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  1. Article: The process of clinical decision-making in chronic wound care: A scenario-based think-aloud study.

    Smet, Steven / Verhaeghe, Sofie / Beeckman, Dimitri / Fourie, Anika / Beele, Hilde

    Journal of tissue viability

    2024  Volume 33, Issue 2, Page(s) 231–238

    Abstract: Aims: To undertake a comprehensive investigation into both the process of information acquisition and the clinical decision-making process utilized by primary care nurses in the course of treating chronic wounds.: Design: Scenario-based think-aloud ... ...

    Abstract Aims: To undertake a comprehensive investigation into both the process of information acquisition and the clinical decision-making process utilized by primary care nurses in the course of treating chronic wounds.
    Design: Scenario-based think-aloud method, enriched by the integration of information processing theory. The study was conducted within the framework of home care nursing organizations situated in Flanders, the Flemish speaking part of Belgium. A cohort of primary care nurses (n = 10), each possessing a minimum of one year of nursing experience, was recruited through the collaboration of three home care nursing organizations.
    Methods: Two real-life clinical practice scenarios were employed for the interviews, with the researcher adopting the roles of either the patient or another clinician to enhance the realism of the think-aloud process. Each think-aloud session was promptly succeeded by a subsequent follow-up interview. The Consolidated criteria for Reporting Qualitative research checklist was followed to guarantee a consistent and complete report of the study.
    Results: Amidst noticeable variations, a discernible pattern surfaced, delineating three sequential concepts: 1. gathering overarching information, 2. collecting and documenting wound-specific data, and 3. interpreting information to formulate wound treatment strategies. These concepts encompassed collaborative discussions with stakeholders, while the refinement of wound treatment strategies was interwoven within both concepts 2 and 3.
    Conclusions: Evident variations were identified in chronic wound care clinical decision-making, regardless of educational background or experience. These insights hold the potential to inform the development of clinical decision support systems for chronic wound management and provide guidance to clinicians in their decision-making endeavours.
    MeSH term(s) Humans ; Belgium ; Clinical Decision-Making/methods ; Wounds and Injuries/therapy ; Chronic Disease/therapy ; Qualitative Research ; Female ; Male ; Adult
    Language English
    Publishing date 2024-03-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 1282604-2
    ISSN 0965-206X
    ISSN 0965-206X
    DOI 10.1016/j.jtv.2024.03.002
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  2. Article ; Online: The patient's perspective on participation in a multidisciplinary team meeting: A phenomenological study.

    Berben, Kevin / Walgrave, Emily / Bergs, Jochen / Van Hecke, Ann / Dierckx, Eva / Verhaeghe, Sofie

    International journal of mental health nursing

    2024  

    Abstract: In mental health care settings, inpatients are increasingly engaged in their care process, allowing them to participate in multidisciplinary team meetings. Research into how mental health patients (MHPs) experience participating in such meetings is, ... ...

    Abstract In mental health care settings, inpatients are increasingly engaged in their care process, allowing them to participate in multidisciplinary team meetings. Research into how mental health patients (MHPs) experience participating in such meetings is, however, limited. This study aimed to explore inpatients' experiences when participating in multidisciplinary team meetings in a Belgian inpatient mental health unit. This study used a phenomenological design with data collection including semistructured interviews. Twelve individuals participated in the study. Participants were MHPs admitted to a mental health unit that works according to the model of recovery-oriented mental health practice. Findings were analysed utilising thematic analysis. Results showed that the MHPs' experiences were mainly positive but intense. Themes included: 'Feeling honoured to be invited', 'Sense of obligation', 'Feeling nervous', 'Transparency in team members' insights', 'Feeling supported by the (primary) nurse' and 'Duality about the presence of relatives'. By taking these findings into account, (mental) healthcare workers gain insight into the patient's lived experiences, allowing them to provide more person-centred care when inpatients participate in multidisciplinary team meetings. Moreover, these findings can support mental health units in implementing or optimising patient participation in multidisciplinary team meetings. Finally, other (mental health) patients can also benefit from these findings as it can help them to put feelings and thoughts into perspective when participating in a multidisciplinary team meeting during a hospital admittance.
    Language English
    Publishing date 2024-05-09
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2076760-2
    ISSN 1447-0349 ; 1445-8330
    ISSN (online) 1447-0349
    ISSN 1445-8330
    DOI 10.1111/inm.13351
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  3. Article ; Online: Empowering Support for Family Members of Brain Injury Patients in the Acute Phase of Hospital Care: A Mixed-Methods Systematic Review.

    Lindlöf, Julia / Turunen, Hannele / Välimäki, Tarja / Huhtakangas, Justiina / Verhaeghe, Sofie / Coco, Kirsi

    Journal of family nursing

    2023  Volume 30, Issue 1, Page(s) 50–67

    Abstract: This review aimed to identify and synthesize empowering support for the family members of patients in the acute phase of traumatic brain injury hospital treatment. CINAHL, PubMed, Scopus, and Medic databases were searched from 2010 to 2021. Twenty ... ...

    Abstract This review aimed to identify and synthesize empowering support for the family members of patients in the acute phase of traumatic brain injury hospital treatment. CINAHL, PubMed, Scopus, and Medic databases were searched from 2010 to 2021. Twenty studies met the inclusion criteria. Each article was critically appraised using the Joanna Briggs Institute Critical Appraisals Tools. Following a thematic analysis, four main themes were identified about the process of empowering traumatic brain injury patients' family members in the acute phases of hospital care: (a) needs-based informational, (b) participatory, (c) competent and interprofessional, and (d) community support. This review of findings may be utilized in future studies focusing on designing, implementing, and evaluating an empowerment support model for the traumatic brain injury patient's family members in the acute care hospitalization to strengthen the current knowledge and develop nursing practices.
    MeSH term(s) Humans ; Family ; Brain Injuries ; Brain Injuries, Traumatic ; Power, Psychological ; Hospitals
    Language English
    Publishing date 2023-05-16
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2070209-7
    ISSN 1552-549X ; 1074-8407
    ISSN (online) 1552-549X
    ISSN 1074-8407
    DOI 10.1177/10748407231171933
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  4. Article ; Online: Integrating Sensor Technology in Disposable Body-Worn Absorbent Products: A Qualitative Study to Define User Profile, (Technical) Criteria, Conditions, and Potential Benefits.

    Raepsaet, Charlotte / Serraes, Brecht / Verhaeghe, Sofie / Beeckman, Dimitri

    Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society

    2021  Volume 48, Issue 6, Page(s) 560–567

    Abstract: Purpose: The purpose of this study was to define the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials.: Design: Qualitative study using a ... ...

    Abstract Purpose: The purpose of this study was to define the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials.
    Design: Qualitative study using a framework method.
    Subject and setting: The sample included residents with incontinence, nurses, and decision-makers in a selection of Flemish nursing homes (Belgium).
    Methods: Semistructured interviews were performed between June and August 2020. The interviews with nurses included open-ended questions focusing on the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials. The interviews with decision-makers were supplemented with questions about purchase cost and other economic criteria (such as reimbursement). Interviews with residents included questions about wearing comfort. Interviews were tape-recorded and transcribed verbatim. Data were analyzed using a framework method.
    Results: The user profile was defined as (1) residents with cognitive impairment and (2) residents who are bedridden or are severely limited in mobility. The following (technical) criteria emerged from the analyses: a small, thin, and oval/circular sensor, an adaptable or in front attachment of the sensor on the absorbent product, a real-time indication of the absorbent product's saturation, leakage detection, liquid stool detection, the automatic recording of incontinence-related data, a durable sensor easy to disinfect, and receiving notifications on a wearable device. Conditions included a stable connection between the wearable device and the sensor, accurate measurements, user-friendly system, comprehensible training, affordability, and data protection. Potential benefits included workload reduction, increased comfort for residents and staff, more person-centered care, increased quality of care, less skin damage and economic (eg, less costs due to less excessive absorbent product changes), and/or environmental (e.g. less waste) gains.
    Conclusion: Study findings identified the user profile, (technical) criteria, conditions, and potential benefits of the integration of sensor technology in disposable body-worn incontinence materials. Respondents reported problems with changing routines and skepticism about the sensor's accuracy. Based on findings from this study, we recommend involving representatives of all relevant stakeholders in the design of sensor technology to ensure users' needs and increase the use of sensor technology. Comprehensive education is recommended to inform nurses, residents, and their family members on the importance and benefits of the technology and to aid overcoming barriers to use (skepticism, resistance to new technologies, and changing care routines). Study findings also indicate that the sensor technology cannot replace the existing voiding programs; rather it should be an addition to routine continence care.
    MeSH term(s) Absorbent Pads ; Humans ; Nursing Homes ; Qualitative Research ; Technology ; Urinary Incontinence/diagnosis
    Language English
    Publishing date 2021-11-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1188388-1
    ISSN 1528-3976 ; 1071-5754
    ISSN (online) 1528-3976
    ISSN 1071-5754
    DOI 10.1097/WON.0000000000000812
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  5. Article ; Online: Family expectations of inpatient mental health services for adults with suicidal ideation: a qualitative study.

    Vandewalle, Joeri / Debyser, Bart / Deproost, Eddy / Verhaeghe, Sofie

    International journal of mental health nursing

    2021  Volume 30, Issue 5, Page(s) 1136–1148

    Abstract: Involvement of family members of adults with suicidal ideation is a key area of improvement in inpatient mental health services. To support family involvement in this context, it is crucial to understand what care and treatment family members expect for ... ...

    Abstract Involvement of family members of adults with suicidal ideation is a key area of improvement in inpatient mental health services. To support family involvement in this context, it is crucial to understand what care and treatment family members expect for their relative. This qualitative study based on grounded theory involved interviews with 14 family members, including partners, parents, adult children and siblings. The family members' expectations of care and treatment in inpatient mental health services were captured by the core element 'Struggling to remain hopeful while looking through the lens of uncertainty'. This core element interacted with four sub-elements: assuming safety as a priority, looking for a healing approach and environment, counting on continuity of care and wanting to be involved and supported. The family members fluctuated between hope and uncertainty depending on whether their expectations were met or unmet. Unmet expectations were common and underpinned by a sense of being marginalized during the admission of their relative with suicidal ideation. Mental health professionals, including nurses, can be more empathetic towards the family members and attuned to their expectations. This can underpin partnerships that help families to deal with their feelings of uncertainty and disempowerment. Such partnerships can flourish in recovery-oriented mental health services that allow meaningful family involvement.
    MeSH term(s) Adult ; Child ; Family ; Humans ; Inpatients ; Mental Disorders/therapy ; Mental Health Services ; Motivation ; Suicidal Ideation
    Language English
    Publishing date 2021-04-04
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2076760-2
    ISSN 1447-0349 ; 1445-8330
    ISSN (online) 1447-0349
    ISSN 1445-8330
    DOI 10.1111/inm.12864
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  6. Article ; Online: Participation of inpatients in multidisciplinary team meetings: An explorative study of mental healthcare workers' perception.

    Berben, Kevin / Dierckx, Eva / Van Hecke, Ann / Verhaeghe, Sofie

    Archives of psychiatric nursing

    2022  Volume 41, Page(s) 277–285

    Abstract: Aim: To explore the perception of mental healthcare workers about participation of inpatients during multidisciplinary team meetings (MTMs) and to determine which demographic and contextual factors are associated with this perception.: Methods: A ... ...

    Abstract Aim: To explore the perception of mental healthcare workers about participation of inpatients during multidisciplinary team meetings (MTMs) and to determine which demographic and contextual factors are associated with this perception.
    Methods: A cross-sectional multicentre study in 17 psychiatric hospitals with 701 mental healthcare workers was performed between 29 April and 19 May 2019. For measuring the perception of the mental healthcare workers, the Patient Participation during Multidisciplinary Team meetings Questionnaire was used.
    Results: 93 % of the mental healthcare workers indicate that they are willing to allow patients to participate in a MTM. Most mental healthcare workers prefer an active role for the patient when participating in a MTM (93 %) and a collaborative role for the patient when making decisions in a MTM (75 %). Level of education, discipline, experience with patient participation in MTMs, working in a team where patient participation is applied, and recent training on patient participation, are associated with the mental healthcare worker's perception on patient participation in MTMs.
    Conclusion: Mental healthcare workers report a great willingness to involve inpatients in MTMs. However, social workers, nurses, and pedagogues feel less competent and are less positive about the effects of patient participation in MTMs. Mental healthcare workers with recent training in patient participation and experience in patient participation in MTMs feel more competent and believe more often that the patient should fulfil a more autonomous role when participating in a MTM. These results can be used to understand and improve patient participation in MTMs in mental healthcare.
    MeSH term(s) Humans ; Inpatients ; Patient Care Team ; Cross-Sectional Studies ; Health Personnel ; Patient Participation ; Perception
    Language English
    Publishing date 2022-08-06
    Publishing country United States
    Document type Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639197-7
    ISSN 1532-8228 ; 0883-9417
    ISSN (online) 1532-8228
    ISSN 0883-9417
    DOI 10.1016/j.apnu.2022.07.030
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  7. Article ; Online: From excitement to self-doubt and insecurity: Speech-language pathologists' perceptions and experiences when treating children with a cleft palate.

    Alighieri, Cassandra / Bettens, Kim / Verhaeghe, Sofie / Van Lierde, Kristiane

    International journal of language & communication disorders

    2021  Volume 56, Issue 4, Page(s) 739–753

    Abstract: Background: Speech disorders in children with a cleft palate with or without a cleft lip (CP±L) are complex given the magnitude of influencing factors. Providing intervention to eliminate these speech errors is often challenging. Speech-language ... ...

    Abstract Background: Speech disorders in children with a cleft palate with or without a cleft lip (CP±L) are complex given the magnitude of influencing factors. Providing intervention to eliminate these speech errors is often challenging. Speech-language pathologists (SLPs) might have negative perceptions of the treatment of children with a CP±L.
    Aims: To explore how community SLPs perceive and experience the provision of speech intervention to children with a CP±L.
    Methods & procedures: A total of 18 female community SLPs, aged between 23 and 62 years, were included in this study. Semi-structured interviews were conducted. The interviews were analysed using an inductive thematic approach aiming to identify themes driven by the data. Trustworthiness of the data was achieved by including researcher triangulation (involving three researchers with different research backgrounds) and deviant case analysis of two cases.
    Outcomes & results: Initial responses demonstrated that the community SLPs were excited and enthusiastic to treat children with a CP±L. Expanding on these initial reports, however, they revealed that their excitement turned into professional self-doubt and insecurity when confronted with the treatment challenges inherent with this population. To cope with this self-doubt, they outlined several responsibilities for the cleft team SLPs. They expressed a strong desire to receive confirmation and approval on their treatment practices from more experienced SLPs (i.e., the cleft team SLPs). Their perceptions were dominated by a polarized thinking pattern. Treatment approaches were divided in categories as 'right' or 'wrong' and 'good' or 'bad'.
    Conclusions & implications: The community SLPs are lacking professional confidence when treating children with a CP±L. They put themselves in a subordinate position towards the cleft team SLPs and expect the latter to provide ready-made answers to problems and questions. This expectation can perhaps be explained by their fear of making mistakes during therapy preventing treatment progress. If they handle in accordance with the experts' advice, they cannot blame themselves in cases where no treatment progress is seen. Educational programmes need to pay more attention to gaining professional confidence (in the search for the most optimal treatment approach for each individual patient) rather than merely focusing on competency-based learning tools.
    What this paper adds: What is already known on the subject Speech disorders in children with a cleft palate with or without a cleft lip (CP±L) are complex given the magnitude of influencing factors. Providing intervention to eliminate these speech errors is often challenging. What this paper adds to existing knowledge This study explored how community SLPs' perceive and experience the provision of speech intervention to children with a CP±L. The perceptions of community SLPs are dominated by a polarized thinking pattern. Treatment approaches are divided into categories as "right" or "wrong" and "good" or "bad". They lack professional confidence when they treat children with a CP±L. The community SLPs put themselves in a subordinate position towards the cleft team SLPs and expect the latter to provide ready-made answers to problems and questions. What are the potential or actual clinical implications of this work? Educational programs in speech-language pathology need to pay more attention to gaining professional confidence rather than merely focusing on competency-based learning tools.
    MeSH term(s) Adult ; Child ; Cleft Lip/therapy ; Cleft Palate/therapy ; Female ; Humans ; Middle Aged ; Pathologists ; Perception ; Speech ; Speech-Language Pathology ; Young Adult
    Language English
    Publishing date 2021-05-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1415919-3
    ISSN 1460-6984 ; 1368-2822
    ISSN (online) 1460-6984
    ISSN 1368-2822
    DOI 10.1111/1460-6984.12624
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  8. Article ; Online: Speech diagnosis and intervention in children with a repaired cleft palate: A qualitative study of Flemish private community speech-language pathologists' practices.

    Alighieri, Cassandra / Bettens, Kim / Verhaeghe, Sofie / Van Lierde, Kristiane

    International journal of speech-language pathology

    2021  Volume 24, Issue 1, Page(s) 53–66

    Abstract: Purpose: ...

    Abstract Purpose:
    MeSH term(s) Adult ; Child ; Cleft Palate/complications ; Cleft Palate/diagnosis ; Cleft Palate/surgery ; Female ; Humans ; Language ; Middle Aged ; Pathologists ; Speech ; Speech-Language Pathology ; Young Adult
    Language English
    Publishing date 2021-07-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2402483-1
    ISSN 1754-9515 ; 1754-9507
    ISSN (online) 1754-9515
    ISSN 1754-9507
    DOI 10.1080/17549507.2021.1946153
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  9. Article ; Online: The accuracy of methods for determining the internal length of a nasogastric tube in adult patients: a systematic review.

    Torsy, Tim / van Noort, Harm H J / Taylor, Stephen / Eriksson, Mats / Verhaeghe, Sofie / Beeckman, Dimitri

    The American journal of clinical nutrition

    2022  Volume 116, Issue 3, Page(s) 798–811

    Abstract: Background: Blind insertion of nasogastric (NG) tubes is performed for several reasons: nutrition and medication administration, gastric aspiration/decompression, and other, diagnostic reasons. Accidental intraesophageal and intestinal placement is ... ...

    Abstract Background: Blind insertion of nasogastric (NG) tubes is performed for several reasons: nutrition and medication administration, gastric aspiration/decompression, and other, diagnostic reasons. Accidental intraesophageal and intestinal placement is common, and increases the risk of serious complications. Therefore, accurate determination of the internal length of the NG tube before placement is considered a prerequisite for achieving correct gastric positioning.
    Objectives: We aimed to identify, assess, and summarize the evidence on the accuracy of methods for determining the internal length of an NG tube in adults.
    Methods: Cochrane Library, Excerpta Medica database (EMBASE), PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science were searched up to 31 January, 2022. Studies were eligible when reporting data on the accuracy of methods for determining internal NG tube length in adults. Study selection, risk-of-bias assessment, and data extraction were performed independently by 2 investigators. Risk-of-bias was assessed using the Cochrane Risk-of-Bias Tool and the Joanna Briggs Institute Critical Appraisal Checklist for Cross Sectional Studies. A narrative synthesis of the results was then conducted.
    Results: Twelve articles were included in this review. All studies were observational, cross-sectional in nature, except for 1 randomized controlled trial. Ten methods for determining the internal length of an NG tube were described. Correctly positioned NG tubes ranged from 13% to 99%. Results showed that the tip of the nose-earlobe-xiphoid distance (NEX) + 10 cm (mean: 59.9-60.7 cm) and (NEX × 0.38696) + 30.37 + 6 cm (mean: 56.6-56.7 cm) could potentially result in accuracy as high as 97.4% and 99.0%, respectively.
    Conclusions: Current data do not provide conclusive evidence of 100% accuracy in finding a correctly placed NG tube when using a method for determining the internal length. Blind placement, using any of the documented methods, cannot be considered safe without additional verification of tube tip positioning. Furthermore, using any of these 10 methods does not reduce the risk of pulmonary intubation.This systematic review was registered at https://www.crd.york.ac.uk/PROSPERO/ as CRD42021243180.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Humans ; Intubation, Gastrointestinal/methods ; Nose ; Nutritional Status ; Stomach
    Language English
    Publishing date 2022-05-13
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 280048-2
    ISSN 1938-3207 ; 0002-9165
    ISSN (online) 1938-3207
    ISSN 0002-9165
    DOI 10.1093/ajcn/nqac146
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  10. Article: What is appropriate care? A qualitative study into the perceptions of healthcare professionals in Flemish university hospital intensive care units.

    Huwel, Lore / Van Eessen, Joke / Gunst, Jan / Malbrain, Manu L N G / Bosschem, Veerle / Vanacker, Tom / Verhaeghe, Sofie / Benoit, Dominique D

    Heliyon

    2023  Volume 9, Issue 2, Page(s) e13471

    Abstract: Aim: This study examines when healthcare professionals consider intensive care as appropriate care.: Background: Despite attempts to conceptualize appropriate care in prior research, there is a lack of insight into its meaning and implementation in ... ...

    Abstract Aim: This study examines when healthcare professionals consider intensive care as appropriate care.
    Background: Despite attempts to conceptualize appropriate care in prior research, there is a lack of insight into its meaning and implementation in practice. This is an important issue because healthcare professionals as well as patients and relatives report inappropriate care in the intensive care unit (ICU) on a regular basis.
    Methods: A qualitative study was designed, based on principles of grounded theory. Seventeen semi-structured interviews were conducted with nurses, doctors and doctors in training from three Flemish university hospitals. Analyses followed the Quagol method; insights were gained by means of the constant comparative method.
    Results: Healthcare professionals described appropriate care as socially sustainable care, high-quality care, patient-oriented care, dignified care and meaningful care. They considered it important that care is not only proportional to the expected survival and quality of life of the patient and in line with the patient's or relatives' wishes, but also that the pursuit of the care goals is proportional to the patient's suffering.Although healthcare professionals indicated the same elements of appropriate care, they were defined and interpreted in individual and therefore different ways. This diversity lies at the basis of fields of tension and frustrations among healthcare professionals.
    Conclusion: Appropriate care is defined and interpreted in individual and therefore different ways. In order to decide which type of care is appropriate for a specific patient, a process of open and constructive communication in a team is recommended.
    Language English
    Publishing date 2023-02-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e13471
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