Publications by authors named "Bruyneel Arnaud"

Article Synopsis
  • * Data from over 22,000 COVID-19 patients and nearly 7,600 patients with viral pneumonia were analyzed, revealing that men, older adults, and those with lower socio-economic status faced higher hospitalization risks and longer stays in the hospital during the pandemic.
  • * The findings suggest that the socio-health gradient for COVID-19 reflects pre-existing inequalities, worsening in the pandemic's second wave among marginalized populations, thereby underscoring the need for integrating social data with clinical information for better health outcomes.
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Objective: This study aimed to compare the prevalence of burnout, missed nursing care, and intention-to-leave the job among nurses working in general care units and intensive care units (ICUs), and to analyse the risk factors for these outcomes between the two groups.

Design: This was a cross-sectional study involving online surveys of nurses at participating hospitals conducted between November 2020 and July 2021 as part of the Magnet4Europe initiative.

Setting And Participants: A convenience sample was recruited, consisting of 67 acute care hospitals in 6 countries: Belgium, England, Germany, Ireland, Norway, and Sweden.

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Article Synopsis
  • A nationwide study in France compared nursing workloads between intensive and intermediate care in ICUs, gathering data on the Nursing Activities Score from over 21,000 patients and 9,800 nursing measurements.
  • Results showed that the median Nursing Activities Score was significantly higher for intensive care patients (61%) than for intermediate care patients (47%), indicating more demanding workloads in intensive settings.
  • The study suggests that to alleviate high nurse workloads, a reevaluation of nurse-to-patient ratios and possible physical separation of care levels may be needed.
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Our study aimed to assess the severity of severe acute respiratory syndrome coronavirus 2 infection in hospitalized infants under 40 days old, across 21 Belgian hospitals between 2020 and 2022. Of the 365 infants studied, 14.2% needed respiratory support.

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Background: Addressing the challenges of asthma has involved various approaches, including the examination of costs associated with hospitalization. However, there is a limited number of studies that have investigated the actual expenses incurred by hospital settings in caring for asthma patients. This study aims to describe the costs, predictors, and breakdown of expenditures in different categories.

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  • Pneumococcal infections are a significant health issue in Belgium, causing high rates of hospitalization and mortality, particularly affecting individuals with high-risk profiles.
  • A study analyzed 4,712 hospital admissions in 2018, revealing that invasive pneumococcal infections incur higher hospitalization costs (4,051€) compared to general pneumonia (3,362€), influenced by factors like emergency admissions and prolonged stays in intensive care.
  • The findings emphasize the need for greater focus on vaccination strategies, as invasive pneumococcal infections not only result in worse health outcomes but also increase economic burdens, especially for older patients and those with existing health conditions.
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Background: Only one third of European countries use intermediate care units (IMCs). An IMC makes it possible to manage patients who do not require intensive care but who need a higher level of nursing care that cannot be provided on the general ward. In Belgium, there are no national criteria for ICU admission or discharge, and no policies regarding IMC care or for differentiating ICU intensity levels.

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Objectives: To determine the perceived barriers to the implementation of research findings in clinical practice among critical care nurses and allied health professionals.

Methods: A cross-sectional study was conducted using an online questionnaire sent to critical care nurses and allied health professionals in French-speaking countries. The primary objective was the identification and grading of perceived barriers to implementation of research findings into clinical practice, using a previously validated tool (French version of the BARRIERS scale).

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Objectives: Unfinished care refers to the situation in which nurses are forced to delay or omit necessary nursing care. The objectives was: 1) to measure the prevalence of unfinished nursing care in intensive care units during the COVID-19 pandemic; 2) to examine whether unfinished nursing care has a mediating role in the relationship between nurse working environment and nurse-perceived quality of care and risk of burnout among nurses.

Design: A national cross-sectional survey.

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Background: Given the variability of intensive care unit (ICU) costs in different countries and the importance of this information for guiding clinicians to effective treatment and to the organisation of ICUs at the national level, it is of value to gather data on this topic for analysis at the national level in Belgium. The objectives of the study were to assess the total cost of ICUs and the factors that influence the cost of ICUs in hospitals in Belgium.

Methods: This was a retrospective cohort study using data collected from the ICUs of 17 Belgian hospitals from January 01 to December 31, 2018.

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Article Synopsis
  • During the COVID-19 pandemic, hospitals faced a shortage of ICU beds, leading to the creation of semi-intensive pulmonary wards (SIPUs) to alleviate the pressure.
  • This study at the Erasme university clinics in Belgium analyzed the necessary nurse staffing levels for a SIPU and identified factors that increased nursing workload, focusing on 59 patients and their Nursing Activities Scores (NAS).
  • Results showed a recommended nurse-to-patient ratio of 2:3, with higher workloads linked to factors such as high body mass index, serious illness scores, emergency admissions, and the use of oxygen or noninvasive ventilation.
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Aim: The aim of the study was to assess the prevalence of academic burnout (AB) and its associated factors among nursing and midwifery students during the COVID-19 pandemic.

Design: A correlational cross-sectional study.

Methods: An online survey was distributed from November to December 2020 to nursing and midwifery students in Belgium.

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Background: Intensive care unit (ICU) nurses are at an increased risk of burnout and may have an intention-to-leave their jobs. The COVID-19 pandemic may increase this risk.

Objective: The objective of this study was to describe the prevalence of burnout risk and intention-to-leave the job and nursing profession among ICU nurses and to analyse the relationships between these variables and the work environment after two years of the COVID-19 pandemic.

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Introduction: Hospitals with better nursing resources report more favourable patient outcomes with almost no difference in cost as compared to those with worse nursing resources. The aim of this study was to assess the association between nursing cost per intensive care unit bed and patient outcomes (mortality, readmission, and length of stay).

Methodology: This was a retrospective cohort study using data collected from the intensive care units of 17 Belgian hospitals from January 01 to December 31, 2018.

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Aims: To estimate the prevalence of burnout risk among nurses during the peak of the first wave of the COVID-19 pandemic in Belgium and to identify risk groups and protective and risk factors.

Background: Nurses are at high risk of burnout, and this can have negative consequences for them, patients and health care systems. The pandemic may have changed their working conditions and increased their risk of burnout.

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Aims: The aim of this study was to assess associations between a general nursing funding scale and an intensive care unit specific nursing workload scale and the cost of nursing staff.

Background: Nurse staffing represents the most important cost in the intensive care unit, so it is essential to evaluate it accurately. In addition, the assessment of nursing workload is important for the daily management of the intensive care unit and to ensure quality of care.

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Background: The association between inadequate personal protective equipment during the COVID-19 pandemic and an increased risk of SARS-CoV-2 infection in frontline healthcare workers has been proven. However, frontline healthcare workers with an adequate supply of personal protective equipment still showed an increased risk of contracting COVID-19. Research on the use of personal protective equipment could provide insight into handling present and future pandemics.

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Background: The delivery of a high and consistent [Formula: see text] is imperative to treat acute hypoxemia. The objective of this study was to analyze the effective inspired oxygen concentration delivered by different low-flow oxygen therapy systems challenged with different oxygen flows and respiratory patterns in an experimental lung model.

Methods: An adult lung model ventilated in volume control mode simulated different respiratory patterns to obtain mean inspiratory flow of 22.

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Introduction: This study aimed to assess (1) the prevalence of burnout risk among nurses working in intensive care units and emergency department before and during the coronavirus disease 2019 pandemic and (2) the individual and work-related associated factors.

Methods: Data were collected as part of a cross-sectional study on intensive care unit and emergency nurses in Belgium using 2 self-administered online questionnaires distributed just before the pandemic (January 2020, N = 422) and during the first peak of the pandemic (April 2020, N = 1616). Burnout was assessed with the Maslach Burnout Inventory scale.

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The optimal thromboprophylactic strategy for patients affected by Coronavirus disease 2019 (COVID-19) has been debated among experts. This study evaluated the safety and efficacy of a thromboprophylaxis algorithm. This was a retrospective, single-center study in critically ill patients admitted to the intensive care unit (University affiliated Hospital) for acute respiratory failure due to Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2).

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