Innovations in the care for the elderly

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Innovations in the care for the elderly

• Scientific Conference EANS,
• Turku (Finland), February 4, 2006
• Prof. dr. Jan P.H. Hamers
• Health Care Studies/ Nursing Science
• University of Maastricht, The Netherlands

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Care and Public Health Research Institute (CAPHRI)

• 20 research programmes (health sciences
  medicine)
• Nursing science (PL)
• Innovations in the care for the elderly
• Jan Hamers
• Evidence-based nursing and symptom management
• Rianne de Wit, Ruud Halfens
• Care for chronic ill persons/ disease management
• Bert Vrijhoef

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Innovations in the care for the elderly (ICE),
mission

• Development knowledge on psychosocial and
  environmental determinants of health problems,
  need of care, social participation, independency
  and quality of life
• Evaluation of innovative health care programs and
  interventions for older persons to slow down
  processes of disablement
• Implementation of interventions

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Faculty programme ICE

• Tenured staff prof. dr. Hamers (PL), prof. dr.
  Kempen (PL), prof. dr. Schols, dr. Van Rossum,
  dr. De Witte, , dr. Van Haastregt (post doc,
  not tenured) and prof. dr. Verhey (nfl)
• Currently 17 PhD-students and researchers
• Collaborative centres
• Zorggroep Meander (8 centra, n1500) (home care/
  n4400)
• Vivre-group (9 centra, n1650)
• Sevagram (12 centra, home care, n2500)

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Research projects major themes

• Efficacy of nursing care
• Organisation of nursing care

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Ongoing research projects I

• The use of physical restraints
• Nursing attitudes (1)
• Instrument development, psychometric testing and
  measurement
• The reduction of physical restraints (2)
• Educational programme consulting nurse
  evaluated in (RCT)
• Pain in elderly with dementia
• Effect of implementation observational tool (12)
• Tool selection systematic review and
  psychometric testing
• Efficacy implementation pain assessment tool
  evaluated (quasi-exp design)

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Ongoing research projects I

• Pain in elderly with dementia (continued)
• International comparison DOLOPLUS-2 (1)
• Psychometric testing (reliability)
• Incontinence
• Prevalence of incontinence in home care and
  nursing homes (1)
• National prevalence studies health care problems
  (survey, Halfens et al.)
• Incontinence nurse (2)
• Specialized nursing care evaluated (RCT)

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Ongoing research projects II

• Quality of care in nursing homes
• Assessment of quality of care from the viewpoints
  of consumers and employees (semi-structured
  interviews and questionnaires) (1)
• Client-oriented care
• Needs of the elderly (1)
• Exploring and listing needs and wants from
  elderly peoples viewpoint (qualitative study,
  review and questionnaires)
• Relation between needs-demand-services (1)
• Theory development, construction model,
  hypotheses testing
• Effects of health care services (2)
• Use and efficacy new health care services in two
  Dutch regions evaluated (quasi-experimental/longit
  udinal study)

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Projects in preparation

• Heart failure in nursing home residents (I/1)
• The use of physical restraints (I)
• International comparison of nursing attitudes (1)
• Prevalence of restraint use in home care (1)
• Quality of care in nursing homes (II)
• Transparency in quality of care for consumers (3)
• Client-oriented care (II)
• Effects of new types of nursing home care (12)

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• More information
• Prof. dr. J.P.H. Hamers
• Health Care Studies/ Nursing Science
• University of Maastricht
• PO Boxs 616
• 6200 MD Maastricht
• The Netherlands
• E jph.hamers_at_zw.unimaas.nl
• Webpage www.nursingscience.nl