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Infant- and family-centred developmental care for preterm newborns in neonatal care / Jens Detollenaere / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2022)
Infant- and family-centred developmental care for preterm newborns in neonatal care : - Short Report [printed text] / Jens Detollenaere , Author ; Nadia Benahmed, Author ; Elena Costa, Author ; Wendy Christiaens , Author ; Carl Devos , Author ; Koen Van Den Heede , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2022 . - 45 p. : ill. ; A4. - (KCE Reports. Health Services Research (HSR); 350CS) .
ISSN : D/2022/10.273/08 : € 0,00
Languages : English (eng)
Descriptors: Indexation
Family Nursing ; HSR 2019-11 ; Intensive Care, Neonatal[MeSH Terms] Continuous care and monitoring of newborn infants with life-threatening conditions, in any setting.; Premature Birth ; Premature Infant
Year introduced: 1990[MeSH Terms] A human infant born before 37 weeks of GESTATION.; R350
Classification
WY 157.3 Maternal-child nursing. Neonatal nursing. Perinatal nursingContents note: FOREWORD 1 -- SHORT REPORT 2 -- 1. INTRODUCTION 7 -- 1.1. INFANT- AND FAMILY-CENTRED DEVELOPMENTAL CARE (IFCDC) 7 -- 1.2. SOME IFCDC INITIATIVES IN BELGIUM 11 -- 1.2.1. Baby-Friendly Hospital Initiative 11 -- 1.2.2. NIDCAP, FINE and CLE 11 -- 1.3. SCOPE AND OBJECTIVE OF THE REPORT 11 -- 1.4. METHODS 12 -- 2. CURRENT ORGANISATION OF NEONATAL CARE AND PROFILE OF PRETERM NEWBORNS IN BELGIUM 13 -- 2.1. PERINATAL ORGANISATION IN BELGIUM 13 -- 2.2. PROFILE OF PRETERM NEWBORNS IN BELGIUM 14 -- 3. MAPPING OF IFCDC INTERVENTIONS 16 -- 3.1. IDENTIFIED IFCDC INTERVENTIONS 16 -- 3.2. EFFECT ON OUTCOMES 16 -- 4. STRENGTHS AND WEAKNESSES IN IFCDC IMPLEMENTATION IN BELGIUM 19 -- 4.1. ARCHITECTURE 19 -- 4.1.1. Current infrastructure is often inadequate for IFCDC implementation 19 -- 4.2. PARENTAL SUPPORT, GUIDANCE AND EDUCATION 20 -- 4.2.1. Need for more parental support 20 -- 4.2.2. Parental guidance and education 22 -- 4.3. PARENTAL PRESENCE AND CAREGIVING 22 -- 4.3.1. Separation and accessibility 22 -- 4.3.2. Combination of hospital visits and daily life 24 -- 4.3.3. Breastfeeding 25 -- 4.4. HEALTHCARE STAFF, TIME AND EDUCATION 26 -- 4.4.1. Neonatal staff tries as much as possible to implement IFCDC principles, with the resources available 26 -- 4.4.2. Sufficient number of staff is a conditio sine qua non for IFCDC implementation 27 -- 4.4.3. Impact of financing on IFCDC implementation 29 -- 4.4.4. Impact of the COVID-19 pandemic 29 -- 4.4.5. Education of staff 30 -- 4.5. TECHNOLOGY BASED SUPPORT 30 -- 4.6. SHARED DECISION MAKING 31 -- 4.7. TRANSITION PERIODS 31 -- 5. INTERNATIONAL IFCDC BEST PRACTICES 33 -- 5.1. FACILITATORS TO PROVIDE IFCDC IN INTERNATIONAL BEST PRACTICES 33 -- 5.2. BARRIERS TO PROVIDE IFCDC IN INTERNATIONAL BEST PRACTICES 34 -- 6. TOWARDS ADEQUATE IFCDC IMPLEMENTATION IN BELGIAN NEONATAL CARE 35 -- 6.1. SEPARATION OF THE PRETERM NEWBORN INFANT FROM HIS/HER FAMILY CAN HAVE LONG-TERM CONSEQUENCES AND MUST BE AVOIDED AS MUCH AS POSSIBLE 35 -- 6.2. ADEQUATE IFCDC IMPLEMENTATION CANNOT RELY ON ISOLATED INTERVENTIONS, BUT REQUIRES A COMPREHENSIVE INTEGRATED ACTION PLAN 36 -- 6.3. IFCDC IMPLEMENTATION REQUIRES SUFFICIENT STAFFING LEVELS 37 -- 6.4. OUTDATED INFRASTRUCTURE OR ARCHITECTURE UNDERMINES IFCDC -- IMPLEMENTATION 37 -- 6.5. PARENTS OF PRETERM NEWBORN INFANTS MUST BE ABLE TO RELY ON SUFFICIENT SUPPORT DURING HOSPITALISATION OF THE NEWBORN AND BEYOND 38 -- 6.6. IFCDC IMPLEMENTATION REQUIRES ADDITIONAL ATTENTION DURING TRANSFER MOMENTS 38 -- REFERENCES 39 Link for e-copy: https://doi.org/10.57598/R350CS Format of e-copy: PDF (1,60 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4818 Infant- and family-centred developmental care for preterm newborns in neonatal care / Jens Detollenaere / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2022)
Infant- and family-centred developmental care for preterm newborns in neonatal care : Supplement [printed text] / Jens Detollenaere , Author ; Nadia Benahmed, Author ; Elena Costa, Author ; Wendy Christiaens , Author ; Carl Devos , Author ; Koen Van Den Heede , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2022 . - 162 p. : ill. ; A4. - (KCE Reports. Health Services Research (HSR); 350S) .
ISSN : D/2022/10.273/10 : € 0,00
Languages : English (eng)
Descriptors: Indexation
Family Nursing ; HSR 2019-11 ; Intensive Care, Neonatal[MeSH Terms] Continuous care and monitoring of newborn infants with life-threatening conditions, in any setting.; Premature Birth ; Premature Infant
Year introduced: 1990[MeSH Terms] A human infant born before 37 weeks of GESTATION.; R350
Classification
WY 157.3 Maternal-child nursing. Neonatal nursing. Perinatal nursingContents note: TABLE OF CONTENTS 1 -- LIST OF FIGURES 2 -- LIST OF TABLES 2 -- APPENDIX 1. ANNEX TO CHAPTER 1 3 -- APPENDIX 1.1. METHODS CONCEPT MAPPING 3 -- APPENDIX 2. ANNEX TO CHAPTER 4 4 -- APPENDIX 2.1. SEARCH STRATEGIES 4 -- APPENDIX 2.2. SURVEY OUTCOME SELECTION 10 -- APPENDIX 2.3. EVIDENCE TABLES 23 -- APPENDIX 2.4. ASSESSMENT OF RISK OF BIAS IN INCLUDED STUDIES 146 -- APPENDIX 3. ANNEX TO CHAPTER 5 149 -- APPENDIX 3.1. INTERVIEW GUIDE 149 -- APPENDIX 4. ANNEX TO CHAPTER 6 157 -- APPENDIX 4.1. INTERVIEW GUIDE 157 Link for e-copy: https://doi.org/10.57598/R350S Format of e-copy: PDF (5,56 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4819 International Experts' Perspectives on the State of the Nurse Staffing and Patient Outcomes Literature / Koen Van Den Heede in Journal Of Nursing Scholarship, 39(2009)4 ([11/01/2007])
[article] International Experts' Perspectives on the State of the Nurse Staffing and Patient Outcomes Literature [printed text] / Koen Van Den Heede , Author ; Sean P. Clarke, Author ; Walter Sermeus, Author ; Arthur Vleugels, Author ; Linda Aiken, Author . - 2007 . - 290-2097.
Languages : English (eng)
in Journal Of Nursing Scholarship > 39(2009)4 [11/01/2007] . - 290-2097
Descriptors: Classification
W 1 Serials. Periodicals
Indexation
Health Manpower ; Journal Article ; Nurses ; Outcome Assessment (Health Care) ; Peer ReviewKeywords: nurse staffing; patient outcomes; Abstract: Purpose: To assess the key variables used in research on nurse staffing and patient outcomes from the perspective of an international panel.
Design: A Delphi survey (November 2005-February 2006) of a purposively-selected expert panel from 10 countries consisting of 24 researchers specializing in nurse staffing and quality of health care and 8 nurse administrators.
Methods: Each participant was sent by e-mail an up-to-date review of all evidence related to 39 patient-outcome, 14 nurse-staffing and 31 background variables and asked to rate the importance/usefulness of each variable for research on nurse staffing and patient outcomes. In two subsequent rounds the group median, mode, frequencies, and earlier responses were sent to each respondent.
Findings: Twenty-nine participants responded to the first round (90.6%), of whom 28 (87.5%) responded to the second round. The Delphi panel generated 7 patient-outcome, 2 nurse-staffing and 12 background variables in the first round, not well-investigated in previous research, to be added to the list. At the end of the second round the predefined level of consensus (85%) was reached for 32 patient outcomes, 10 nurse staffing measures and 29 background variables. The highest consensus levels regarding measure sensitivity to nurse staffing were found for nurse perceived quality of care, patient satisfaction and pain, and the lowest for renal failure, cardiac failure, and central nervous system complications. Nursing Hours per Patient Day received the highest consensus score as a valid measure of the number of nursing staff. As a skill mix variable the proportion of RNs to total nursing staff achieved the highest consensus level. Both age and comorbidities were rated as important background variables by all the respondents.
Conclusions: These results provide a snapshot of the state of the science on nurse-staffing and patient-outcomes research as of 2005. The results portray an area of nursing science in evolution and an understanding of the connections between human resource issues and healthcare quality based on both empirical findings and opinion.
Link for e-copy: http://vdic.idm.oclc.org/login?url=http://onlinelibrary.wiley.com/doi/10.1111/j. [...] Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2722 [article]Interventions to reduce emergency department utilisation / Koen Van Den Heede in Health Policy, 120(2016)12 ([12/01/2016])
[article] Interventions to reduce emergency department utilisation : A review of reviews [printed text] / Koen Van Den Heede , Author ; Carine Van de Voorde, Author . - 2016 . - 1337-1349.
Languages : English (eng)
in Health Policy > 120(2016)12 [12/01/2016] . - 1337-1349
Descriptors: Classification
W 1 Serials. Periodicals
Indexation
2014-08 ; Belgium ; Emergency Medical Services ; Health Services Research ; Journal ArticleAbstract: Objective
To describe policy interventions that have the objective to reduce ED use and to estimate their effectiveness.
Methods
Narrative review by searching three electronic databases for scientific literature review papers published between 2010 and October 2015. The quality of the included studies was assessed with AMSTAR, and a narrative synthesis of the retrieved papers was applied.
Results
Twenty-three included publications described six types of interventions: (1) cost sharing; (2) strengthening primary care; (3) pre-hospital diversion (including telephone triage); (4) coordination; (5) education and self-management support; (6) barriers to access emergency departments. The high number of interventions, the divergent methods used to measure outcomes and the different populations complicate their evaluation. Although approximately two-thirds of the primary studies showed reductions in ED use for most interventions the evidence showed contradictory results.
Conclusion
Despite numerous publications, evidence about the effectiveness of interventions that aim to reduce ED use remains insufficient. Studies on more homogeneous patient groups with a clearly described intervention and control group are needed to determine for which specific target group what type of intervention is most successful and how the intervention should be designed. The effective use of ED services in general is a complex and multi-factorial problem that requires integrated interventions that will have to be adapted to the specific context of a country with a feedback system to monitor its (un-)intended consequences. Yet, the co-location of GP posts and emergency departments seems together with the introduction of telephone triage systems the preferred interventions to reduce inappropriate ED visits while case-management might reduce the number of ED attendances by frequent ED users.Link for e-copy: https://doi.org/10.1016/j.healthpol.2016.10.002 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4004 [article]Long COVID / Diego Castanares-Zapatero / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2021)
Long COVID : Pathophysiology – epidemiology and patient needs [printed text] / Diego Castanares-Zapatero , Author ; Laurence Kohn , Author ; Marie Dauvrin , Author ; Jens Detollenaere , Author ; Charline Maertens de Noordhout, Author ; Célia Primus-de Jong, Author ; Irina Cleemput , Author ; Koen Van Den Heede , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2021 . - 281 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 344C) .
ISSN : D/2021/10.273/31 : € 0,00
Languages : English (eng)
Descriptors: Indexation
2020-04 ; COVID-19 [Supplementary Concept] ; Epidemiology ; Interviews ; Pathology ; R344 ; Surveys and Questionnaires
Classification
WC 506.5 COVID-19, ComplicationsLink for e-copy: https://doi.org/10.57598/R344C Format of e-copy: PDF (4,6 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4782 Long COVID / Diego Castanares-Zapatero / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2021)
PermalinkLong COVID / Diego Castanares-Zapatero / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2021)
PermalinkMaturity of Integrated care in Belgium / Anne-Sophie Lambert / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2022)
PermalinkMeasuring the intensity of nursing care / Walter Sermeus in International journal of nursing studies, 45(2008)07 ([07/01/2008])
PermalinkModèles de gouvernance pour les collaborations entre hôpitaux / Kaat De Pourcq / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2016)
PermalinkNaar een geïntegreerd systeem voor de behandeling van ernstige trauma's / Maria-Isabel Farfan-Portet / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2017)
PermalinkA national guideline for the prevention of pressure ulcers / Dimitri Beeckman / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2012)
PermalinkA national guideline for the prevention of pressure ulcers / Dimitri Beeckman / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2012)
PermalinkA national guideline for the treatment of pressure ulcers / Dimitri Beeckman / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)
PermalinkA national guideline for the treatment of pressure ulcers / Dimitri Beeckman / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)
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