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Your search keyword '"Van Den Noortgate, Nele"' showing total 400 results
Start Over Author "Van Den Noortgate, Nele" Publication Type Academic Journals
400 results on '"Van Den Noortgate, Nele"'

1. Coaching doctors to improve ethical decision-making in adult hospitalized patients potentially receiving excessive treatment. The CODE stepped-wedge cluster randomized controlled trial

Author

Benoit, Dominique D., De Pauw, Aglaja, Jacobs, Celine, Moors, Ine, Offner, Fritz, Velghe, Anja, Van Den Noortgate, Nele, Depuydt, Pieter, Druwé, Patrick, Hemelsoet, Dimitri, Meurs, Alfred, Malotaux, Jiska, Van Biesen, Wim, Verbeke, Francis, Derom, Eric, Stevens, Dieter, De Pauw, Michel, Tromp, Fiona, Van Vlierberghe, Hans, Callebout, Eduard, Goethals, Katrijn, Lievrouw, An, Liu, Limin, Manesse, Frank, Vanheule, Stijn, and Piers, Ruth

Published
2024
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3. Publisher Correction: Coaching doctors to improve ethical decision-making in adult hospitalized patients potentially receiving excessive treatment. The CODE stepped-wedge cluster randomized controlled trial

Author

Benoit, Dominique D., De Pauw, Aglaja, Jacobs, Celine, Moors, Ine, Offner, Fritz, Velghe, Anja, Van Den Noortgate, Nele, Depuydt, Pieter, Druwé, Patrick, Hemelsoet, Dimitri, Meurs, Alfred, Malotaux, Jiska, Van Biesen, Wim, Verbeke, Francis, Derom, Eric, Stevens, Dieter, De Pauw, Michel, Tromp, Fiona, Van Vlierberghe, Hans, Callebout, Eduard, Goethals, Katrijn, Lievrouw, An, Liu, Limin, Manesse, Frank, Vanheule, Stijn, and Piers, Ruth

Published
2024
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9. COVID-19 pandemic and mortality in nursing homes across USA and Europe up to October 2021

Author

Aalto, Ulla L., Pitkälä, Kaisu H., Andersen-Ranberg, Karen, Bonin-Guillaume, Sylvie, Cruz-Jentoft, Alfonso Jose, Eriksdotter, Maria, Gordon, Adam L., Gosch, Markus, Holmerova, Iva, Kautiainen, Hannu, Kivipelto, Miia, Macijauskiene, Jurate, O’Neill, Desmond, van den Noortgate, Nele, Ranhoff, Anette H., Schols, Jos M. G. A., Singler, Katrin, Stankunas, Mindaugas, and Ouslander, Joseph G.

Published
2022
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14. Potentially Inappropriate Treatments at the End of Life in Nursing Home Residents: Findings From the PACE Cross-Sectional Study in Six European Countries

Author

Gatsolaeva, Yuliana, Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Van Den Noortgate, Nele, Froggatt, Katherine, Pasman, H. Roeline W., Baranska, Ilona, Oosterveld-Vlug, Mariska, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Leppäaho, Suvi, Pautex, Sophie, Bassal, Catherine, Mammarella, Federica, Mercuri, Martina, Rossi, Paola, Segat, Ivan, Stodolska, Agata, Adang, Eddy, Kylänen, Marika, Andreasen, Paula, Kuitunen-Kaija, Outi, Moore, Danni Collingridge, Pac, Agnieszka, Kijowska, Violetta, Ten Koppel, Maud, van der Steen, Jenny T., de Paula, Emilie Morgan, Honinx, Elisabeth, Van den Block, Lieve, Piers, Ruth, Van Kuijk, Sander M.J., Onwuteaka-Philipsen, Bregje D., Payne, Sheila A., Szczerbińska, Katarzyna, Gambassi, Giovanni G., Finne-Soveri, Harriet, Deliens, Luc, and Smets, Tinne

Published
2021
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17. Opioids in geriatric units in 14 Belgian hospitals: prevalence, dosage and associated factors.

Author

Janssens, Wim Henri, Van Den Noortgate, Nele J., Mouton, Veerle, Desmet, Peter, Van Puyvelde, Katrien, Steen, Elke, Maere, Caroline, Van Mulders, Katlijn, De Raes, Eva, Dekoninck, Julien, Kympers, Celine, Werbrouck, Bart, Delaere, Jozefien, and Piers, Ruth D.

Subjects
GERIATRIC care units, OLDER people, TRAMADOL, DEMENTIA patients, FENTANYL
Abstract

Introduction: Adverse effects of opioids are common among older individuals, and undertreatment as well as overuse can be an issue. Epidemiological data on opioid use in older individuals are available, but scarce in hospitalized patients. Aims: The aim of this study is to examine the one-day prevalence of opioid use among older inpatients and identify the factors associated with both opioid use and dosage. Materials and methods: One-day cross-sectional study with data collected from geriatric units across 14 Belgian hospitals. The primary focus of the study is to assess the prevalence of opioid use and dosage, along with identifying associated factors. To achieve this, a multiple binary logistic regression model was fitted for opioid use, and a multiple linear regression model for opioid dose. Results: Opioids were used in 24.4% of 784 patients, of which 57.9% was treated with tramadol, 13.2% with oxycodone or morphine and 28.9% with transdermal buprenorphine or fentanyl. The odds for opioid use were 4.2 times higher in patients in orthogeriatric units compared to other patients (OR=4.2, 95% CI=2.50-7.05). The prevalence of opioid use was 34% higher in patients without dementia compared to patients with dementia (OR=0.66, 95% CI=0.46-0.95). The overall mean daily dosage was 14.07 mg subcutaneous morphine equivalent. After adjustment for age, gender and dementia, dosage was only associated with type of opioid: the estimated mean opioid dose was 70% lower with tramadol (mean ratio=0,30,95% CI=0,23-0,39) and 67% lower with oxycodone and morphine (mean ratio=0,33, 95% CI=0,22-0,48) compared to transdermal buprenorphine and transdermal fentanyl. Conclusions: One in four patients received opioid treatment. It is not clear whether this reflects under- or overtreatment, but these results can serve as a benchmark for geriatric units to guide future pain management practices. The utilization of transdermal fentanyl and buprenorphine, resulting in higher doses of morphine equivalent, poses significant risks for side effects. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Relatives' needs in terms of bereavement care throughout euthanasia processes: A qualitative study.

Author

Boven, Charlotte, Dillen, Let, Van Humbeeck, Liesbeth, Van Den Block, Lieve, Piers, Ruth, and Van Den Noortgate, Nele

Subjects
QUALITATIVE research, RESEARCH funding, STATISTICAL sampling, INTERVIEWING, JUDGMENT sampling, DESCRIPTIVE statistics, EUTHANASIA, BEREAVEMENT, NEED (Psychology), FAMILY attitudes, THEMATIC analysis, LONGITUDINAL method, SOUND recordings, ATTITUDES of medical personnel, CONCEPTUAL structures, RESEARCH methodology, GRIEF, EXTENDED families, NEEDS assessment, PHENOMENOLOGY, DATA analysis software, PSYCHOSOCIAL factors
Abstract

Aim: To explore relatives' needs in terms of bereavement care during euthanasia processes, how healthcare providers respond to these needs, and the degree of commonality between relatives' and healthcare providers' reports. Design: A phenomenological design was employed, utilising reflexive thematic analysis to examine interviews conducted with relatives (N = 19) and healthcare providers (N = 47). Results: Relatives' needs throughout euthanasia processes are presented in five main themes and several subthemes, with similar findings between both sets of participants. Although relatives infrequently communicated their needs explicitly to healthcare providers, they appreciated it when staff proactively met their needs. Healthcare providers aimed to assist with the relatives' grief process by tending to their specific needs. However, aftercare was not consistently offered, but relatives did not have high expectations for professional follow‐up care. Conclusion: Our research offers important directions for healthcare professionals, empowering them to provide needs‐based bereavement care during euthanasia processes. Moreover, it emphasises the importance of recognising the unique needs of relatives and proactively addressing them in the period before the loss to positively contribute to relatives' grief process. Implications for the profession and/or patient care: Insights into relatives' needs in the context of euthanasia. Good practices on how healthcare providers can attend to relatives' needs before, during and after the loss Impact: Current literature and guidelines on needs‐based bereavement care in the context of euthanasia and, more generally, assisted dying, are limited. These findings provide concrete directions for practice in supporting (nearly) bereaved relatives in the context of euthanasia, potentially mitigating adverse health outcomes. Reporting method: Standards for Reporting Qualitative Research (SRQR checklist). Patient or Public contribution: Relatives of deceased cancer patients were involved in the conduct of the study. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper

Author

Van den Block, Lieve, Arrue, Borja, Baranska, Ilona, Moore, Danni Collingridge, Deliens, Luc, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Honincx, Elisabeth, Kijowska, Viola, Koppel, Maud ten, Kylanen, Marika, Mammarella, Federica, Miranda, Rose, Smets, Tinne, Onwuteaka-Philipsen, Bregje, Oosterveld-Vlug, Mariska, Pasman, Roeline, Payne, Sheila, Piers, Ruth, Pivodic, Lara, van der Steen, Jenny, Szczerbińska, Katarzyna, Van Den Noortgate, Nele, van Hout, Hein, Wichmann, Anne, Vernooij-Dassen, Myrra, Froggatt, Katherine A., Ling, Julie, and Payne, Sheila A.

Published
2020
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22. Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study

Author

Adang, Eddy, Andreasen, Paula, Moore, Danni Collingridge, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna

Published
2020
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24. Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries

Author

Gatsolaeva, Yuliana, Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Van Den Noortgate, Nele, Froggatt, Katherine, Onwuteaka-Philipsen, Bregje, Szczerbińska, Katarzyna, Oosterveld-Vlug, Mariska, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Leppäaho, Suvi, Pautex, Sophie, Bassal, Catherine, Mammarella, Federica, Mercuri, Martina, Rossi, Paola, Segat, Ivan, Stodolska, Agata, Adang, Eddy, Andreasen, Paula, Kuitunen-Kaija, Outi, Moore, Danni Collingridge, Pac, Agnieszka, Kijowska, Violetta, Koppel, Maud ten, van der Steen, Jenny T., Morgan de Paula, Emilie, Honinx, Elisabeth, Smets, Tinne, Piers, Ruth, Deliens, Luc, Payne, Sheila, Kylänen, Marika, Barańska, Ilona, Pasman, H. Roeline W., Gambassi, Giovanni, and Van den Block, Lieve

Published
2019
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29. Will-to-Live and Self-Rated Health in Older Hospitalized Patients Are Not Predictive for Short-Term Mortality.

Author

De Raedt, Soetkin, De Groote, Marie, Martens, Han, Velghe, Anja, Van Den Noortgate, Nele, and Piers, Ruth

Subjects
RESEARCH, SELF-evaluation, GERIATRIC assessment, MENTAL health, HOSPITAL care of older people, QUALITY of life, DESCRIPTIVE statistics, DECISION making in clinical medicine, RECEIVER operating characteristic curves, ACUTE diseases, LONGITUDINAL method, PROPORTIONAL hazards models
Abstract

Background: Self-assessed will-to-live and self-rated health are associated with long-term survival in community-dwelling older persons but have not been examined in frailer older patients in relation to short-term prognosis. The aim was to explore whether will-to-live and self-rated health are predictive for six-month mortality and can guide ceiling of treatment decisions in hospitalized patients in an acute geriatric ward. We included the Surprise Question as reference, being a well-established clinical tool for short-term prognostication. Methods: This multicentric prospective study included patients of 75 years and older admitted at acute geriatric wards of two Belgian hospitals. Will-to-live and self-rated health were scored on a Likert scale (0–5, 0–4) and assessed by junior geriatricians. The senior geriatricians answered the Surprise Question for clinical judgment of prognosis. Receiver-operator characteristic (ROC) curves were constructed to determine diagnostic accuracy. For time-dependent analysis, Cox regression was performed with adjustment for age and gender. Results: Of 93 included patients in the study, 69 were still alive after six months and 24 died, resulting in a six-month mortality of 26%. The mean age was 86 years (range 75–100), 67% of the patients were women. Median will-to-live and self-rated health were 3 (moderate and good). Both will-to-live and self-rated health were not predictive for six-month mortality (area under the ROC curve [AUC] 0.496, p = 0.951 for will-to-live; 0.447, p = 0.442 for self-rated health) as opposed to Surprise Question (AUC 0.793, p < 0.001). After correction for sex and age, the hazard ratio of six-month mortality was 0.92 for will-to-live (p = 0.667), 0.86 for self-rated health (p = 0.548), and 10.28 for Surprise Question (p < 0.001). Conclusion: Will-to-live and self-rated health are not predictive for six-month mortality in patients admitted to the acute geriatric ward, unlike prognostic tools such as Surprise Question. Clinical Trial Registration Number: B670202100792. [ABSTRACT FROM AUTHOR]

Published
2024
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35. How strong is the will-to-live in frail older persons? A survey study in acute geriatric wards and nursing homes in Belgium.

Author

De Groote, Marie, De Raedt, Soetkin, Van Humbeeck, Liesbeth, Van Hoeyweghen, Raf, Nobels, Anne, Van Den Noortgate, Nele, and Piers, Ruth

Subjects
TERMINAL care, ATTITUDE (Psychology), MULTIPLE regression analysis, PATIENT decision making, INTERVIEWING, MANN Whitney U Test, LIFE, NURSING care facilities, LIVING wills, CRITICAL care medicine, HOSPITAL wards, MENTAL depression, DESCRIPTIVE statistics, ELDER care, ATTITUDES toward death, OLD age
Abstract

Will-to-live is defined as the psychological expression of one's commitment to life and the desire to continue living. It is an important indicator of subjective wellbeing. This study aimed to assess the will-to-live in frail older hospitalized patients and nursing home residents as well as to evaluate its association with physical frailty, tiredness of life, depression and wish-to-die. Between March and September 2021, we interviewed 186 older adults in six nursing homes and two acute geriatric wards across Belgium. Will-to-live was assessed using a single-item numeric rating scale from 0 to 5. A linear regression analysis was performed to assess the association between will-to-live and frailty (Clinical Frailty Scale) with adjustment for age, gender and setting. Mann-Whitney U test was used to evaluate the association between will-to-live and depression, tiredness of life and wish-to-die. Mean age was 85 (± 6.2) years. Mean score on the Clinical Frailty Scale was five (± 1.5) and four on the will-to-live (± 1.3). No statistical significant association was found between will-to-live and age (p = 0.991), gender (p = 0.272), setting (p = 0.627) and frailty (p = 0.629). Multiple linear regression showed no significant association with Clinical Frailty Scale (p = 0.660), after adjustment for age, gender and setting. Will-to-live was negatively associated with tiredness of life (p = 0.020) and wish-to-die (p < 0.001), but not with depression (p = 0.186). Both nursing home residents and older hospitalized patients expressed a strong or very strong will-to-live. Will-to-live was not associated with physical frailty as measured by the Clinical Frailty Scale. Nursing home residents with a weak will-to-live were more likely to have depressive symptoms. Most nursing home residents with a wish-to-die had also a low will-to-live, although some residents had both a high will-to-live and wish-to-die. [ABSTRACT FROM AUTHOR]

Published
2024
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36. Setting competencies and standards for a European Leadership Program in Geriatric Medicine: “The European Academy for Medicine of Ageing (EAMA) reloaded”

Author

Roller-Wirnsberger, Regina Elisabeth, van den Noortgate, Nele, Bonin-Guillaume, Sylvie, Andersen-Ranberg, Karen, Ranhoff, Anette Hylen, Münzer, Thomas, Grodzicki, Tomasz, Conroy, Simon, Landi, Francesco, Mieiro, Louis, Dapp, Ulrike, van Deelen, Robertus, Eldholm, Rannveig Sakshaug, Martinez-Velilla, Nicolas, and Singler, Katrin

Published
2018
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39. Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study

Author

Adang, Eddy, Andreasen, Paula, Collingridge Moore, Danni, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna

Published
2020
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42. Relatives' Experiences of Being Involved in Assisted Dying: A Qualitative Study.

Author

Boven, Charlotte, Dillen, Let, Dierickx, Sigrid, Van den Block, Lieve, Piers, Ruth, Van Den Noortgate, Nele, and Van Humbeeck, Liesbeth

Subjects
GRIEF, HOSPITALS, ASSISTED suicide, EXTENDED families, GROUNDED theory, RESEARCH methodology, INTERVIEWING, FAMILIES, RIGHT to die, COGNITION, EXPERIENCE, QUALITATIVE research, COMPARATIVE studies, PSYCHOSOCIAL factors, EUTHANASIA, COMMUNICATION, PSYCHOLOGY of caregivers, DECISION making, DESCRIPTIVE statistics, RESEARCH funding, FAMILY relations, STATISTICAL sampling, SOCIODEMOGRAPHIC factors, DATA analysis software, BEREAVEMENT, ATTITUDES toward death
Abstract

Recent literature demonstrates an interdependence between relatives and healthcare providers throughout euthanasia processes. Yet, current guidelines and literature scarcely specify the interactions between healthcare providers and bereaved relatives. The aim of this work consisted of providing an insight into bereaved relatives' experiences (1) of being involved in euthanasia processes and (2) of their interactions with healthcare providers before, during, and after the euthanasia. The research process was guided by the principles of constructivist grounded theory. Nineteen Dutch-speaking bereaved relatives of oncological patients, who received euthanasia at home or in a hospital less than 24 months ago, participated via semi-structured interviews. These interviews were conducted between May 2021 and June 2022. Due to the intensity of euthanasia processes, relatives wanted to be involved as early as possible, in order to receive time, space, and access to professionals' support whilst preparing themselves for the upcoming loss of a family member with cancer. Being at peace with the euthanasia request facilitated taking a supportive attitude, subsequently aiding in achieving a serene atmosphere. A serene atmosphere facilitated relatives' grief process because it helped them in creating and preserving good memories. Relatives appreciated support from healthcare providers, as long as overinvolvement on their part was not occurring. This study advocates for a relational approach in the context of euthanasia and provides useful complements to the existing euthanasia guidelines. [ABSTRACT FROM AUTHOR]

Published
2023
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45. Physical and Psychological Distress Are Related to Dying Peacefully in Residents With Dementia in Long-Term Care Facilities

Author

Van den Block, Lieve, De Groote, Zeger, Brearley, Sarah, Caraceni, Augusto, Cohen, Joachim, Francke, Anneke, Harding, Richard, Higginson, Irene J., Kaasa, Stein, Linden, Karen, Miccinesi, Guido, Onwuteaka-Philipsen, Bregje, Pardon, Koen, Pasman, Roeline, Pautex, Sophie, Payne, Sheila, LucDeliens, De Roo, Maaike L., Albers, Gwenda, Deliens, Luc, de Vet, Henrica C.W., Francke, Anneke L., and Van Den Noortgate, Nele

Published
2015
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