Remco H A Ebben

Remco H A Ebben
Veiligheids- en Gezondheidsregio Gelderland-Midden · RAV en GHOR

PhD

About

36
Publications
5,560
Reads
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582
Citations
Additional affiliations
June 2009 - present
HAN University of Applied Sciences
Position
  • Lecturer

Publications

Publications (36)
Article
Full-text available
Background Non-conveyance is an increasing part of ambulance care and has to be safe. One of the indicators to measure safety is an ambulance re-contact within 72 h. However, solely measuring the percentage of re-contacts has limited validity as it lacks insight in actual reasons of an ambulance re-contact. Therefore, the aim of our study was to an...
Article
Full-text available
Background An increasing number of patients receive ambulance care without being conveyed to a definitive care provider. This process has been described as complex, challenging, and lacking in guideline support by EMS clinicians. The use of quality- and outcome measures among non-conveyed patients is an understudied phenomenon. Aim To identify cur...
Article
Full-text available
Background: The clinical decision-making of non-conveyance is perceived as complex and difficult by emergency medical services (EMS) professionals. Patients with a transient loss of consciousness (TLOC) based on syncope constitute a significant part of the non-conveyance population. Risk stratification is the basis of the clinical decision-making...
Article
Aims and objectives: To systematically review interventions and outcomes regarding family participation in essential care in adult intensive care units. Background: Patients and relatives may benefit from family participation in essential care activities. Design: An integrative literature review. Methods: The following databases were systema...
Poster
Full-text available
poster Presentation on wound closure by nurse practitioners in ambulance care in the Netherlands.
Article
Background Family participation in essential care activities may benefit both patients and relatives. Objectives In this integrative review, we aimed to identify needs, perceptions, preferences, and capacities regarding family participation in essential care in intensive care units (ICUs) from the patient's, relatives', and ICU healthcare provider...
Article
Full-text available
Background In 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers and funders. The continuously increasing demand for ambulance care and the reorientation towards the role of EMS in recent years may have changed research priorities. Therefore, this study a...
Article
Full-text available
Background Ambulance care professionals are regularly confronted with critical incidents that increase risks for mental health disorders. To minimize these risks, it is important that ambulance care professionals adequately cope with critical incidents. Especially from the perspective of starting ambulance care professionals it is unknown which cop...
Article
Background The aim of this study was to compare the ambulance care process, follow-up care and patient experience between physician assistants and ambulance nurses operating as solo ambulance care providers, for a non-conveyed patient population. Methods An observational design was used. Characteristics of patients and events and the care process...
Article
Full-text available
Background As many as 25% of all Dutch ambulance emergency service assignments result in non-conveyance of the patient to the hospital. Little is known about how patients and their relatives experience being left at home by an ambulance nurse after an acute request for medical help. Aim To gain insight into the experience of patients and their rel...
Preprint
Full-text available
Background Ambulance care professionals face an increasing demand for ambulance care, which is caused by a changing patient population with more complex healthcare problems and comorbidities, accessibility of emergency care, repeated requests for ambulance care and the request of ambulance care for primary care problems. These changes might require...
Article
Full-text available
Background : This review aims to describe the activities of nurse practitioners (NPs) and physician assistants (PAs) working in ambulance care, and the effect of these activities on patient outcomes, process of care, provider outcomes, and costs. Methods : PubMed, MEDLINE (EBSCO), EMBASE (OVID), Web of Science, the Cochrane Library (Cochrane Databa...
Article
Full-text available
Background Not all patients where an ambulance is dispatched are conveyed to an emergency department. Although non-conveyance is a substantial part of ambulance care, there is limited insight in the non-conveyance patient population. Therefore, the study aim was to compare demographics, initial on-scene reasons for care, and vital signs between con...
Article
Full-text available
Objective Guideline and protocol adherence in prehospital and in-hospital emergency departments (EDs) is suboptimal. Therefore, the objective of this systematic review was to identify effective strategies for improving guideline and protocol adherence in prehospital and ED settings. Design Systematic review. Data sources PubMed (including MEDLINE...
Article
Full-text available
Background This systematic review aimed to describe non-conveyance in ambulance care from patient-safety and ambulance professional perspectives. The review specifically focussed at describing (1) ambulance non-conveyance rates, (2) characteristics of non-conveyed patients, (3) follow-up care after non-conveyance, (4) existing guidelines or protoco...
Article
Full-text available
Objective To standardize patient handover in the chain of emergency care a handover guideline was developed. The main guideline recommendation is to use the DeMIST model (Demographics, Mechanism of Injury/illness, Injury/Illness, Signs, Treatment given) to structure pre-hospital notification and handover. To benefit from the new guideline, guidelin...
Article
Full-text available
Adherence to prehospital guidelines and protocols is suboptimal. Insight into influencing factors is necessary to improve adherence. The aim of this study was to identify factors that influence ambulance nurses' adherence to a National Protocol Ambulance Care (NPAC). A questionnaire was developed using the literature, a questionnaire and expert opi...
Article
Full-text available
A gap between guidelines or protocols and clinical practice often exists, which may result in patients not receiving appropriate care. Therefore, the objectives of this systematic review were (1) to give an overview of professionals' adherence to (inter)national guidelines and protocols in the emergency medical dispatch, prehospital and emergency d...
Article
Introduction: 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. Methods: Semi-structured interviews were held with a...
Article
Uit onderzoek blijkt dat ambulanceverpleegkundigen niet in alle gevallen het Landelijk Protocol Ambulancezorg opvolgen. In dit artikel beschrijven we factoren die deze opvolging volgens ambulanceverpleegkundigen en medisch managers beïnvloeden.
Article
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%...
Article
Titel Voorspellende factoren voor ICT-adoptie en implementatie-effectiviteit van een digitaal documentbeheersysteem Achtergrond ICT-toepassingen in de zorg zijn in opkomst. In het kader van deze ontwikkeling is een digitaal documentbeheersysteem geïmplementeerd. Hierbij is onduidelijk of ‘fit’ tussen configuraties van kenmerken van individuen, afde...

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