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Your search keyword '"Engels, Yvonne"' showing total 294 results
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294 results on '"Engels, Yvonne"'

13. Potentially Inappropriate Treatments at the End of Life in Nursing Home Residents: Findings From the PACE Cross-Sectional Study in Six European Countries

Author

Gatsolaeva, Yuliana, Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Van Den Noortgate, Nele, Froggatt, Katherine, Pasman, H. Roeline W., Baranska, Ilona, Oosterveld-Vlug, Mariska, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Leppäaho, Suvi, Pautex, Sophie, Bassal, Catherine, Mammarella, Federica, Mercuri, Martina, Rossi, Paola, Segat, Ivan, Stodolska, Agata, Adang, Eddy, Kylänen, Marika, Andreasen, Paula, Kuitunen-Kaija, Outi, Moore, Danni Collingridge, Pac, Agnieszka, Kijowska, Violetta, Ten Koppel, Maud, van der Steen, Jenny T., de Paula, Emilie Morgan, Honinx, Elisabeth, Van den Block, Lieve, Piers, Ruth, Van Kuijk, Sander M.J., Onwuteaka-Philipsen, Bregje D., Payne, Sheila A., Szczerbińska, Katarzyna, Gambassi, Giovanni G., Finne-Soveri, Harriet, Deliens, Luc, and Smets, Tinne

Published
2021
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19. Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper

Author

Van den Block, Lieve, Arrue, Borja, Baranska, Ilona, Moore, Danni Collingridge, Deliens, Luc, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Honincx, Elisabeth, Kijowska, Viola, Koppel, Maud ten, Kylanen, Marika, Mammarella, Federica, Miranda, Rose, Smets, Tinne, Onwuteaka-Philipsen, Bregje, Oosterveld-Vlug, Mariska, Pasman, Roeline, Payne, Sheila, Piers, Ruth, Pivodic, Lara, van der Steen, Jenny, Szczerbińska, Katarzyna, Van Den Noortgate, Nele, van Hout, Hein, Wichmann, Anne, Vernooij-Dassen, Myrra, Froggatt, Katherine A., Ling, Julie, and Payne, Sheila A.

Published
2020
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21. Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study

Author

Adang, Eddy, Andreasen, Paula, Moore, Danni Collingridge, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna

Published
2020
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22. Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries

Author

Gatsolaeva, Yuliana, Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Van Den Noortgate, Nele, Froggatt, Katherine, Onwuteaka-Philipsen, Bregje, Szczerbińska, Katarzyna, Oosterveld-Vlug, Mariska, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Leppäaho, Suvi, Pautex, Sophie, Bassal, Catherine, Mammarella, Federica, Mercuri, Martina, Rossi, Paola, Segat, Ivan, Stodolska, Agata, Adang, Eddy, Andreasen, Paula, Kuitunen-Kaija, Outi, Moore, Danni Collingridge, Pac, Agnieszka, Kijowska, Violetta, Koppel, Maud ten, van der Steen, Jenny T., Morgan de Paula, Emilie, Honinx, Elisabeth, Smets, Tinne, Piers, Ruth, Deliens, Luc, Payne, Sheila, Kylänen, Marika, Barańska, Ilona, Pasman, H. Roeline W., Gambassi, Giovanni, and Van den Block, Lieve

Published
2019
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25. Early identification of patients in need of palliative care in slovenian general practice

Author

Klok Lisette, Engels Yvonne, Veldhoven Carel, and Rotar Pavlič Danica

Subjects
palliative care, surprise question, general practitioners, slovenia, cancer, organ failure, frail elderly, dementia, paliativna oskrba, vprašanje presenečenja, splošni zdravniki, slovenija, rak, odpoved organov, krhkost pri starostnikih, demenca, Public aspects of medicine, RA1-1270
Abstract

To help general practitioners (GPs) in early identification of patients with palliative care (PC) needs, this pilot study aimed to determine the potential of the combined original surprise question (SQ1) (‘Would I be surprised if this patient died within the next 12 months?’) and the second surprise question (SQ2) (‘Would I be surprised if this patient was still alive after 12 months?’). We hypothesized that answering these SQs would trigger them to make a multidimensional care plan.

Published
2018
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29. Should the Surprise Question be Used as a Prognostic Tool for People With Life-limiting Illnesses?

Author

Chu, Christina, Engels, Yvonne, Suh, Sang-Yeon, Kim, Sun-Hyun, and White, Nicola

Subjects
*PROGNOSTIC tests, *ADVANCE directives (Medical care), *PALLIATIVE treatment, *EXPERT evidence
Abstract

The surprise question screening tool ("Would I be surprised if this person died within the next 12 months?") was initially developed to identify possible palliative care needs. One controversial topic regarding the surprise question is whether it should be used as a prognostic tool (predicting survival) for patients with life-limiting illnesses. In this "Controversies in Palliative Care" article, three groups of expert clinicians independently answered this question. All experts provide an overview of current literature, practical advice, and opportunities for future research. All experts reported on the inconsistency of the prognostic capabilities of the surprise question. Two of the three expert groups felt that the surprise question should not be used as a prognostic tool due to these inconsistencies. The third expert group felt that the surprise question should be used as a prognostic tool, particularly for shorter time frames. The experts all highlighted that the original rationale for the surprise question was to trigger a further conversation about future treatment and a potential shift in the focus of the care, identifying patients who many benefit from specialist palliative care or advance care planning; however, many clinicians find this discussion a difficult one to initiate. The experts agreed that the benefit of the surprise question comes from its simplicity: a one-question tool that requires no specific information about the patient's condition. More research is needed to better support the application of this tool in routine practice, particularly in noncancer populations. [ABSTRACT FROM AUTHOR]

Published
2023
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31. Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study

Author

Adang, Eddy, Andreasen, Paula, Collingridge Moore, Danni, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna

Published
2020
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33. The effect of an integrated palliative care intervention on quality of life and acute healthcare use in patients with COPD: Results of the COMPASSION cluster randomized controlled trial.

Author

Broese, Johanna, van der Kleij, Rianne MJJ, Verschuur, Els ML, Kerstjens, Huib AM, Bronkhorst, Ewald M, Engels, Yvonne, and Chavannes, Niels H

Subjects
OBSTRUCTIVE lung disease treatment, EVALUATION of medical care, WELL-being, CONFIDENCE intervals, RESEARCH methodology, DISEASES, PATIENT satisfaction, RANDOMIZED controlled trials, CLINICAL medicine, QUALITY of life, OBSTRUCTIVE lung diseases, QUESTIONNAIRES, MENTAL depression, DESCRIPTIVE statistics, RESEARCH funding, INTEGRATED health care delivery, STATISTICAL sampling, CLUSTER analysis (Statistics), ANXIETY, ODDS ratio, PALLIATIVE treatment, EVALUATION
Abstract

Background: COPD causes high morbidity and mortality, emphasizing the need for palliative care. Aim: To assess the effectiveness of palliative care in patients with COPD. Design: Cluster randomized controlled trial (COMPASSION study; Netherlands Trial Register (NTR): NL7644, 07-04-2019). Healthcare providers within the intervention group were trained to implement palliative care components into routine COPD care. Patients completed questionnaires at baseline, after 3 and 6 months; medical records were assessed after 12 months. The primary outcome was quality of life (FACIT-Pal). Secondary outcomes were anxiety, depression, spiritual well-being, satisfaction with care, acute healthcare use, documentation of life-sustaining treatment preferences and place of death. Generalized linear mixed modelling was used for analyses. Setting: Eight hospital regions in the Netherlands. Participants: Patients hospitalized for an acute exacerbation of COPD and positive ProPal-COPD score. Results: Of 222 patients included, 106 responded to the questionnaire at 6 months. Thirty-six of 98 intervention patients (36.7%) received the intervention. Intention-to-treat-analysis showed no effect on the primary outcome (adjusted difference: 1.09; 95% confidence interval: −5.44 to 7.60). In the intervention group, fewer intensive care admissions for COPD took place (adjusted odds ratio: 0.21; 95% confidence interval: 0.03–0.81) and strong indications were found for fewer hospitalizations (adjusted incidence rate ratio: 0.69; 95% confidence interval: 0.46–1.03). Conclusions: We found no evidence that palliative care improves quality of life in patients with COPD. However, it can potentially reduce acute healthcare use. The consequences of the COVID-19 pandemic led to suboptimal implementation and insufficient power, and may have affected some of our findings. [ABSTRACT FROM AUTHOR]

Published
2023
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37. Integrating palliative care in long-term care facilities across Europe (PACE): protocol of a cluster randomized controlled trial of the ‘PACE Steps to Success’ intervention in seven countries

Author

Smets, Tinne, Onwuteaka-Philipsen, Bregje B. D., Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Pasman, Roeline H. R. W., Oosterveld-Vlug, Mariska, Piers, Ruth, Van Den Noortgate, Nele, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Froggatt, Katherine, Payne, Sheila, Szczerbińska, Katarzyna, Kylänen, Marika, Leppäaho, Suvi, Barańska, Ilona, Gambassi, Giovanni, Pautex, Sophie, Bassal, Catherine, Deliens, Luc, Van den Block, Lieve, and on behalf of the PACE trial group

Published
2018
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41. Identifying, exploring and integrating the spiritual dimension in proactive care planning: A mixed methods evaluation of a communication training intervention for multidisciplinary palliative care teams.

Author

van Meurs, Jacqueline, Wichmann, Anne B, van Mierlo, Patricia, van Dongen, Robert, van de Geer, Joep, Vissers, Kris, Leget, Carlo, and Engels, Yvonne

Subjects
SPIRITUALITY, CONFIDENCE intervals, RESEARCH methodology, SELF-evaluation, ACQUISITION of data, MULTIDIMENSIONAL scaling, ADVANCE directives (Medical care), LEARNING strategies, FAMILY-centered care, HEALTH care teams, CLINICAL competence, NURSES, PSYCHOLOGY of caregivers, ATTENTION, QUESTIONNAIRES, MEDICAL records, DESCRIPTIVE statistics, NEEDS assessment, ODDS ratio, COMMUNICATION education, PALLIATIVE treatment, EDUCATION
Abstract

Background: Patients receiving palliative care value attention given to their spiritual needs. However, these needs often remain unexplored as healthcare professionals lack the skills to identify and explore them and to integrate this information into care plans. Aim: To evaluate the effects of an interactive communication training intervention for palliative care teams in order to identify and explore the spiritual dimension and integrate it in patients' care plans. Design: A mixed methods pre-post study, including self-assessment questionnaires, evaluation of videos with simulated consultations (applied competence) and medical record review (implementation). Setting/participants: Three palliative care teams including nurses (N = 21), physicians (N = 14) and spiritual caregivers (N = 3). Results: The questionnaires showed an improvement on 'Patient and family-centred communication' of the End-of-life professional caregiver survey (+0.37, p < 0.01; the 8-item S-EOLC (+0.54, p < 0.01) and regarding the Spiritual Care Competence Scale, on the three subscales used (+0.27, p < 0.01, +0.29, p < 0.01 and +0.32, p < 0.01). Video evaluations showed increased attention being paid to patient's aims and needs. The medical record review showed an increase in anticipation on the non-somatic dimension (OR: 2.2, 95% CI: 1.2–4.3, p < 0.05) and, using the Mount Vernon Cancer Network assessment tool, addressing spiritual issues (OR: 10.9, 95% CI: 3.7–39.5, p < 0.001). Conclusions: Our training intervention resulted in increased palliative care professionals' competence in identifying and exploring patients' spiritual issues, and their integration in multidimensional proactive palliative care plans. The intervention directly addresses patients' spiritual concerns and adds value to their palliative care plans. [ABSTRACT FROM AUTHOR]

Published
2022
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