References of "Nyssen, Anne-Sophie"
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See detailPsychological interventions influence patients' attitudes and beliefs about their chronic pain.
VANHAUDENHUYSE, Audrey ULiege; Gillet, Aline; MALAISE, Nicole ULiege et al

in Journal of Traditional and Complementary Medicine (in press)

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See detailDo Management and Executive Share the same Perception on the critical Issues Facing the Frontline Nursing Staff ?
Nyssen, Anne-Sophie ULiege; GILLET, Aline ULiege; Sougné, Jacques ULiege et al

in International Journal of Healthcare Management (2017)

Changes in managerial practices increasingly distance managers from staff by promoting rotation. It could be thought that this distance changes the perception managers have of work constraints and ... [more ▼]

Changes in managerial practices increasingly distance managers from staff by promoting rotation. It could be thought that this distance changes the perception managers have of work constraints and resources. This study attempts to tackle staff and leadership disparate views on the issues facing front-line nursing staff. We sent an online questionnaire on work constraints and good practices to nursing chiefs from Belgium hospitals and conducted focus groups with their ‘front-line’ nursing staff in order to compare perceptions. 40% of the chief nurses mentioned as a regular problems for their staff: production pressure, working time, doctors–nurses collaboration and managing new staff. Except for the ‘productive pressure’, these issues are rather considered by the staff as occasional problems. Front-line staffs evaluate infrastructure, heat, working positions as more common problems. However, statistical analyses showed one significant difference in perception: management of incidents/accidents. Health care organizations should promote participatory management tools both to diagnose work constraints and to elaborate action priorities in order to guarantee a shared understanding of decisions making between staff and supervisors. [less ▲]

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See detailIMPACT OF IMAGE BRIGHTNESS REDUCTION ON PERCEIVED QUALITY OF 3D EXPERIENCE FOR 3D CINEMA SPECTATORS
Loock, Severin; Grogna, David ULiege; Jaspar, Mathieu ULiege et al

in International Conference on 3D Imaging (IC3D) (2017)

3D movies are calibrated to meet a certain screen bright- ness standard. Therefore, what would be the consequences on the quality of the 3D experience for spectators watching a 3D movie when movie ... [more ▼]

3D movies are calibrated to meet a certain screen bright- ness standard. Therefore, what would be the consequences on the quality of the 3D experience for spectators watching a 3D movie when movie theaters do not respect this standard? First, we attempted to better understand which factors were important for a spectator by conducting an experiment where participants watched a 3D movie and filled out an exploratory questionnaire. Then, we aimed to investigate the link between image brightness loss and the quality of the 3D experience as perceived by the spectator. First results show no perceived difference in the quality of the 3D experience between a nor- mal brightness and a brightness decreased by 10% for four factors, i.e. (1) the appreciation of the movie, (2) the con- tent of the movie, (3) the 3D quality of the movie, and (4) the quality of the 3D experience in general. [less ▲]

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See detailVers un bon usage de la simulation comme outil de formation
Nyssen, Anne-Sophie ULiege

Scientific conference (2016, October 17)

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See detailLe traumatisme psychologique des anesthésistes suite aux erreurs humaines : Quand les processus de résilience organisationnelle renforcent la résilience individuelle
Blavier, Adelaïde ULiege; Nyssen, Anne-Sophie ULiege

Conference (2016, August)

Les erreurs médicales provoquent souvent des dommages énormes, pour la victime en premier lieu bien évidemment mais aussi pour le ou les professionnel(s) impliqué(s) dans l’erreur ainsi que pour les ... [more ▼]

Les erreurs médicales provoquent souvent des dommages énormes, pour la victime en premier lieu bien évidemment mais aussi pour le ou les professionnel(s) impliqué(s) dans l’erreur ainsi que pour les institutions hospitalières. L’objectif de cette communication est d’analyser le vécu post-erreur humaine chez des anesthésistes en étudiant l’impact de l’événement sur ces médecins. Nous avons récolté 217 incidents/accidents qui se sont produits en anesthésie en milieu hospitalier avec une analyse complète de l’événement, son origine et ses conséquences pour le patient et l’anesthésiste. Nos résultats montrent que les dommages à court terme pour le patient influencent significativement le sentiment de colère contre soi-même chez l’anesthésiste. Les dommages à long terme pour le patient provoquent de la colère contre soi-même, des troubles de l’appétit et de la perte de plaisir. Plus les dommages pour le patient sont graves, plus ils provoquent de troubles chez l’anesthésiste, particulièrement quand le patient décède suite à l’erreur. En outre, les anesthésistes développent plus de ruminations, de sentiments de culpabilité et de pensées intrusives quand l'accident était considéré comme évitable. Enfin, nous notons l’importance pour les anesthésistes de pouvoir parler de l’événement dans un cadre bienveillant avec pour effet de diminuer les reviviscences et ruminations personnelles, de faire taire les rumeurs, et d’améliorer la qualité des relations entre collègues. Ainsi la gestion institutionnelle des erreurs humaines dans une perspective constructive et bienveillante est génératrice de résilience en permettant aux médecins d’apprendre de leurs erreurs et d’améliorer leur expertise professionnelle au lieu de développer une psychopathologie posttraumatique [less ▲]

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See detailProofing & Reduction Strategies Used by Emergency Residents to Manage Fatigue-related Risk
Berastegui, Pierre ULiege; Ghuysen, Alexandre ULiege; Nyssen, Anne-Sophie ULiege

Poster (2016, July 29)

Fatigue and sleep loss are typically associated with psychomotor and cognitive impairment resulting in poorer task performance. Most of these studies are conducted in controlled settings and involve the ... [more ▼]

Fatigue and sleep loss are typically associated with psychomotor and cognitive impairment resulting in poorer task performance. Most of these studies are conducted in controlled settings and involve the completion of experimental tasks. Only a few field studies involving exhausted residents have been conducted over the past decade, and they yielded to contradictory results (Ellman et al., 2004). One of the key factors that could be involved in the non-linear relationship between fatigue and performance in specific work context reside in the mobilization of Fatigue Proofing Strategies. FPS are adaptive and protective risk-reduction behaviors that improve the resilience of a system of work (Dawson et al., 2012). In this study, we aimed to identify and classify proofing strategies mobilized by EMS residents using an inductive content analysis approach. EMS residents reported a range of strategies for reducing subjective level of sleepiness (reduction strategies, n=15) or managing its consequences (proofing strategies, n=17). Content analysis yielded to three sub-categories of proofing strategies: Behavioral Compensation (n=8), Error’s Opportunity Reduction (n=5) and Error’s Consequences Mitigation (n=4). Our results show that EMS residents use both types of strategies although none of the proofing strategies were part of their training program. Despite the current informal use, there is significant potential for implementation of more formal processes. [less ▲]

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See detailGestion des flux patients et surpopulation des urgences : Heurs et malheurs de la fonction de « Bed Manager ».
GILLET, Aline ULiege; Minder, Anaïs ULiege; Nyssen, Anne-Sophie ULiege et al

Conference (2016, July 11)

For many years, emergency departments (ED) overcrowding has become a major issue in Public Health. Many studies have demonstrated the efficiency of flow management coordination on this recurrent problem ... [more ▼]

For many years, emergency departments (ED) overcrowding has become a major issue in Public Health. Many studies have demonstrated the efficiency of flow management coordination on this recurrent problem, by offering an interface between the ED, the hospital and out-of-hospital structures and by coordinating patients’ movements towards hospital care units. This was the basis for the implementation of "bed management" coordination program in the ED of the University Hospital of Liège in January 2014. The present study evaluates the adequacy of the Bed Manager (BM) activity with actual ED and hospital workload. Our results describe the rate of intra-hospital patients’ transfers according to the adequacy of the destination unit and time delays for these transfers. Head nurses from specific care units were interrogated about their perceptions of BM activity. We are now convinced by the importance of a participative approach in the development of ED bed management and working procedures, as well as the usefulness of further studies to explore this complex activity. [less ▲]

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See detailEmergency department bed coordination: burden and pitfalls.
GILLET, Aline ULiege; Minder, Anaïs ULiege; Nyssen, Anne-Sophie ULiege et al

Conference (2016, January 30)

Introduction Improving patient flow from emergency department (ED) to in-hospital bed admission has become an everyday challenge. Implementation of an ED bed manager (BM) who monitors hospital beds ... [more ▼]

Introduction Improving patient flow from emergency department (ED) to in-hospital bed admission has become an everyday challenge. Implementation of an ED bed manager (BM) who monitors hospital beds availability daily has been advocated to reduce boarding time for admitted patient. However, little is known on the actual burden and pitfalls of ED bed coordination. Indeed, overcrowded hospitals often lead to inappropriate transfer from ED to less adapted hospital unit or unit with lower level of care. We design the present study to evaluate the occurrence of such step-down units transfer. Methods This prospective study was conducted in a tertiary care academic hospital accounting for 622 licensed beds and an ED census of 45000/year. In 2014, a BM was implemented as a result of a quality improvement program. Focus was made solely on facilitating and improving patient movements form ED to the hospital wards. The investigators extracted data from a 20-days random observation period in February and March 2015, or a total of 231 patients administered by the BM. Results During this period, mean ED census was 131 (±12) patients /day, of which mean hospital admission rate was 20,6 %. BM administered 12 (±3) of these patients daily. Most of these patients were transferred to an appropriate unit (47.6 %) or a short stay unit (32.1%), while 17.7 % were referred to under adapted units and 2.6 % to step down units. Patients’ average length of stay (LOS) was 32 hours. LOS for patients immediately admitted in the ED short stay unit (n=74) was 26.5 (±22) hours, while it took 35.8 (±26) hours to reach an appropriate unit (n=110) and 35.6 (±27.4) to reach a less-appropriate unit (n=41). Interestingly, patients transferred to a non-appropriate unit (n=6) stayed 29.5 (±15.7) hours in the ED. Communications means used by the BM was face-to-face talk almost half of the cases (n=93) and phone calls for the other half (n=115). Discussion and conclusion These results emphasize the complexity of ED flow coordination. Whether or not such coordination is effective on ED overcrowding or patients’ LOS, this preliminary study identifies the frequent use of short stay and under-adapted units instead of optimal bed location. Besides, further research should clarify the impact of these hospitalisations’ pathways on the quality of care. Finally, these observations indicate the urgent need for early determination of patients who could actually be safely transferred to such units. [less ▲]

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See detailIs system resilience maintained at the expense of individual resilience?
Nyssen, Anne-Sophie ULiege; Berastegui, Pierre ULiege

in Braithwaite, Jeffrey; Wears, Robert; Hollnagel, Erik (Eds.) Resilient Health Care III: Reconciling Work-As-Imagined and Work-As-Done (2016)

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See detailHypnose et Stress : "La communication hypnotique comme outil d'amélioration de la qualité des soins et du bien être au travail ?"
Nyssen, Anne-Sophie ULiege

Conference (2015, August 27)

Hypnose et Stress : "La communication hypnotique comme outil d'amélioration de la qualité des soins et du bien être au travail ?" La communication fait partie intégrante de la relation de soin. Mais ... [more ▼]

Hypnose et Stress : "La communication hypnotique comme outil d'amélioration de la qualité des soins et du bien être au travail ?" La communication fait partie intégrante de la relation de soin. Mais, quelle attention portons-nous aux mots que nous utilisons au quotidien dans nos interactions ? On estime que 70 à 80% des plaintes et des poursuites en matière médicale sont liés à des problèmes de communication : manque d’attention du personnel pressé, jargon incompréhensible, manque de collaboration,... Ces difficultés de communication manifestent leurs conséquences à la fois chez les patients et chez le personnel soignant, qui ne sort pas indemne des difficultés relationnelles. Ces dernières années, il n’y a pas un mois sans qu’une nouvelle étude parle de stress et de burnout chez le personnel soignant. Dans cet exposé, nous présenterons l’évolution du concept du stress, sa relation à la perception de contrôle et nous inviterons les soignants que nous sommes à observer un regard critique sur nos échanges verbaux. Nous montrerons comment les mots que nous utilisons au quotidien peuvent être porteurs de suggestions négatives et avoir un « effet nocebo » et comment l’apprentissage de l’hypnose constitue un outil puissant permettant d’améliorer à la fois la qualité des soins et le bien être au travail. [less ▲]

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See detailHow novice and expert drivers adjust their driving behavior when they feel drowsy?
Berastegui, Pierre ULiege; Piette, Christine; François, Clémentine ULiege et al

Poster (2015, July 29)

This paper aims to explore adaptive behaviors developed by drivers to prevent drowsiness. Specifically, we postulate that driving expertise is associated with better drowsiness awareness, allowing experts ... [more ▼]

This paper aims to explore adaptive behaviors developed by drivers to prevent drowsiness. Specifically, we postulate that driving expertise is associated with better drowsiness awareness, allowing experts to adequately adjust their driving behaviors when they feel drowsy. The present study was carried on a high-fidelity driving simulator coupled with an innovative system allowing objective sleepiness assessment based on EEG and Eye-tracking data. The Karolinska Sleepiness Scale was used to evaluate subjective drowsiness. The ratio between objective and subjective assessments gave an indicator of drowsiness awareness. Standard Deviation of Lateral Position (SDLP) was used as a measure of performance while driving speed and ocular fixations were recorded in order to highlight adaptive behaviors. 16 subjects were recruited from general population and categorized in two groups of expertise based on the Belgian Institute for Road Safety’s criteria. Our results show that expert drivers show better drowsiness awareness than novices and mobilize speed increasing and vigilance reallocation strategies to maintain satisfactory level of drowsiness. [less ▲]

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See detailCognitive support for a better handoff: does it improve the quality of medical communication at shift change in an emergency department?
Gillet, Aline ULiege; GHUYSEN, Alexandre ULiege; BONHOMME, Suzanne ULiege et al

in European Journal of Emergency Medicine (2015), 22(3), 192-198

AIM: To improve the communication during shift handover in an emergency department. METHODS: We observed the handover process and analysed the discourse between physicians at shift change first, and then ... [more ▼]

AIM: To improve the communication during shift handover in an emergency department. METHODS: We observed the handover process and analysed the discourse between physicians at shift change first, and then we created two cognitive tools and tested their clinical impact on the field. We used different measures to evaluate this impact on the health care process including the frequency and type of information content communicated between physicians, duration of the handoff, physician self-evaluation of the quality of the handoff and a posthandover study of patient handling. RESULTS: Our results showed that the patient's medical history, significant test results, recommendations (treatment plan) and patient follow-up were communicated to a greater extent when the tools are used. We also found that physicians spent more time at the bedside and less time consulting medical records using these tools. CONCLUSION: The present study showed how in-depth observations and analyses of real work processes can be used to better support the quality of patient care. [less ▲]

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See detailWork incapacity and chronic pain patients: Is there an impact of work incapacity on anxiety and depression?
Beaumel, Alexia; Vanootighem, Valentine ULiege; Gillet, Aline ULiege et al

Poster (2015, May 28)

In 2011, a report of the Federal Public Service have shown that 8.5% of the Belgian population suffers from chronic pains, which represents 938 300 belgian people (Berquin et al., 2011). These persistent ... [more ▼]

In 2011, a report of the Federal Public Service have shown that 8.5% of the Belgian population suffers from chronic pains, which represents 938 300 belgian people (Berquin et al., 2011). These persistent pains may result in functional limitations on both domestic and professional domains which may lead to temporary or permanently work incapacity (Faymonville et al., 2014). These incapacities may in turn cause a social withdrawal and a tendency to focus on pain (Berquin et al., 2011). Additionally, patients are prone to emotional modifications due to persistent pain (Ossipov et al., 2010). All of these factors may contribute in the emergence of anxiety and depressive symptoms. The present study examines the impact of type of work incapacities (at work, temporary incapacity and permanent incapacity) on anxiety and depression scores as a function of diagnoses (fibromyalgia, chronic pain syndrome, back pain, polyalgia). 123 patients suffering from chronic pain completed a measure of anxiety and depression (HADS), and a self-reported questionnaire of psychological and physical disability at work. We did not found any significant effect of type of work incapacities on anxiety and depression scores. Results present tables of frequencies to illustrate the social and professional situations of patients as a function of chronic pain diagnoses. [less ▲]

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See detailHypnosis and pain modulation.
VANHAUDENHUYSE, Audrey ULiege; Gillet, Aline ULiege; NYSSEN, Anne-Sophie ULiege et al

in Garcia-Larrea, Luis; Jackson, PL (Eds.) Pain in the Conscious Brain (2015)

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See detailEfficacy and cost-effectiveness: A study of different treatment approaches in a tertiary pain centre
VANHAUDENHUYSE, Audrey ULiege; Gillet, Aline ULiege; MALAISE, Nicole ULiege et al

in European Journal of Pain (London, England) (2015)

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See detailRelation entre fatigue et travail chez des patients atteints de sclérose en plaques
DELRUE, Gaël ULiege; Blavier, Adelaïde ULiege; Hennen, Julie et al

Poster (2014, December 15)

Fatigue is one of the most frequent symptom in multiple sclerosis patients (MS patients). We showed significant correlations between fatigue levels and difficulties encountered by our patients at work ... [more ▼]

Fatigue is one of the most frequent symptom in multiple sclerosis patients (MS patients). We showed significant correlations between fatigue levels and difficulties encountered by our patients at work evaluated through a specific questionnaire we already validated . This complaint must be carefully managed by professionnals in order to help the patients cope with it in the best way for maintaining work situation. [less ▲]

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