106 research outputs found
NURSES’ AUTONOMY IN INTERACTING WITH RELATIVES THROUGH DIARY WRITING IN THE INTENSIVE CARE UNIT; AN EXPLORATIVE MIXED METHODS STUDY
No full textHet doel van dit project was om inzicht te verkrijgen in de keuzes die IC-verpleegkundigen maken bij het schrijven in een digitaal dagboek, en in de factoren die hierop van invloed zijn. Daarnaast beoogde het project bij te dragen aan versterking van persoonsgerichte, psychosociale en relationele zorg en verpleegkundige autonomie
Dagboek Implementatie als opmaat naar geïntegreerde Interventies in Persoonsgerichte zorg op de Intensive Care afdelings
No full textHet overkoepelende doel van deze studie was om het digitale web-based Post-IC dagboek succesvol te implementeren op IC-afdelingen middels een tailored (op maat gemaakt) implementatiestrategie. Hiermee kan implementatiekennis worden opgedaan voor landelijke toepassing van het Post-IC dagboek waarin IC-verpleegkundigen berichten schrijven en de interventie integreren in het eigen werkproces. Daarnaast leverde dit inzichten op voor succesvolle implementatie methodieken bij innovaties van persoonsgerichte zorg binnen de verpleegkundige IC-zorgpraktijk
INTENSIVE CARE FOLLOW-UP SERVICE: DEVELOPING AND IMPLEMENTING A NURSE-LED E-HEALTH INTERVENTION FOR RELATIVES OF INTENSIVE CARE SURVIVORS
No full textThe overall program’s aim is to improve the long-term health-related outcomes of ICU survivors’ relatives by developing, pilot-testing, and implementing an e-health intervention in nurse-led ICU follow-up care
Tot maat van het recht : de vroege ontwikkeling van de wetenschap van het ontspoorde en criminele kind in het Centrale Observatiegesticht in Mol (1913-1941)
No full textThe first Belgian Child Protection Act, which passed in 1912, introduced the instrument of social and medical-psychological inquiry in both the sentencing and the re-education process of delinquent youth. As a result of the new, formal 'space for experts' thus created, a central observation centre for boys was established in the Flemish town of Mol in 1913. In this article the author first puts the development of this work, which reflected a shift in the problematisation and treatment of juvenile delinquency, into the context of a growing scientific interest in the delinquent child. Secondly, drawing on archival sources of the Mol centre such as a selection of case files of boys admitted between 1916 and 1941, she investigates the daily practice of scientific observation and diagnosis, its methods and techniques, and its results. This exploration suggests that practices in the Mol centre reflected, and at the same time have stimulated, an increasing importance of 'scientific' expertise in judicial decision-making, shaping juveniles' future pathways to a considerable extent. Yet the practices seem to have been less successful in keeping up with the scientific promise of a new, more adequate and effective kind of knowledge and treatment of juvenile delinquents
Quality of Care in the Intensive Care Unit from the Perspective of Relatives
No full textVolgens de kwaliteitsindicatoren van de Nederlandse Vereniging Intensive Care moet elke Intensive Care(IC)-afdeling de tevredenheid van naasten registreren. Er is momenteel echter onvoldoende inzicht in de kwaliteit van de zorg die ziekenhuizen bieden aan naasten op de IC-afdeling omdat er geen valide en betrouwbaar meetinstrument in Nederland voorhanden is.
Deze studie beschrijft de ontwikkeling en validering van de Consumer Quality Index ‘Intensive Care Unit-Relatives’, (CQI ‘R-ICU’) om de tevredenheid van naasten betrouwbaar te meten en verbeterpunten in de zorg evidence-based te identificeren
Balancing Coincident Worlds : the emotional impact of patients’ relatives and professionals in the intensive care
No full textThis thesis explored the emotional challenges in an intensive care unit (ICU) from two perspectives. Staying and working in the ICU can be two sides of the same coin; patients and their relatives on the one side and healthcare professionals on the other side, are connected to each other.
Staying in the uncertain world of the ICU is never desirable for patients and their relatives; however, the negative impact of this stay might be diminished if they experience receiving optimal and quality care. Interventions that focus on person-centered care and encompass respect, dignity, and empathy, will have a positive influence on the users’ experiences. Healthcare providers in the ICU may play a crucial role and make a difference in the lives of the patients and their relatives.
Although it should be emphasized that working in the ICU can be inspiring and pleasurable, it is essential to take care of the professionals and their emotional balance while working. An ICU is increasingly complex and physically, cognitively and emotionally demanding for the professionals, which might lead to distress while working. Occupational well-being is originally accompanied by feeling energized, focused, and optimistic. In their unsolicited role, patients and their relatives may contribute to this fulfillment of well-being. Overall, the ICU is a motivating world in which to work. We should keep it that way and strive for a healthy and successful working environment
Ervaringen en behoeften op een intensive-care-afdeling: het verhaal van nabestaanden
No full textPatiënten op een intensive-care-afdeling hebben een verhoogde kans om te overlijden. Door de vergrijzing, een hogere complexiteit van aandoening en behandeling en een toename van het aantal ernstig zieke patiënten, stijgt ook het beperken en staken van een behandeling. Naasten van IC-patiënten moeten snel schakelen van volledige behandeling, en hoop, naar terminale zorg voor hun geliefde. Daarom is goede ondersteuning van naasten rondom het levenseinde, tijdens en na de IC-opname, essentieel
Balancing Coincident Worlds : the emotional impact of patients’ relatives and professionals in the intensive care
No full textExploring eHealth interventions in ICU care: A scoping review.
No full textA review of all the available studies (quantitative and qualitative) regarding the use of eHealth in ICU care
Music as healing in ICU survivors:The road ahead in seeking the right tone
No full textThe concept of music therapy is not new, and in recent years, its roleas a therapeutic intervention has garnered significant attention for itspotential to promote health and wellbeing in general adult population[4] and aid in the healing process in trauma patients [5]. By listening tomusic, singing, or playing an instrument, music can stimulate various brain regions [4]. This process affects the brain at the cortical level, which is involved in memory and attention, as well as the limbic and paralimbic systems, which play key roles in emotion management. Additionally, it impacts vital signs and modulates neurochemical systems such as dopamine, opioid, serotonin, cortisol, and oxytocin. These neurochemicals are associated with motivations, reward, pleasure, pain, stress, arousal levels, the immune system, and even social attitude.Music can be a powerful healing instrument that might change perceived levels of anxiety through meaningful sounds occupying brain channels instead of stressful ICU surrounding noises. Brain overstimulation and worrisome thoughts might benefit from relaxing sounds of music.Although music-based interventions have demonstrated potential in improving outcomes related to anxiety, delirium, pain, need for sedation, and sleep disturbances during ICU admission a knowledge gap exists regarding their applicability and effectiveness in the post-ICU period. [...
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