NVAO Accredited prOgrAmme

ANNuAl repOrt 2011reseArch ceNtre fOr iNNOVAtiON iN heAlth cAre

Our reseArch fiNdiNgs result iN innovations that improve pAtieNt cAre, cliNicAl prActice ANd educAtiON

cONteNts

Research Centre for Innovation in Health Care 04

The 2011 Facts 05

Inauguration professor Ellen Gerrits 06

New Research Group for Dissemination of Pharmaceutical 08

Innovations

Doctoral degrees in 2011 12

•Thefittestpeoplehavetheleastbackpaincomplaints 12

•Bettercareforvulnerableelderlyinhospitals 14

•Intensivephysicalactivityimprovescognition 17

•Howtogetpatientsintoamoreactivelifestyle? 18

Chair appointment at the Eindhoven University of Technology 21

Awards for members of the Research Centre 23

HU-UAS Prime Area Care and Technology 26

Ethical aspects in research and education 28

Professionalization teaching staff 32

Research Centre active in education 34

•Coursesinevidencebasedpractice 34

•ResearchCentreMasterclasses 39

Open Access Publications 40

The Research Centre for Innovations in Health Careof the Faculty of Health Care of HU University of Applied Sciences carries out research that results in innovations that improve patient care, clinical practice and education.

The goal of these innovations is to maintain independence and self reliance for those patients with (chronic) illness. The various research groups of the Research Centre all work towards this goal and are centered around care for older adults and familiy care physical activity and health, speech and language therapy, pharmaceutical innovations and care and technology. We carry out applied research on behalf of and in collaboration with health care professionals.

Teaching staff and students participate in our research too.

/ the reseArch ceNtre fOr iNNOVAtiONs iN heAlth cAre

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1the 2011 fActs • 5 reseArch grOups • 7 prOfessOrs 41 reseArchers 14 phds 14 phd studeNts• 60 scieNtific publicAtiONs • 35 AbstrActs • 57 prOfessiONAl publicAtiONs • 93 preseNtAtiONs fOr prOfessiONAls • 48 scieNtific preseNtAtiONs • 4 dOctOrAl degrees • 244 bAchelOr ANd mAster studeNts pArticipAted iN reseArch • 16 mAsterclAsses AtteNded by mOre thAN 1450 studeNts

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iNAugurAtiON / prOfessOr elleN gerrits

On March 31st Professor Ellen Gerrits delivered her inaugural speech.

Thetitleoftheinauguralspeechwas“Dowespeakthesamelanguage?Evidence-basedspeechandlanguagetherapyandthecommunicationbetweenresearch,educationandclinicalpractice.”TheresearchGroupSpeechandLanguagetherapyfocusesonspeechandlanguageinterventionsinchildren.Itsresearchfindingswillcontributetotheprofessionalizationofspeechandlanguagetherapistsandtoimplementationofevidencebasedpracticeinchildrenwithlanguagedisordersandchildrenwithhearingloss.Theoutputoftheresearchgroupwillbeusedbyspeechandlanguagetherapistsininstitutions,hospitals,educationorprivatepractice.ThisprofessorwasappointedbytheHUuniversityofAppliedSciencesincollaborationwiththeRoyalAurisgroup.

dO we speAk the same language?

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iNAugurAtiON / prOfessOr elleN gerrits 2

new research group dissemiNAtiON Of phArmAceuticAl iNNOVAtiONs

iNAugurAl

speech

2-9-2012

3iNAugurAl

speech

2-9-2012

Dr Ad van Dooren, has been appointed chair the research group Dissemination of Pharmaceutical Innovations.

Thisresearchgroupwillcontributetoknowledgeaboutthedissemination

ofinnovationsinthefieldofpharmaceuticalhealthcare.Theaimofitsresearchistoefficientlybringtheseinnovationstopatientsandhealth professionals.Theknowledgesogainedwillresultingeneralizationsandrecommendationsforprofessionalsinpharmaceuticalhealthcare.TheresearchgroupisacollaborationwithNefarma,theDutchassociationforinnovativedrugs.DrAdvanDoorendeliveredhisinauguralspeechonFebruary9th,2012.Thisresearchgroupcontributestotheknowledgethedisseminationofinnovationsinthefieldofpharmaceuticalhealthcare.

this reseArch grOup cONtributes tO the knowledge the dissemination of innovations iN the field Of phArmAceuticAl heAlth cAre

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/ mArjOleiN kruijsnursing student

“i thiNk you can make a difference with

your research skills withiN the rOle Of

prOfessiONAl ANd cONtribute pOsitiVely

tO the field”

Participates in research in the Research Centre

Moderate physical activity that contributes to physical fi tness is an important factor in preventing (low) back pain complaints. Too little or too much activity on the other hand is hazardous for spinal health.

ResearchCentrememberHansHeneweerreceivedhisdoctoraldegreeonMarch4thattheLeuvenUniversityforhisdissertationontheassociationoflifestylefactorsandlowbackpaincomplaintsentitled“Correlatesoflowbackpain:acloserlookatphysicalactivity,physicalfitnessandpersonalattributes”.HisdissertationcommitteeconsistedofResearchCentreprof.LucVanhees,RIVMdrH.S.J.Picavetenprof.F.StaesofLeuvenUniversity.Heneweer:“Inordertounderstandbetterthecomplaintsoflowbackpain,itisimportanttolearntheimportanceofvarioussinglefactorsthatinfluencebackpain,butalsotheirmutual

fittest people hAVe fewest bAck pAiN cOmplAiNts

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interrelations.Weperformedsixseparatestudiestoenlargeourknowledgeaboutthishealthproblem.”Youcanrequestacopyofthedissertationbysendinganemailtohans.heneweer@hu.nl

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Four simple questions asked at admission to hospital can determine whether an elderly patient has an increased risk for the development of permanent functional decline. This questionnaire may improve care for vulnerable elderly.

NursingscientistandResearchCentrememberJitaHoogerduijnreceivedherdoctoraldegreeonApril19thatUtrechtUniversity.HerdissertationteamconsistedofResearchCentreprof.MariekeSchuurmansandprof.R.GrobbeeofUtrechtUniversity.“Manyelderlyleavethehospitalworseoffthanwhentheyentered.Withageingthisbecomesanincreasinglylargerproblem”saysHoogerduijn.“Thankstothequestionnairewecanstudywhichinterventionscanpreventthispossiblehealthcollaboration”.Hoogerduijns’thesisisentitled:”Identificationofolderhospitalizedpatientsatriskforfunctionaldecline”.Youcanrequestacopyofthedissertationbysendinganemailtojita.hoogerduijn@hu.nl

better cAre fOr vulnerable elderly iN hOspitAls

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It is well known that physical exercise helps keeping the body fi t. It turns out that your brain also benefi ts when you exercise hard enough to increase your heart rate and breathing frequency.

Itseemsnotnecessarytoexerciseveryoftenorverylong,apparentlythemostcrucialcharacteristicofexerciseistheintensity.ResearchCentrememberMaaikeAngevarenreceivedherdoctoraldegreeApril29thforherdissertation:”Physicalactivity,cardiorespiratoryfitnessandcognition”.HerdissertationcommitteeconsistedofResearchCentreprof.LucVanheesanddrHaraldVerhaarofUtrechtUniversity.Youcanrequestacopyofthedissertationbysendinganemailtomaaike.angevaren@hu.nl

better cOgNitiON thrOugh intensive eXercise 6

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When someone is told to exercise more often, chances are he will not comply. How can health care professionals help patients to become more active?

BarbaraSassenreceivedherdoctoraldegreeonthistopiconNovember23rdatMaastrichtUniversity.HerdissertationteamconsistedofResearchCentreprof.LucVanheesandprof.G.J.KokofMaastrichtUniversity.

Herdissertationisentitled:“Supportinghealthcareprofessionalstoencouragepatientstodecreasecardiovascularriskattributabletophysicalinactivity”.Youcanrequestacopyofthedissertationbysendinganemailtobarbara.sassen@hu.nl

hOw tO get pAtieNts iNtO A mOre active lifestyle?

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/ chAir AppOiNtmeNt At the eiNdhOVeN uNiVersity Of techNOlOgy

Professor Helianthe Kort has been appointed Full Professor at the Faculty of Built Environment for the chair Building Performance, Building Healthy Environments for Future Usersat Eindhoven University of Technology.

Prof.KortisChairDemandDrivenCareattheResearchCentreforInnovationinHealthCare.Herresearchincludestechnologicalsupportinbuildings,withthepurposeofmakingclientsbetterabletofunctionindependently.AtEindhovenUniversityofTechnologyshewillsuperviseresearchandprovideadviceonbuildingdesignwithemphasisontheinteractionwhichusershavewiththeirenvironmentandwhatthisimpliesforbuildingperformance.ShecoordinatestheprimeareaCareandTechnologywiththeHUUniversityofAppliedSciences(seenextinthisannualreport).

professor heliANthe kOrt

8 chAir AppOiNtmeNt At the eiNdhOVeN 8 chAir AppOiNtmeNt At the eiNdhOVeN

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AwArds fOr members of the research centre

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9/ dr jOOst VAN hOOf, eur iNg wontheREHVAYoungScientistAward2011.Thisannualawardisdistributedtoyoungscientistsforoutstandingresearchworkinthefieldofinstallationtechnology.

/ dr jANke de grOOt wontheHUgenootAwardforcontributingtodevelopmentsineducationandclinicalpracticethroughherdedicationtoandactivitiesaroundherPhDwork.ThisAwardisforstaffandstudentswhohavedeliveredaspecialandvaluablecontributiontotheHUUniversityofAppliedSciences.

/ dr jOOst VAN hOOf, eur iNgTheResearchCentreInnovationofHealthCarecameinthirdfortheUniversitiesofAppliedSciencesawardforthebestpracticebasedresearchin2011,withthesubjectTechnologyathomenow!andthedissertationageing-in-placebydrJoostvanHoof.

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/ sOlANge gAlVez VArgAsstudent pharmaceutical business administration

“i cArry Out reseArch iNtO the

iNflueNce Of the iNterNet ON the

chOices pAtieNts ANd heAlth cAre

prOViders mAke. in our survey we added

health care applications, because this

is a coming trend. bAsed ON the surVey

results, we cAN imprOVe these heAlth

cAre ApplicAtiONs becAuse they Are

relAtiVely New.”

Participates in research of the Research Centre

hu uNiVersity Of Applied scieNces prime area care and technology

Health care without technology is no longer imaginable. Technology has become an integral part of our existence and therefore also of health care. This concerns not just ICT and equipment for the delivery of medical, nursing and allied health care, but also appliances that enable independent functioning in an environment that complies with the demands of the patient.

HUUniversityofAppliedSciencesfocusesonCareandTechnologyasoneofitsprimeareasofresearch.Itisoneofthedomainsweexcelin.OurResearchCentreisleadinginCareandTechnology.Weaimatthedevelopmentandtheuseoftechnologyintheprimaryprocessofhealthcare,withthepurposeofenablingchronicallyillpatientstofunctionindependentlyandtoparticipatesociallyaslongaspossible.

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TheexpertiseofseveralHUFacultiesandResearchCentreswillbebundledinthisprimeareaofresearch.Forthisreasonwecollectallactivitiesthatourcolleaguesperforminthedomainofcareandtechnology,bothforeducationandforresearch.CareandtechnologydeterminetheprofileoftheHUUniversityofAppliedSciencesandwillbecomeincreasinglyvisibleintheresearchandeducationactivitiesoftheHU.

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ethicAl Aspects in research and education

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11The Research Centre has performed a pilot within the Faculty of Health Care investigating the quality and (medical) ethical aspects of all human research related activities in research and education. In addition, the added value of a Medical Ethical Screeningscommittee (MES) has been investigated.

IntheFacultyofHealthCare,patients,staffand/orstudentsareoftenparticipantsinresearchprojects.Thishumanresearchmustcomplywithlegalguidelinesfortheprivacyandthetreatmentofresearchsubjects.

Thispilotinvestigatestheprotectionoftherights,safetyandwell-beingofresearchsubjectswhoparticipateinresearchprojectsbystudents,teachingstaffandmembersoftheResearchCentre.Thisisnotlimitedtotheresearchprotocol,butincludestheskillsoftheresearchers,theappropriatenessofthefacilitiesandtheprotectionofpersonaldata.ItincludesallresearchprojectswhethermedicalscientificresearchaccordingtotheWMOornot.WMOstandsfortheLawonMedicalScientificResearchinvolvingHumanBeings.ResearchthatfallsundertheWMO,butalsoresearchwethinkmightfallundertheWMO,issubmittedbytheResearchCentretotheappropriateMedicalEthicalCommittee,which,Inourcase,isusuallytheMedicalEthicalCommitteeinUtrecht.

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Atthesametime,wearedoingadatapilot,inwhichweinvestigatewhichvariablesarebeingcollectedwithintheFacultyofHealthCare,withwhichpurposeandhowthesedataarebeingsaved.Heretoo,theaspectofprivacyisofmajorimportance.ThepilotscontributetothedevelopmentoftheHUUniversityofAppliedSciences.

it’s about the skills of the researchers, the ApprOpriAteNess Of the fAcilities ANd the prOtectiON Of persONAl dAtA

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prOfessiONAlizAtiON of teaching staff

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12In many places within our Faculty journal clubs are being held once a month. In these journal clubs members of the Research Centre together with our teaching staff critically appraise scientifi c publications.

TheseJournalclubshavebeenthematicallyclassified.Teachingstaffcanthusassessscientificresearchinthefieldoftheirinterest.Inaddition,teachingstaffparticipatesinprojectsinwhichquestionsfromhealthcareprofessionalsareanswered,togetherwithstudentsforonedayaweek.TheResearchCentreInnovationinHealthCarealsoprovidesHealthResearchcontinuingeducationforteachingstaff.

Thiscontinuingeducationcomprises4coursesthatcanbetaken.• Health Research I Basic isforbacheloreducated

teachingstaffandincludethesearchingandfindingofscientificliteratureandunderstandingstatistics.

• Health Research II Basic+ includesthepracticalapplicationsofHealthResearchI

• Health Research III Generalisforstaffwithdeeperknowledgeofstatistics

• Health Research IIII AdvancedisanadvancededucationformembersoftheResearchCentre.

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cOurse eVideNce based practice

The course Evidence Based Practice (EBP) is integrated in all bachelor studies at the Faculty of Health Care.

Studentsstartlearningaboutresearchintheirfirstyearofeducation.Tasksinthefirstyearaimtonotonlydevelopascientificattitude,butarealsodirectedtowardstheessenceoftheirfutureprofessionsinhealthcare.Inthesecondyearthefocusismoredirectedtowardsthescientificattitudeandsmallresearchprojects.Inthethirdyearresearchprojectstakeplacewithinaprofession-specificcontexttoincreaseacriticalandreflectiveprofessionalattitude.Inthefourthyearattentionismainlydirectedtowardstheinnovativeprofessionalattitudethroughfinalresearchprojects.

EveryyearthequalityoftheEBPcourseisassessed.Onthebasisofrandomsamplesthequalityoftheresearchprojects(alreadyassessedbyteachingstaff)isreviewed.

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TheprofessorsoftheResearchCentreareinchargeofthereviews,membersoftheResearchCentrecarrythemout.Thisyear,thequalityoftheresearchprojectswasagainreviewed.Onthebasisoftheoutcomesofthisreview,theEBPcourseandtheassessmentoftheresearchprojectsisfurtherdevelopedwherenecessary.

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/ hilde hiemstrA nursing student

“duriNg my educAtiON we prActiced

dOiNg reseArch, but thAt wAs reAlly AN

ArtificiAl situAtiON. becAuse yOu Are

NOw iNVOlVed iN reAl reseArch, yOu

leArN tO dO reAl reseArch. you also

have to deal with aspects that could

cause problems thAt yOu hAVe tO

sOlVe.”

Participates in research in the Research Centre

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the results are not the main objective, but mAiNly the wAy the results hAVe beeN reAched

14reseArch ceNtre masterclasses

In 2011 the content of the Research Centre masterclasses was updated.

Togetacquaintedwithourresearch,researchethicsand–methods,studentsareofferedaseriesofeightmasterclasses.Inthisseriesstudentsgetinsightindoingresearchandapplyingseveraldifferentresearchmethods.Theresultsarenotthemainobjective,butmainlythewaytheresultshavebeenreached.WhichchoicesweremadebytheresearchersoftheResearchCentre?Thisknowledgecontributestotheeducationofourstudentstobecomereflectivepractitioners,whoashealthcareprovidersarecapableofcriticallyassessingtheirownpractice.

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OpeN Access publicAtiONs

The Research Centre of Innovation in Health Care wants to disseminate her knowledge widely.

TogetherwithotherResearchCentresoftheHUUniversityofAppliedSciencestheResearchCentreisbuildingadigitallibrarywhichincludesallpublicationsofthemembersoftheResearchCentres:www.ivz.onderzoek.hu.nl/Publicaties.aspxThislibraryislinkedtotheDutchUniversitiesofAppliedSciencesKnowledgeBankandthewebsitewww.lectoren.nl.Thisopensaccesstoallpublications.Itstimulatesknowledgecirculationanddisseminationbetweenresearchersandeducation,betweenUniversitiesofAppliedSciencesandclinicalpractice.Publicationsbecomeaccessiblesoonerandaremorevisible.

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our research is Aimed At ANd iN clOse cOllAbOrAtiON with clinical practice

Bolognalaan 101

3584 CJ Utrecht

www.ivz.onderzoek.hu.nl

secretariaatlectoraat.fg@hu.nl