- Intensive Care Unit Cognitive Disorders
- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Healthcare Decision-Making and Restraints
- Family and Patient Care in Intensive Care Units
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Technology and Patient Monitoring
- Infant Development and Preterm Care
- Respiratory Support and Mechanisms
- Traumatic Brain Injury and Neurovascular Disturbances
- Geriatric Care and Nursing Homes
- Patient Safety and Medication Errors
- Palliative Care and End-of-Life Issues
- Quality and Safety in Healthcare
- Delphi Technique in Research
- Endometriosis Research and Treatment
- Gender, Labor, and Family Dynamics
- Electrolyte and hormonal disorders
- Infant Nutrition and Health
- EEG and Brain-Computer Interfaces
- Dental Anxiety and Anesthesia Techniques
- Interprofessional Education and Collaboration
- Health, Environment, Cognitive Aging
- Circadian rhythm and melatonin
- Alcoholism and Thiamine Deficiency
Radboud University Medical Center
2015-2025
HAN University of Applied Sciences
2021-2025
Radboud University Nijmegen
2015-2025
Rijnstate Hospital
2024-2025
European Hematology Association
2024
Dutch Hospital Association
2023
Maastricht University
2022
University Medical Center Utrecht
2019
Jeroen Bosch Ziekenhuis
2018
King's College Hospital
2009
To evaluate to what extent delirium experts agree on the diagnosis of when independently assessing exactly same information and sensitivity screening tools in routine daily practice clinical nurses.Prospective observational longitudinal study.Three medical centers Netherlands.Elderly postoperative adults (n = 167).A researcher examined participants (Postoperative Day 1-3) for using a standardized cognitive assessment interview including Delirium Rating Scale Revised-98 as global impression...
Rationale: Delirium is common in critically ill patients and associated with deleterious outcomes. Nonpharmacological interventions are recommended current delirium guidelines, but their effects have not been unequivocally established. Objectives: To determine the of a multicomponent nursing intervention program on ICU. Methods: A stepped-wedge cluster-randomized controlled trial was conducted ICUs 10 centers. Adult surgical, medical, or trauma at high risk developing were included. focusing...
To determine the effect of a standardized program for family participation in essential care activities ICU on symptoms anxiety, depression, posttraumatic stress and satisfaction among relatives, perceptions experiences healthcare providers (HCPs).
Abstract Aim To assess the feasibility and applicability of a standardized programme to facilitate family participation in essential care activities intensive unit. Design Pilot study with cross‐sectional survey design. Methods A nursing was implemented units three hospitals Netherlands from November 2018 until March 2019. The were assessed surveys patients, relatives healthcare providers. Results Three successfully programme. ten 37 providers responded surveys. Patients appreciated...
Delirium occurs frequently in the intensive care unit and is associated with detrimental consequences. Cognitive training a promising, nonpharmacologic, preventive intervention, but it unknown whether cognitive feasible for patients units.To examine feasibility both nurses of using exercises patients.A pilot study set large, academic unit. Feasibility exercises, operationalized as practicability burden patient nurse, was tested multiple rounds evaluated Likert scales open-ended questions,...
In 2015, a national research agenda was established for Dutch prehospital EMS to underpin the evidence base of care delivery and inform policymakers funders. The continuously increasing demand ambulance reorientation towards role in recent years may have changed priorities. Therefore, this study aimed update agenda.A three-round online Delphi survey used explore discuss different viewpoints reach consensus on priorities (i.e., themes special interest groups, e.g. patient types who require...
Exposure to bright light has alerting effects. In nurses, alertness may be decreased because of shift work and high pressure, potentially reducing performance increasing the risk for medical errors.To determine whether high-intensity dynamic improves cognitive performance, self-reported depressive signs symptoms, fatigue, alertness, well-being in intensive care unit nurses.In a single-center crossover study an teaching hospital Netherlands, 10 registered nurses were randomly divided into 2...
Abstract Background Despite extensive research carried out on medication administration errors (MAEs) in the domain of infusion therapy, there is limited knowledge nurse’s perceptions occurrence MAEs during therapy. Since nurses are responsible for preparation and Dutch hospitals, it vital to understand their perspectives risk factors MAEs. Aim The purpose this study investigate perception nurses, working adult ICUs, continuous therapies. Methods A digital web-based survey was distributed...
The reference standard in studies on delirium assessment tools is usually based the clinical judgment of only one expert and may be concise, unstandardized, or not specified at all. This multicenter study investigated performance Delirium Interview, a new for allowing classification written reports.We tested diagnostic accuracy our standardized Interview by comparing assessments reported results with live assessments. Our reference, assessment, was performed two experts well-trained...
Abstract Editor’s Perspective What We Already Know about This Topic Article Tells Us That Is New Background Delirium incidence in intensive care unit patients is high and associated with impaired long-term outcomes. The use of prophylactic haloperidol did not improve short-term outcome among critically ill adults at risk delirium. study evaluated the effects on quality life this group explored which factors are change life. Methods A preplanned secondary analysis outcomes pRophylactic usE...
To measure the diagnostic accuracy of DeltaScan: a portable real-time brain state monitor for identifying delirium, manifestation acute encephalopathy (AE) detectable by polymorphic delta activity (PDA) in single-channel electroencephalograms (EEGs).
Abstract Aim: We aim to determine the prevalence of undiagnosed/poorly controlled hypertension and study population demographics. also effects intravenous midazolam on peri‐operative blood pressure pulse. Finally, we assess value screening for degree white coat hypertension. Material methods: A cohort 83 patients with a pre‐assessment recording ≥160/100 mmHg was studied. Oral surgery treatment performed under sedation or local anaesthesia alone where contraindicated. Blood pulse were...
Delirium frequently occurs in intensive care unit patients and is associated with worse outcomes. Recently, a multicomponent non-pharmacological nursing intervention program called UNDERPIN-ICU, was implemented ten Dutch units. The aimed at delirium reduction by optimizing four modifiable risk factors: visual hearing impairment, cognitive immobility, sleep deprivation. Despite its scientific fundament extensive implementation, this showed no effect on outcomes.To explore factors that...