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Introduction
Current research projects
Implementation and effectiveness of POST-ICU-diary, a digital diary tool supporting relatives in the ICU.
RELACS; a randomized controlled trial to assess the effect of music intervention on the level of anxiety in ICU patients.
Priorities for a research agenda, perspectives of former ICU patients and relatives in the Netherlands.
CoMentIC study, a cross-sectional survey on the impact of COVID-19 on the Mental health of ICU nurses in the Netherlands.
Publications
Publications (58)
The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective Eo...
Purpose
To identify key components and variations in family-centered care practices.
Methods
A cross-sectional study, conducted across ESICM members. Participating ICUs completed a questionnaire covering general ICU characteristics, visitation policies, team-family interactions, and end-of-life decision-making. The primary outcome, self-rated fami...
Background
Bereaved relatives of intensive care unit (ICU) patients are at increased risk of psychological complaints. Aftercare might help them cope with processing the ICU admission and their loved one’s death. There is little (qualitative) evidence on how bereaved relatives experience aftercare. Also, the COVID-19 pandemic likely impacted afterc...
Background
In the intensive care unit (ICU) relatives play a crucial role as surrogate decision-makers, since most patients cannot communicate due to their illness and treatment. Their level of involvement in decision-making can affect their psychological well-being. During the COVID-19 pandemic, relatives’ involvement probably changed. We aim to i...
Background
Diaries have been used regularly in international settings as an evidence‐based and easily applicable intervention following a person‐centred approach in the intensive care unit (ICU). In addition, a diary web application known as ‘Post‐ICU’ has been implemented.
Aim
To explore the usability of an innovative digital diary from the persp...
Background
The negative impact on long‐term health‐related outcomes among relatives of critically ill patients in the intensive care unit (ICU) has been well described. High‐quality ICU specialized follow‐up care, which is easily accessible with digital innovation and which is designed by and with relevant stakeholders (i.e., ICU patients' relative...
Shortage of nurses on the ICU is not a new phenomenon, but has been exacerbated by the COVID-19 pandemic. The underlying reasons are relatively well-recognized, and include excessive workload, moral distress, and perception of inappropriate care, leading to burnout and increased intent to leave, setting up a vicious circle whereby fewer nurses resu...
Introduction
A substantial proportion of intensive care unit (ICU) survivors develop psychological impairments after ICU treatment, part of the postintensive care syndrome, resulting in a decreased quality of life. Recent data suggest that an ICU-specific virtual reality intervention (ICU-VR) for post-ICU patients is feasible and safe, improves sat...
By completing this chapter, the reader will be able to:
Recognize and define the subject group of interest in the context of this book.
Identify the individual roles caregivers fulfill.
Relate the concept of caregiver burden to caregiving activities including post-intensive care syndrome (PICS-F).
Describe individual consequences and effects of car...
Objectives
To determine the impact of the second surge of the COVID-19 pandemic (October 2020 to June 2021) on mental well-being of intensive care unit (ICU) nurses and factors associated with mental health outcomes.
Methods
An online survey was available for Dutch ICU nurses in October 2021, measuring mental health symptoms; anxiety, depression (...
Objectives
The aim of the current study is to gain insight into the factors that benefit vitality and resilience of healthcare workers during the COVID-19 pandemic, to develop and direct specific support strategies.
Design, setting and participants
This study applies a qualitative design, consisting of six focus groups and five interviews among 38...
During the coronavirus disease 2019 (COVID-19) pandemic, policies of family-centered care in the intensive care unit (ICU) were impacted by visiting restrictions and undesirable physical distance to the patient. This might have increased psychological distress, including complicated grief (CG) among bereaved relatives. CG is characterized by intens...
Introduction
Diaries have been used regularly in various intensive care units (ICUs) in international settings. Hard copy diaries written by relatives became impractical during the COVID-19 pandemic due to ICU visiting restrictions and infection control considerations. The implementation of a web based application, named the “Post-ICU” diary, offer...
TAKE CONTROL BY LETTING GO? SUSTAINABLE EMPLOYABILITY OF NURSES IN INTENSIVE CARE UNITS
Dr. Dewi Stalpers, PhD. (University Medical Center, Utrecht)
Dr. Bram Tilburgs PhD. (Radboud University Medical Center, Nijmegen)
Dr. Margo van Mol PhD. (Erasmus Medical Center, Rotterdam)
Globally, work-related stress experienced by nurses working in the inte...
Introduction:
Anxiety is common in critically ill patients and has likely become more prevalent in the recent decade due to the imperative of the recent Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients (PADIS) to use low levels of sedation and s...
Introduction:
The COVID-19 pandemic has had a significant impact on the physical and mental functioning of healthcare professionals, especially those working on the 'frontline', and other hospital workers. At the onset of the crisis, various interventions were introduced to promote resilience and offer mental support to these professionals. Howeve...
Introduction
Intensive care unit (ICU) admission of a relative might lead to psychological distress and complicated grief (post-intensive care syndrome–family; PICS-F). Evidence suggests that increased distress during ICU stay increases risk of PICS-F, resulting in difficulty returning to their normal lives after the ICU experience. Effective inter...
Purpose
The COVID-19 crisis put a strain on intensive care resources everywhere in the world increasing the risk of burnout. Previously, the prevalence of burnout among Dutch intensivists was found to be low. Engagement and resilience among intensivists have not previously been studied quantitatively, however, both are related to burnout and provid...
Objectives
To determine the impact of the first COVID-19 surge (March through June 2020) on mental well-being and associated risk factors among intensive care unit (ICU) nurses.
Research methodology
In September 2020, a nationwide cross-sectional survey study among Dutch ICU nurses was carried out to measure prevalence rates of symptoms of anxiety,...
Background:
When a patient is approaching death in the intensive care unit (ICU), patients' relatives must make a rapid transition from focusing on their beloved one's recovery to preparation for their unavoidable death. Bereaved relatives may develop complicated grief as a consequence of this burdensome situation; however, little is known about a...
Aim
To explore the perspectives of patients, their relatives and nurses on rooming-in for adult patients.
Background
The practice of having family stay overnight with an adult patient in hospital is quite new. To support rooming-in programs, the perspectives from all stakeholders should be taken into account.
Methods
All types of studies on roomi...
Objectives:
To develop a consensus framework that can guide the process of decision-making on continuing or limiting life-sustaining treatments in ICU patients, using evidence-based items, supported by caregivers, patients, and surrogate decision makers from multiple countries.
Design:
A three-round web-based international Delphi consensus study...
In dit hoofdstuk bespreken we dat er verschillende manieren zijn om een meetinstrument af te nemen. En het hoofdstuk helpt zorgprofessionals om op de juiste manier uitkomsten van meetinstrumenten te interpreteren.
Objectives:
This study aimed to measure the effects of a newly developed follow-up programme on intensive care unit patient quality of care, as perceived by their relatives, and the appropriateness of the programme according to nurses.
Methods and setting:
This before and after implementation study was conducted in a level III intensive care uni...
Background
Admission into an intensive care unit (ICU) may result in long-term physical, cognitive, and emotional consequences for patients and their relatives. The care of the critically ill patient does not end upon ICU discharge; therefore, integrated and ongoing care during and after transition to the follow-up ward is pivotal. This study descr...
Background and objectives:
Working in an Intensive Care Unit (ICU) is increasingly complex and is also physically, cognitively and emotionally demanding. Although the negative emotions of work-related stress have been well studied, the opposite perspective of work engagement might also provide valuable insight into how these emotional demands may...
Background
The quality standards of the Dutch Society of Intensive Care require monitoring of the satisfaction of patient’s relatives with respect to care. Currently, no suitable instrument is available in the Netherlands to measure this. This study describes the development and psychometric evaluation of the questionnaire-based Consumer Quality In...
AimFirst, to describe the state of the art of joined forces in person-centered care of professionals and patients with their relatives, in the context of intensive care units (ICUs) in the Netherlands. Second, to explore the aspects that are relevant to the professionals providing this compassionate care. Background
Person-centered care is gaining...
Aims and objectives:
To evaluate the impact of supportive interventions perceived by both the intensive care unit patients' relatives and the healthcare providers, such as deferred intake interviews for providing information and discussing the emotional impacts, encouragement to keep a diary, and the introduction of weekly psychosocial rounds, on...
Background:
Working in the stressful environment of the Intensive Care Unit (ICU) is an emotionally charged challenge that might affect the emotional stability of medical staff. The quality of care for ICU patients and their relatives might be threatened through long-term absenteeism or a brain and skill drain if the healthcare professionals leave...
4 en 5 juni 2015 Venticare 2015 Jaarbeurs Utrecht
De communicatie tussen naasten van een ic-patiënt en professionals vormt een belangrijke factor in de zorg op de ic. Om dit proces te ondersteunen, hebben het HagaZiekenhuis in Den Haag en het Erasmus MC in Rotterdam gezamenlijk een ic-webportaal ontwikkeld en geïmplementeerd waarbij informatie-uitwisseling centraal staat. In het door ons uitgevoer...
This study describes the development and validation of the Consumer Quality Index Relatives in ICUs (CQI 'R-ICU'), which aims to measure the satisfaction of relatives and to identify aspect of care that need improvement in the ICU in a reliable and valid way. According to the quality standards of the Dutch Society of Intensive Care, every ICU needs...