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Biomedical subjects

B Breemhaar

Publications and source records attributed to B Breemhaar.

4 recordsLinked to original sources

Implementing a surgery-patient education program as a routine practice: a study conducted in two Dutch hospitals.

Evaluation of existing patient education practices has shown a lack of sufficient preoperative training, despite evidence that such training benefits facing surgery. In close cooperation with their respective medical and nursing staffs, a surgery-patient education program was developed and implemented in two Dutch hospitals. The program was based on empirical findings regarding the effectiveness of various methods used to prepare patients for surgery and, on theory, comparing differences in patients' desires to exert personal control. Evaluation of the new program showed that the specified information was provided to only a limited extent, partly because of problems with the implementation process and partly because some information was made available for patients to use at their own discretion on an 'as needed' basis.

Chi-Square Distribution↗

Inadequacies of surgical patient education.

Education of surgical patients by hospital staff members is often hampered by temporal, spatial and personnel barriers. It is desirable that regular staff members themselves provide patients with information. To improve surgical patient education by staff members, an examination was performed in two hospitals of events related to surgical patients' treatment, care and education during the course of their admission in hospital. The method consisted of interviews with patients and health care providers and observations of critical events. Patients were found to experience emotional problems, such as fear of surgery and anesthesia and lack of information about medical details, the roles of various health care providers and about discharge from the hospital. These problems appeared to be caused by organizational barriers and by inadequacies of the method of information provision. The results of the examination provide a sound basis to develop, in collaboration with hospital staff members, programs to improve surgical patient education.

Adolescent↗

Perceptions and behaviour among elderly hospital patients: description and explanation of age differences in satisfaction, knowledge, emotions and behaviour.

In this study, it is first of all investigated whether elderly and younger hospital patients differ with respect to satisfaction with several aspects of their stay in the hospital, medical and hospital knowledge, emotional state, seeking information, discussing problems and engaging in self-care. Second, it is investigated whether age differences on these variables can be explained by demographic variables, previous hospitalization experience, information received and personality characteristics on which elderly and younger patients differ. Results show that compared to younger patients, elderly patients are more satisfied, have less knowledge and a smaller number of emotional problems and are less active during hospital admission. These differences covary with, a more positive assessment of the information received, a stronger level of external control, a higher level of social desirability and stronger feelings of gratitude among elderly patients. These results are in line with Taylor's concept of the 'good patient'. Finally, based on the findings, measures are suggested for health workers to promote the well-being of elderly hospital patients.

Adolescent↗

Case study: development and evaluation of a model of patient education in surgical wards.

In this contribution we offer a description of a research project in which an attempt is undertaken to improve patient education by nurses at surgical wards in hospitals. In a pilot study it was found that the current practice of patient education is inconsistent and often does not meet patients' demands. Based on this pilot, measures are developed to (a) standardise the information supplied to patients and (b) promote patients' opportunities to collect information by themselves, in order to meet individual demands. The effectiveness of the measures is evaluated by collecting data on physical recovery and emotional well-being among patients undergoing cholecystectomy or herniorraphy.

Clinical Protocols↗