References of "Nyssen, Anne-Sophie"
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See detailComparing hypnosis and virtual reality to reduce anxiety and pain before and after a cardiovascular surgery
Rousseaux, Floriane ULiege; Dardenne, Nadia ULiege; Bicego, Aminata Yasmina ULiege et al

Poster (2020, March)

Anxiety, pain and fatigue are important factors influencing the good recovery of patients after a surgery. Nowadays, non-pharmacological techniques such as hypnosis and virtual reality are used in ... [more ▼]

Anxiety, pain and fatigue are important factors influencing the good recovery of patients after a surgery. Nowadays, non-pharmacological techniques such as hypnosis and virtual reality are used in addition to pharmacological treatment to reduce these symptoms. [less ▲]

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See detailInformal fatigue-related risk management in the emergency department: A trade-off between doing well and feeling well
Berastegui, Pierre ULiege; Jaspar, Mathieu ULiege; GHUYSEN, Alexandre ULiege et al

in Safety Science (2020), 122

Emergency physicians are known to be particularly vulnerable to sleep deprivation due to inconsistent shift rotation, extended duty periods and overnight calls. However, naturalistic studies have actually ... [more ▼]

Emergency physicians are known to be particularly vulnerable to sleep deprivation due to inconsistent shift rotation, extended duty periods and overnight calls. However, naturalistic studies have actually failed to systematically demonstrate that sleep deprivation is associated with poorer work performance in emergency physicians. The inconsistency of these results could reside in physicians’ ability to compensate for fatigue-related impairments. Our aim is to assess the effectiveness of informal fatigue proofing (FPS) and reduction (FRS) strategies used by emergency physicians. We conducted a prospective longitudinal study with 28 emergency physicians (mean age 36.89 ± 10.73 years, 11 females) for a total of 182 shifts. At enrollment, participants answered the Maslach Burnout Inventory and the Fatigue Management Survey. During shifts, we measured fatigue-related impairments using the Psychomotor Vigilance Task and work performance using an adapted version of the Physician Achievement Review. Of the four work performance dimensions addressed, patient interaction was the only one associated with decreased reaction time (F = 27.61, p < 0.001). Our findings revealed a significant interaction between reaction time and FPS frequency of use for the patient interaction (F = 4.91, p = 0.03) and self-management subscales (F = 5.92, p = 0.02). However, the frequency of use of FPS were found to be positively associated with early symptoms of burnout (β = 0.79, p < 0.001). Finally, our results show that FRS frequency was associated with decreased reaction time (F = 8.02, p = 0.01) with no associated risk of burnout. We propose further considerations for the implementation and follow-up of a fatigue risk management system in the emergency department. [less ▲]

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See detailFatigue-related risk perception among emergency physicians working extended shifts.
Berastegui, Pierre ULiege; Jaspar, Mathieu ULiege; Ghuysen, Alexandre ULiege et al

in Applied Ergonomics (2020), 82

There is a growing body of studies indicating that extended shift duration has an adverse effect on fatigue, consequently leading to reduced work performance and higher risk of accident. Following modern ... [more ▼]

There is a growing body of studies indicating that extended shift duration has an adverse effect on fatigue, consequently leading to reduced work performance and higher risk of accident. Following modern fatigue risk management systems (FRMS), acceptable performance could be maintained by the mobilization of appropriate mitigation strategies. However, the effective deployment of such strategies assume that workers are able to assess their own level of fatigue-related impairments. In this study, we sought to determine whether emergency physicians’ subjective feelings of sleepiness could provide accurate knowledge of actual fatigue-related impairments while working extended shifts. We conducted a prospective observational study with a within-subjects repeated measures component. We collected sleep logs, sleepiness ratings and reaction times on a Psychomotor Vigilance Task (PVT) at different time points during shifts. Our results show that the PVT is sensitive to sleep loss and fatigue, with a 10% increase in mean reaction time across the shift. Subjective sleepiness, however, showed no significant association with time since awakening and was not a significant predictor of PVT performance. Our results are consistent with experimental studies showing that individuals tend to underestimate fatigue-related impairments when sleep deprived or functioning under adverse circadian phase. The discrepancy between subjective sleepiness and actual fatigue-related impairments may give workers the illusion of being in control and hinder the deployment of mitigation strategies. Further research is needed to determine the relative weight of circadian phase shifting and cumulative sleep deprivation in the decline of self-knowledge in extended shifts. [less ▲]

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See detailCan hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial
Rousseaux, Floriane ULiege; FAYMONVILLE, Marie-Elisabeth ULiege; NYSSEN, Anne-Sophie ULiege et al

in Trials (2020)

Different non-pharmacological techniques, including hypnosis and virtual reality (VR) are currently used as complementary tools in the treatment of anxiety, acute and chronic pain. A new technique called ... [more ▼]

Different non-pharmacological techniques, including hypnosis and virtual reality (VR) are currently used as complementary tools in the treatment of anxiety, acute and chronic pain. A new technique called 'virtual reality hypnosis' (VRH), which encompasses a combination of both tools, is regularly used although its benefits and underlying mechanisms remain unknown to this date. With the goal to improve our understanding of VRH combination effects, it is necessary to conduct randomized and controlled research trials in order to understand their clinical interest and potential benefits. [less ▲]

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See detailCan hypnosis be used in Intensive Care Units?
Rousseaux, Floriane ULiege; Bicego, Aminata Yasmina ULiege; MALENGREAUX, Christophe ULiege et al

in Médecine Intensive Réanimation (2020)

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See detailStudy of the impact of non-pharmacological techniques (self-hypnosis/self-care) on cognitive complaints in cancer patients
Bicego, Aminata Yasmina ULiege; Grégoire, Charlotte ULiege; Cassol, Helena ULiege et al

Conference (2019, May 30)

Cancer diagnosis generates a number of physical, psychological and cognitive impairments such as memory, attentional and informational processing deficits that can undermine patients’ quality of life (QoL ... [more ▼]

Cancer diagnosis generates a number of physical, psychological and cognitive impairments such as memory, attentional and informational processing deficits that can undermine patients’ quality of life (QoL). Self-hypnosis combined to self-care learning have been used in the past years to treat these symptoms, at the moment of diagnosis, during and/or after the cancer treatments. However, the impact of self-hypnosis/self-care upon cognitive difficulties has not been investigated yet.The aim of this study is to better understand the impact of self hypnosis/self-care upon the cognitive functions by means of the Functional Assessment of Cancer Therapy-Cognitive Function1 (FACT-COG). [less ▲]

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See detailThe impact of non-pharmacological approaches on the patient’s comfort after a cardiac surgery: A randomized controlled trial.
Rousseaux, Floriane ULiege; Puttaert, Ninon ULiege; LEDOUX, Didier ULiege et al

Conference (2019, May 30)

Different non-pharmacological techniques including hypnosis, music, and virtual reality (VR) are being used as complementary tools in the treatment of pain. A new technique which encompasses a combination ... [more ▼]

Different non-pharmacological techniques including hypnosis, music, and virtual reality (VR) are being used as complementary tools in the treatment of pain. A new technique which encompasses a combination of hypnosis and VR, called "virtual reality hypnosis" (VRH), should soon be used on a regular basis in clinical settings. The aim of this study is to better understand the impact of hypnosis, music, VR and VRH, and to investigate their influence on the patient’s perception of pain, anxiety and tiredness after a cardiac surgery in intensive care unit [less ▲]

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See detailThe use of hypnosis, virtual reality and music before and after a cardiovascular surgery: A randomized controlled trial on patients’ perceptions
Rousseaux, Floriane ULiege; Puttaert, Ninon ULiege; LEDOUX, Didier ULiege et al

Poster (2019, May)

The aim of this preliminary study was to better understand the impact of 5 non-pharmacological techniques on the patient’s well-being before and after a cardiovascular surgery.

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See detailThe lean paradox: Does applying Lean Management increase protocol deviations? A case study of cleaning staff in the hospital sector
Dochain, Maxime ULiege; Nyssen, Anne-Sophie ULiege

in International Journal of Healthcare Management (2018)

Lean Management has been implemented for a number of years in the hospital sector. This management strategy aims at improving hospitals’ operational processes essentially by reducing unnecessary waste ... [more ▼]

Lean Management has been implemented for a number of years in the hospital sector. This management strategy aims at improving hospitals’ operational processes essentially by reducing unnecessary waste. One obvious question is what should be considered as ‘unnecessary waste’. The aim of this study is to illustrate the potential paradoxical effects of the Lean Management on performance through a detailed analysis of a specific subset of employees: hospital cleaners. The protocol for cleaning patients’ rooms was developed in partnership with two team leaders as part of a Lean Management implementation process. It consisted of 27 tasks to be performed within 15 minutes per room. Thirty-three hospital cleaners agreed to take part in this study. We measured the time taken to clean the rooms and identified deviations from the protocol and associated factors. On average, the staff cleaned 6,4.4 rooms over a 2-hour period. Our results reveal that those cleaners who respected the time criteria made fewer errors but more violations than those cleaners who took an additional 5 minutes per cycle. These cleaners chose to respond to the contextual demands for cooperation by deviating more frequently from the protocol. [less ▲]

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See detailHypnose et recherche : que se passe-t-il à Liège ?
Rousseaux, Floriane ULiege; FAYMONVILLE, Marie-Elisabeth ULiege; Nyssen, Anne-Sophie ULiege et al

in HEGEL: Penser par Soi-Même (2018), 8(3),

Depuis quelques années, il est de plus en plus clair que l’hypnose présente un champ de recherche fondamentale et appliquée important. L’Hôpital Universitaire (CHU) ainsi que l’Université de Liège font ... [more ▼]

Depuis quelques années, il est de plus en plus clair que l’hypnose présente un champ de recherche fondamentale et appliquée important. L’Hôpital Universitaire (CHU) ainsi que l’Université de Liège font partie des centres pionniers s’intéressant à l’étude de l’hypnose en tant qu’objet de recherche. Ces équipes ont pour objectif de comprendre les bases neurophysiologiques de la conscience humaine, les effets de la suggestion et les dimensions biopsychologiques qui en découlent pour pouvoir intégrer cet outil au mieux dans la pratique médicale à Liège. [less ▲]

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See detailFatigue‐related risk management in the emergency department: a focus‐group study
Berastegui, Pierre ULiege; Jaspar, Mathieu ULiege; GHUYSEN, Alexandre ULiege et al

in Internal and Emergency Medicine (2018)

Fatigue has major implications on both patient safety and healthcare practitioner’s well-being. Traditionally, two approaches can be used to reduce fatigue-related risk: reducing the likelihood of a ... [more ▼]

Fatigue has major implications on both patient safety and healthcare practitioner’s well-being. Traditionally, two approaches can be used to reduce fatigue-related risk: reducing the likelihood of a fatigued operator working (i.e. fatigue reduction), or reducing the likelihood that a fatigued operator will make an error (i.e. fatigue proofing). Recent progress mainly focussed on fatigue reduction strategies such as reducing work hours. Yet it has to be recognized that such approach has not wholly overcome the experience of fatigue. Our purpose is to investigate individual proofing and reduction strategies used by emergency physicians to manage fatigue-related risk. 25 emergency physicians were recruited for the study. Four focus groups were formed which consisted of an average of six individuals. Qualitative data were collected using a semi-structured discussion guide unfolding in two parts. First, the participants were asked to describe how on-the-job fatigue a ected their e ciency at work. A mind map was progressively drawn based upon the participants’ perceived effects of fatigue. Second, participants were asked to describe any strategies they personally used to cope with these effects. We used inductive qualitative content analysis to reveal content themes for both fatigue effects and strategies. Emergency physicians reported 28 fatigue effects, 12 reduction strategies and 21 proofing strategies. Content analysis yielded a further classification of proofing strategies into self-regulation, task re-allocation and error monitoring strategies. There is significant potential for the development of more formal processes based on physicians’ informal strategies. [less ▲]

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See detailPretreatment with P2Y12 inhibitors and outcome in patients with ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention
Gach, Olivier ULiege; Nyssen, Anne-Sophie ULiege; GAYETOT, Christiane ULiege et al

in Journal of Cardiovascular Medicine (2018), 19(5), 234-239

Aims Preload with clopidogrel, ticagrelor, or prasugrel in the setting of ST-segment elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (PCI) is frequently ... [more ▼]

Aims Preload with clopidogrel, ticagrelor, or prasugrel in the setting of ST-segment elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (PCI) is frequently applied. Limited data are available regarding the outcome impact of pretreatment with these drugs in the real world. Methods and results The outcome of 760 STEMI patients treated by primary PCI receiving clopidogrel, prasugrel, or ticagrelor (nU269, 327, 164, respectively) was evaluated. Patients in the clopidogrel group were older, whereas those in the ticagrelor group had less hypertension but were more active smokers. Angiographic characteristics were comparable among the three groups. At 1 month, more events were observed in the clopidogrel group (11.1%) than in the ticagrelor and prasugrel groups (7.1 vs. 5.1%, P=0.025), whereas the number of events in the ticagrelor and prasugrel groups did not differ. At 1 year, similar differences existed, mainly driven by a higher rate of death (19.5%, P=0.008) or stent thrombosis (2 vs. 1.3% for ticagrelor, P=0.132; vs. 0.3% for prasugrel, P=0.07) in the clopidogrel group. In-hospital and 1-year bleeding rates were similar between groups. Conclusion In real-world practice, pretreatment with prasugrel or ticagrelor in ongoing STEMI treated by primary PCI seems to be a well tolerated alternative strategy compared with clopidogrel but provides superior benefit in terms of outcomes. © 2018 Italian Federation of Cardiology. All rights reserved. [less ▲]

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