Proefschriften Verpleegkunde
| Nederlandse titel proefschrift | [Vroeg geïntegreerde palliatieve zorg in de acute zorgomgeving: impact op de rollen en verantwoordelijkheden van patiënten en verpleegkundigen] |
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| Engelse titel proefschrift | Early integrated palliative care in the acute care setting: Impact on patients and nurses' roles and responsibilities |
| Naam gepromoveerde | Fliedner, Monika |
| Datum promotie | 22/11/2021 |
| Linkedin-account | linkedin.com |
| Researchgate-url | researchgate.net |
| Universiteit | Maastricht University |
| Doctor is verpleegkundige (geweest) |
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| Doctor is Verpleegkundig Specialist (geweest) |
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| (Co)promotoren | Promotoren: Prof. Dr. J.M.G.A. Schols, Prof. Dr. S. Eychmüller (University of Bern) & Prof. Dr. C. Lohrmann (Medical University of Graz). Copromotor: Dr. R.J.G. Halfens |
| Samenvatting (Engels) | The early integration of palliative care (PC) into the trajectory of patients diagnosed with a life-limiting disease in the acute care setting may improve quality of care and lessen patients’ distress. The SENS structure (Symptoms, End-of-life decisions including advance care planning, Network and Support of caregivers) provides a structure for PC conversations with patients. Some patients found the PC conversations based on the SENS structure hard because of being confronted with the finiteness of their lives. Others were relieved to talk about their fears and expectations. Nurses can play an important role in early integrated PC and advance care planning. If trained appropriately they can have the responsibility to facilitate early integration of PC and advocate for patients’ wishes. An analysis showed that patients at the end of life in the acute care setting, who receive additional specialized PC services, require overall more nursing care time for direct and indirect care compared to patients receiving usual care alone. |
| Proefschrift (Engels) PDF | c7263.pdf |