Search

Your search keyword '"Den Oudsten, Brenda"' showing total 310 results
Start Over Author "Den Oudsten, Brenda"
310 results on '"Den Oudsten, Brenda"'

7. The Impact of Non-Pharmacological Interventions on Delirium in Neurological Intensive Care Unit Patients: A Single-Center Interrupted Time Series Trial

Author

Rood, Paul J. T., primary, Ramnarain, Dharmanand, additional, Oldenbeuving, Annemarie W., additional, den Oudsten, Brenda L., additional, Pouwels, Sjaak, additional, van Loon, Lex M., additional, Teerenstra, Steven, additional, Pickkers, Peter, additional, de Vries, Jolanda, additional, and van den Boogaard, Mark, additional

Published
2023
Full Text
View/download PDF

17. ShareHeart: A patient journey map of patients with ischemia and non‐obstructive coronary artery disease based on qualitative research.

Author

Van Schalkwijk, Dinah L., Widdershoven, Jos W. M. G., Elias‐Smale, Suzette, Hartzema‐Meijer, Marielle, Den Oudsten, Brenda L., Slatman, Jenny, and Mommersteeg, Paula M. C.

Subjects
ISCHEMIA, FOCUS groups, SOCIAL support, FUNCTIONAL status, RESEARCH methodology, MEDICAL care, PATIENT-centered care, INTERVIEWING, PATIENTS' attitudes, MEDICAL protocols, QUALITATIVE research, CORONARY artery disease, HOSPITAL care, HEALTH care teams, QUALITY of life, RESEARCH funding, QUALITY assurance, THEMATIC analysis, MEDICAL needs assessment
Abstract

Aims and objectives: To visualise the health care experiences and needs of patients with ischemia with non‐obstructive coronary arteries in a patient journey map. As such, future design challenges can be provided, and it can be used for future healthcare optimization. Background: Ischemia with non‐obstructive coronary arteries is a chronic cardiac condition caused by vascular dysfunctions. Ischemia with non‐obstructive coronary arteries is often unrecognised, significantly impairs daily functioning, and is more prevalent among women. Patients' experiences remain unexplored, and a clear patient‐centered care pathway is lacking. Design: A qualitative interpretative research design was performed and the standards for reporting qualitative research (SRQR) has been used. Methods: In total, 36 women were included and participated in eight semi‐structured focus group interviews. Thematic analysis was used, and identified themes were further classified using 'patient journey mapping.' Additionally, Picker's 'eight principles of patient‐centered care' were linked to the results and integrated in the patient journey map. Results: Participants experienced a lack of familiarity with the specific cardiac condition by healthcare providers, repeated hospitalisation, testing and referrals, shortage of specialised cardiologists, and feelings of not being heard. In addition, needs for a multidisciplinary treatment program (including physical and psychological support), better information provision, and an easily accessible contact person were expressed. Conclusions: The resulting patient journey map shows how patients experienced and interacted with the current healthcare system. Overall, the results show a complex and long healthcare pathway and important themes for healthcare experiences and needs were identified. Future research could focus on the development and implementation of a patient‐centered evidence‐based clinical pathway optimising experiences and quality of life. Relevance to clinical practice: The visual tool can help health care professionals, policy makers, and researchers improve healthcare provision which is patient‐centered and tailored to the preferences of patients with ischemia with non‐obstructive coronary arteries. [ABSTRACT FROM AUTHOR]

Published
2023
Full Text
View/download PDF

29. Shareheart: Using patient journey mapping for health care optimization in patients with ischemia and non-obstructive coronary arteries (INOCA)

Author

van Schalkwijk, Dinah L., Widdershoeven, W. M. G., Elias-Smale, Suzette, Den Oudsten, Brenda L., Slatman, Jenny, Mommersteeg, Paula M. C., Medical and Clinical Psychology, Department of Culture Studies, and Rapid Social and Cultural Transformation: Online & Offline

Abstract

Background: Ischemia with non-obstructive coronary arteries (INOCA) is a chronic cardiac condition characterized by vascular dysfunction. INOCA is often underrecognized and more prevalent in women. Patients’ experiences remain unexplored and a clear patient centered care pathway is lacking. We aimed to visualize patients’ health care pathway (journey) by exploring the experiences and needs of patients with INOCA. The method of ‘patient journey mapping’ will be used, which is a patient-centered design approach for designing health care solutions. Method: In total 36 women were recruited in two Dutch hospitals and participated in eight online semi-structured focus group interviews. Transcriptions were analyzed according to a thematic analysis. Themes were further classified using a combination of ‘process’ and ‘patient journey’ mapping. The former method was used to visualize reported contact moments/steps (touchpoints), the latter adds a layer of experiences and needs to the patient journey. Picker’s eight principles of patient-centered care framework were integrated into the patient journey map to highlight which principles need improvement according to the patients’ view. This may support implementation steps towards a patient-centered care pathway. Results: Process mapping shows a complex and unstructured health care pathway. Participants faced various barriers including a lack of familiarity with INOCA by health care providers, repeated hospitalization, testing and referrals, feelings of not being heard, shortage of specialized INOCA cardiologists, the lack of a multidisciplinary treatment program (including physical and psychological support), and the absence of a contact person/specialized nurse practitioner. Conclusion: The resulting visual tool shows how patients experienced and interacted with the current health care system and can be used for future healthcare quality improvement towards a more patient-centered care pathway. More familiarity and knowledge regarding INOCA is needed as well as an adequate referral system in both early and later stages of the pathway. In the future, research should focus on the development and implementation of a patient centered evidence-based clinical pathway, taking into account sex and gender differences.

Published
2022

50. Unravelling sexual care in chronically ill patients: The perspective of GP practice nurses

Author

Barnhoorn, Pieter C., Zuurveen, Hannah R., Prins, Inge C., van Ek, Gaby F., den Oudsten, Brenda L., den Ouden, Marjolein E. M., Putter, Hein, Numans, Mattijs E., Elzevier, Henk W., and Medical and Clinical Psychology

Subjects
chronically ill patients, sexual dysfunction, barriers, general practitioner, general practice nurse, sexual health, MEN, DYSFUNCTION, DISEASE, PREVALENCE
Abstract

Background. Assessment of sexual health is important in chronically ill patients, as many experience sexual dysfunction (SD). The general practice nurse (GPN) can play a crucial part in addressing SD. Objective. The aim of this cross-sectional study was to examine to which extent GPNs discuss SD with chronically ill patients and what barriers may refrained them from discussing SD. Furthermore, we examined which factors had an association with a higher frequency of discussing SD. Methods. A cross-sectional survey using a 48-item questionnaire was send to 637 GPNs across the Netherlands. Results. In total, 407 GPNs returned the questionnaire (response rate 63.9%) of which 337 completed the survey. Two hundred and twenty-one responding GPNs (65.6%) found it important to discuss SD. More than half of the GPNS (n = 179, 53.3%) never discussed SD during a first consultation, 60 GPNs (18%) never discussed SD during follow-up consultations. The three most important barriers for discussing SD were insufficient training (54.7%), 'reasons related to language and ethnicity' (47.5%) and 'reasons related to culture and religion' (45.8%). More than half of the GPNs thought that they had not enough knowledge to discuss SD (n = 176, 54.8%). A protocol on addressing SD would significantly increase discussing during SD. Conclusions. This study indicates that GPNs do not discuss SD with chronically ill patients routinely. Insufficient knowledge, training and reasons related to cultural diversity were identified as most important reasons for this practice pattern. Implementation of training in combination with guidelines on SD in the general practice could improve on the discussing of sexual health with chronic patients.

Published
2020

Catalog

Books, media, physical & digital resources
See catalog results