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Papers by Jita Hoogerduijn

International Journal of Clinical Medicine, 2015

Aims and objectives: The aim of this study is to validate the "Older Patients in Acute Care Surve... more Aims and objectives: The aim of this study is to validate the "Older Patients in Acute Care Survey" (OPACS) in the Netherlands. Background: Worldwide the population of older people with multimorbidity increases which results in an increase of older hospitalized patients. Literature shows that nurses have a negative attitude towards older patients. To get insight and improve the attitude of nurses, a validated measurement instrument is needed. The OPACS measures hospital nurses' attitudes towards older patients and has proven good content validity in the USA and good face validity and reliability in Australia. Design: A cross-sectional study. Methods: First the OPACS was translated using forward-backward method and testing clarity of wording with a pilot. Second content validity was determined using "Method Lynn" and clarity of wording and appropriateness for measuring attitude were identified. Results: The OPACS showed acceptable content validity (CVI ≥ 0.78) for 14 items (out of 36) of Section A and 22 items (out of 50) of Section B. The content validity for the entire OPACS was (CVI = 0.62). 89.2% of the participants scored "clear in wording" and 75.6% of the participants qualified the OPACS appropriate for measuring attitude. Conclusions: The OPACS has good clarity of wording and good appropriateness for measuring attitude. The content validity is low which makes the current Dutch version not appropriate for measuring attitude of nurses in Dutch hospitals. Relevance to clinical practice: A measurement instrument to * Corresponding author.

Het aantal ouderen zal de komende jaren fors toenemen en hun zorgbehoefte groeit. Dat betekent ee... more Het aantal ouderen zal de komende jaren fors toenemen en hun zorgbehoefte groeit. Dat betekent een grote uitdaging voor het leveren van goede zorg, opvang en begeleiding van ouderen. Lag vroeger de focus op (ouderdoms)ziekten en het behandelen hiervan, nu verschuift die naar eigen regie, preventie van gezondheids- en welzijnsproblemen, behoud van zelfstandigheid, participatie in de samenleving en indien afhankelijk van zorg: inzet van het informele netwerk en ketenzorg (CSO, Zorgbelang Nederland & Pharos, 2013). In dit artikel staat de uitwerking van de competenties voor goede ouderenzorg centraal. Tevens gaan wij in op de vraag langs welke weg de competenties in de onderwijspraktijk geïmplementeerd zouden kunnen worden

ABSTRACT Geen samenvatting beschikbaar

Nurse Education Today, 2015

Background: Literature shows that nurses have a negative attitude toward older patients. Increasi... more Background: Literature shows that nurses have a negative attitude toward older patients. Increasing nurses' knowledge (part of attitudes) may affect hospital nurses' attitudes and improve the quality of care for older patients. A first step is understanding nurses' current knowledge. This can be achieved by using a measurement instrument with good validity and reliability.

International Journal of Nursing Practice, 2013

This paper presents a discussion of knowledge and awareness regarding prevention of functional de... more This paper presents a discussion of knowledge and awareness regarding prevention of functional decline in older hospitalized patients. Functional decline is experienced by 30-60% of the older hospitalized patients, resulting in decreased independence and other adverse health outcomes. One literature study and four cohort studies (total n = 1628) were conducted to develop and validate an instrument to identify older hospitalized patients at risk for functional decline. An evidence-based best practice was developed to improve the quality of care for older patients. This paper shows the relevance and the complexity of this problem and shows that patients at risk can be recognized by four simple questions. Due to their ability to observe and guide patients and their 24-h patient supervision, nurses should play a key role in strategies to prevent functional decline. Nurses should assess the geriatric needs in patients at risk and based on these initiate and coordinate multi-professional interventions. Given the growing number of older people in western society and the growing need for care, action to prevent functional decline cannot be withheld. Knowledge of the ageing process, implementation of an evidence-based programme and a multidisciplinary approach is a basic ingredient to prevent functional decline.

Journal of Nursing Education and Practice, 2013

To describe a best practice focused on improving hospital care for older patients.

Onderwijs en gezondheidszorg, 2008

Samenvatting Het fenomeen leerafdeling, waarin vooral een kwantitatieve oplossing wordt geboden ... more Samenvatting Het fenomeen leerafdeling, waarin vooral een kwantitatieve oplossing wordt geboden voor de zorgvraag is veelvuldig beschreven in de vakliteratuur. Een nieuwe tendens is de aandacht voor kwalitatieve vragen vanuit de instellingen,gericht op verbetering van de zorg. Deze vragen zijn aanleiding geweest binnen de Hogeschool Utrecht om het bestaande concept learning community nader uit te werken. Binnen dat concept wordt nadruk

PLoS ONE, 2012

Background: The aim of this research was to study the clinical characteristics and mortality and ... more Background: The aim of this research was to study the clinical characteristics and mortality and disability outcomes of patients who present distinct risk profiles for functional decline at admission.

Journal of Clinical Nursing, 2007

erature: the Hospital Admission Risk Profile, the Identification of Seniors at Risk and the Care ... more erature: the Hospital Admission Risk Profile, the Identification of Seniors at Risk and the Care Complexity Prediction Instrument. The reported validity was moderate. Reliability and the ease of use in the clinical setting were not well described.

Journal of Clinical Nursing, 2010

Aims and objectives. To establish a screening instrument for identifying older hospitalised patie... more Aims and objectives. To establish a screening instrument for identifying older hospitalised patients at risk for functional decline by comparing the predictive values of three screening instruments: identification of seniors at risk, care complexity prediction instrument and hospital admission risk profile. Background. After being hospitalised, 30-60% of older patients experience a decline in functioning, resulting in a decreased quality of life and autonomy. Design. A prospective cohort study. Methods. Included were patients, aged 65 years and older, acutely admitted to a general internal ward of a university teaching hospital. Within 48 hours after hospital admission, baseline data were completed -demographic, cognitive, social and preadmission functional status and the screening instruments. Three months after discharge, functional status was measured by telephone interview. The Katz index was used to measure functional status (six activities). Functional decline was defined as a decline of at least one point on the Katz index at three months after discharge compared to pre-admission state. Results. Included were 177 patients; mean age was 77AE6 years and 51AE7 % were male. Functional decline was found in 27AE8% of all patients. Sensitivity, specificity and area under receiver operating curve for identification of seniors at risk (ISAR) were 93, 39% and 0AE67, respectively. The corresponding results for the care complexity prediction instrument (COMPRI) were 70, 62% and 0AE69 and for the hospital admission risk profile (HARP) 21, 89% and 0AE56. Conclusion. The discriminative values of both identification of seniors at risk and care complexity prediction instrument are fair. Hospital admission risk profile shows the poorest results. Identification of seniors at risk shows the best ability to predict those patients at risk for functional decline and seems to be the easiest instrument in clinical practice. Relevance to clinical practice. Identifying patients at risk for functional decline is a first step in prevention, followed by geriatric assessment and targeted interventions. Studying the validity of existing instruments is necessary before implementation in clinical practice.

Age and Ageing, 2014

a growing number of older patients undergo cardiac surgery. Some of these patients are at increas... more a growing number of older patients undergo cardiac surgery. Some of these patients are at increased risk of post-operative functional decline, potentially leading to reduced quality of life and autonomy, and other negative health outcomes. First step in prevention is to identify patients at risk of functional decline. There are no current published tools available to predict functional decline following cardiac surgery. to validate the identification of seniors at risk-hospitalised patients (ISAR-HP), in older patients undergoing cardiac surgery. a multicenter cohort study in cardiac surgery wards of two university hospitals with follow-up 3 months after hospital admission. consecutive cardiac surgery patients, aged ≥65. Functional decline was defined as a decline of at least one point on the Katz ADL Index at follow-up compared with preadmission status. 475 patients were included, 16% of all patients and 20% of patients ≥70+ suffered functional decline. The amended prediction model predicted functional decline using four criteria: preadmission need for daily assistance in instrumental activities of daily living, use of a walking device, need for assistance in travelling and no education after age 14. Area under the receiver operating curve for patients ≥70 it was 0.73. For the amended ISAR-HP sensitivity, specificity, positive and negative predictive values were 85, 48, 29 and 93%, respectively. the amended ISAR-HP used in older cardiac surgery patients showed good discriminative values at score ≥1, supporting the generalisability of this prediction model for this patient group.

International Journal of Clinical Medicine, 2014

Background: Delirium is a high prevalent postoperative complication in older cardiac surgery pati... more Background: Delirium is a high prevalent postoperative complication in older cardiac surgery patients and can have drastic consequence for the patient. Preventive interventions, diagnosis and treatment of delirium require specialized knowledge and skills. Objective: To gain insight in the current opinion and beliefs of nurses in hospitals concerning prevention, diagnosis and treatment of delirium in older hospital patients in general and specifically in older cardiac surgery patients. Methods: In a cross-sectional study from February to July 2010, we distributed a survey on beliefs on delirium care among 368 nurses in three hospitals in the Netherlands, in one hospital in all wards with older patients and in two hospitals in the cardiac surgery wards only. Results: Although in literature incidence rates up to 54.9% in cardiac surgery patients in hospitals are reported, with a response rate of 68% (250), half of the nurses believe that the incidence of delirium is not even 10%. Two thirds think that delirium in patients is preventable. Although, the Delirium Observation Scale is most often used for screening delirium, nearly all nurses do not routinely screen patients for delirium. Opinions on delirium of nurses working in cardiac surgery wards did not differ from nurses caring for older patients in other hospital wards. Conclusions: Nurses do * Corresponding author. R. Ettema et al. 1353 have knowledge on delirium care, but there is a gap between the reported incidence in literature and the estimation of the occurrence of delirium by nurses. A two-way causal relationship emerges: because nurses underestimate the occurrence, they do not screen patients on a routine basis. And because they do not screen patients on a routine basis they underestimate the incidence.