Job Leenen

Job Leenen
Verified
Job verified their affiliation via an institutional email.
Verified
Job verified their affiliation via an institutional email.
Isala Klinieken | isala · Connected Care Center

PhD

About

29
Publications
2,092
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
350
Citations
Introduction
Innovation and transformation of (nursing) care
Additional affiliations
September 2023 - present
Windesheim University of Applied Sciences
Position
  • Senior Researcher
Education
January 2020 - September 2023
Utrecht University
Field of study
  • Nursing Science
September 2016 - July 2018
Utrecht University
Field of study
  • Clinical Health Sciences, Nursing Science

Publications

Publications (29)
Article
Full-text available
Background Virtual care centres (VCCs) are novel wards of hospitals and facilitate the provision of remote monitoring and home-based patient care. Whereas since the COVID-19 pandemic VCCs have rapidly emerged, there is no standardised framework for the development and implementation of VCCs. To develop such a framework, insight in current experienc...
Article
Full-text available
Introduction Early Warning Score (EWS) protocols are based on intermittent vital sign measurements, and aim to detect clinical deterioration in a timely manner. Despite its predictive value, its effectiveness remains suboptimal. An important limitation appears to be poor compliance with the EWS protocol and its variation between general wards. The...
Article
‘Ik verwacht dat telemonitoring de gehele zorgketen gaat ondersteunen’ Eén van de belangrijkste innovaties op het gebied van de gezondheidszorg is de opkomst van wearables, kleine draagbare sensoren die allerlei lichaamsfuncties monitoren. Continue monitoring van vitale functies (CMVF) kan mogelijk dankzij draagbare en draadloze sensoren een stuk...
Article
Purpose of review Wearable wireless sensors for continuous vital signs monitoring (CVSM) offer the potential for early identification of patient deterioration, especially in low-intensity care settings like general wards. This study aims to review advances in wearable CVSM – with a focus on the general ward – highlighting the technological characte...
Article
Full-text available
Background Technological advances have enabled continuous monitoring of vital signs (CMVS) by wearable, wireless devices on general hospital wards to facilitate early detection of clinical deterioration, which could potentially improve clinical outcomes. However, evidence on the impact of these CMVS systems on patient outcomes is limited. This rese...
Thesis
Patients on general wards are at risk of complications, often associated with deviations in vital signs. Unfortunately, the currently used manual method of intermittently measuring vital signs is not optimal, potentially leading to late recognition and treatment of complications, and sometimes with serious consequences such as intensive care admiss...
Article
Aims: Heart failure (HF) is a common cause of mortality and (re)hospitalisations. The NWE-Chance project explored the feasibility of providing hospitalisations at home (HH) supported by a newly developed digital health platform. The aim of this study was to explore the perceived usability by healthcare professionals (HCPs) of a digital platform in...
Article
Full-text available
Background: Hospital stays after colorectal surgery are increasingly being reduced by enhanced recovery and early discharge protocols. As a result, postoperative complications may frequently manifest after discharge in the home setting, potentially leading to emergency room presentations and readmissions. Virtual care interventions after hospital...
Article
Full-text available
Background Continuous monitoring of vital signs (CMVS) using wearable wireless sensors is increasingly available to patients in general wards and can improve outcomes and reduce nurse workload. To assess the potential impact of such systems, successful implementation is important. We developed a CMVS intervention and implementation strategy and eva...
Article
Full-text available
Background Hospitalisations for heart failure are frequent and costly, linked with a lower quality of life, and lead to higher morbidity and mortality. Home hospitalisation interventions could be a substitute for in-hospital stays to reduce the burden on patients. The current study aims to investigate patient-reported satisfaction and usability in...
Preprint
BACKGROUND Hospital stays after colorectal surgery are increasingly being reduced by enhanced recovery and early discharge protocols. As a result, postoperative complications may frequently manifest after discharge in the home setting, potentially leading to emergency room presentations and readmissions. Virtual care interventions after hospital di...
Preprint
BACKGROUND Continuous monitoring of vital signs (CMVS) using wearable wireless sensors is increasingly available to patients in general wards and can improve outcomes and reduce nurse workload. To assess the potential impact of such systems, successful implementation is important. We developed a CMVS intervention and implementation strategy and eva...
Article
Continuous monitoring of vital signs with wearable wireless sensors is increasingly being applied on general nursing wards. Although alarms are considered important for early detection of clinical deterioration, 'alarm fatigue' can seriously hamper the implementation of continuous monitoring. Current systems regularly generate high false alarm freq...
Article
Full-text available
Background To support early recognition of clinical deterioration on a general ward continuous vital signs monitoring (CMVS) systems using wearable devices are increasingly being investigated. Although nurses play a crucial role in successful implementation, reported nurse adoption and acceptance scores vary significantly. In-depth insight into the...
Article
Full-text available
Background Wireless continuous vital sign monitoring by wearable devices have recently become available for patients on general wards to promote timely detection of clinical deterioration. Many continuous monitoring systems use conventional threshold alarm settings to alert nurses in case of deviating vital signs. However, frequent false alarms oft...
Article
Full-text available
Background: Heart failure (HF) is a common cause of hospitalisation and mortality in elderly. The frequent rehospitalisations put a serious burden on patients, health-care budgets, and health-care capacity. Frequent hospital admissions are also associated with a substantial additional hazard for serious complications and reduced quality of life. T...
Preprint
Full-text available
Background To support early recognition of clinical deterioration on a general ward continuous vital signs monitoring (CMVS) systems using wearable devices are increasingly being investigated. Although nurses play a crucial role in successful implementation, reported nurse adoption and acceptance scores vary significantly. In-depth insight into the...
Article
Full-text available
Background Patients undergoing esophagectomy are at serious risk of developing postoperative complications. To support early recognition of clinical deterioration, wireless sensor technologies that enable continuous vital signs monitoring in a ward setting are emerging. Objective This study explored nurses’ and surgeons’ expectations of the potent...
Article
Full-text available
Objective To determine feasibility, in terms of acceptability and system fidelity, of continuous vital signs monitoring in abdominal surgery patients on a general ward. Design Observational cohort study. Setting Tertiary teaching hospital. Participants Postoperative abdominal surgical patients (n=30) and nurses (n=23). Interventions Patients we...
Preprint
BACKGROUND Patients undergoing esophagectomy are at serious risk of developing postoperative complications. To support early recognition of clinical deterioration, wireless sensor technologies that enable continuous vital signs monitoring in a ward setting are emerging. OBJECTIVE This study explored nurses’ and surgeons’ expectations of the potent...
Article
Background Collar-related pressure ulcers (CRPU) are a problem in trauma patients with a suspicion of cervical cord injury patients. Indentation marks (IM), skin temperature (Tsk) and comfort could play a role in the development of CRPU. Two comparable cervical collars are the Stifneck® and Philadelphia®. However, the differences between them remai...
Article
Objective: The aim is to examine and compare the level of health literacy (HL) amongst surgical vascular and abdominal patients and measuring the understandability and actionability of current and optimized education materials.Methods: A cross-sectional design was utilized. Patients undergoing abdominal or vascular surgery, were included for measur...
Article
Full-text available
Background: Continuous monitoring of vital signs using wearable, wireless devices may allow for timely detection of clinical deterioration in patients on general wards in comparison to the standard intermittent vital signs measurements. A large number of studies with many different wearable devices have been reported in recent years, but a systema...
Preprint
BACKGROUND Continuous monitoring of vital signs by using wearable wireless devices may allow for timely detection of clinical deterioration in patients in general wards in comparison to detection by standard intermittent vital signs measurements. A large number of studies on many different wearable devices have been reported in recent years, but a...
Article
It has been a standard practice to perform mechanical bowel preparation (MBP) prior to colorectal surgery to reduce the risk of colorectal anastomotic leakages (CAL). The latest Cochrane systematic review suggests there is no benefit for MBP in terms of decreasing CAL, but new studies have been published. The aim of this systematic review and meta-...

Network

Cited By