2011, Article / Letter to editor (International Journal of Nursing Studies, vol. 48, iss. 9, (2011), pp. 1040-1048)Patient care guidelines are usually implemented one at a time, yet patients are at risk for multiple, often preventable, adverse events simultaneously. This study aimed to test the effect of the SAFE or SORRY? programme on the incidence of three adverse events (pressure ulcers, urinary tract infections and falls). This paper describes Part I of the study: the effect on the incidence of adverse events. A cluster randomised trial was conducted between September 2006 and November 2008. After a three-month baseline period the intervention was implemented followed by a nine-month follow-up period. Ten wards from four hospitals and ten wards from six nursing homes were stratified for institute and ward type and then randomised to intervention or usual care group.
2012, Article / Letter to editor (European Journal of Emergency Medicine, vol. 19, iss. 1, (2012), pp. 53-56)The objective of this study was to identify factors that influence emergency nurses adherence to an emergency department national protocol (EDNP). A survey of emergency nurses (n=200) and physicians with medical end responsibility on an emergency department (n=103) was carried out. Emergency nurses self-reported adherence to the EDNP was 38%, 55% of the nurses and 44% of the physicians were aware of the protocol. Interference with professional autonomy, insufficient organizational support and the EDNPs applicability were indicated as barriers for adherence. The main influencing factor seems awareness. Other factors related to the individual, the organization and to protocol characteristics. Solely disseminating the EDNP is not enough to get the protocol used in clinical practice.
2011, Article / Letter to editor (Injury : International Journal of the Care of the Injured, vol. 43, iss. 9, (2011), pp. 1397-1402)The aim of the study is to give insight into facilitators and barriers in pain management in trauma patients in the chain of emergency care in the Netherlands. A qualitative approach was adopted with the use of the implementation Model of Change of Clinical Practice. The chain of emergency care concerned prehospital Emergency Medical Services (EMS) and Emergency Departments (EDs). We included two EMS ambulance services and three EDs and conducted five focus groups and 10 individual interviews. Stakeholders and managers of organisations were interviewed individually. Focus group participants were selected based on availability and general characteristics. Transcripts of the audio recordings and field notes were analysed in consecutive steps, based on thematic content analysis. Each step was independently performed by the researchers, and was discussed afterwards. We analysed differences and similarities supported by software for qualitative analysis MaxQDA.
2010, Article / Letter to editor (Journal of Medical Internet Research, vol. 12, iss. 2, (2010), pp. e18)During the last decade, the Internet has become increasingly popular and is now an important part of our daily life. When new "Web 2.0" technologies are used in health care, the terms "Health 2.0" or "Medicine 2.0" may be used. The objective was to identify unique definitions of Health 2.0/Medicine 2.0 and recurrent topics within the definitions. A systematic literature review of electronic databases (PubMed, Scopus, CINAHL) and gray literature on the Internet using the search engines Google, Bing, and Yahoo was performed to find unique definitions of Health 2.0/Medicine 2.0. We assessed all literature, extracted unique definitions, and selected recurrent topics by using the constant comparison method.
2012, Article / Letter to editor (Journal of Emergency Nursing, (2012))Adherence to ambulance and ED protocols is often suboptimal. Insight into factors influencing adherence is a requisite for improvement of adherence. This study aims to gain an in-depth understanding of factors that influence ambulance and emergency nurses’ adherence to protocols.
2011, Article in monograph or in proceedings (European federation of Critical Care Nursing associations (EfCCNa))Which factors influence paramedics’ and emergency nurses’ adherence to the acute care national protocols?
2010, Article / Letter to editor (Nederlands Tijdschrift voor Geneeskunde, vol. 2011, iss. 155, (2010), pp. A2241)Acute pijn komt vaak voor bij patiënten op de afdeling Spoedeisende Hulp en wordt nog steeds onderbehandeld. Herhaaldelijk meten en documenteren van pijn is essentieel voor adequate pijnbehandeling. De patiënt is richtinggevend in hoeveel analgesie nodig is. Gedurende het diagnostische proces hoort medicamenteuze pijnstilling niet te worden uitgesteld, ook niet in geval van buikpijn. Opioïden hebben een centrale rol in de behandeling van acute pijn; opiofobie is niet gerechtvaardigd. Adequate pijnbestrijding op de SEH dient zowel bij opname in het ziekenhuis als bij ontslag naar huis een effectief vervolg te krijgen.