Publications by authors named "Hanne I Jensen"

Objectives: The objective of this study was to develop and test a patient decision aid for end-of-life care to be used when some or all life-sustaining treatments have been withheld or withdrawn.

Methods: A multi-professional, multi-sectorial group together with patients and relatives used a systematic process to develop and test the patient decision aid, including alpha and beta testing.

Results: Healthcare professionals, patients and relatives were involved in the development and testing.

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Purpose: This study aimed to examine the association between obstructive sleep apnea (OSA) and cognitive function in patients with severe chronic obstructive pulmonary disease (COPD).

Methods: Patients with severe COPD, who had not previously been diagnosed with OSA, were recruited between January 2021 and January 2023. To evaluate cognitive function, the Montreal Cognitive Assessment (MoCA), a continuous reaction time test (CRT) and a driving simulator were used.

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Article Synopsis
  • The study aimed to improve the prediction of outcomes after total hip arthroplasty (THA) by examining the role of inflammatory biomarkers in blood and cerebrospinal fluid (CSF) related to osteoarthritis and pain.
  • Researchers analyzed data from 50 patients, assessing changes in pain and disability 12 months post-surgery, while considering factors like age, sex, and BMI.
  • Results showed that preoperative systemic inflammation in blood was linked to better postoperative outcomes, while neuroinflammation was tied to preexisting pain, suggesting that inflammatory biomarkers could help select patients for THA more effectively in the future.
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Introduction: Decisions to admit patients to intensive care units are often complex, and assessing patients is essential but difficult. In recent years, the Clinical Frailty Scale has been highlighted as a potential assessment tool for triaging patients for admission to the intensive care unit. This study aimed to investigate the clinical differences and Clinical Frailty Scale scores between patients who are refused and those who are admitted to the intensive care unit.

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Background: Critically ill patients experience cognitive impairment throughout their intensive care unit trajectory, in the acute phase and the long-term alike. Cognitive impairment may negatively impact patients' quality of life and rehabilitation outcomes.

Aim: To provide an overall examination of literature concerning non-pharmacological interventions that can enhance cognitive functioning in critically ill patients or facilitate their rehabilitation pathway during and after their intensive care unit stay.

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Introduction: Podcasts have emerged as a promising tool in patient preparation for hospital visits. However, the nuanced experiences of patients who engage with this medium remain underexplored.

Objectives: This study explored patients' experiences of receiving information by way of podcasts prior to their hospital visits.

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Purpose: The purpose of this study was to understand certified registered nurse anesthetists' (CRNAs) experiences of nursing in anesthesia care.

Design: An explorative qualitative study was conducted with inspiration from Ricoeur's hermeneutic phenomenological theory of interpretation.

Methods: Three focus group interviews were carried out with participants representing 5 anesthesiology departments from 3 hospitals in Denmark (a total of 14 participants).

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Article Synopsis
  • Cognitive impairment is a major issue for patients after critical illness in the ICU, impacting their ability to adapt and return to normal life.
  • A qualitative study in Denmark involved interviews with patients and their relatives to understand their experiences with these cognitive challenges, revealing themes related to feeling isolated and vulnerable.
  • Patients often developed their own coping strategies to manage these impairments, while support from relatives was crucial for their recovery.
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Purpose: Increasing recognition of chronic pain diseases, including Fibromyalgia, warrants the need for tools to monitor the impact of the disease as well as the efficacy of interventions. The Revised Fibromyalgia Impact Questionnaire (FIQR) has previously proved to be a valuable tool in both clinical and research settings. The study objective was to translate and validate the FIQR in Danish.

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  • The increase in life expectancy and health issues among older patients leads to more ICU admissions, risking their physical and cognitive functions, which can permanently affect their quality of life (QoL).
  • This scoping review seeks to identify key variables related to health outcomes and understand what matters for the QoL of frail elderly patients after ICU discharge.
  • The review will follow Joanna Briggs Institute guidelines, including a thorough search of relevant studies from 2013 to 2023, with careful data extraction and analysis to present the findings in both narrative and table forms, ultimately aiming for publication in a scientific journal.
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Objectives: Planning for end-of-life (EOL) and future treatment and care through advance care planning (ACP) is being increasingly implemented in different healthcare settings, and interest in ACP is growing. Several studies have emphasized the importance of relatives participating in conversations about wishes for EOL and being included in the process. Likewise, research has highlighted how relatives can be a valuable resource in an emergency setting.

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Objective: Burnout and mental illness are frequent among healthcare professionals, leading to increased sick leave. Simulation-based team training has been shown to improve job satisfaction and mental health among healthcare professionals. This study seeks to investigate the relationship between simulation-based team training and sick leave.

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Purpose: Patients with COPD experience anxiety, depression, and stress more frequently than in the age and gender-matched general population. This cross-sectional study aimed to examine the relationship between cognitive functions and the psychological factors of anxiety, depression and stress among patients with COPD.

Patients And Methods: Between January 2021 and January 2023, patients with severe COPD were recruited, along with age-matched controls.

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Background: Chronic pain is a major health problem worldwide but the limited knowledge of its underlying pathophysiology impairs the opportunities for diagnostics and treatment. Biomarkers of chronic pain are greatly needed to understand the disease and develop new targets for interventions and drug treatments, and potentially introduce more precise diagnostic procedures. Much evidence points to a neuroimmune pathology for many chronic pain conditions and that important neuroimmune biomarkers exist in the cerebrospinal fluid (CSF) of patients with chronic pain.

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Background: Major ankle and hindfoot surgery (e.g., ankle, triple and subtalar arthrodesis) typically causes severe postoperative pain, especially the first two postoperative days.

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Article Synopsis
  • The study aimed to explore the collaborative practice of documentation between healthcare providers and patients, highlighting its potential benefits such as reducing errors and fostering patient involvement in care decisions.
  • It was conducted in a Day Surgery Unit at a Danish University Hospital from 2019 to 2021, involving pre- and post-implementation surveys to gauge staff perceptions and structured interviews with patients.
  • Results showed a high initial agreement on the benefits of this practice, but follow-up indicated a decline in staff perceptions, though patients felt positively about the documentation process during their interactions.
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Objectives: To examine associations between socioeconomic factors and (1) adherence to methicillin-resistant (MRSA) posttreatment follow-up swab sampling after 1 and 6 months and (2) successful decolonization treatment.

Design: Cohort study with 2 years of follow-up. Data on patients diagnosed with MRSA were extracted from a regional MRSA database and national registries.

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Objective: In 2019, the Danish parliament issued legislation requiring Danish physicians to clarify and honor seriously ill patients' treatment preferences. The American POLST (Physician Orders for Life-Sustaining Treatment) document could be a valuable model for this process. The aim of the study was to examine patients' preferences for life-sustaining treatment and participant assessment of a Danish POLST form.

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  • The study focuses on understanding the frequency and experiences of nurse-led rapid response team calls related to end-of-life issues, highlighting the importance of effective end-of-life care in acute settings.
  • Conducted at a Danish university hospital, the research involved a retrospective audit of calls from 2011-2019 and interviews with ten rapid response team nurses, revealing that 12% of calls dealt with end-of-life matters, mainly due to respiratory problems.
  • The findings suggest that rapid response team nurses often feel uncertain about their roles, face information gaps, and struggle with decision-making timing, emphasizing the need for improved training in end-of-life care and advanced care planning.
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Background: Conducting a conversation about wishes for treatment at end of life (EOL) has been shown to improve EOL care for patients and relatives. Still, only a minority of physicians conduct the conversation, which might lead to unwanted interventions and treatments.

Objectives: The purpose of this survey was to examine which factors facilitate and hinder physicians across a wide range of health care facilities to initiate the conversation about wishes for treatment at EOL.

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Introduction: Treatment with modern technology in an intensive care unit has increased critical illness survival. However, many patients are affected by their critical illness for months or years following discharge, as they experience cognitive impairments. Long-term cognitive impairments can severely affect patients' quality of life.

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Introduction: Critical illness and admission to an intensive care unit (ICU) can affect patients for months or years following discharge as many suffer from cognitive impairment. Long-term cognitive impairment affects patients' quality of life and ability to adapt to everyday life. Exploring their experiences on how and which cognitive impairments are affecting their everyday lives facilitates planning of relevant research on interventions that may serve to alleviate the burden of post-ICU cognitive impairment.

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Article Synopsis
  • Iatrogenic opioid use in patients with chronic malignant pain is being scrutinized, as its benefits decrease over time, leading to a need for tapering methods to improve patient outcomes.
  • A study involved 22 patients who were observed at a pain treatment center where their opioid use was tracked and their quality of life, sleep quality, and depression levels were assessed through questionnaires and interviews.
  • Results showed a significant decrease in opioid consumption for most participants, with some fully stopping opioids, but there were no measurable improvements in quality of life or mental health, highlighting the complexity of managing chronic pain without opioids.
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Background: A growing body of evidence supports the existence of an association between patient safety culture (PSC) and patient outcomes. PSC refers to shared perceptions and attitudes towards norms, policies and procedures related to patient safety. Existing literature shows that PSC varies among health professionals depending on their specific profession and specialty.

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