Publications by authors named "Hertogh C"
Aim: The aim of this study was to provide insights into how, through exploring goal-setting interventions, a nursing team in geriatric rehabilitation might refine their patient-centred strategies.
Design: The study design was participatory action research (PAR).
Method: Team members and nursing students, under the guidance of a facilitator, performed two PAR cycles.
Objectives: To explore interrelations between cognitive, physical, affective, and daily functioning, quality of life and white matter hyperintensities (WMH) in a geriatric memory clinic sample.
Method: Participants received brain imaging, comprehensive geriatric assessment and neuropsychological evaluation including measurements of cognitive, physical, affective, and daily functioning and health-related quality of life. Data was analyzed using multiple linear regressions and network analysis using (moderated) mixed graphical models.
Objectives: To explore the influenza and COVID-19 vaccination status among Dutch nursing home (NH) health care workers (HCWs), factors associated with vaccination including the influence of the pandemic, and the facilitators and barriers to vaccination willingness.
Design: An explanatory sequential mixed methods study.
Setting And Participants: HCWs providing direct care to residents in Dutch NHs.
Background: The Dutch Euthanasia law permits euthanasia in patients with advanced dementia lacking decisional capacity based on advance euthanasia directives. Nevertheless, physicians encounter difficulties assessing the criteria for due care in such cases. This study explores the perspectives of legal experts on the fulfillment of these criteria and the potential for additional legal guidance to support physicians' decision-making processes.
View Article and Find Full Text PDFBackground: We previously performed a pragmatic cluster randomized controlled trial (RCT) in general practices and older adult care organizations in Poland, the Netherlands, Norway, and Sweden. We found that a multifaceted antibiotic stewardship intervention (ASI) substantially reduced antibiotic use for suspected urinary tract infections (UTIs) in frail older adults compared with usual care. We aimed to evaluate the implementation process of the ASI to provide recommendations for clinical practice.
View Article and Find Full Text PDFArticle Synopsis
- The transition of older hospital patients to appropriate post-acute care has become critical due to demographic changes and limited hospital stays.
- A national web-based survey gathered input from hospital and geriatric rehabilitation professionals in the Netherlands regarding current assessment practices for guiding post-acute care decisions.
- Results indicated mixed satisfaction with the triage process, highlighting differing perspectives between sending and receiving professionals, particularly on patient involvement and the importance of triage items.
Article Synopsis
- The study investigates the challenges that physicians in the Netherlands face when considering euthanasia requests from patients with advanced dementia, focusing on ethical dilemmas related to communication and assessing suffering.
- It involves a descriptive multimethod approach, including a questionnaire to gather insights from three categories of physicians: older adult care physicians (ECPs), support and consultation on euthanasia (SCEN) physicians, and euthanasia expertise center (EEC) physicians.
- Results revealed that while ECPs handle most requests for euthanasia based on advance directives, very few actually perform the procedure, with a consensus among all physician groups emphasizing the need for effective communication with patients to understand their wishes and gauge their suffering.
Article Synopsis
- This study looked at how older adults feel about their rehabilitation experience from when they start until six weeks after leaving the hospital.
- Researchers talked to 18 participants three times and found that trusted relationships with healthcare professionals and being well-prepared are very important.
- The study also showed that older adults want to focus on physical therapy and have different ideas about how involved they want to be in decisions about their care.
Article Synopsis
- After people are diagnosed with vascular cognitive impairment (VCI), they often get confusing care from different types of healthcare professionals, making it hard for them to get the help they really need.
- A study was done with healthcare workers to understand their views on how to improve care for VCI patients and their caregivers.
- The findings showed that it's important for healthcare workers to know about VCI, that care needs to be better organized, and that it would help if different types of healthcare experts worked together more closely.
Objectives: To adapt the 2015 Screening Tool of Older Persons' Prescriptions (STOPP)/Screening Tool to Alert to Right Treatment (START) criteria to older nursing home patients with a limited life expectancy of 1.5 to 2 years.
Design: A modified Delphi consensus study.
Objectives: Nursing home residents constituted a vulnerable population during the COVID-19 pandemic, and half of all cause-attributed COVID-19 deaths occurred within nursing homes. Yet, given the low life expectancy of nursing home residents, it is unclear to what extent COVID-19 mortality increased overall mortality within this population. Moreover, there might have been differences between nursing homes in their ability to protect residents against excess mortality.
View Article and Find Full Text PDFMost quality indicators (QIs) currently used in nursing homes reflect the care delivered by the entire multidisciplinary team and are not specific for medical practitioners. International experts have proposed a set of QIs that specifically reflect the quality of medical care in nursing homes. The objective of the Delphi study described here was to compile a set of actionable QIs tailored for medical practitioners working within Dutch nursing homes.
View Article and Find Full Text PDFObjectives: To investigate guideline adherence 3 years after the introduction of a national guideline on urinary tract infections (UTIs) in frail older adults. Appropriate use of urine dipstick tests, treatment decisions, and antibiotic drug choices in residents with (suspected) UTIs without a catheter were examined.
Design: Observational prospective study.
Purpose: The aim of this explorative, qualitative study is to identify factors that potentially influence the execution of physical fitness training in inpatient orthopedic geriatric rehabilitation (GR), from the perspectives of patients, their relatives and professionals.
Materials And Methods: In GR wards of skilled nursing facilities in the Netherlands, semi-structured interviews were held with triads of patients, their relatives and responsible nurses, and focus groups with members of the multidisciplinary teams. Verbatim reports were analyzed according to the framework method.
Objectives: To assess the internal and external validity of a cluster randomized controlled trial (cRCT) evaluating a decision tool with supportive interventions for the empirical treatment of urinary tract infections (UTIs) in nursing homes (NHs), and to identify facilitators and barriers in implementing this antibiotic stewardship intervention.
Design: Mixed-methods process evaluation study.
Setting And Participants: Physicians, nursing staff, client council members, and residents of Dutch NHs.
Objectives: Vascular cognitive impairment is the second most common type of cognitive impairment. Care needs of community-dwelling people with vascular cognitive impairment and their caregivers have not been thoroughly studied. Therefore, we aimed to explore care needs of people with vascular cognitive impairment and their family caregivers.
View Article and Find Full Text PDFBackground: We assessed the vulnerability of patients aged ≥70 years during hospital admission based on the Short Dutch Safety Management Screening (DSMS). Screening of four geriatric domains aims to prevent adverse outcomes and may support targeted discharge planning for post-acute care. We explored whether the DSMS criteria for acutely admitted patients were associated with rehabilitation-oriented care needs.
View Article and Find Full Text PDFPurpose: The aim of this study was to explore and clarify the role of nursing staff in geriatric rehabilitation on supporting patients in goal setting and achieving, through reflecting on rehabilitation interventions.
Design: A descriptive qualitative study was conducted.
Methods: We conducted four online focus group interviews with 23 members of the nursing staff working in geriatric rehabilitation.
Objective: Huntington disease (HD) has a poor prognosis. Decision-making capacity and communication ability may become impaired as the disease progresses. Therefore, HD patients are encouraged to engage in advance care planning (ACP).
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- Antibiotics are often given out too much to nursing home residents for urinary tract infections (UTIs), even when they might not need them.
- It can be hard to tell if residents have UTI symptoms, especially if they have dementia or can't communicate well.
- The study helped find better ways for nursing staff to notice UTI symptoms in these residents and created helpful tools to assist them in this job.
Background: Little is known about exercise testing and training in orthopedic geriatric rehabilitation. This study aims to obtain expert-consensus-based recommendations on this matter.
Methods: Using an online Delphi study we aimed to reach international expert consensus on statements related to testing and training of endurance capacity and muscle strength.
Article Synopsis
- The study evaluated trends in healthcare-associated infections (HCAIs) in long-term care facilities in the Netherlands from 2009 to 2019, focusing on various types of infections.
- A total of 1353 HCAIs were reported among 44,551 residents, with an overall prevalence of 3.0%, and a significant decline in UTIs, lower respiratory tract infections, and gastrointestinal infections from 5.0% in 2009 to 2.1% in 2019.
- Findings suggest that longer participation in health surveys contributed to lower HCAI rates, highlighting the effectiveness of ongoing surveillance despite an aging and frailer resident population.
Background: In Huntington's disease (HD), admission to a nursing home (NH) is required in advanced disease stages. To gain insight in care needs, more knowledge is needed on the functioning of this group.
Objective: Describing patient and disease characteristics, their functioning, and gender differences.
Background: Impaired awareness of one's own functioning is highly common in people with Korsakoff's syndrome (KS). However, it is currently unclear how awareness relates to impairments in daily functioning and quality of life (QoL).
Methods: We assessed how impaired awareness relates to cognitive, behavioral, physical, and social functioning and QoL by applying a network analysis.
Article Synopsis
- Psychotropic drugs are often given to nursing home residents with Korsakoff syndrome to help with their behavior and mental health.
- A study looked at the medications given to 285 people, finding that some types of drugs were used more than others, like atypical antipsychotics and certain antidepressants.
- Many prescriptions were made to help with behavioral problems, even though some were not approved for that purpose, showing that more research is needed to understand the best ways to use these drugs.