Wolter PaansHanzehogeschool Groningen · Institute of Nursing
Wolter Paans
PhD
About
154
Publications
33,140
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Introduction
Research in (diagnostic) reasoning skills and critical thinking dispositions related to accuracy in patient documentation and quality of care is one of the topics of my interest.
Clinemetric issues as instrument development and psychometric testing has my attention.
Since 2010 The implementation of Electronic Health Care Documentation and SNL internat. is one of my topics
Since 2011, my research focus is as wel on the question: ‘What is an excellent professional?’ in a multi method approach.
Additional affiliations
January 2009 - present
January 2007 - present
September 2006 - present
Hanze University of Applied Sciences, European Academy of Nursing Science
Position
- Accuracy in Nursing Documentation
Description
- This study aims to explore expert opinions about essential determinants to be used for developing and testing an audit instrument for health care documentation internationally.
Education
February 2006 - January 2011
Publications
Publications (154)
Aim
The aim of this study is to measure how collaborative factors are associated with the technology readiness of nursing staff working in residential care and community nursing. The Reciprocity Instrument and Technology Readiness Index 2.0 were applied to measure this association.
Design
A cross‐sectional survey was conducted between October 2020...
Background:
Informal care is an essential part of support provided in the homecare setting. To ensure effective healthcare provision, good communication and collaboration between informal and formal care providers are crucial. To achieve this aim, it is necessary to have a clear understanding of the perspectives of all stakeholders. In the scienti...
Background
Medical consultations with older patients often include triadic conversations and decision-making processes involving physicians, patients, and family members. The presence of family members may change the communication dynamics and therefore increase the complexity of the consultation and decision-making process.
Objective
This study e...
Aim
To gain more insight into how nurses experience a participatory live music practice in relation to their ability to deliver compassionate care to medically hospitalised patients.
Design
Qualitative interpretive design.
Methods
Sixteen nurses participating in a live music practice with patients were interviewed using in‐depth interviews with o...
Background
The fluid balance is a critical parameter in intensive care units (ICU) as it provides information about the patient’s volume status. However, the accuracy of fluid balance measurements is often compromised due to the complexity and repetition of actions involved. Additionally, the fluid balance could be recalculated for insensible fluid...
Doel: Inzichtelijk maken hoe cliënten van de wijkverpleging hun participatie bij de elektronische verpleegkundige verslaglegging ervaren.
Methode: Bij 21 cliënten van de wijkverpleging werden semigestructureerde interviews afgenomen. De transcripten van de interviews werden geanalyseerd in een iteratief proces, volgens de principes van reflexieve,...
In dit hoofdstuk schetsen we een beeld van de visie op professionele excellentie vanuit het
perspectief van vier professies. Aan de hand van inzichten uit de literatuur gecombineerd
met quotes uit de discussies in verschillende focusgroepen, maken we de definiëring van
professionele excellentie inzichtelijk.
Introduction:
Hospitalization may have a major impact on older patients as it is often a period of psychosocial vulnerability. Music is one of the most described art forms used in healthcare. Applied in clinical settings, it can affect a patients' emotional and psychosocial well-being. Incorporating a wider perspective of health promotion that aim...
Aim
Identification and synthesis of research data related to the roles and competencies of physicians and nurses that are prerequisites for careful shared decision‐making with patients potentially undergoing cardiac surgery.
Design
A scoping review was conducted in accordance with the Joanna Briggs Institute's methodology for scoping reviews and t...
Background
Time is a key quality indicator for EMS care, and many efforts are directed at minimizing the time used for response, on-site and transport periods. In some deployments, this is undoubtedly justified, but in many medical situations, time might be overestimated as a quality indicator. To assess the value of time as a quality indicator, we...
Paramedics are often the first to provide medical aid at mass-casualty incidents. These are complex stressful situations where the first paramedics’ role is to provide rapid response and perform a triage to classify the urgency of victims needing to go to hospital. As these situations do not occur frequently, Virtual Reality provides a cost-effecti...
Objectives
People with intellectual disabilities are more vulnerable to and experience mental health concerns at a higher incidence than their peers without intellectual disabilities. This may be directly related to the aetiology of their intellectual disability but also occur because of negative psychological and social factors that affect their l...
Background:
Families are introduced as new partners in interprofessional communication and collaboration during hospitalisation of an adult patient. Their introduction into the healthcare team has consequences for the roles and responsibilities of all healthcare professionals. Role clarification is thus needed to create optimal communication and c...
Young adult caregivers experience reduced wellbeing when the combination of family care and an educational program becomes too demanding. We aim to clarify the role views, competences, and needs of lecturers regarding the identification and support of these students to prevent negative mental health consequences. A mixed-methods explanatory sequent...
This chapter describes the growing influence of point-of-care diagnostics (POCD) on the daily lives of citizens, their immediate families, and healthcare providers. With a view to the future, the most important contemporary developments in this field are discussed, such as noninvasive sensor technology in the diagnostic process, practical examples...
Background
Family engagement in care for adult inpatients may improve shared decision making in the hospital and the competence and preparedness of informal caregivers to take over the care at home. An important strategy to involve family members in hospital care processes is to include them in (ward) rounds, also called ‘family-centered rounds’(FC...
Background
China faces a serious shortage of competent nurses who can address the healthcare needs of older people in an ageing society. Chinese higher education institutes face serious challenges when it comes to developing new curricula that are capable of educating sufficient numbers of competent gerontological nurses. Therefore, the aim of this...
Background
Many older patients with cancer have their family members, often their adult children, involved in a process of treatment decision-making. Despite the growing awareness that family members can facilitate a process of shared decision-making, strategies for involving family members are scarce. Furthermore, literature about shared decision-...
The aim of this review was to explore which factors influence nurses' adoption of information and communication technology. A systematic review was conducted using qualitative and quantitative studies. The authors performed the search strategy in the databases of PubMed, CINAHL, and IEEE and included articles published between January 2011 and July...
Background
Patients are increasingly expected to take an active role in their own care. Participation in nursing documentation can support patients to take this active role since it provides opportunities to express care needs and preferences. Yet, patient participation in electronic nursing documentation is not self‐evident.
Objective
To explore...
Background
The time that nurses spent on documentation can be substantial and burdensome. To date it was unknown if documentation activities are related to the workload that nurses perceive. A distinction between clinical documentation and organizational documentation seems relevant. This study aims to gain insight into community nurses’ views on a...
This scoping review provides an overview of the impact of growing up with a chronically ill family member on young adults (18–25 years old), and their specific needs. Young adults represent an important life stage involving a transition to adulthood, during which individuals’ family situations can affect their future. We searched relevant studies f...
Background
Prognostic assessments of the mortality of critically ill patients are frequently performed in daily clinical practice and provide prognostic guidance in treatment decisions. In contrast to several sophisticated tools, prognostic estimations made by healthcare providers are always available and accessible, are performed daily, and might...
Background
Clinical reasoning is a crucial task within the Emergency Medical Services (EMS) care process. Both contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure could help identify and address issues that interfere with clinical reasoning. The EMS care process is complex and only bas...
Many older patients with cancer depend on their family members for care and support and involve their family members in treatment decision-making in different stages of the cancer trajectory. Although family involvement is advocated in person-centered care, little is known about family involvement in decision-making specifically for older patients,...
Background
To strengthen nursing in Kazakhstan, an e-platform has been developed to support knowledge sharing and collaboration in nursing education, nursing research, and clinical practice.
Objective
This study aims to identify and prioritize requirements for an e-platform to strengthen nursing in the trinity of nursing education, nursing researc...
Background:
The COVID-19 pandemic has resulted in a major influx of intensive care unit (ICU) admissions. Currently, there is limited knowledge on the long-term outcomes of COVID-19 ICU-survivors and the impact on family members. This study aimed to gain an insight into the long-term physical, social and psychological functioning of COVID-19 ICU-s...
Purpose Coronary artery bypass grafting is the most frequently performed cardiac surgical procedure. Despite its benefits on survival and quality of life, it is associated with a considerable financial burden on society including sick leave. Our study aimed to explore the barriers that obstruct return to work after coronary artery bypass grafting....
Background
Clinical reasoning is a crucial task within the Emergency Medical Services (EMS) care process. Both contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure could help identify and address issues that interfere with clinical reasoning. The EMS care process is complex and only bas...
Background:
Clinical reasoning is a crucial task within the Emergency Medical Services (EMS) care process. Both contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure could help identify and address issues that interfere with clinical reasoning. The EMS care process is complex and only ba...
Background
Patient participation in nursing documentation has several benefits like including patients’ personal wishes in tailor-made care plans and facilitating shared decision-making. However, the rise of electronic health records may not automatically lead to greater patient participation in nursing documentation. This study aims to gain insigh...
A nationwide survey among nursing staff showed that the extent to which nursing staff felt supported in providing nursing care by the use of electronic health records was not associated with the use of specific standardized terminologies.
qualitative interview study showed that community nurses find patient participation in nursing documentation important. Yet, they experience various electronic health record-related, work-related, and patient-related barriers to realize this participation.
Aim
To describe the extent of perceived collaboration between family caregivers of older persons and hospital nurses.
Background
Collaboration between hospital nurses and family caregivers is of increasing importance in older patient’s care. Research lacks a specific focus on family caregiver’s collaboration with nurses.
Method
Using a cross‐sect...
Introduction
Positive attitudes towards family involvement in nursing care are essential for improving the involvement of and collaboration with patients’ families. The aim of this study is to explore nurses’ attitudes towards the importance of families in nursing care.
Method
Using a cross‐sectional design, hospital and homecare nurses completed...
Purpose
Accurate measurement of body temperature is important for the timely detection of fever or hypothermia in critically ill patients. In this prospective study, we evaluated whether the agreement between temperature measurements obtained with TAT (test method) and bladder catheter-derived temperature measurements (BT; reference method) is suff...
en
Aim
To assess the effects of family nursing conversations on family caregiver burden, patients’ quality of life, family functioning and the amount of professional home health care.
Design
A controlled before‐and‐after design.
Methods
Intervention group families participated in two family nursing conversations incorporated in home health care;...
The aim of this study is to propose a model of the benefits and working mechanisms of family nursing conversations in home healthcare from the perspective of participating patients and their family members. Family nursing conversations in this study are intended to optimise family functioning, improve collaboration between family and professional c...
There is a lack of service provision for young adult caregivers (18–25 years of age). This study aims to describe the expectations and prospects of young adult caregivers regarding support from health and education professionals. A qualitative focus group design was used. Twenty-five young Dutch adults (aged 18–25 years) who were growing up with a...
Gegevens leren je wat er met een patiënt aan de hand is, of er sprake is van bepaalde risico’s, hoe de patiënt zijn of haar situatie ervaart, maar ook hoe ernstig of dringend een situatie is. Als verpleegkundige verzamel je gegevens niet op één moment, maar continu. Aan de hand van gegevens en de interpretatie ervan maak je keuzes en neem je beslui...
BACKGROUND
This paper addresses the requirements for an e-platform that is to be developed to strengthen nursing in Kazakhstan. It aims to support knowledge sharing and collaboration in nursing education, research, and clinical practice. To construct the platform, a requirement analysis was conducted in a two-step design that included a literature...
Background: Nursing documentation could improve the quality of nursing care by being an important source of information about patients’ needs and nursing interventions. Standardized terminologies (e.g. NANDA International and the Omaha System) are expected to enhance the accuracy of nursing documentation. However, it remains unclear whether nursing...
De registratielast die verpleegkundigen, verzorgenden, praktijkondersteuners en begeleiders ervaren, krijgt veel aandacht in media, beleid en onderzoek. Tot nu toe is de aandacht vooral gericht op registratiewerkzaamheden die zorgprofessionals doen voor organisaties, zoals minutenregistraties of declaraties. Maar uit ons onderzoek blijkt dat zij oo...
Abstract Background Students living with a chronically ill family member may experience significant pressure, stress, and depression due to their caregiving situation. This may also lead to them delaying or dropping out of school when the combination of being a caregiver and their education program are too demanding. This survey study aims to explo...
Students growing up with a family member with a chronic illness often delay or drop out of school when the combination of family care and their educational programme is too demanding. This study aims to describe the themes experienced by students growing up in this situation. A qualitative focus group design was used. The recruitment for this study...
Background:
Intradialytic hypotension (IDH) is considered to be a frequent complication of hemodialysis (HD) and is associated with symptom burden, increased incidence of access failure, cardiovascular events, and higher mortality. This systematic literature review aims to analyse studies that investigated the prevalence of IDH. A complicating fac...
Aim:
The purpose of this study was to describe how nurses apply the components of family nursing conversations in their home healthcare practice.
Method:
A qualitative content analysis with a deductive approach was conducted. Home healthcare nurses conducted family nursing conversations with families from their practice. Families were selected b...
Background
There is increasing awareness that, besides patient survival, Quality of Life (QOL) is a relevant outcome factor for patients who have a chronic disease. In haemodialysis (HD) patients, intradialytic hypotension (IDH) is considered one of the most frequent complications, and this is often accompanied by symptoms. Several studies have inv...
Common methods to detect phlebitis may not be sufficient for patients in the intensive care unit (ICU). The goal of this study was to investigate the feasibility of infrared (IR) thermography to objectively detect phlebitis in adult ICU patients. We included a total of 128 adult ICU-patients in a pilot and subsequent validation study. Median [inter...
Frequency distribution of VIP-scores in the pilot and validation study groups.
(DOCX)
Peripheral venous catheter characteristics of the pilot and validation study groups.
(DOCX)
Infrared image of a patient with a VIP 1 score.
The maximum temperature at the insertion site (left circle) is 36.4°C and that of the proximal reference point (right circle) is 34.4°C. The ΔT in this case is 2.0°C.
(TIF)
Univariate analysis of body temperature as a predictor for infrared thermography measurements.
(DOCX)
Anonymized study data file in SPSS format.
(SAV)
Family caregivers of an older person who was recently hospitalized often feel unprepared for their new or expanded tasks. Quality and continuity of care for older people is expected to improve when nurses collaborate with family caregivers as partners in care. The aim of this study was to explore the unique contribution of collaboration between fam...
Measuring family caregivers’ experiences of collaboration with nurses is important in the context of health care reforms that advocate an increased role of families in care. The Family Collaboration Scale (FCS) measures collaboration between nurses and family caregivers, however, the scale has a broad scope. Thus, the aim of this study was to const...
Aim
To obtain an overview of existing evidence regarding quality criteria, instruments and requirements for nursing documentation.
Design
Systematic review of systematic reviews.
Data Sources
We systematically searched the databases PubMed and CINAHL for the period 2007 ‐ April 2017. We also performed additional searches.
Review methods
Two revi...