Simon Malfait

Simon Malfait
  • RN, MSc, PhD
  • Nurse Manager at Universitair Ziekenhuis Ghent

About

88
Publications
20,535
Reads
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662
Citations
Introduction
Nurse manager and researcher at Ghent University and Ghent University Hospital. Proud nurse. Area of interest: communication, nursing leadership, patient involvement and nursing organisation.
Current institution
Universitair Ziekenhuis Ghent
Current position
  • Nurse Manager
Additional affiliations
September 2014 - present
Universitair Ziekenhuis Ghent
Position
  • Researcher
September 2014 - June 2018
Ghent University
Position
  • PhD Student
September 2014 - June 2018
Ghent University
Position
  • PhD Student
Education
September 2014 - June 2018
Ghent University
Field of study
  • Nursing and health science
September 2011 - September 2013
Ghent University
Field of study
  • Healthcare management
September 2007 - September 2009
Ghent University
Field of study
  • Nursing and midwifery

Publications

Publications (88)
Article
Full-text available
Aims To investigate the effectiveness of bedside handovers. For nurses, effects on nurse‐patient communication, individualized care, coordination of the care process, job satisfaction, intention to leave, patient participation and work interruptions was measured. For patients, effects on patient activation, individualized care and quality of care w...
Article
Background: Previous studies on bedside handovers have identified nurse-related barriers and facilitators for implementing bedside handovers, but have neglected the existing ward's nursing care system as an important influencing factor. Aims: To determine the association between the existing nursing care system (i.e., decentralized, two-tier, or...
Article
Background The predominate role of internships on the retention of nursing students highlights the need to monitor internship experiences during a healthcare crisis like CoViD-19. Objectives To explore the relation between internships experiences during a pandemic and student nurses’ commitment or intention-to-leave the nursing program; as well as...
Article
Patient participation: identifying gaps in the communication between patients and healthcare professionals Background. Patient participation is a current topic in healthcare. Communication between healthcare professionals and patients during hospitalization is one of the most important aspects that contributes to its application and stimulation. Ai...
Article
*ENGLISH* TITLE: The demographic profile of head nurses in Nursing Homes: A scoping review AIM: The aim was to describe the demographic characteristics of head nurses in nursing homes. METHOD: A scoping review was conducted in which articles were identified across four databases between March 19, 2024 and April 16, 2024. FINDINGS: The average a...
Article
Optimization and validation of the Flemish Observational Pain Scale for Multiple Disabilities (VOPS-MB) for individuals with multiple disabilities: a multidisciplinary approach Introduction: People with severe cognitive impairments and multiple disabilities often experience pain, but this pain frequently goes unrecognized or untreated, negatively i...
Article
Full-text available
Abstrac Purpose Awareness is growing about the need for a circular healthcare sector. Choosing between single-use (SU) and reusable (RU) medical instruments should be based on evidence-based reasoning. RU and SU instruments differ in many stages of their life cycle. Vaginal specula are commonly used instruments in hospitals and in primary care. Th...
Article
Full-text available
Aims To provide (1) an overview of core characteristics of scoping and mapping review methodologies and (2) to illustrate the differences and similarities of these methodologies using literature on nursing mobile workstations. Design Systematic review. Methods Systematic searches were conducted to identify (1) scoping and mapping review methodolo...
Article
Full-text available
Aim To synthesize and assess the effectiveness of different care delivery models in a hospital setting, taking into account patient‐ and nurse‐related outcomes. Design A systematic review with narrative synthesis in which a comparison was made between different care delivery models. Methods The search string consisted of four clusters: ‘nursing’,...
Article
Full-text available
Aim To demonstrate and reflect upon the methodological lessons by which healthcare organizations can address questions of environmental sustainability related to single‐use healthcare materials. Design A cross‐sectional multi‐centre study in hospitals was performed, followed by an exploratory analysis of the sustainability of commonly used healthc...
Article
Full-text available
In this issue of ICCN, Debay et al. (2024) reflected on their before-after intervention study concerning the implementation of family participation during ICU rounds. While both their paper and study may be small in size, their results do point out three major elements that should raise concern about the current state of patient and family particip...
Article
Research highlights 1) Knowledge on evidence-based design is scarce and insufficient as a single source for designing nursing wards; 2) A systematic, evidence-based process has to be used to integrate different data points about the ward design; 3) The optimal ward design should firstly take into account and facilitate the (future) nursing care del...
Article
To deal with the upcoming challenges and complexity of the nursing profession, it is deemed important to reflect on our current organization of care. However, before starting to rethink the organization of nursing care , an overview of important elements concerning nursing care organization, more specifically nursing models, is necessary. The aim o...
Article
Full-text available
Aim To identify strategies that develop clinical nursing leadership competencies among staff nurses, and to explain the contextual elements and mechanisms that underpin the development of clinical nursing leadership competencies. Design Realist review according to the Realist and Meta‐narrative Evidence Syntheses—Evolving Standards (RAMESES). Dat...
Article
Full-text available
Aim To systematically provide an overview of the qualitative evidence available on the motivations for nurses to leave the nursing profession. Design A qualitative systematic review using the meta‐aggregation design of the Joanna Briggs Institute. Data Sources Qualitative studies in English, dating from 2010 until January 2023, were obtained from...
Article
Full-text available
Aims The goal of this study was to gain insight into the views and experiences of an intensive care team working in a new nursing‐care delivery model during the COVID‐19 waves. A new model of care was implemented to augment nursing capacity and provide sufficient intensive care beds. Design A qualitative monocentric study using rapid qualitative d...
Article
Aim: An option appraisal of different nursing care delivery models was presented, which were made in between the first and second COVID-19 waves. The authors wanted to inform colleagues on involving nursing care delivery models in the problem-solving process during a pandemic. Local problem: In the pre-COVID-19 hospital practice, the nursing car...
Preprint
Full-text available
Research highlights: 1) Knowledge on evidence-based design is scarce and insufficient as a single source for designing nursing wards; 2) A systematic, evidence-based process has to be used to integrate different data points about the ward design; 3) The optimal ward design should firstly take into account and facilitate the (future) nursing care...
Article
Objectives Interdisciplinary bedside rounds is gaining ground as a method to improve patient centredness and involvement, quality of care and team collaboration. An exploratory study was conducted in Flemish hospitals to (1) map and (2) examine the current form of rounds and the extent to which these were bedside, patient and family participatory a...
Article
Background It is estimated that there are 101 million older care-dependent people (60+). This group is expected to double by 2050 due to the ageing of the world’s population and the rise in life expectancy. Although people tend to live longer, there is little evidence that they live their later years in better health. In the future, this might put...
Article
Een mantelzorger die verpleegkundige handelingen uitvoert bij zijn naaste, het kan. Sinds 2014 voorziet de Belgische wetgeving hierin met het mantelzorgattest. Ook binnen de werking van het ziekenhuis is dit mogelijk. Dit zou de drempel voor familieparticipatie bij zorgtaken kunnen verkleinen. Het Universitair Ziekenhuis Gent onderzocht of hiervoor...
Article
Handovers between nurses are a significant cause of communication problems and possible consumer safety issues. A potential solution for both problems is the nursing handover involving consumers, in which the consumer is present at the time of handover. This practice invites consumers to be more involved in their care process and supports a recover...
Article
Full-text available
Background Patient-centred care has been recognised as vital for today's healthcare quality. This type of care puts patients at the centre, contributing to positive patient outcomes such as patient autonomy. Empirical research comparing nurses’ and patients’ perceptions of the support and provision of patient-centred care is limited and focuses sol...
Article
Full-text available
Background Prediction of the necessary capacity of beds by ward type (e.g. ICU) is essential for planning purposes during epidemics, such as the COVID− 19 pandemic. The COVID− 19 taskforce within the Ghent University hospital made use of ten-day forecasts on the required number of beds for COVID− 19 patients across different wards. Methods The pla...
Article
Verpleegstages zijn essentieel om cognitieve, reflectieve en affectieve vaardigheden te verwerven. Toch is het onduidelijk hoe raadzaam en waardevol het is om studenten naar de verpleegpraktijk te sturen in tijden van grote gezondheidscrisissen, zoals een pandemie. Snelle, en soms gedwongen, beslissingen om verpleegstages verder te zetten, te wijzi...
Article
Introduction: We present the results of the COVID-19 rule-out protocol at Ghent University Hospital, a step-wise testing approach which included repeat NFS SARS-CoV-2 rRT-PCR, respiratory multiplex RT-PCR, low-dose chest CT and bronchoscopy with BAL to confirm or rule-out SARS-CoV-2 infection in patients admitted with symptoms suggestive of COVID-1...
Article
The corona pandemic challenges countries worldwide in many different ways. Due to its magnitude and impact on global health, this health crisis exposes several shortcomings in their health systems and emphasizes their shortcomings and deficiencies. These deficiencies have quickly affected the most frail citizens, such as older people. The first wav...
Article
Objectives: Interdisciplinary bedside rounds is gaining ground as a method to improve patient centred-ness and involvement, quality of care and team collaboration. An exploratory study was conducted in Flemish hospitals to (1) map and (2) examine the current form of rounds and the extent to which these were bedside, patient and family participatory...
Article
Overheden willen momenteel absoluut vermijden om dezelfde bezoekregeling te treffen in woonzorgcentra als tijdens de eerste COVID-19-golf. In deze bijdrage kijken we terug op de argumenten die werden aangevoerd om tot een strikte bezoekregeling te komen en nemen we deze kritisch onder de loep. Door aan te dringen op een diepgaand debat willen we...
Article
Met ruim 3.000 patiënten per dag, meer dan 6.000 werknemers en meer dan 1.000 ziekenhuisbedden is het UZ Gent een van de grootste en meest gespecialiseerde ziekenhuizen in Vlaanderen. Het UZ Gent biedt topklinische en topreferente patiëntenzorg in lijn met de universitaire opleidings-, onderzoeks-en dienstverleningsopdracht. Om deze patiënten hoogk...
Preprint
Full-text available
Background: Prediction of the necessary capacity of beds by ward type (e.g. ICU) is essential for planning purposes during epidemics, such as the COVID-19 pandemic. The COVID-19 taskforce within the Ghent University hospital made use of ten-day forecasts on the required number of beds for COVID-19 patients across different wards. Methods: The plann...
Article
Full-text available
Background Patient-centeredness, respect for patient autonomy, and shared decision-making have now made it to center stage in discussions on quality of care. Knowing what actually counts in care and how it should be accomplished from the patients’ and nurses’ perspective seems crucial. Aim To explore how patients and their nurses perceive the impo...
Article
Full-text available
Aim To investigate the effects of bedside handover, as contrasted with traditional handovers, on length of hospital stay, unplanned readmission, hospital‐acquired pressure ulcers, patient falls, unscheduled intravenous reinfusion and pain. Design A multicenter matched‐controlled longitudinal design. Method Bedside handover was implemented at five...
Article
Objective: Measuring empowerment of patients on Flemish hospital wards by the short form of the Patient Activation Measure (PAM-13) and exploring the association between patient empowerment and patient-centred care, health literacy, patient- and context-related characteristics. Methods: Secondary analysis of data collected in nine regional hospital...
Article
Full-text available
Background: Research indicates that having multiple healthcare professions and disciplines simultaneously at the patient's bedside improves interprofessional communication and collaboration, coordination of care, and patient-centered shared decision-making. So far, no review has been conducted, which included qualitative studies, explores the feas...
Article
Background Patient participation is increasingly used in different aspects of healthcare due to its positive outcomes. Still, instruments for involving patients in the evaluation of nursing students during their internship are scarce. Objectives To develop and validate an instrument that enables patients to evaluate nursing students during their i...
Article
Full-text available
Bedside handover is the delivery of the nurse-to-nurse handover at the patient’s bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient’s privacy. By referring to this concept, nurses add a legal and ethical dimension to the de...
Article
Aims and objectives: To investigate potential barriers and enablers prior to the implementation of the Tell-us card. Background: Patient participation has the potential to improve quality of care and has a positive effect on health outcomes. In order to enhance participation of patients, adequate communication between patients, their relatives a...
Article
Full-text available
Background Clinical trials are most informative for evidence-based decision-making when they consistently measure and report outcomes of relevance to stakeholders, especially patients, clinicians, and policy makers. However, sometimes terminology used is interpreted differently by different stakeholders, which might lead to confusion during shared...
Data
Transcripts of all interviews. (DOCX)
Data
Interview guide in English and in Dutch. (DOCX)
Presentation
Full-text available
Cross sectional analysis of doctoral nursing education In Europe
Preprint
Full-text available
Background: Clinical trials are most informative for evidence-based decision-making when they consistently measure and report outcomes of relevance to stakeholders, especially patients, clinicians, and policy makers. However, sometimes terminology used is interpreted differently by different stakeholders, which might lead to confusion during shared...
Article
Full-text available
Introduction: Bedside handover is increasingly used and studied in nursing due to the method's acclaimed positive effects on patient safety, patient participation, communication, and efficiency. Still, reported results about its impact on handover duration are ambiguous. Revealing the root cause of these ambiguous effects is important, as increase...
Article
INTRODUCTION: This doctoral thesis describes the culture of patient participation among nurses and the use of bedside shift reports (or bedside handovers) as a specific method to increase patient participation on nursing wards. METHODS AND AIM: In a mixed methods study, 14 nursing wards in Flanders implemented the bedside shift report in order to d...
Poster
Full-text available
This poster summarizes the results and findings from finalized and ongoing research concerning the Feasibility, appropriateness, meaningfulness and effectiveness of bedside handovers. The poster is an effort to translate these findings into practice-oriented advice for those considering the implementation of bedside handovers in nursing practice.
Thesis
Full-text available
This dissertation discusses patient participation on nursing wards and looks at bedside shift report as a particular method for nurses to increase patient participation at the patient’s bedside. Both topics are strongly interconnected as one of the main goals of bedside shift report is enhancing the communication between nurses and patients in orde...
Article
Background Bedside handover is the delivery of the nurse-to-nurse shift handover at the patient’s bedside. The method is increasingly used in nursing, but the evidence concerning the implementation process and compliance to the method is limited. Objectives To determine the compliance with a structured bedside handover protocol following ISBARR an...
Article
Overdracht aan bed van de patiënt of bedside shift report (BSR) leidt tot een toename in patiëntgerichte zorg, meer patiëntenparticipatie, en een betere communicatie tussen verpleegkundigen onderling en tussen verpleegkundigen en patiënten. Er is echter een gebrek aan evidentie omtrent het effect van BSR op stroke units en heelkundige midcare-afdel...
Article
The involvement of patients and the public in healthcare decisions becomes increasingly important. Although patient involvement on the level of the individual patient-healthcare worker relationship is well studied, insight in the process of patient and public involvement on a more strategic level is limited. This study examines the involvement of p...
Article
INTRODUCTION: Bedside handover is increasingly used and studied in nursing due to the method's acclaimed positive effects on patient safety, patient participation, communication, and efficiency. Still, reported results about its impact on handover duration are ambiguous. Revealing the root cause of these ambiguous effects is important, as increased...
Article
The World Health Organization highlights the need for more patient participation in patient safety. In mental health care, psychiatric nurses are in a frontline position to support this evolution. The aim of the present study was to investigate the demographic and contextual factors that influence the willingness of psychiatric nurses to share powe...
Article
Background: Patient participation is an important issue in contemporary healthcare as it improves quality of care and enhances positive health outcomes. The participation of patients is mainly initiated by the nurses' willingness to share their power and responsibility, but knowledge on nurses' demographic characteristics influencing this behavior...
Poster
Full-text available
Background The positive effects and advantages of patient participation are well known. It is ethical imperative, essential to Evidence-Based Medicine, and an effective method to improve quality of care and patient safety1. Despite of the advantages, rigorous and large-scale research on patient participation methods is lacking. Because of the wides...
Article
Patient participation is an important topic in mental health and receives increased attention along with deinstitutionalization. No tool exists to measure healthcare worker-related factors that influence patient participation. A three-staged study was conducted to develop and validate the ‘Patient Participation Culture Tool for inpatient PSYchiatri...
Poster
Full-text available
Poster presentation @ Second International Scientific Nursing and Midwifery Congress, Antwerp,
Presentation
Full-text available
Oral presentation @ Second International Scientific Nursing and Midwifery Congress, Antwerp,
Presentation
Full-text available
Oral presentation @ Second International Scientific Nursing and Midwifery Congress, Antwerp
Book
Full-text available
SCIENTIFIC REPORT 4 -- 1 INTRODUCTION 4 -- 2 METHODS 5 -- 3 RESULTS 5 -- 3.1 OVERALL COSTS OF HEALTHCARE PROVISION IN BELGIAN PRISONS 5 -- 3.2 COSTS OF HEALTHCARE PROVISION IN BELGIAN PRISONS BY TYPE OF COST 6 -- 3.2.1 Human resources costs 9 -- 3.2.2 Health care delivery costs 15 -- 3.2.3 Pharmaceutical Costs 15 -- 3.3 COSTS OF HEALTHCARE PROVISIO...
Article
Introduction: In many health care systems, strategies are currently deployed to engage patients and other stakeholders in decisions affecting hospital services. In this paper, a model for stakeholder involvement is presented and evaluated in three Flemish hospitals. In the model, a stakeholder committee advises the hospital’s board of directors on...
Article
Aim To evaluate the feasibility, appropriateness, meaningfulness and effectiveness of bedside shift reporting in a minimum of five interventions and five control wards. Background Hospitals continually improve their quality of care. Next to improvements in clinical performance, more patient participation is stimulated through different methods. Me...
Article
Background: Patient participation is an important subject for modern healthcare. In order to improve patient participation on a ward, the ward's culture regarding patient participation should first be measured. In this study a measurement tool for patient participation culture from the healthcare worker's perspective, the Patient Participation Cul...
Article
Full-text available
In de huidige gezondheidszorg worden ziekenhuizen constant uitgedaagd om hun kwaliteit van de zorg te verbeteren. Naast het implementeren van nieuwe technologieën en technieken om de klinische praktijk te verbeteren, wordt het belang van participatie van de patiënt in zijn of haar zorgproces meer en meer onderstreept. Een hogere mate van patiëntenp...
Article
AimThe aim was to examine the relationship between the quality of team–member exchange experienced by nursing staff and their intention to leave. Job satisfaction and affective organizational commitment are considered as mediators.Background While the shortage of nurses is a management and policy priority, few studies have studied the relationships...
Thesis
Full-text available
Abstract Doel: Het doel van deze studie was het belang te onderzoeken van de invloed van de relatie tussen verpleegkundigen en hun collega’s ten opzichte van de factoren die ervoor zorgen dat verpleegkundigen in een organisatie blijven. Aanvullend werd het modererend effect op deze relatie. onderzocht van de identificatie met zowel de organisatie e...

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