Sivera A A Berben

Sivera A A Berben
Radboud University | RU · Regional Emergency Healthcare Network

PhD, RN

About

55
Publications
8,464
Reads
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1,303
Citations
Citations since 2016
32 Research Items
951 Citations
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2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
Additional affiliations
January 2007 - November 2011
Radboud University
Position
  • Researcher

Publications

Publications (55)
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
Purpose Elder abuse is a worldwide problem with serious consequences for individuals and society. The recognition of elder abuse is complex due to a lack of awareness and knowledge. In this systematic review, types, characteristics and anatomic location of physical signs in elder abuse were identified. Methods Databases of MEDLINE, COCHRANE, EMBAS...
Article
Full-text available
Introduction Mass-casualty incidents (MCIs), specifically incidents with chemical, biological, radiological, and nuclear agents (CBRN) or terrorist attacks, challenge medical coordination, rescue, availability, and adequate provision of prehospital and hospital-based emergency care. In the Netherlands, a new model for Mass Casualty and Disaster Man...
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: In the Netherlands, community-dwelling older people with primary care emergency problems contact the General Practitioner Cooperative (GPC) after hours. However, frailty remains an often unobserved hazard with adverse health outcomes. The aim of this study was to provide insight into differences between older persons with or without GP...
Preprint
Full-text available
Background In the Netherlands community dwelling older people with primary care emergency problems contact the General Practitioner Cooperative (GPC) after hours. However, frailty remains often unobserved with the hazard of adverse health outcomes. The aim of this study was to provide insight in differences between older persons with or without GPC...
Preprint
Full-text available
Background: In the Netherlands, community-dwelling older people with primary care emergency problems contact the General Practitioner Cooperative (GPC) after hours. However, frailty remains an often unobserved hazard with adverse health outcomes. The aim of this study was to provide insight into differences between older persons with or without GPC...
Article
Objective: To gain insight into the differences in emergency care offered to elderly (65+ years) and younger patients (20-64 years). The emergency care pathway includes: out-of-hours general practitioner cooperatives, regional ambulance services, psychiatric emergency medical services, accident and emergency departments and acute cardiac care unit...
Article
Full-text available
Introduction Mass casualty incidents, specifically incidents with chemical, biological, radiological, and nuclear agents (CBRN) or terrorist attacks, challenge medical coordination, rescue, and ambulance care. Recently in the Netherlands, a new model for emergency preparedness for large-scale mass casualties and a specific approach dealing with ter...
Article
Full-text available
Background The decision over whether to convey after emergency ambulance attendance plays a vital role in preventing avoidable admissions to a hospital’s emergency department (ED). This is especially important with the elderly, for whom the likelihood and frequency of adverse events are greatest. Objective To provide a structured overview of facto...
Article
In onze participatiesamenleving wonen ouderen steeds langer thuis. Veel mantelzorgers raken overbelast. De kans op ouderenmishandeling en verwaarlozing neemt daarom toe. Wat doe je als sociaal werker bij een niet-pluis gevoel? Onderzoekers van het lectoraat Acute Intensieve Zorg van de HAN ontwikkelden samen met en voor professionals in de acute zo...
Article
Full-text available
Background Pre-hospital spinal immobilisation by emergency medical services (EMS) staff is currently the standard of care in cases of suspected spinal column injuries. There is, however, a lack of data on the characteristics of patients who received spinal immobilisation during the pre-hospital phase and on the adverse effects of immobilisation. Th...
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
Richtlijnen hebben tegenwoordig terecht een belangrijke plek in ons dagelijks professioneel handelen en in de nieuwe beroepsprofielen. Ze zijn een richtsnoer dat ons als zorgprofessionals helpt om excellente zorg volgens de laatste stand van wetenschap te geven. Daarmee is ons dagelijks klinisch handelen meer gebaseerd op wetenschappelijk bewijs. D...
Conference Paper
Aim The aim of the study is to compare the assessment, treatment, referral, and follow up contact with the dispatch centre of emergency patients treated by the physician assistant (PA) and ambulance nurse (RN) in emergency medical services (EMS) in the Netherlands. Methods In a cross-sectional document study in two EMS regions we included 991 pati...
Article
Full-text available
Background: In pre-hospital Emergency Medical Services (EMS) more research is needed to direct and underpin care delivery and inform policy. To target future research efforts, this study aimed to determine future research priorities with representatives of the EMS field. Methods: A four-round online Delphi survey was used to discuss different vi...
Article
Full-text available
Background This study compares the assessment, treatment, referral, and follow up contact with the dispatch centre of emergency patients treated by two types of solo emergency care providers in ambulance emergency medical services (EMS) in the Netherlands: the physician assistant (PA), educated in the medical domain, and the ambulance registered nu...
Article
While acute musculoskeletal pain is a frequent complaint, its management is often neglected. An implementation of a nurse-initiated pain protocol based on the algorithm of a Dutch pain management guideline in the emergency department might improve this. A pre–post intervention study was performed as part of the prospective PROTACT follow-up study....
Article
Full-text available
Objectives To systematically review interventions that aim to improve the governance of patient safety within emergency care on effectiveness, reliability, validity and feasibility. Design A systematic review of the literature. Methods PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Database of Systematic Revi...
Article
Full-text available
While acute musculoskeletal pain is a frequent complaint in emergency care, its management is often neglected, placing patients at risk for insufficient pain relief. Our aim is to investigate how often pain management is provided in the prehospital phase and emergency department (ED) and how this affects pain relief. A secondary goal is to identify...
Article
Pain is one of the main complaints of trauma patients in (pre-hospital) emergency medicine. Significant deficiencies in pain management in emergency medicine have been identified. No evidence-based protocols or guidelines have been developed so far, addressing effectiveness and safety issues, taking the specific circumstances of pain management of...
Article
Full-text available
Health care is increasingly featured by the use of Web 2.0 communication and collaborative technologies that are reshaping the way patients and professionals interact. These technologies or tools can be used for a variety of purposes: to instantly debate issues, discover news, analyze research, network with peers, crowd-source information, seek sup...
Article
Full-text available
Het omvangrijke proefschrift ‘Much to gain in pain’ van Sivera Berben betreft inzicht- en kennisontwikkeling voor vroegtijdige herkenning en behandeling van pijn bij aanspreekbare traumapatiënten, zowel in de ambulance als op de spoedeisende hulp (SEH). Hiervoor stelt Berben in haar introductiehoofdstuk een zestal vragen centraal die elk verderop i...
Article
Pijn is de meest voorkomende klacht op de spoedeisende hulp (SEH). Dit artikel richt zich op de prevalentie van pijn en de onderbehandeling van pijn bij volwassen traumapatiënten op de SEH. Het artikel presenteert nieuwe inzichten in de pijnbehandeling, gebaseerd op een recentelijk ontwikkelde richtlijn voor pijnbehandeling bij traumapatiënten in d...
Conference Paper
Full-text available
A poster eloborating on the methodology and preliminary results of a multi-center study into the facilitators and barriers of implementation of a guideline in the emergency care.
Conference Paper
Full-text available
An oral presentation elobarating the Monitor Emergency Care: a study to gain insight into patient demand for emergency care, provided emergency care and patient flow in the chain of (pre)hospital based emergency care in the Netherlands.
Article
Full-text available
Patients increasingly use social media to communicate. Their stories could support quality improvements in participatory health care and could support patient-centered care. Active use of social media by health care institutions could also speed up communication and information provision to patients and their families, thus increasing quality even...
Article
The aim of this study was to give insight in the prevalence of pain, and the (effect of) pain management according to the national emergency medical services analgesia protocol in trauma patients in the Netherlands. The retrospective document study included adult and alert trauma patients. Data collection concerned patient characteristics, prevalen...
Article
The aim of the study is to give insight into facilitators and barriers in pain management in trauma patients in the chain of emergency care in the Netherlands. A qualitative approach was adopted with the use of the implementation Model of Change of Clinical Practice. The chain of emergency care concerned prehospital Emergency Medical Services (EMS)...
Article
Acute pain is common among patients at the emergency department and is still not being treated adequately. Repeated measurement and documentation of pain is essential for adequate pain treatment. The patient determines how much analgesia is needed. Pharmacological pain relief should not be delayed during the diagnostic process, not even in cases of...
Article
Full-text available
Pain management for trauma patients is a neglected aspect in the chain of emergency care in general practices, ambulance services, mobile trauma teams and in hospital emergency departments. The aim of the guideline 'Pain management for trauma patients in the chain of emergency care' is to provide pain management recommendations for trauma patients...
Article
Pijn bij traumapatiënten in de spoedzorg wordt vaak onderbehandeld. Daarom is er een multidisciplinaire richtlijn in aantocht. Om de richtlijn zo goed mogelijk te laten aansluiten op de praktijk, is het van belang ook patiënten te raadplegen. Om die reden is er onderzoek gedaan naar de pijnbeleving en -ervaring van traumapatiënten in de spoedzorg....
Article
Full-text available
During the last decade, the Internet has become increasingly popular and is now an important part of our daily life. When new "Web 2.0" technologies are used in health care, the terms "Health 2.0" or "Medicine 2.0" may be used. The objective was to identify unique definitions of Health 2.0/Medicine 2.0 and recurrent topics within the definitions. A...
Article
Background: Acute pain in the A&E department (ED) has been described as a problem, however insight into the problem for trauma patients is lacking. Objective: This study describes the prevalence of pain, the pain intensity and the effect of conventional pain treatment in trauma patients in the ED. Methods: In a prospective cohort study of 450 traum...
Article
Acute pain in the A&E department (ED) has been described as a problem, however insight into the problem for trauma patients is lacking. This study describes the prevalence of pain, the pain intensity and the effect of conventional pain treatment in trauma patients in the ED. In a prospective cohort study of 450 trauma patients, pain was measured on...
Article
Samenvatting Dit is het tweede en laatste artikel over pijnbestrijding bij traumapatiënten in de keten van spoedzorg. Het eerste artikel over de ambulancezorg beschreef de behandeling van pijn bij traumapatiënten op straat.
Article
In het licht van maatschappelijke ontwikkelingen is het huidige tekort aan stageplaatsen voor verpleegkunde studenten zorgelijk. Als mogelijke oplossing hiervoor wordt het creëren van opleidingsafdelingen gezien. De leeromgeving speelt een belangrijke rol binnen opleidingsafdelingen. Hoe je de krachtige leeromgeving kunt ontwikkelen, meten en vervo...
Article
Dit is het eerste artikel, in een reeks van twee, over pijnbestrijding bij traumapatiënten in de spoedzorg.

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Projects

Projects (2)
Project
The long term goal of the research is to reduce the number of potential avoidable admissions to the ED of (vulnerable) elderly people after an emergency ambulance response. The study has the following sub-objectives:  Determine which factors influence the EMS referral decision of elderly people after an emergency ambulance call.  Determine the occurrence of potential preventable admissions to the ED of elderly people after an emergency EMS response and the consequences of this decision.  Gaining insights among EMS staff on what needs to organized, in terms of formal and informal care alternatives, in order to make an adequate referral decision possible.  Changing the factors leading to avoidable admissions to the ED and measure the safety and feasibility of this intervention.