and abstracts reviewed, 453 abstracts were included. A total of seven responsibilities were identified: (a) management of therapeutic and adverse effects of medication, (b) management of medication adherence, (c) management of patient medication self‐management, (d) management of patient education and information about medication, (e) prescription management, (f) medication safety management and (g) (transition of) care coordination. Within these responsibilities, all tasks performed by nurses were described.
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Affiliation(s)
- Elyne De Baetselier
- Department of Nursing and Midwifery Science, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Tinne Dilles
- Department of Nursing and Midwifery Science, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Hilde Feyen
- Department of Nursing and Midwifery Science, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Filip Haegdorens
- Department of Nursing and Midwifery Science, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Laura Mortelmans
- Department of Nursing and Midwifery Science, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Bart Van Rompaey
- Department of Nursing and Midwifery Science, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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21
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D'haenens F, Van Rompaey B, Swinnen E, Dilles T, Beeckman K. The effects of continuity of care on the health of mother and child in the postnatal period: a systematic review. Eur J Public Health 2021; 30:749-760. [PMID: 31121019 DOI: 10.1093/eurpub/ckz082] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Continuity of care (COC) is essential for high-quality patient care in the perinatal period. Insights in the effects of COC models on patient outcomes are important to direct perinatal healthcare organization. To our knowledge, no previous review has listed the effects of COC on the physical and mental health of mother and child in the postnatal period. METHODS A search was conducted in four databases (PubMed, Web of Knowledge, CENTRAL and CINAHL), from 2000 to 2018. Studies were included if: participants were healthy mothers or newborns with a gestational age between 37-42 weeks; they covered the perinatal period and aimed to measure breastfeeding or any outcome related to the maternal/newborn physical or mental health. At least one of the three COC types (management, informational and relationship) was identified in the intervention. The methodological quality was assessed. RESULTS Ten articles were included. COC is mostly present in the identified care models. The effects of COC on the outcomes of mother and child in the postnatal period seem mostly to be positive, although not always significant. The relation between COC and the outcomes can be influenced by confounding factors, like the socio-economic status of the included population. Interventions with COC during pregnancy appear to be more effective for all the studied outcome factors. CONCLUSION COC as management, relational and informational continuity starting antenatal has the most impact on the postnatal outcomes of mother and child.
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Affiliation(s)
- Florence D'haenens
- Department Health Care, Knowledge Centre Brussels Integrated Care, Erasmus University College Brussels, Brussels, Belgium
| | - Bart Van Rompaey
- Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, University of Antwerp, Antwerp, Belgium
| | - Eva Swinnen
- Faculty of Physical Education and Physiotherapy, Rehabilitation Research, Vrije Universiteit Brussel, Brussels, Belgium
| | - Tinne Dilles
- Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, University of Antwerp, Antwerp, Belgium
| | - Katrien Beeckman
- Nursing and Midwifery Research Group, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel and University Hospital Brussel, Brussels, Belgium
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22
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Dilles T, Heczkova J, Tziaferi S, Helgesen AK, Grøndahl VA, Van Rompaey B, Sino CG, Jordan S. Nurses and Pharmaceutical Care: Interprofessional, Evidence-Based Working to Improve Patient Care and Outcomes. Int J Environ Res Public Health 2021; 18:5973. [PMID: 34199519 PMCID: PMC8199654 DOI: 10.3390/ijerph18115973] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/28/2021] [Accepted: 05/29/2021] [Indexed: 12/13/2022]
Abstract
Pharmaceutical care necessitates significant efforts from patients, informal caregivers, the interprofessional team of health care professionals and health care system administrators. Collaboration, mutual respect and agreement amongst all stakeholders regarding responsibilities throughout the complex process of pharmaceutical care is needed before patients can take full advantage of modern medicine. Based on the literature and policy documents, in this position paper, we reflect on opportunities for integrated evidence-based pharmaceutical care to improve care quality and patient outcomes from a nursing perspective. Despite the consensus that interprofessional collaboration is essential, in clinical practice, research, education and policy-making challenges are often not addressed interprofessionally. This paper concludes with specific advises to move towards the implementation of more interprofessional, evidence-based pharmaceutical care.
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Affiliation(s)
- Tinne Dilles
- Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Department of Nursing and Midwifery Science, Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium;
| | - Jana Heczkova
- First Faculty of Medicine, Institute of Nursing Theory and Practice, Charles University, 11000 Prague, Czech Republic;
| | - Styliani Tziaferi
- Laboratory of Integrated Health Care, Department of Nursing, University of Peloponnese, 22100 Tripolis, Greece;
| | - Ann Karin Helgesen
- Faculty of Health and Welfare, Østfold University College, 1757 Halden, Norway; (A.K.H.); (V.A.G.)
| | | | - Bart Van Rompaey
- Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Department of Nursing and Midwifery Science, Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium;
| | - Carolien G. Sino
- Research Group Care for the Chronically Ill, University of Applied Sciences Utrecht, 3584 CH Utrecht, The Netherlands;
| | - Sue Jordan
- Department of Nursing, Swansea University, Swansea SA2 8PP, Wales, UK;
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De Baetselier E, Dilles T, Batalha LM, Dijkstra NE, Fernandes MI, Filov I, Friedrichs J, Grondahl VA, Heczkova J, Helgesen AK, Jordan S, Keeley S, Klatt T, Kolovos P, Kulirova V, Ličen S, Lillo-Crespo M, Malara A, Padysakova H, Prosen M, Pusztai D, Riquelme-Galindo J, Rottkova J, Sino CG, Talarico F, Tziaferi S, Van Rompaey B. Perspectives of nurses' role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses. PLoS One 2021; 16:e0251982. [PMID: 34043650 PMCID: PMC8158867 DOI: 10.1371/journal.pone.0251982] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 05/07/2021] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVES To understand healthcare professionals' experiences and perceptions of nurses' potential or ideal roles in pharmaceutical care (PC). DESIGN Qualitative study conducted through semi-structured in-depth interviews. SETTING Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. PARTICIPANTS In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. DATA COLLECTION AND ANALYSIS All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. RESULTS 340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses' autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC. CONCLUSIONS European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.
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Affiliation(s)
- Elyne De Baetselier
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- * E-mail:
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Luis M. Batalha
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
| | - Nienke E. Dijkstra
- Research Group Care for the Chronically Ill, University of Applied Sciences Utrecht, Utrecht, The Netherlands
| | - Maria I. Fernandes
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
| | - Izabela Filov
- University "St. Kliment Ohridski" Bitola, Bitola, Republic of North-Macedonia
| | - Juliane Friedrichs
- Medical Faculty, Institute of Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Vigdis A. Grondahl
- Faculty of Health and Welfare, Østfold University College, Halden, Norway
| | - Jana Heczkova
- Institute of Nursing Theory and Practice, First Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Ann Karin Helgesen
- Faculty of Health and Welfare, Østfold University College, Halden, Norway
| | - Sue Jordan
- Department of Nursing, Swansea University, Swansea, Wales, United Kingdom
| | - Sarah Keeley
- Department of Nursing and Clinical Science, Bournemouth University, Bournemouth, England, United Kingdom
| | - Thomas Klatt
- Medical Faculty, Institute of Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Petros Kolovos
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Sparti, Greece
| | - Veronika Kulirova
- Institute of Nursing Theory and Practice, First Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Sabina Ličen
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Izola, Slovenia
| | - Manuel Lillo-Crespo
- Department of Nursing, Faculty of Health Sciences, University of Alicante, Alicante, Spain
| | | | - Hana Padysakova
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovak Republic
| | - Mirko Prosen
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Izola, Slovenia
| | - Dorina Pusztai
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Jorge Riquelme-Galindo
- Department of Nursing, Faculty of Health Sciences, University of Alicante, Alicante, Spain
| | - Jana Rottkova
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovak Republic
| | - Carolien G. Sino
- Research Group Care for the Chronically Ill, University of Applied Sciences Utrecht, Utrecht, The Netherlands
| | | | - Styliani Tziaferi
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Sparti, Greece
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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Luecha T, Peremans L, Van Rompaey B. The protocol of a qualitative descriptive study application for the theory of planned behavior: why do some early adolescents drink? Journal of Substance Use 2021. [DOI: 10.1080/14659891.2020.1807631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Trakulwong Luecha
- Faculty of Nursing, Burapha University, Chon Buri, Thailand
- Department of Nursing and Midwifery Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Lieve Peremans
- Centre for Research and Innovation in Care, Department of Nursing and Midwifery Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel, Brussels, Belgium
| | - Bart Van Rompaey
- Centre for Research and Innovation in Care, Department of Nursing and Midwifery Sciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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25
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Logan V, Keeley S, Akerman K, De Baetselier E, Dilles T, Griffin N, Matthews L, Van Rompaey B, Jordan S. Did we do everything we could have? Nurses' contributions to medicines optimization: A mixed-methods study. Nurs Open 2021; 8:592-606. [PMID: 33570308 PMCID: PMC7877145 DOI: 10.1002/nop2.664] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 09/24/2020] [Accepted: 10/07/2020] [Indexed: 12/17/2022] Open
Abstract
AIM To explore UK professionals' interpretations of medicines optimization and expansion of nurses' roles. DESIGN This mixed-methods study sought professionals' views on nurses' involvement, competency and engagement in monitoring patients for adverse effects of medicines, monitoring adherence, prescribing and patient education. METHOD An online survey and interviews were undertaken with nurses, doctors and pharmacists in Wales and England, May 2018 to July 2019. RESULTS In all, 220 nurses, 17 doctors and 62 pharmacists responded to the online survey, and 24 professionals were interviewed. Nurses were divided over extending their roles, with 123/220 (55.9%) wishing to extend roles in monitoring patients for possible adverse drug reactions (ADRs), 111/220 (50.5%) in adherence monitoring, 121/220 (55.0%) in prescribing and 122/220 (55.4%) in patient education. The best-qualified nurses were the most willing to increase involvement in monitoring patients for ADRs (aOR 13.00, 1.56-108.01). Interviews revealed that both nurses and doctors assumed the other profession was undertaking this monitoring. Respondents agreed that increasing nurses' involvement in medicines optimization would improve patient care, but expressed reservations about nurses' competencies. Collaboration between nurses and doctors was suboptimal (rated 7/10 at best) and between nurses and pharmacists even more so (6/10 at best). CONCLUSION Juxtaposition of datasets identified problems with medicines optimization: although most respondents agreed that increasing nurses' involvement would positively impact practice, their educational preparation was a barrier. Only ~50% of nurses were willing to expand their roles to fill the hiatus in care identified and ensure that at least one profession was taking responsibility for ADR monitoring. IMPACT To improve multiprofessional team working and promote patient safety, nurse leaders should ensure patients are monitored for possible ADRs by at least one profession. Initiatives expanding nurses' roles in medicines optimization and prescribing might be best targeted towards the more educated nurses, who have multidisciplinary support.
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Affiliation(s)
- Vera Logan
- Department of NursingSwansea UniversitySwanseaUnited Kingdom
| | | | - Kevin Akerman
- Department of NursingSwansea UniversitySwanseaUnited Kingdom
| | - Elyne De Baetselier
- Faculty of Medicine and Health SciencesCRIC (Center of Research and Innovation in Care)NuPhaCUniversity of AntwerpAntwerpenBelgium
| | - Tinne Dilles
- Faculty of Medicine and Health SciencesCRIC (Center of Research and Innovation in Care)NuPhaCUniversity of AntwerpAntwerpenBelgium
| | - Nia Griffin
- Department of NursingSwansea UniversitySwanseaUnited Kingdom
| | - Lisa Matthews
- Department of NursingSwansea UniversitySwanseaUnited Kingdom
| | - Bart Van Rompaey
- Faculty of Medicine and Health SciencesCRIC (Center of Research and Innovation in Care)NuPhaCUniversity of AntwerpAntwerpenBelgium
| | - Sue Jordan
- Department of NursingSwansea UniversitySwanseaUnited Kingdom
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26
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Dankoly US, Vissers D, El Farkouch Z, Kolasa E, Ziyyat A, Rompaey BV, Maamri A. Perceived Barriers, Benefits, Facilitators, and Attitudes of Health Professionals Towards Multidisciplinary Team Care in Type 2 Diabetes Management: A Systematic Review. Curr Diabetes Rev 2021; 17:e111020187812. [PMID: 33176659 DOI: 10.2174/1573399816999201110200126] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 10/01/2020] [Accepted: 10/16/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND The need for a multidisciplinary team approach to provide physical exercise, diet, behavioral change, and insulin therapy in type 2 diabetes mellitus (T2DM) treatment has long been recognized. However, often patients with T2DM do not have access to a multidisciplinary team. INTRODUCTION In developing countries, most patients with T2DM receive their diabetes care in the office of an internist or family practice physician or in a primary level health center with a general practitioner. Knowledge of healthcare professionals regarding the perceived barriers, attitudes, facilitators, and benefits of a multidisciplinary team approach in T2DM treatment can help facilitate the implementation of multidisciplinary care in T2DM. METHODS A systematic search strategy was performed in six databases (PubMed, Web of Science, CINAHL, EMBASE, MEDLINE, and Cochrane) using different keyword combinations to identify studies describing the healthcare professionals' views of multidisciplinary team care in T2DM. A textual narrative synthesis was used to analyze data. The Critical Appraisals Skills Programme (CASP) tool for qualitative studies was used to assess the risk of bias and transferability. RESULTS The views of health professionals about multidisciplinary team care in T2DM were categorized into six major factors, namely working collaboratively to foster supportive relationships; strong committed organizational and team leadership; diversity in expertise, with team members tailored to local circumstances; shared goals and approaches to ensure consistency of message; clear and open communication with the team and with patients; and the patient at the center of decision- making. CONCLUSION There is a huge gap in shared roles among health professionals in T2DM therapy. Hence, there is a need for allied health professionals such as physiotherapists, dieticians, and psychologists with expertise in diabetes to explore primary healthcare, barriers and facilitators to the successful integration of multidisciplinary team, seamlessly distributedinto three hierarchal levels, namely health management, health professionals, and diabetic patients.
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Affiliation(s)
- Usman Sani Dankoly
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Dirk Vissers
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Zainab El Farkouch
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Esther Kolasa
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Abderrahim Ziyyat
- Department of Biology, Faculty of Sciences, University Mohammed Premier, Oujda, Morocco
| | - Bart Van Rompaey
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Abdellatif Maamri
- Department of Biology, Faculty of Sciences, University Mohammed Premier, Oujda, Morocco
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De Baetselier E, Van Rompaey B, Batalha LM, Bergqvist M, Czarkowska-Paczek B, De Santis A, Dijkstra NE, Fernandes MI, Filov I, Grøndahl VA, Heczkova J, Helgesen AK, Isfort M, Jordan S, Karnjus I, Keeley S, Kolovos P, Langer G, Lillo-Crespo M, Logan V, Malara A, Meyer G, Olah A, Padysakova H, Prosen M, Pusztai D, Sino CG, Tziaferi S, Ziakova E, Dilles T. EUPRON: nurses' practice in interprofessional pharmaceutical care in Europe. A cross-sectional survey in 17 countries. BMJ Open 2020; 10:e036269. [PMID: 32499269 PMCID: PMC7282395 DOI: 10.1136/bmjopen-2019-036269] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVES Safe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses' roles however, are not always explicit and clear, complicating interprofessional collaboration. The aim of this study is to describe nurses' practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists. DESIGN A cross-sectional survey. SETTING The study was conducted in 17 European countries, each with their own health systems. PARTICIPANTS Pharmacists, physicians and nurses with an active role in PC were surveyed. MAIN OUTCOME MEASURES Nurses' involvement in PC, experiences of interprofessional collaboration and communication and views on nurses' competences. RESULTS A total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing medicines were considered integral to nursing practice by 78%, 73%, 69% and 15% of nurses, respectively. Most respondents were convinced that quality of PC would be improved by increasing nurses' involvement in ME (95%), MMA (95%), PEI (91%) and prescribing (53%). Mean scores for the reported quality of collaboration between nurses and physicians, collaboration between nurses and pharmacists and interprofessional communication were respectively <7/10, ≤4/10, <6/10 for all four aspects of PC. CONCLUSIONS ME, MMA, PEI and prescribing are part of nurses' activities, and most healthcare professionals felt their involvement should be extended. Collaboration between nurses and physicians on PC is limited and between nurses and pharmacists even more.
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Affiliation(s)
- Elyne De Baetselier
- Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
| | - Bart Van Rompaey
- Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
| | - Luis M Batalha
- Higher School of Nursing of Coimbra Health Sciences Research Unit Nursing, Coimbra, Portugal
| | - Monica Bergqvist
- Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | | | | | - Nienke E Dijkstra
- Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands
| | - Maria I Fernandes
- Higher School of Nursing of Coimbra Health Sciences Research Unit Nursing, Coimbra, Portugal
| | - Izabela Filov
- Saint Kliment Ohridski University Bitola, Bitola, Bitola, The former Yugoslav Republic of Macedonia
| | | | - Jana Heczkova
- Institute of Nursing Theory and Practice, Charles University First Faculty of Medicine, Praha, Czech Republic
| | - Ann Karin Helgesen
- Faculty of Health and Welfare, Østfold University College, Halden, Norway
| | - Michael Isfort
- Deutsches Institut für angewandte Pflegeforschung e V, Köln, Germany
| | | | - Igor Karnjus
- Department of Nursing, University of Primorska College of Health Care, Izola, Slovenia
| | - Sarah Keeley
- Department of Nursing and Clinical Science, Bournemouth University, Dorset, UK
| | - Petros Kolovos
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponesse, Sparti, Greece
| | - Gero Langer
- Medical Faculty, Institute of Health and Nursing Sciences, Martin-Luther-Universitat Halle-Wittenberg, Halle (Saale), Germany
| | | | - Vera Logan
- Nursing, Swansea University, Swansea, UK
| | | | - Gabriele Meyer
- Medical Faculty, Institute of Health and Nursing Sciences, Martin-Luther-Universitat Halle-Wittenberg, Halle (Saale), Germany
| | - Andras Olah
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, University of Pecs Faculty of Health Sciences, Pecs, Hungary
| | - Hana Padysakova
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia
| | - Mirko Prosen
- Faculty of Health Sciences, Department of Nursing, University of Primorska College of Health Care, Izola, Slovenia
| | - Dorina Pusztai
- Institute of Nursing Sciences, Basic Health Sciences and Health Visiting, University of Pecs Faculty of Health Sciences, Pecs, Hungary
| | - Carolien G Sino
- Research Group Care for the Chronically Ill, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands
| | - Styliani Tziaferi
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponesse, Sparti, Greece
| | - Elena Ziakova
- Faculty of Nursing and Professional Health Studies, Slovak Medical University in Bratislava, Bratislava, Slovakia
| | - Tinne Dilles
- Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
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Luecha T, Peremans L, Junprsert S, Van Rompaey B. Factors associated with alcohol consumption among early adolescents in a province in Eastern region of Thailand: a cross-sectional analysis. J Ethn Subst Abuse 2020; 21:325-343. [PMID: 32425104 DOI: 10.1080/15332640.2020.1766624] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
A cross-sectional study was applied to obtain factors associated with alcohol consumption since information among early adolescents in Thailand is limited. Data was collected from December 2016 to March 2017. A questionnaire was developed through a literature review and tested for validation and reliability. Multi-stage random sampling was used to recruit youths aged 10-14 years from Chonburi Province, Thailand. Descriptive statistics (mean and standard deviation), Chi-squared test, and multivariable logistic regression were used for data analysis. The mean and standard deviation (SD) for the age of participants was 12.07 years (1.42) with 50.23% being male. In total, 10.94% reported drinking alcohol in the past 12 months. Current drinking in the past year was positively associated with older youths of 14 years of age (AOR = 5.34, 95% CI = 2.91-9.81) having a positive attitude toward alcohol consumption behavior (AOR = 4.18 95% CI = 3.36-5.21), direct observation of friends' drinking (AOR = 4.21, 95% CI = 3.32-5.32), direct observation of villagers/community members' drinking (AOR = 1.99, 95% CI = 1.15- 3.48), adolescents whose parents stored alcohol at home (AOR = 1.35, 95% CI = 1.06-1.55), and being exposed to alcohol advertising (AOR = 1.60, 95% CI =1.16-2.23). The factor most inversely associated with current drinking appears to be male gender (AOR = 0.78, 95% CI =0.64-0.94). Strategies for delaying and reducing drinking among early adolescents should accompany these risk factors into any preventive programs.
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Affiliation(s)
| | - Lieve Peremans
- University of Antwerp, Belgium.,Vrije Universiteit Brussel, Belgium
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Luecha T, Peremans L, Dilles T, Poontawee P, Van Rompaey B. The prevalence of and factors related to alcohol consumption among young people in Thailand: a systematic review of observational studies. Drugs: Education, Prevention and Policy 2020. [DOI: 10.1080/09687637.2020.1729701] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Trakulwong Luecha
- Faculty of Nursing, Community Nursing group, Burapha University, Saensook, Thailand
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, University of Antwerp, Wilrijk, Belgium
| | - Lieve Peremans
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Department of Nursing and Midwifery, University of Antwerp, Wilrijk, Belgium
- Faculty of Medicine and Health Sciences, Department of Primary and Interdisciplinary Care, University of Antwerp, Wilrijk, Belgium
- Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel, Brussel, Belgium
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Department of Nursing and Midwifery, University of Antwerp, Wilrijk, Belgium
| | - Patcharin Poontawee
- Faculty of Nursing, Community Nursing group, Burapha University, Saensook, Thailand
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care, Department of Nursing and Midwifery, University of Antwerp, Wilrijk, Belgium
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Iordache S, Elseviers M, De Cock R, Van Rompaey B. Development and validation of an assessment tool for nursing workload in emergency departments. J Clin Nurs 2019; 29:794-809. [PMID: 31737962 DOI: 10.1111/jocn.15106] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 10/31/2019] [Accepted: 11/09/2019] [Indexed: 11/28/2022]
Abstract
AIMS To develop the Workload Assessment of Nurses on Emergency (WANE) tool and to test its validity and reliability to measure nursing workload in the emergency departments. BACKGROUND Ensuring safe nursing staffing in emergency departments is a worldwide concern. There is no valid tool to measure emergency nursing workload in order to determine the needed nurse staffing in the emergency departments. DESIGN A two-year, cross-sectional, multicenter study. METHODS Workload was operationalised as the time nurses spent with nursing activities, classified into direct and indirect care. A board of experts provided content validity. Construct validity was evaluated by examining the WANE's correlations and group-discriminations patterns within the network of variables known to determine nursing workload. Reliability was assessed by the tool's ability to yield consistent results across repeated measurements. Reporting of this research adheres to STROBE guidelines. RESULTS Seven emergency departments, including 3,024 patients, were involved in the first year and 18 emergency departments and 7,442 patients in the second year. Direct care time correlated positively and significantly with patient dependency on nursing care, age and length of emergency department stay and discriminated between the categories of dependency on nursing care, age and hospitalisation. Both direct and indirect care time discriminated between the emergency departments according to different patient care profiles and unit characteristics. WANE showed consistent results across measurements. CONCLUSIONS Results support the WANE's reliability and validity to measure emergency nursing workload. This tool could be used to determine, on patient and unit, a baseline nurse staffing and the nursing skill mix in the emergency departments. WANE is also an evidence-based management tool for benchmarking purposes. RELEVANCE TO CLINICAL PRACTICE The use of an evidence-based workload tool in making staffing decisions in emergency departments is crucial to ensure safe patient care and prevent work overload in nursing staff.
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Affiliation(s)
- Steluta Iordache
- Faculty of Medicine and Health Sciences, Division of Nursing Science and Midwifery, Centre for Research and Innovation in Care, University of Antwerp, Wilrijk, Belgium
| | - Monique Elseviers
- Faculty of Medicine and Health Sciences, Division of Nursing Science and Midwifery, Centre for Research and Innovation in Care, University of Antwerp, Wilrijk, Belgium.,Clinical Pharmacology, Heymans Institute, University of Ghent, Ghent, Belgium
| | - Rita De Cock
- Nursing Department, Imelda Hospital, Bonheiden, Belgium
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Division of Nursing Science and Midwifery, Centre for Research and Innovation in Care, University of Antwerp, Wilrijk, Belgium.,Department of Health and Social Care, Artesis Plantijn University College of Antwerp, Merksem, Belgium
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Pirlotte S, Beeckman K, Ooms I, Van Rompaey B, Cools F. Non-pharmacological interventions for the prevention of pain during endotracheal suctioning in ventilated neonates. Hippokratia 2019. [DOI: 10.1002/14651858.cd013353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
| | - Katrien Beeckman
- Universiteit Antwerpen; Midwifery Research, Education and Policymaking; Brussel Belgium
| | - Isabel Ooms
- UZ Brussel; Physiotherapy and Neonatology; Jette Belgium
| | - Bart Van Rompaey
- University of Antwerp; Department of Nursing and Midwifery; Antwerp Belgium
| | - Filip Cools
- CEBAM, Belgian Centre for Evidence-Based Medicine; Kapucijnenvoer 33, blok J, bus 7001 Leuven Vlaams-Brabant Belgium 3000
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Pirlotte S, Beeckman K, Ooms I, Van Rompaey B, Cools F. Pharmacological interventions for the prevention of pain during endotracheal suctioning in ventilated neonates. Hippokratia 2019. [DOI: 10.1002/14651858.cd013355] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Katrien Beeckman
- Universiteit Antwerpen; Midwifery Research, Education and Policymaking; Brussel Belgium
| | - Isabel Ooms
- UZ Brussel; Physiotherapy and Neonatology; Jette Belgium
| | - Bart Van Rompaey
- University of Antwerp; Department of Nursing and Midwifery; Antwerp Belgium
| | - Filip Cools
- UZ Brussel; Department Neonatology; Laarbeeklaan Brussels Belgium
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Mestdagh E, Timmermans O, Fontein-Kuipers Y, Van Rompaey B. Proactive behaviour in midwifery practice: A qualitative overview based on midwives’ perspectives. Sexual & Reproductive Healthcare 2019; 20:87-92. [DOI: 10.1016/j.srhc.2019.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2018] [Revised: 03/11/2019] [Accepted: 04/01/2019] [Indexed: 01/06/2023]
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Mestdagh E, Van Rompaey B, Timmermans O. Study protocol for 'PROMIsE': Implementation of a curriculum to stimulate PROactive behavior in MIdwifery Education. Eur J Midwifery 2018; 2:10. [PMID: 33537571 PMCID: PMC7846034 DOI: 10.18332/ejm/94653] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 08/21/2018] [Accepted: 08/27/2018] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Proactive behavior shows promise in the challenges of midwifery students in adapting quickly and effectively to different clinical settings. The antecedents of rolebreadth self-efficacy, control appraisal and trust in peers have demonstrated a potential for significant benefit to proactive behavior in midwifery education. A new midwifery educational program, 'PROMIsE', was developed to influence these antecedents and so enhance proactive behavior. METHODS A pre-test/post-test cohort study of midwifery students' antecedents in proactive behavior will be conducted from September 2018 until June 2022. All new starting midwifery students (n = estimated at 150) at one Belgian University College will be included. Data will be collected using a validated questionnaire at four time points: the entry point in the new midwifery curriculum, after one year, two years and at the end of the curriculum. A proportional odds logistic regression analysis will be used to clarify the association between these antecedents and the probability to observe proactive behavior within this group at different time points. RESULTS A historical comparison will be made with this cohort study and two previous cross-sectional studies. With 'PROMIsE' it is assumed that this cohort, which underwent the intervention of 'PROMIsE', will score significantly higher than the cross-sectional study groups. CONCLUSIONS 'PROMIsE' aims to support the individual guidance of midwifery students towards proactive behavior in midwifery in order to cope with the numerous challenges in reproductive healthcare.
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Affiliation(s)
- Eveline Mestdagh
- Midwifery Department, Artesis Plantijn University College Antwerp, Antwerpen, Belgium.,Centre for research and innovation in care, University Antwerp, Belgium
| | - Bart Van Rompaey
- Centre for research and innovation in care, University Antwerp, Belgium
| | - Olaf Timmermans
- Centre for research and innovation in care, University Antwerp, Belgium.,Lectoraat Healthy Region, HZ University of Applied Sciences, Vlissingen, The Netherlands
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Vanwesemael T, Dilles T, Van Rompaey B, Boussery K. An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure. Pharmacy (Basel) 2018; 6:pharmacy6030077. [PMID: 30049965 PMCID: PMC6164845 DOI: 10.3390/pharmacy6030077] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 07/21/2018] [Accepted: 07/24/2018] [Indexed: 11/16/2022] Open
Abstract
AIM To develop and validate a procedure for self-management of medication by patients whilst in hospital. BACKGROUND Self-management of medication allows patients to self-manage their medication in a controlled and supportive hospital environment. This practice is encouraged worldwide, yet an evidence-based procedure to evaluate the ability of patients to self-manage and to monitor and support self-management are absent. METHODS The evidence-based procedure for self-management of medication (SelfMED) was developed based on previous conducted qualitative research, literature review, and the current regulation. It was validated by healthcare providers and a multidisciplinary expert meeting. Questions within the procedure that could be biased were tested for inter-rater reliability. RESULTS First, the SelfMED procedure was developed. It consists of a stepped assessment of patient's competencies for self-management performed by healthcare providers and the patient. When self-management is allowed, the SelfMED monitoring tool monitors the patient's intake of self-managed medication. Secondly, the procedure was revised for clarity, appropriateness, and face validity by five healthcare providers and a multidisciplinary expert meeting, resulting in the final version. Thirdly, three questions from the final version were tested for interrater reliability. Cohen's Kappa showed moderate to strong levels of agreement. CONCLUSIONS The developed SelfMED procedure provides an evidence based approach of facilitating self-management of medication. The content of the procedure was found valid to evaluate the patient's ability to self-manage and to monitor them while self-managing.
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Affiliation(s)
- Toke Vanwesemael
- Department of Healthcare, Thomas More University College, 2500 Lier, Belgium.
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhac), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Wilrijk, Belgium.
| | - Tinne Dilles
- Department of Healthcare, Thomas More University College, 2500 Lier, Belgium.
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhac), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Wilrijk, Belgium.
| | - Bart Van Rompaey
- Department of Nursing Science and Midwifery, Centre For Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhac), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Wilrijk, Belgium.
| | - Koen Boussery
- Pharmaceutical Care Unit, Faculty of Pharmaceutical Sciences, Ghent University, 9000 Ghent, Belgium.
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Luecha T, Peremans L, Dilles T, Van Rompaey B. The prevalence of alcohol consumption during early adolescence: a cross-sectional study in an eastern province, Thailand. International Journal of Adolescence and Youth 2018. [DOI: 10.1080/02673843.2018.1482773] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Affiliation(s)
- Trakulwong Luecha
- Faculty of Nursing, Burapha University , Chonburi, Thailand
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, University of Antwerp , Antwerp, Belgium
| | - Lieve Peremans
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care, University of Antwerp , Antwerp, Belgium
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp , Antwerp, Belgium
- Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel , Brussels, Belgium
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care, University of Antwerp , Antwerp, Belgium
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care, University of Antwerp , Antwerp, Belgium
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Mestdagh E, Van Rompaey B, Peremans L, Meier K, Timmermans O. Proactive behavior in midwifery: A qualitative overview from midwifery student's perspective. Nurse Educ Pract 2018; 31:1-6. [PMID: 29705373 DOI: 10.1016/j.nepr.2018.04.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Revised: 04/19/2018] [Accepted: 04/22/2018] [Indexed: 11/16/2022]
Abstract
In the process of continuing developments and contemporary working conditions, this study provides an in depth exploration of proactive behavior in midwifery. Exploring 55 midwifery students' perceptions on facilitators and/or barriers of proactive behavior in midwifery practice, this study uncloses additional insights of proactive behavior in midwifery and aims to confirm and/or supplement previous results. Four key themes were identified: 1) Nature-nurture, supported by good communication and lifelong learning. 2) Willingness, regulated by the midwife's norms and values and the organizational culture of the midwifery team. 3) The impact of awareness and feedback on the reflective tendencies to strengthen the midwife's beliefs and convictions to behave proactively. 4) Time was identified as something gained in the presence of proactive behavior as well as a barrier if time was limited. Providing midwives with knowledge of the key factors required to successfully effect proactive behavior in midwifery, this study has merit for future midwifery education, policy and practice. Strengthening intrinsic motivation of midwives integrated into midwifery education, focus on feedback as part of the daily routine of the midwife and the gaining of time as an effect of proactive behavior, needs clear attention in midwifery practice.
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Affiliation(s)
- Eveline Mestdagh
- Bachelor in Midwifery, Department of Health and Social Work, Artesis Plantijn University College Antwerp, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
| | - Bart Van Rompaey
- Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
| | - Lieve Peremans
- Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Jette, Belgium.
| | - Kate Meier
- University College Odisee, Warmoesberg 26, 1000 Brussels, Belgium.
| | - Olaf Timmermans
- Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; HZ University of Applied Sciences, Edisonweg 4, 4382 NW Vlissingen, The Netherlands.
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Mestdagh E, Timmermans O, Colin PJ, Van Rompaey B. A cross-sectional pilot study of student's proactive behavior in midwifery education: Validation of a developed questionnaire. Nurse Educ Today 2018; 62:22-29. [PMID: 29275018 DOI: 10.1016/j.nedt.2017.12.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Revised: 11/02/2017] [Accepted: 12/02/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES Midwifery students face major challenges in adapting quickly and effectively to different clinical settings. Proactive behavior, triggered by various individual and/or contextual antecedents, could be a significant added value to cope with these challenges. DESIGN A cross-sectional pilot study was conducted to investigate prognostic factors in proactive behavior in a group of midwifery students. SETTINGS The setting was a Belgian University College for midwifery education. PARTICIPANTS All second and third year midwifery students (n=156). METHODS Students were questioned regarding several prognostic factors: four personal characteristics, seven individual antecedents and three contextual antecedents that might trigger proactive behavior. A proportional odds logistic regression analyses was used to describe the association between prognostic factors and the probability to observe proactive behavior within the group. The strength of the newly developed questionnaire was tested. RESULTS Of all tested prognostic factors, nationality, role breadth self-efficacy, referring to the self-confidence of a midwifery-student to perform tasks that exceed expectations, and control appraisal, describing the importance attached to one's perceived control, were significantly associated with proactive behavior. The overall strength of the questionnaire was ratified. Two of the original questions were deleted, two re-formulated and for one prognostic factor the answer-options were re-formulated. CONCLUSIONS Findings from this pilot study show that midwifery students who have a high role breadth self-efficacy and low control appraisal are more likely to show proactive behavior. Additionally, Dutch students are more likely to show proactive behavior in relation to Belgian students. The questionnaire's feasibility was examined and adjustments were made for future research in a larger study to confirm these outcomes. This study can be a support in the individual guidance of midwifery students towards proactive behavior in midwifery.
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Affiliation(s)
- Eveline Mestdagh
- Department of Health and Social Work, Artesis Plantijn University Antwerp, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
| | - Olaf Timmermans
- Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; HZ University of Applied sciences, Edisonweg 4, 4382 NW Vlissingen, The Netherlands.
| | - Pieter J Colin
- Department of Anesthesiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Department of Bioanalysis, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium.
| | - Bart Van Rompaey
- Department of Health and Social Work, Artesis Plantijn University Antwerp, Noorderplaats 2, 2000 Antwerp, Belgium; Centre for Research and Innovation in Care, University Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.
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De Ridder B, Van Rompaey B, Kampen JK, Haine S, Dilles T. Smartphone Apps Using Photoplethysmography for Heart Rate Monitoring: Meta-Analysis. JMIR Cardio 2018; 2:e4. [PMID: 31758768 PMCID: PMC6834218 DOI: 10.2196/cardio.8802] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Revised: 12/03/2017] [Accepted: 12/18/2017] [Indexed: 11/19/2022] Open
Abstract
Background Smartphone ownership is rising at a stunning rate. Moreover, smartphones prove to be suitable for use in health care due to their availability, portability, user-friendliness, relatively low price, wireless connectivity, far-reaching computing capabilities, and comprehensive memory. To measure vital signs, smartphones are often connected to a mobile sensor or a medical device. However, by using the white light-emitting diode as light source and the phone camera as photodetector, a smartphone could be used to perform photoplethysmography (PPG), enabling the assessment of vital signs. Objective The objective of this meta-analysis was to evaluate the available evidence on the use of smartphone apps to measure heart rate by performing PPG in comparison with a validated method. Methods PubMed and ISI Web of Knowledge were searched for relevant studies published between January 1, 2009 and December 7, 2016. The reference lists of included studies were hand-searched to find additional eligible studies. Critical Appraisal Skills Programme (CASP) Diagnostic Test Study checklist and some extra items were used for quality assessment. A fixed effects model of the mean difference and a random effects model of Pearson correlation coefficient were applied to pool the outcomes of the studies. Results In total, 14 studies were included. The pooled result showed no significant difference between heart rate measurements with a smartphone and a validated method (mean difference −0.32; 99% CI −1.24 to 0.60; P=.37). In adults, the Pearson correlation coefficient of the relation between heart rate measurement with a smartphone and a validated method was always ≥.90. In children, the results varied depending on measuring point and heart rate. The pooled result showed a strong correlation that was significant (correlation coefficient .951; 95% CI 0.906-0.975; P<.001). The reported limits of agreement showed good agreement between a smartphone and a validated method. There was a moderately strong significant negative correlation between the year of publication of the included studies and the mean difference (r=−.69; P<.001). Conclusions Smartphone apps measuring heart rate by performing PPG appear to agree with a validated method in an adult population during resting sinus rhythm. In a pediatric population, the use of these apps is currently not validated.
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Affiliation(s)
- Benjamin De Ridder
- University Hospital Ghent, Ghent, Belgium.,Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Bart Van Rompaey
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Jarl K Kampen
- Wageningen University, Biometris, Wageningen, Netherlands.,StatUa Center for Statistics, University of Antwerp, Antwerp, Belgium
| | - Steven Haine
- Department of Cardiology, Antwerp University Hospital, Edegem, Belgium.,Department of Cardiology, University of Antwerp, Antwerp, Belgium
| | - Tinne Dilles
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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Bogaerts A, De Baetselier E, Ameye L, Dilles T, Van Rompaey B, Devlieger R. Postpartum weight trajectories in overweight and lean women. Midwifery 2017; 49:134-141. [DOI: 10.1016/j.midw.2016.08.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2016] [Revised: 08/11/2016] [Accepted: 08/31/2016] [Indexed: 01/13/2023]
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Vanwesemael T, Van Rompaey B, Petrovic M, Boussery K, Dilles T. SelfMED: Self-Administration of Medication in Hospital: A Prevalence Study in Flanders, Belgium. J Nurs Scholarsh 2017; 49:277-285. [PMID: 28376562 DOI: 10.1111/jnu.12290] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/05/2017] [Indexed: 01/05/2023]
Abstract
BACKGROUND Self-management is a key element in regaining and maintaining health. However, during hospitalization it becomes less obvious. Patient self-administration of medication during hospitalization is suggested to be beneficial to patient satisfaction, adherence to pharmacotherapy, and self-care competence. OBJECTIVES This study aimed to examine the prevalence of self-administration of medication during hospitalization, and possible contributing factors. DESIGN AND SETTING A cross-sectional observational study was conducted in 12 Belgian hospitals from February 2015 until June 2015. PARTICIPANTS Data were collected on all hospitalized patients at 57 wards, based in 12 hospitals. DATA COLLECTION A structured questionnaire at ward level and patient level on medication management, self-administration of medication, and rationale for prohibiting or allowing patients to self-administer their medication was conducted in consultation with the head nurse. RESULTS Of the 1,269 patients participating in this study, 22% self-administered at least one medicine during hospitalization and 13.8% self-administered at least 50% of their total amount of medication. In the opinion of the head nurse, 40.9% of the hospitalized patients would have been able to self-administer their medication during hospitalization. Only a few wards had an available procedure and screening tool to assess the competence of the patients to self-administer their medication. This did not affect the prevalence of self-administration. Self-administration occurred significantly more at surgical short-stay wards, compared to other wards. The self-administering patients were on average younger and female and had a lower number of different medications per day before and during hospitalization. These patients had a good health status and were independent to mildly dependent on nurses on the ward. Related factors were used to provide a multivariate logistic regression model. CONCLUSIONS Sometimes self-administration of medication was allowed. According to the surveyed nurses, however, more patients would be able to self-administer their medication during hospitalization. There seems to be a lack of procedures and screening tools to assess the competence or appropriateness of patients to self-administer their medication. CLINICAL RELEVANCE This study provides new knowledge about the prevalence of self-administration of medication, contributing factors, the types of self-administered medications, and the organization of self-administration of medication on different wards.
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Affiliation(s)
- Toke Vanwesemael
- Department of Healthcare, Thomas More University College, Belgium and Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
| | - Bart Van Rompaey
- Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
| | - Mirko Petrovic
- Department of Internal Medicine, section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Koen Boussery
- Pharmaceutical Care Unit, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium
| | - Tinne Dilles
- Department of Healthcare, Thomas More University College, Belgium and Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
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Van Bogaert P, Peremans L, Diltour N, Van heusden D, Dilles T, Van Rompaey B, Havens DS. Staff Nurses' Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study. PLoS One 2016; 11:e0152654. [PMID: 27035457 PMCID: PMC4818078 DOI: 10.1371/journal.pone.0152654] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2015] [Accepted: 03/17/2016] [Indexed: 11/18/2022] Open
Abstract
The aim of the study reported in this article was to investigate staff nurses' perceptions and experiences about structural empowerment and perceptions regarding the extent to which structural empowerment supports safe quality patient care. To address the complex needs of patients, staff nurse involvement in clinical and organizational decision-making processes within interdisciplinary care settings is crucial. A qualitative study was conducted using individual semi-structured interviews of 11 staff nurses assigned to medical or surgical units in a 600-bed university hospital in Belgium. During the study period, the hospital was going through an organizational transformation process to move from a classic hierarchical and departmental organizational structure to one that was flat and interdisciplinary. Staff nurses reported experiencing structural empowerment and they were willing to be involved in decision-making processes primarily about patient care within the context of their practice unit. However, participants were not always fully aware of the challenges and the effect of empowerment on their daily practice, the quality of care and patient safety. Ongoing hospital change initiatives supported staff nurses' involvement in decision-making processes for certain matters but for some decisions, a classic hierarchical and departmental process still remained. Nurses perceived relatively high work demands and at times viewed empowerment as presenting additional. Staff nurses recognized the opportunities structural empowerment provided within their daily practice. Nurse managers and unit climate were seen as crucial for success while lack of time and perceived work demands were viewed as barriers to empowerment.
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Affiliation(s)
- Peter Van Bogaert
- Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Nursing Department, Antwerp University Hospital, Antwerp, Belgium
- * E-mail:
| | - Lieve Peremans
- Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium
- Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel, Brussels, Belgium
| | - Nadine Diltour
- Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Danny Van heusden
- Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Tinne Dilles
- Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Bart Van Rompaey
- Nursing and Midwifery Sciences, Centre for Research and Innovation in Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Donna Sullivan Havens
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America
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Mestdagh E, Van Rompaey B, Beeckman K, Bogaerts A, Timmermans O. A concept analysis of proactive behaviour in midwifery. J Adv Nurs 2016; 72:1236-50. [PMID: 26957225 DOI: 10.1111/jan.12952] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/05/2016] [Indexed: 11/30/2022]
Abstract
AIM To report an analysis of the concept of proactive behaviour and apply the findings to midwifery. BACKGROUND Proactive behaviour is a universal phenomenon generalizable to multiple professions. The purpose of this work was to establish a link with midwifery. DESIGN Concept analysis by Walker and Avant's method. DATA SOURCES Literature was searched in PubMed, ERIC, NARCIS, Emerald and reference lists of related journal articles with a timeline of 1990 - April 2015 in the period of November 2014 - June 2015. Next key words were combined by the use of Boolean operators: 'proactive behaviour', 'midwifery', 'midwife', 'proactivity' and 'proactive'. Fifteen studies were included. METHODS A focused review of scientific publications in midwifery, health care, healthcare education and social sciences, which highlighted the concept of proactive behaviour. RESULTS In the studied literature, several attributes of proactive behaviour were cited. These attributes were narrowed by applying it on a midwifery model case, borderline case and contrary case. Related concepts were elaborated and distinguished of the concept of proactive behaviour in midwifery. Proactive behaviour is triggered by different individual and contextual antecedents and has consequences at multiple levels. CONCLUSION A midwife who behaves proactive would not look at changes as a boundary, persistently improves things she experienced as wrong, anticipates future barriers and looks for viable alternatives to carry out her work as efficiently and effectively as possible. Various individual and/or contextual antecedents trigger proactive behaviour in midwifery, and this behaviour could cause multiple future benefits for the constant evolving reproductive health care.
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Affiliation(s)
- Eveline Mestdagh
- Bachelor in Midwifery, Department of Health and Social Work, Artesis Plantijn University College, Antwerp, Belgium
| | - Bart Van Rompaey
- Bachelor in Midwifery, Department of Health and Social Work, Artesis Plantijn University College, Antwerp, Belgium.,Centre for Research and Innovation in Care, University Antwerp, Belgium
| | - Katrien Beeckman
- Faculty of Medicine and Pharmacy, The Free University of Brussels, Elsene, Belgium.,Social Health Services, University Hospital, Brussels, Belgium
| | - Annick Bogaerts
- Centre for Research and Innovation in Care, University Antwerp, Belgium.,Bachelor in Midwifery, Faculty of Health and Social Work, research unit Healthy Living, UC Leuven-Limburg, Belgium
| | - Olaf Timmermans
- Centre for Research and Innovation in Care, University Antwerp, Belgium.,HZ University of Applied Sciences, Vlissingen, The Netherlands
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Van Rompaey B, Van Hoof A, van Bogaert P, Timmermans O, Dilles T. The patient's perception of a delirium: A qualitative research in a Belgian intensive care unit. Intensive Crit Care Nurs 2016; 32:66-74. [DOI: 10.1016/j.iccn.2015.03.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Revised: 02/27/2015] [Accepted: 03/13/2015] [Indexed: 11/26/2022]
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Dilles T, Van Rompaey B, Van Bogaert P, Elseviers MM. Resident and nurse reports of potential adverse drug reactions. Eur J Clin Pharmacol 2015; 71:741-749. [DOI: 10.1007/s00228-015-1848-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Accepted: 04/10/2015] [Indexed: 10/23/2022]
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Van Bogaert P, Adriaenssens J, Dilles T, Martens D, Van Rompaey B, Timmermans O. Impact of role‐, job‐ and organizational characteristics on Nursing Unit Managers' work related stress and well‐being. J Adv Nurs 2014; 70:2622-33. [DOI: 10.1111/jan.12449] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/19/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Peter Van Bogaert
- Department of Nursing and Midwifery Sciences Centre for Research and Innovation in Care University of Antwerp Wilrijk Belgium
| | - Jef Adriaenssens
- Institute of Psychology Health Psychology Unit Leiden University The Netherlands
| | - Tinne Dilles
- Department of Nursing and Midwifery Sciences Centre for Research and Innovation in Care University of Antwerp Wilrijk Belgium
| | - Daisy Martens
- Departement of Nursing General Hospital Turnhout Belgium
| | - Bart Van Rompaey
- Department of Nursing and Midwifery Sciences Centre for Research and Innovation in Care University of Antwerp Wilrijk Belgium
| | - Olaf Timmermans
- Department of Nursing and Midwifery Sciences Centre for Research and Innovation in Care University of Antwerp Wilrijk Belgium
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Bogaert PV, Dilles T, Wouters K, Rompaey BV. Practice Environment, Work Characteristics and Levels of Burnout as Predictors of Nurse Reported Job Outcomes, Quality of Care and Patient Adverse Events: A Study across Residential Aged Care Services. ACTA ACUST UNITED AC 2014. [DOI: 10.4236/ojn.2014.45040] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Meyvis I, Van Rompaey B, Goormans K, Truijen S, Lambers S, Mestdagh E, Mistiaen W. Maternal position and other variables: effects on perineal outcomes in 557 births. Birth 2012; 39:115-20. [PMID: 23281859 DOI: 10.1111/j.1523-536x.2012.00529.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/20/2011] [Indexed: 11/30/2022]
Abstract
BACKGROUND Damage to the perineum is common after vaginal delivery, and it can be caused by laceration, episiotomy, or both. This study investigated the effects of maternal position (lateral vs lithotomy) and other variables on the occurrence of perineal damage. METHODS A retrospective study included the examination of hospital records from 557 women. The effects of demographic characteristics, gravidity, parity, duration of pregnancy, reason for admission, and mode of labor on perineal outcomes were investigated through univariate (independent sample t test, chi-square test) and multivariate analysis (logistic regression analysis). RESULTS Considering episiotomy as perineal damage, univariate analysis showed a protective effect of the lateral position (45.9% vs 27.9%, p > 0.001), and fewer episiotomies were performed (6.7% vs 38.2%) with this position. This protective effect for perineal damage disappeared on excluding women undergoing episiotomy from analysis. Multivariate analysis including all participants showed an increase of 47 percent in the likelihood of an intact perineum for the lateral position when compared with the lithotomy position (OR: 0.53; 95% CI: 0.36-0.78). Parity was associated with a reduction of 44 percent in perineal damage (OR: 0.56; 95% CI: 0.47-0.78, p < 0.001). Moreover, the lithotomy position was associated with significantly more episiotomies than the lateral position (7% vs 38%, p < 0.001). The odds of perineal damage increased in deliveries performed by physicians (OR: 2.92; 95% CI: 1.79-4.78). CONCLUSIONS Childbirth in the lateral position resulted in less perineal trauma when compared with childbirth in the lithotomy position, even after correcting for parity and birth attendant. The probability of an intact perineum increased in deliveries performed by midwives. (BIRTH 39:2 June 2012).
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Affiliation(s)
- Inge Meyvis
- Department of Health Care, Artesis University College, Antwerp, Belgium
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Van Rompaey B, Elseviers MM, Van Drom W, Fromont V, Jorens PG. The effect of earplugs during the night on the onset of delirium and sleep perception: a randomized controlled trial in intensive care patients. Crit Care 2012; 16:R73. [PMID: 22559080 PMCID: PMC3580615 DOI: 10.1186/cc11330] [Citation(s) in RCA: 206] [Impact Index Per Article: 17.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2011] [Accepted: 05/04/2012] [Indexed: 11/10/2022] Open
Abstract
Introduction This study hypothesised that a reduction of sound during the night using earplugs could be beneficial in the prevention of intensive care delirium. Two research questions were formulated. First, does the use of earplugs during the night reduce the onset of delirium or confusion in the ICU? Second, does the use of earplugs during the night improve the quality of sleep in the ICU? Methods A randomized clinical trial included adult intensive care patients in an intervention group of 69 patients sleeping with earplugs during the night and a control group of 67 patients sleeping without earplugs during the night. The researchers were blinded during data collection. Assignment was performed by an independent nurse researcher using a computer program. Eligible patients had an expected length of stay in the ICU of more than 24 hours, were Dutch- or English-speaking and scored a minimum Glasgow Coma Scale of 10. Delirium was assessed using the validated NEECHAM scale, sleep perception was reported by the patient in response to five questions. Results The use of earplugs during the night lowered the incidence of confusion in the studied intensive care patients. A vast improvement was shown by a Hazard Ratio of 0.47 (95% confidence interval (CI) 0.27 to 0.82). Also, patients sleeping with earplugs developed confusion later than the patients sleeping without earplugs. After the first night in the ICU, patients sleeping with earplugs reported a better sleep perception. Conclusions Earplugs may be a useful instrument in the prevention of confusion or delirium. The beneficial effects seem to be strongest within 48 hours after admission. The relation between sleep, sound and delirium, however, needs further research. Trial registration Current Controlled Trials ISRCTN36198138
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