Publications by authors named "Elsie Decoene"
Aims: To explore patterns and dynamics during the co-design process of nurse practitioners' role development in three departments in a Belgian tertiary hospital.
Design: Participatory action research was utilised in conjunction with principles of a Grounded Theory approach to explore patterns and dynamics.
Methods: Sixteen meetings were conducted between January and June 2021 with interdisciplinary teams to develop the roles.
Objectives: To reflect on current practice analyses regarding the role of advanced practice nurse (APN) researcher in oncology, and report on the challenges that were faced and lessons we have learned when intensively working with APNs on doing research within the domain of oncology.
Methods: Discussions with APNs supervised by or who collaborated with academics in nursing science during the past 10 years on doing research within the domain of oncology.
Results: Several misconceptions exist regarding the role of APNs as researchers.
Aims: The aim of the study was to develop a comprehensive competency framework for advanced practice nurses in Belgium.
Design: A co-design development process was conducted.
Methods: This study consisted of two consecutive stages (November 2020-December 2021): (1) developing a competency framework for advanced practice nurses in Belgium by the research team, based on literature and (2) group discussions or interviews with and written feedback from key stakeholders.
Aims: (1) To identify, evaluate and summarize evidence about the objectives and characteristics of mentoring programmes for specialized nurses (SNs) or nurse navigators (NNs) and advanced practice nurses (APNs) and (2) to identify the effectiveness of these programmes.
Design: A systematic review based on PRISMA guidelines.
Data Sources: From November 2022 until 7 December 2022, four databases were searched: PubMed, EMBASE, CINAHL and The Cochrane Library.
Purpose: Exploring the persisting presence of underlying processes, dynamics, experienced barriers and facilitators of Advanced Practice Nurses (APN) in oncology and Oncology Nurse Navigators (ONN) during their role integration in an interprofessional team over a research period of seven years.
Methods: A qualitative study based on the principles of Grounded Theory, in which individual semi-structured interviews and focus groups were conducted with 51 ONN and APN from 11 university and local hospitals in Belgium between 2011-2018. Data were analyzed to develop a framework that consists of different themes.
Purpose: To investigate factors affecting the co-creation and implementation of care pathways for patients treated with oral anticancer drugs.
Methods: An explorative qualitative process evaluation was performed at four Belgian hospitals, co-creating and implementing a care pathway for patients on oral anticancer drugs. Semistructured interviews and focus groups were performed by a) local coordinators leading an interprofessional project team during the co-creation and implementation stage, b) external implementation coaches, and c) teams of healthcare professionals with a role in the care pathway.
Aims: To provide in-depth insight into how patients and their relatives experienced change or delay in cancer treatment and care due to COVID-19.
Design: A qualitative study including semi-structured interviews with patients with cancer and their relatives.
Methods: Between July and October 2020, 42 patients who were confronted with a change or delay in cancer treatment or care, and 11 relatives were interviewed.
Aims And Objectives: The aim was to explore the information and counselling needs of rectal cancer survivors confronted with major low anterior resection syndrome.
Background: Rectal cancer survivors are often confronted with bowel problems after surgery. This is called low anterior resection syndrome.
Background: Patient platforms are seen as promising technologies in an integrated care approach to involve cancer patients in their own health care and to support them in managing their personal health information. However, few digital platforms have been codesigned with patients and caregivers.
Objective: To develop, implement, and evaluate the feasibility and applicability of a digital oncology platform (DOP) for patients with cancer.
Aims: To examine the use of time by advanced practice nurses and time use differences according to type of healthcare organization, work experience, and supervisor.
Design: A cross-sectional, observational study.
Methods: Non-participant observations were executed in Belgium (October 2015-January 2016).
Purpose: The process of education and counselling of patients treated with oral anticancer drugs, aimed to achieve adequate self-management, involves different stakeholders (i.e. physicians, oncology nurses, pharmacists) from primary and secondary care.
View Article and Find Full Text PDFAim: To evaluate the effectiveness, feasibility, meaningfulness and appropriateness of the development and implementation of a transmural care pathway in four hospitals in Flanders to improve self-management support in healthcare professionals and self-management in patients treated with oral anticancer drugs.
Design: A multicentre, prospective, interventional before-after study.
Method: The development and implementation of the care pathway is based on the 7-phase method by Vanhaecht et al.
Aim: To explore the practice profile and competencies of advanced practice nurses (APNs) and midwives (AMPs), and factors associated with task non-execution.
Background: Advanced practitioner roles are increasingly implemented internationally. Unofficial role introduction led to confusion regarding task performance.
Objective: To explore factors influencing the implementation of advanced midwife practitioner roles.
Design: Semi-structured individual face-to-face and focus group interviews were conducted. Data analysis was performed using the Framework Method.
Background: In the last decade, there has been an increase in the use of anti-angiogenic drugs as treatment for metastatic malignancies. However, use of these targeted therapies could induce both glomerular and tubular damage. Also during targeted therapy, the lysosomal protease cathepsin D is released from the tumour, which is inhibited by the protease inhibitor cystatin C.
View Article and Find Full Text PDFBackground: When confronted with cancer, adolescents and young adults (AYAs) enter a psychosocial trajectory. Previous research has acknowledged the importance of care adjusted to the specific needs of AYAs. To develop AYA-focused care, in-depth knowledge about the experiences of AYAs with cancer is necessary.
View Article and Find Full Text PDFBackground: Adolescents and young adults with cancer face distinct psychosocial challenges because of the multiple developmental tasks associated with their age. Research on psychosocial care, directed to the unique needs and demands of this population, is limited.
Objective: The aim of this study was to describe the psychosocial experiences of adolescents and young adults with cancer to further the understanding of the meanings they attribute to their experiences.