11 results on '"Ribbe, Miel W."'
Search Results
2. The ties that bind? Social networks of nursing staff and staff's behaviour towards residents with dementia.
- Author
-
van Beek, Adriana P.A., Wagner, Cordula, Frijters, Dinnus H.M., Ribbe, Miel W., and Groenewegen, Peter P.
- Subjects
SOCIAL networks ,NURSE practitioners ,NURSING ,EMPLOYEE psychology ,DEMENTIA ,MEDICAL care ,ORGANIZATIONAL identification - Abstract
Highlights: [•] We investigate social networks of nursing staff in long-term care. [•] We examine if networks are related to behaviour towards residents with dementia. [•] Behaviour is more positive when more networks with relatives of residents exist. [•] Moreover, networks are positively related to staff's organizational identification. [•] Identification in turn is connected to work motivation and behaviour of staff. [Copyright &y& Elsevier]
- Published
- 2013
- Full Text
- View/download PDF
3. Integrative Psychotherapeutic Nursing Home Program to Reduce Multiple Psychiatric Symptoms of Cognitively Impaired Patients and Caregiver Burden: Randomized Controlled Trial.
- Author
-
Bakker, Ton J. E. M., Duivenvoorden, Hugo J., van der Lee, Jacqueline, Rikkert, Marcel G. M. Olde, Beekman, Aartjan T. F, and Ribbe, Miel W.
- Abstract
Objective: To test the effectiveness of an integrative psychotherapeutic nursing home program (integrative reactivation and rehabilitation [IRR]) to reduce multiple neuropsychiatry symptoms (MNPS) of cognitively impaired patients and caregiver burden (CB). Design: Randomized controlled trial. Setting: Psychiatric-skilled nursing home (IRR) and usual care (UC), consisting of different types of nursing home care at home or in an institution. Participants: N = 168 (81 IRR and 87 UC). Patients had to meet classification of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition for dementia, amnestic disorders, or other cognitive disorders. Further inclusion criteria: Neuropsychiatric Inventory (NPI) ≥3; Mini-Mental State Examination ≥18 and ≤27; and Barthel Index (BI) ≥5 and ≤19. Intervention: IRR consisted of a person-oriented integrative psychotherapeutic nursing home program to reduce MNPS of the patient and CB. UC consisted of different types of nursing home care at home or in an institution, mostly emotion oriented. Measurements: Primary outcome variable was MNPS (number and sum-severity of NPI). Furthermore, burden and competence of caregiver were also measured. Assessments: T1 (inclusion), T2 (end of treatment), T3 (after 6 months of follow-up). Cohen's d (Cd) was calculated for mean differences (intention to treat). For confounding, repeated measurement modeling (random regression modeling [RRM]) was applied. Results: In the short term from the perspective of the caregiver, IRR showed up to 34% surplus effects on MNPS of the patients; NPI symptoms: 1.31 lower (Cd, -0.53); and NPI sumseverity: 11.16 lower (Cd, -0.53). In follow-up, the effects were sustained. However, from the perspective of the nursing team, these effects were insignificant, although the trend was in the same direction and correlated significantly with the caregiver results over time (at T3: r = 0.48). In addition, IRR showed surplus effects (up to 36%) on burden and competence of caregiver: NPI emotional distress: 3-78 (Cd, -0.44); CB: 17.69 (Cd, -0.63) lower; and Competence: 6.26 (Cd, 0.61) higher. In follow-up, the effects increased up to 50%. RRM demonstrated that the effects were stable. Conclusion: From the perspective of the caregiver, IRR was significantly more effective than UC to reduce MNPS in cognitively impaired patients and CB. In follow-up, the effect on CB even increased. However, from the perspective of the nursing team, the effects on MNPS were statistically insignificant. Nevertheless, the trend was in the same direction and correlated significantly with the caregiver results over time. Further research is needed, preferably using a blinded randomized controlled trial. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
4. Comorbid depression in dementia on psychogeriatric nursing home wards: which symptoms are prominent?
- Author
-
Verkaik R, Francke AL, van Meijel B, Ribbe MW, Bensing JM, Verkaik, Renate, Francke, Anneke L, van Meijel, Berno, Ribbe, Miel W, and Bensing, Jozien M
- Abstract
Objective: To provide insight into the prevalence and clinically relevant symptoms of comorbid depression among dementia patients in psychogeriatric nursing home wards, to enhance depression recognition.Design: Cross-sectional analyses of multicenter diagnostic data.Setting: Psychogeriatric wards of Dutch nursing homes.Participants: Five hundred and eighteen residents with dementia.Measurements: 1) Diagnosis of depression in dementia (Provisional Diagnostic Criteria for Depression of Alzheimer disease [PDC-dAD]), 2) dementia (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-PC), and 3) stage of dementia (Geriatric Depression Scale).Results: The point prevalence of comorbid depression in dementia (Stages 2-6) on psychogeriatric nursing home wards was 19%. "Depressed mood," "irritability," and "fatigue" were the most prevalent depressive symptoms. Residents taking antidepressants at the time of the PDC-dAD depression diagnosis showed more depressive symptoms than residents who were not. The mean number of depressive symptoms was 5.6 (SD 1.84), which did not differ between the dementia stages. Also, no differences were found in the point prevalence of the shown symptoms between dementia stages.Conclusion: Irritability was put forward by the developers of the PDC-dAD, as one of the specific symptoms of depression in Alzheimer disease. This study shows that irritability is one of the most prevalent depressive symptoms in psychogeriatric nursing home residents diagnosed with comorbid depression. Irritability should therefore alert caregivers to the presence of depression and could help early recognition. The high-prevalence rate of comorbid depression in dementia in this setting justifies attention to early recognition and intervention. [ABSTRACT FROM AUTHOR]- Published
- 2009
- Full Text
- View/download PDF
5. Starting artificial nutrition and hydration in patients with dementia in the Netherlands: frequencies, patient characteristics and decision-making process.
- Author
-
Van Wigcherent, Petra T., Onwuteaka-Philipsen, Bregje D., Pasman, H. Roeline W., Ooms, Marcel E., Ribbe, Miel W., and Van Der Wal, Gerrit
- Abstract
Background and aims: In many patients with dementia, the oral intake of fluids and nutrients becomes insufficient and a decision has to be made whether to start artificial nutrition or hydration (ANH). This study examines the incidence of ANH in nursing-home patients with dementia in the Netherlands, the methods of administration used, patient characteristics, and the characteristics of the ANH decision-making process. Methods: In June 2001, a postal questionnaire was sent to all nursing-home physicians (NHPs) (n=1054) in the Netherlands. The response rate was 77%. Results: Of the NHPs, 39% had started ANH during the l-year study period, mostly by hypodermodysis. As calculated from the total number of patients in the Netherlands, the incidence density for ANH in demented nursing-home patients was 3.4 per 100 patient-years. The most important considerations in taking this decision were the patient's physical condition, the expected result of rehydration, and the (presumed) wishes of the patient. Decisions to start hydration resembled decisions to start nutrition, but more frequently concerned incompetent patients with an intercurrent infectious disease. Conclusions: Compared with the USA literature, ANN is practised less in the Netherlands. This practice conforms to the prevailing treatment policy endorsed by the Dutch Association of Nursing-Home Physicians. In starting nutrition and/or hydration, an agreement about the (limited) duration of ANH is generally made, and the NHPs generally involve relatives and nurses in the decision-making process. Almost always, all parties involved agreed with decisions taken. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
6. End-of-life decision making in nursing home residents with dementia and pneumonia: Dutch physicians' intentions regarding hastening death.
- Author
-
van der Steen, Jenny T, van der Wal, Gerrit, Mehr, David R, Ooms, Marcel E, and Ribbe, Miel W
- Abstract
When patients with severe dementia become acutely ill, little is known about the extent to which physicians take actions intended to hasten death. For 143 nursing home patients with dementia who died of pneumonia after a decision not to treat with antibiotics, we asked Dutch facility-employed physicians whether they intended to hasten death and any estimated life shortening. In 53% of cases, the physicians reported an explicit intention to hasten death; in another 41% of cases they reported taking into account a probability or certainty that the withholding of antibiotics or other palliative treatments would hasten death. Opiates were frequently used for symptom control (43%), but the administration of medications specifically intended to induce death was rare (2%). Considering all treatments, physicians estimated that life was shortened by 24 hours or less in 46% of patients and 1 month or longer in 24% of patients. The frequent withholding of antibiotics with an intention to hasten death may reflect a willingness to abandon a cure-oriented approach in dying patients for whom prolongation of life is not an aim. The results reflect the importance of explicit goals for medical interventions in patients with end-stage dementia where life-prolonging treatments may be seen as prolonging suffering. [ABSTRACT FROM AUTHOR]
- Published
- 2005
- Full Text
- View/download PDF
7. De kosteneffectiviteit van een multidisciplinair integraal zorgmodel voor kwetsbare ouderen in verzorgingshuizen
- Author
-
Boorsma, Marijke, van Hout, Hein P.J., Frijters, Dinnus H., Ribbe, Miel W., and Jijpels, Giel
- Abstract
Samenvatting: Achtergrond: Dit artikel beschrijft de studieopzet van een studie naar de klinische en economische effecten van een multidisciplinair integraal zorgmodel op functionele gezondheid, kwaliteit van zorg en kwaliteit van leven van ouderen in verzorgingshuizen. Methode: De studie is opgezet als een cluster gerandomiseerd gecontroleerd klinisch onderzoek in vijf interventiehuizen en vijf huizen met gebruikelijke zorg in het noordwesten van Nederland bij in totaal meer dan 500 bewoners. Alle bewoners die niet terminaal ziek zijn en die in staat zijn om een ‘informed consent’ te tekenen en die geïnterviewd kunnen worden, worden geïncludeerd. Voor de bewoners die cognitieve problemen hebben, zullen de partners en/of naaste familieleden benaderd worden voor het beantwoorden van de vragenlijst. Het multidisciplinaire integrale zorgmodel bestaat uit verschillende elementen: (1) Een multidimensionale geriatrische beoordeling van de functionele gezondheid en zorgbehoefte van de bewoners uitgevoerd door getrainde verzorgenden met de internetapplicatie van de Long Term Care Facility versie van het Resident Assessment Instrument (RAIview). RAIview levert directe identificatie van probleemgebieden die de basis vormen voor een individueel zorgplan. (2) De uitkomsten van RAIview worden besproken in een multidisciplinair overleg met de betrokken verzorgende, de huisarts, specialist ouderengeneeskunde en psycholoog en zo nodig andere betrokken disciplines. Op dit overleg worden de zorgplanacties vastgesteld die tot verbetering van de functionele gezondheid en vermindering van risicofactoren kunnen leiden. Het zorgplan wordt met de bewoner en/of familie besproken en aan de wensen van de bewoner aangepast. (3) De huisarts kan bij complexe problematiek de specialist ouderengeneeskunde en/of de psycholoog consulteren. Uitkomstmaten zijn: 32 risico-indicatoren voor kwaliteit van zorg (gebaseerd op RAIview), kwaliteit van leven (SF12), functionele gezondheid (COOP-WONCA), zelfredzaamheid (GARS), mening van de bewoner over de kwaliteit van zorg (QUOTE), ziekenhuis- en verpleeghuisopname, sterfte, gezondheidszorggebruik en kosten. Discussie: Dit onderzoek is naar wij weten uniek omdat er nog geen studies gedaan zijn naar de effecten en kosten van een multidisciplinair integraal zorgmodel op de functionele gezondheid en kwaliteit van zorg voor kwetsbare ouderen in verzorgingshuizen. Trial registratienummer: ISRCTNI1076857
- Published
- 2010
- Full Text
- View/download PDF
8. A Revised Index for Social Engagement for Long-Term Care
- Author
-
Gerritsen, Debby L., Steverink, Nardi, Frijters, Dinnus H.M., Hirdes, John P., Ooms, Marcel E., and Ribbe, Miel W.
- Abstract
The objective of this study was to improve validity and reliability estimates of the Index for Social Engagement (ISE) for long-term care. After exploring content validity and internal consistency in Dutch and Canadian data, two ISE items were dropped, and two new items were added. Reliability of this Revised ISE (RISE) was tested in 189 nursing home residents. It appeared that the RISE has enhanced reliability estimates, especially in residents with cognitive impairment. The RISE for long-term care improves the existing index by including additional dimensions of social engagement and by increasing the reliability of results for residents with cognitive impairment.
- Published
- 2008
- Full Text
- View/download PDF
9. The relationship between pressure ulcers and skin blood flow response after a local cold provocation
- Author
-
van Marum, Rob J., Meijer, Jan H., and Ribbe, Miel W.
- Abstract
van Marum RJ, Meijer JH, Ribbe MW. The relationship between pressure ulcers and skin blood flow response after a local cold provocation. Arch Phys Med Rehabil 2002;83;40-3. Objective:To study the relationship between an impaired blood flow response after a local cold stimulus, testing nerve regulation of the local blood flow response, and an increased risk of developing pressure ulcers. Design:An observational, longitudinal, prospective study. Setting:Dutch nursing home. Patients:Eighty-two newly admitted somatic nursing home patients, age 60 years and older. Intervention:A local cold stimulus (17°C) applied to the trochanter major. Main Outcome Measures:On admission, blood flow response to a local cold stimulus. As the stimulus was withdrawn, the temperature measured at the skin increased asymptotically toward the final temperature, Tf. The velocity of this rise was characterized by the time constant, τ, of the process. On admission, and weekly during a 4-week follow-up period, the presence or absence of pressure ulcers was verified. Results:The blood flow response time correlated significantly with the risk of developing pressure ulcers. The patients who developed pressure ulcers during the follow-up period had a significantly longer response time than the patients who did not. Conclusions:Malfunction of the nervous regulatory mechanisms of the local blood flow is partially responsible for an increased susceptibility to pressure ulcer formation. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
- Published
- 2002
- Full Text
- View/download PDF
10. Health Care for Older Persons, A country Profile: The Netherlands
- Author
-
Hoek, J. Frank, Penninx, Brenda W. J. H., Ligthart, Gerard J., and Ribbe, Miel W.
- Published
- 2000
- Full Text
- View/download PDF
11. Active Voluntary Euthanasia or Physician‐Assisted Suicide?
- Author
-
Onwuteaka‐Philipsen, Bregje D., Muller, Martien T., Wal, Gerrit, Eijk, Jacques Th. M., and Ribbe, Miel W.
- Abstract
OBJECTIVE:To find out why Dutch general practitioners (GPs) and nursing home physicians (NHPs), and patients (according to their physician) opt for active voluntary euthanasia rather than for physician‐assisted suicide, or vice‐versa.
- Published
- 1997
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.