J. Wielenga - Academia.edu (original) (raw)

Papers by J. Wielenga

Research paper thumbnail of A roadmap for paediatric and neonatal critical care nursing science in Europe: engage, action and impact

Nursing in Critical Care, 2015

Research paper thumbnail of Family presence on rounds: a systematic review of literature1)

Nederlands Tijdschrift voor Evidence Based Practice, 2012

Family-centered care has become the new trend in the health care field that involves honoring the... more Family-centered care has become the new trend in the health care field that involves honoring the patient and families' perspectives and choices and supporting them in participating in care and decision making at whatever level they choose. Family presence on rounds is one of the guidelines instituted for evidence-based best practices for support of family in the delivery of patient-centered care in the intensive care unit (ICU) but identified as the least studied among all the other aspects of family-centered care in the ICU. From 1988 to 2010, only 1 research study on family presence was conducted in an adult ICU. The purpose of this article was to review research studies related to family presence on medical rounds; reviews that focus on both adults and pediatric patients in the critical and noncritical care settings are also included.

Research paper thumbnail of Vermindert maagspoelen misselijkheid bij pasgeborenen

Research paper thumbnail of Ontwikkelingsgerichte zorg op de IC Neonatologie

Nederlands Tijdschrift voor Evidence Based Practice, 2007

Research paper thumbnail of 469 Patient Safety: A Cultural Must!

Research paper thumbnail of An Electronic Delphi Study to Establish Pediatric Intensive Care Nursing Research Priorities in 20 European Countries

Pediatric Critical Care Medicine, 2014

Research paper thumbnail of A Survey on Job Satisfaction Among Nursing Staff Before and After Introduction of the NIDCAP Model of Care in a Level III NICU in the Netherlands

Advances in Neonatal Care, 2008

To study the effect of introduction of the Newborn Individualized Developmental Care and Assessme... more To study the effect of introduction of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on nursing staff job satisfaction. Registered nurses, with specialist neonatal qualifications or in training, in a level III neonatal intensive care unit (NICU) in the Netherlands. A survey was performed before 2001 and 6 months after (2003) the introduction of NIDCAP as the new model of care. Job satisfaction was measured by means of the Index of Work Satisfaction (IWS) instrument. From the 74 and 70 nurses on the payroll, who participated in the survey before and after the introduction of NIDCAP, respectively 67.6% and 80% responded. No differences were seen in background variables between both groups. Individual components of the IWS on importance and satisfaction were ranked in the same order before and after the NIDCAP introduction. The results on the IWS demonstrated no change in the overall satisfaction rate, respectively 14.4 and 14.5. Only in 1 component, organizational policies, the mean score increased significantly (3.68 and 4.13, respectively, P = .008). The other component scores did not increase significantly. Major changes in nursing care practice by means of NIDCAP, on our NICU did not affect overall satisfaction. Scores suggested that nursing staff were persistently satisfied with their job.

Research paper thumbnail of Individualized developmental care in a Dutch NICU: short-term clinical outcome

Acta Paediatrica, 2007

To compare the short-term clinical outcomes of Newborn Individualized Developmental Care and Asse... more To compare the short-term clinical outcomes of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) and conventional care. A prospective phase-lag cohort study was performed in a Dutch tertiary level neonatal intensive care unit (NICU). Infants born before 30 weeks of gestational age (GA) were included, 26 in the conventional and 25 in the NIDCAP group. Outcomes were respiratory status, cerebral ultrasound findings, growth and length of NICU stay. At study entry, NIDCAP infants had a lower birth weight (mean [SD]: 1043 [191] vs. 1154 [174] g, p = 0.044), were more often small for GA (8 vs. 2, p = 0.038), had smaller head circumferences (mean [SD]: 25.1 [1.3] vs. 26.1 [1.8] cm, p = 0.041) and were less often multiples (6 vs. 14, p = 0.029) than conventional care infants. During NICU stay, more infants in the NIDCAP group developed pneumonia (9 vs. 3, p = 0.040) due to nosocomial infections. After adjustment for these differences, a decreased risk for more severe cerebral damage in favour of NIDCAP was seen (Odds ratio: 0.12, 95% CI: 0.03-0.46, p = 0.002). No differences were observed for the other outcomes. We conclude with precaution that in this phase-lag cohort study NIDCAP may have resulted in less severe cerebral damage, but was not associated with other clinical outcomes. In light of these findings, NIDCAP deserves further exploration.

Research paper thumbnail of How Satisfied Are Parents Supported by Nurses With the NIDCAP® Model of Care for Their Preterm Infant?

Journal of Nursing Care Quality, 2006

Research paper thumbnail of Strict isolation requires a different approach to the family of hospitalised patients with COVID-19: A rapid qualitative study

International Journal of Nursing Studies

Research paper thumbnail of 1862 Implementation of the Dutch Guideline for the Care of Extreme Preterms: "The Learning Curve

Archives of Disease in Childhood

Research paper thumbnail of 1865 A Work-Training-Unit on the Neonatal Intensive Care Unit (NICU). An Optimal Learnig Climate?

Archives of Disease in Childhood, 2012

Research paper thumbnail of De comfort-schaal: een betrouwbare en valide meetmethode voor de mate van stress bij beademde prematuren

Tijdschrift voor kindergeneeskunde, 2002

Summary Design. Sample of an open population. Setting. Neonatology department (Neonatal Intensi... more Summary Design. Sample of an open population. Setting. Neonatology department (Neonatal Intensive Care Unit), Academic Medical Centre/Emma Children's Hospital, Amsterdam. Method. One clinical expert and nine observers observed ventilated premature born babies simultaneously. Criterion validity was assessed by correlating the comfort scale with the clinical judgement regarding the amount of stress. Inter observer reliability was assessed on the clinical judgement

Research paper thumbnail of 36 Patient Safety: Culture Shifts Over Time

Archives of Disease in Childhood, 2012

Research paper thumbnail of PS-262 Risk Profile To Prevent Re-admittance To The Neonatal Intensive Care Unit

Archives of Disease in Childhood, 2014

Research paper thumbnail of PS-125 Improving Safety Culture, Steady Climbing The Mountain

Archives of Disease in Childhood, 2014

ABSTRACT

Research paper thumbnail of PO-0896 Consequences Of Second - And Thirdhand Smoke Exposure For Newborns At The Neonatal Intensive Care Unit

Archives of Disease in Childhood, 2014

Research paper thumbnail of O-150 Uniform Definitions Of Respiratory Incidents In Newborn Infants

Archives of Disease in Childhood, 2014

Research paper thumbnail of Ontwikkelingsgerichte zorg op de neonatale intensive care units in Nederland en Vlaanderen

Research paper thumbnail of COMFORT Scale: A Reliable and Valid Method to Measure the Amount of Stress of Ventilated Preterm Infants

Neonatal Network: The Journal of Neonatal Nursing, 2004

Objective: Assessment of clinimetric properties and diagnostic quality of a stress measurement sc... more Objective: Assessment of clinimetric properties and diagnostic quality of a stress measurement scale (COMFORT scale).Design: Sample of an open population.Setting: Neonatology department (Neonatal Intensive Care Unit), Academic Medical Centre/Emma Children’s Hospital, Amsterdam, the Netherlands.Method: One clinical expert and 9 observers observed ventilated premature born babies simultaneously. Criterion validity was assessed by correlating the COMFORT scale with the clinical judgment regarding the amount of stress. Interobserver reliability was assessed on the clinical judgment as well as on the COMFORT scale. Diagnostic qualities were evaluated with a ROC curve.Results: On 19 ventilated prematurely born babies (mean gestational age 30 weeks, mean birth weight 1385 gm), one clinical expert and 9 observers made 30 paired observations. The criterion validity of the COMFORT scale was good (Pearson’s r of 0.84). The interobserver reliability of the clinical judgment was very good (weigh...

Research paper thumbnail of A roadmap for paediatric and neonatal critical care nursing science in Europe: engage, action and impact

Nursing in Critical Care, 2015

Research paper thumbnail of Family presence on rounds: a systematic review of literature1)

Nederlands Tijdschrift voor Evidence Based Practice, 2012

Family-centered care has become the new trend in the health care field that involves honoring the... more Family-centered care has become the new trend in the health care field that involves honoring the patient and families' perspectives and choices and supporting them in participating in care and decision making at whatever level they choose. Family presence on rounds is one of the guidelines instituted for evidence-based best practices for support of family in the delivery of patient-centered care in the intensive care unit (ICU) but identified as the least studied among all the other aspects of family-centered care in the ICU. From 1988 to 2010, only 1 research study on family presence was conducted in an adult ICU. The purpose of this article was to review research studies related to family presence on medical rounds; reviews that focus on both adults and pediatric patients in the critical and noncritical care settings are also included.

Research paper thumbnail of Vermindert maagspoelen misselijkheid bij pasgeborenen

Research paper thumbnail of Ontwikkelingsgerichte zorg op de IC Neonatologie

Nederlands Tijdschrift voor Evidence Based Practice, 2007

Research paper thumbnail of 469 Patient Safety: A Cultural Must!

Research paper thumbnail of An Electronic Delphi Study to Establish Pediatric Intensive Care Nursing Research Priorities in 20 European Countries

Pediatric Critical Care Medicine, 2014

Research paper thumbnail of A Survey on Job Satisfaction Among Nursing Staff Before and After Introduction of the NIDCAP Model of Care in a Level III NICU in the Netherlands

Advances in Neonatal Care, 2008

To study the effect of introduction of the Newborn Individualized Developmental Care and Assessme... more To study the effect of introduction of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on nursing staff job satisfaction. Registered nurses, with specialist neonatal qualifications or in training, in a level III neonatal intensive care unit (NICU) in the Netherlands. A survey was performed before 2001 and 6 months after (2003) the introduction of NIDCAP as the new model of care. Job satisfaction was measured by means of the Index of Work Satisfaction (IWS) instrument. From the 74 and 70 nurses on the payroll, who participated in the survey before and after the introduction of NIDCAP, respectively 67.6% and 80% responded. No differences were seen in background variables between both groups. Individual components of the IWS on importance and satisfaction were ranked in the same order before and after the NIDCAP introduction. The results on the IWS demonstrated no change in the overall satisfaction rate, respectively 14.4 and 14.5. Only in 1 component, organizational policies, the mean score increased significantly (3.68 and 4.13, respectively, P = .008). The other component scores did not increase significantly. Major changes in nursing care practice by means of NIDCAP, on our NICU did not affect overall satisfaction. Scores suggested that nursing staff were persistently satisfied with their job.

Research paper thumbnail of Individualized developmental care in a Dutch NICU: short-term clinical outcome

Acta Paediatrica, 2007

To compare the short-term clinical outcomes of Newborn Individualized Developmental Care and Asse... more To compare the short-term clinical outcomes of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) and conventional care. A prospective phase-lag cohort study was performed in a Dutch tertiary level neonatal intensive care unit (NICU). Infants born before 30 weeks of gestational age (GA) were included, 26 in the conventional and 25 in the NIDCAP group. Outcomes were respiratory status, cerebral ultrasound findings, growth and length of NICU stay. At study entry, NIDCAP infants had a lower birth weight (mean [SD]: 1043 [191] vs. 1154 [174] g, p = 0.044), were more often small for GA (8 vs. 2, p = 0.038), had smaller head circumferences (mean [SD]: 25.1 [1.3] vs. 26.1 [1.8] cm, p = 0.041) and were less often multiples (6 vs. 14, p = 0.029) than conventional care infants. During NICU stay, more infants in the NIDCAP group developed pneumonia (9 vs. 3, p = 0.040) due to nosocomial infections. After adjustment for these differences, a decreased risk for more severe cerebral damage in favour of NIDCAP was seen (Odds ratio: 0.12, 95% CI: 0.03-0.46, p = 0.002). No differences were observed for the other outcomes. We conclude with precaution that in this phase-lag cohort study NIDCAP may have resulted in less severe cerebral damage, but was not associated with other clinical outcomes. In light of these findings, NIDCAP deserves further exploration.

Research paper thumbnail of How Satisfied Are Parents Supported by Nurses With the NIDCAP® Model of Care for Their Preterm Infant?

Journal of Nursing Care Quality, 2006

Research paper thumbnail of Strict isolation requires a different approach to the family of hospitalised patients with COVID-19: A rapid qualitative study

International Journal of Nursing Studies

Research paper thumbnail of 1862 Implementation of the Dutch Guideline for the Care of Extreme Preterms: "The Learning Curve

Archives of Disease in Childhood

Research paper thumbnail of 1865 A Work-Training-Unit on the Neonatal Intensive Care Unit (NICU). An Optimal Learnig Climate?

Archives of Disease in Childhood, 2012

Research paper thumbnail of De comfort-schaal: een betrouwbare en valide meetmethode voor de mate van stress bij beademde prematuren

Tijdschrift voor kindergeneeskunde, 2002

Summary Design. Sample of an open population. Setting. Neonatology department (Neonatal Intensi... more Summary Design. Sample of an open population. Setting. Neonatology department (Neonatal Intensive Care Unit), Academic Medical Centre/Emma Children's Hospital, Amsterdam. Method. One clinical expert and nine observers observed ventilated premature born babies simultaneously. Criterion validity was assessed by correlating the comfort scale with the clinical judgement regarding the amount of stress. Inter observer reliability was assessed on the clinical judgement

Research paper thumbnail of 36 Patient Safety: Culture Shifts Over Time

Archives of Disease in Childhood, 2012

Research paper thumbnail of PS-262 Risk Profile To Prevent Re-admittance To The Neonatal Intensive Care Unit

Archives of Disease in Childhood, 2014

Research paper thumbnail of PS-125 Improving Safety Culture, Steady Climbing The Mountain

Archives of Disease in Childhood, 2014

ABSTRACT

Research paper thumbnail of PO-0896 Consequences Of Second - And Thirdhand Smoke Exposure For Newborns At The Neonatal Intensive Care Unit

Archives of Disease in Childhood, 2014

Research paper thumbnail of O-150 Uniform Definitions Of Respiratory Incidents In Newborn Infants

Archives of Disease in Childhood, 2014

Research paper thumbnail of Ontwikkelingsgerichte zorg op de neonatale intensive care units in Nederland en Vlaanderen

Research paper thumbnail of COMFORT Scale: A Reliable and Valid Method to Measure the Amount of Stress of Ventilated Preterm Infants

Neonatal Network: The Journal of Neonatal Nursing, 2004

Objective: Assessment of clinimetric properties and diagnostic quality of a stress measurement sc... more Objective: Assessment of clinimetric properties and diagnostic quality of a stress measurement scale (COMFORT scale).Design: Sample of an open population.Setting: Neonatology department (Neonatal Intensive Care Unit), Academic Medical Centre/Emma Children’s Hospital, Amsterdam, the Netherlands.Method: One clinical expert and 9 observers observed ventilated premature born babies simultaneously. Criterion validity was assessed by correlating the COMFORT scale with the clinical judgment regarding the amount of stress. Interobserver reliability was assessed on the clinical judgment as well as on the COMFORT scale. Diagnostic qualities were evaluated with a ROC curve.Results: On 19 ventilated prematurely born babies (mean gestational age 30 weeks, mean birth weight 1385 gm), one clinical expert and 9 observers made 30 paired observations. The criterion validity of the COMFORT scale was good (Pearson’s r of 0.84). The interobserver reliability of the clinical judgment was very good (weigh...