Rationale: Comprehensive studies addressing the incidence of physical, mental, and cognitive problems after ICU admission are lacking. With an increasing number survivors, improved understanding post-ICU is necessary. Objectives: To determine occurrence cooccurrence new among survivors 1 year admission, their impact on daily functioning, risk factors associated with 1-year outcomes. Methods: Prospective multicenter cohort study, including patients ⩾16 years age, admitted for ⩾12 hours...

Abstract Objective To explore how nurses in hospitals enact person‐centred fundamental care delivery. Background Effective is at the heart of nursing care, but it deemed to be challenging acute health as there a strong biomedical focus and most are not trained We therefore need know if currently incorporate approach during care. Design Focused ethnography approach. Methods Observations 30 on three different wards two Dutch their morning shift. Data were collected through passive observations...

Introduction The work environment of healthcare professionals is important for good patient care and receiving increasing attention in scientific research. A clear unambiguous understanding a positive environment, as perceived by professionals, crucial gaining systematic objective insights into the environment. aim this study was to gain consensus on concept hospital. Methods This three-round Delphi establish what defines literature review 17 semi-structured interviews with experts...

Abstract Background Hospitals in the southwest of Netherlands collaborate to improve inflammatory bowel disease (IBD) care. As part this initiative, a standardised care pathway (CP) for treatment IBD with biologics and small new molecules has been developed. The CP addresses initiation, switching, discontinuation therapy, as well diagnostic testing follow-up. implemented six eight hospitals patient outcomes, standardise reduce healthcare costs. This natural experiment provides an opportunity...

Abstract Background Eight hospitals in the southwest of Netherlands collaborate to improve care for patients with inflammatory bowel disease (IBD). This collaboration aims deliver high quality and uniform across region. To achieve this, a pathway (CP) was developed implemented management IBD biologicals or small new molecules. The CP is decision-support tool that provides guidelines medication prescribing, procedures, treatment adjustments, recommendations follow-up. aim this study evaluate...

Abstract Background In the southwest of Netherlands, there is a close collaboration between hospitals to improve care for inflammatory bowel disease (IBD). This aims deliver high quality and uniform across region. To achieve this, pathway (CP) was developed implemented treating IBD with biologics small new molecules. The CP consists subsets that address initiation switching therapy, frequency type follow-up. study assess adherence determine barriers facilitators development implementation....

Nurse engagement, perceived need and usefulness affect healthcare technology use, acceptance improvements in quality, safety accessibility of healthcare. Nurses' opinions regarding continuous monitoring appear to be positive. However, facilitators barriers were little studied. This study explored nurses' post-implementation experiences the continuously patients' vital signs using a wireless device on general hospital wards.This employed cross-sectional survey. Vocational registered nurses...

The South African consumer market is characterised by socio-economic and cultural diversity. Food expenditure patterns, behaviour preferences differ significantly between the various sub-groups. Packaging information, including red meat classification could be an important tangible resource used consumers to gauge product quality. first objective of research reported in this paper investigate knowledge, usage perceptions regarding beef sheep related quality parameters among consumers....

To gain insight into the daily functioning of ICU survivors who reported a reduced quality life (QoL) one year after admission.A two-phase mixed method study design. QoL was assessed using SF-36 questionnaire before admission and (Phase 1). Participants reporting were invited for an in-depth interview 2). Interview data coded thematically PROMIS framework.Of 797 participants, 173 (22%) QoL, which 19 purposively selected patients interviewed. In line with their scores, most participants...

Objectives A positive work environment (WE) is paramount for healthcare employees to provide good quality care. To stimulate a environment, employees’ perceptions of the need be assessed. This study aimed assess reliability and validity Dutch version Culture Care Barometer (CoCB-NL) survey in hospitals. Methods longitudinal validation explored content validity, structural internal consistency, hypothesis testing construct responsiveness. The was conducted at seven departments two university...

Abstract Background Patient participation is fundamental in nursing care and has yielded benefits for patient outcomes. However, despite their compassionate approach, nurses do not always incorporate patients' needs wish into evidence‐based practice, quality improvement or learning activities. Therefore, a shift to continuous based on practice necessary enhance the of care. The patient's opinion an essential part this process. To establish more sustainable culture improvement, it crucial...

Background Transformation of healthcare is necessary to ensure patients receive high-quality care. Working with the evidence-based practice (EBP) principles enables nurses make this shift. Although working according these becoming more common, base their actions too much on traditions and intuition. Therefore, promote EBP in nursing improve related education, insight into nurses' needs overcome existing barriers.

The nursing work environment is a critical element in healthcare delivery and strong predictor of both patient nurse outcomes. Understanding the complexity multifaceted nature this essential for improving practices optimizing systems. This study aimed to gain insights into perceived characteristics environment, considering it as complex system.

In the post-surgical setting, active involvement of family caregivers has potential to improve patient outcomes by prevention surgical complications that are sensitive fundamental care. This paper describes development a theoretically grounded program enhance in care for patients. We used quality improvement project following multi-phase design. Phase 1, an iterative method was combine evidence from narrative review and professionals' preferences. 2, logic model underlying developed guided...

To gain insight into nurse practitioners' (NP) leadership roles in Dutch hospital care, by exploring the perceptions regarding their current role and differences with previous as a registered specialised nurse.To meet today's challenges of increasing healthcare demands, employment NPs is proliferating. have ideal position to play pivotal within reforms, yet full expansion scope practice expertise having limited success. Long-term sustainability depends on ability perform develop leading...

Although improved breast cancer (BC) treatment has decreased mortality, these anti-cancer regimens may have serious cardiovascular side effects that affect patients' long-term prognosis and quality of life (QoL). BC patients with treatment-related cardiac dysfunction (CTRCD) can suffer from a variety symptoms, such as dyspnoea fatigue. The impact CTRCD after on daily not been qualitatively explored yet.This study aims to explore the influence QoL women BC, defined by concept positive health....

The purpose of this study was to explore lived experiences rehabilitation professionals working in hospitals during the COVID-19 pandemic, including ethical issues and moral distress that these might have encountered.An interpretative phenomenological performed. First-person (dieticians, occupational therapists, physical speech-language therapists) were collected with semi-structured interviews analyzed analysis.The data 39 hospital-based revealed 4 themes: a disease great impact, personal...