Frederika Erica Witkamp

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CONTEXT Most deaths in Western countries occur in hospital, but little is known about factors determining the quality of dying (QOD). OBJECTIVES The aim was to assess the QOD in hospital as experienced by relatives and identify factors related to QOD. METHODS A cross-sectional study on 18 wards of a university hospital in The Netherlands was conducted,(More)
BACKGROUND Currently, health care and medical decision-making at the end of life for older people are often insufficiently patient-centred. In this trial we study the effects of Advance Care Planning (ACP), a formalised process of timely communication about care preferences at the end of life, for frail older people. METHODS/DESIGN We will conduct a(More)
BACKGROUND The quality of care of patients dying in the hospital is often judged as insufficient. This article describes the protocol of a study to assess the quality of care of the dying patient and the contribution of an intervention targeted on staff nurses of inpatient wards of a large university hospital in the Netherlands. METHODS/DESIGN We designed(More)
BACKGROUND To improve the quality of end-of-life care, hospitals increasingly appoint palliative care nurse champions. AIM We investigated the effect of nurse champions on the quality of life during the last 3 days of life and the quality of dying as experienced by bereaved relatives. DESIGN A controlled before-and-after study (June 2009-July 2012).(More)
The purpose of this study was the psychometric testing of a questionnaire to assess nurses' opinions, subjective norms, perceived difficulties, and knowledge related to palliative care. The 63-item MOVE2PC Questionnaire was tested among 219 nurses in groups differing in education and experience. The intra-rater agreement was moderate to good (к > .5κmax ),(More)
BACKGROUND In the outpatient oncology clinic, pain management is often inadequate. Incorporating a systematic pain management program into visits is likely to improve this. We implemented an integrated program, including a structured pain assessment, pain treatment protocol and patient education module. In the present study, we investigated whether this(More)
BACKGROUND For patients with a hematological malignancy, allogeneic stem cell transplantation (alloSCT) is a treatment modality that may cause a wide range of problems. Little is known about the process of recovery and rehabilitation and the problems that alloSCT patients are confronted with during the first-year posttransplant. OBJECTIVE This study(More)
BACKGROUND In hospitals, where care is focused on cure and life prolongation, impending death is often recognized too late. Physician awareness of impending death is a prerequisite for communication with patients and relatives about dying in hospital and providing care that adequately addresses patients' needs. OBJECTIVE To examine to what extent(More)
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