Clinical Nursing Researcher (PhD)
Section Cerebrovascular Disorders
Department of Neurology and Neurosurgery
email
t.hafsteinsdottir@umcutrecht.nltel +31-88-75 56007
- Member, Icelandic Nursing Association, Iceland
- Member, Nederlandse Vereniging Neuro-Verpleegkundigen (NVNV), the Netherlands
- Member, Nederlandse Hart en Vaat Verpleegkundigen (NHVV), the Netherlands
- Member, European Association of Neuroscience Nurses (EANN)
- Member, Sigma Teta Tau International (STTI)– Honor Society of Nursing, The Omega Chapter At Large, New York, USA
- Member, Sigma Teta Tau International (STTI)- Honor Society of Nursing the Rho Chi Chapter at Large, Utrecht, the Netherlands
- Member, scientific committee, European Association of Neuroscience Nurses (EANN) congress 2007, Iceland
Projects1. A Nursing Rehabilitation Guideline for stroke patientsStroke is the third most common cause of death in the western world. In the Netherlands the annual stroke incidence has been reported to be 1.74/1000/year (4203). This incidence of stroke is even more severe when one closely studies the personal disruption created by such a catastrophic event. Therefore, it is important to seek ways of effectively managing stroke while assuring quality patient care. Because stroke patients experience a wide range of problems, the rehabilitation needs of these patients are diverse and complex, requiring specific rehabilitative interventions. Nurses may play a more active role in the rehabilitation and early detection of problems in these patients. Current guidelines are of little help for nurses. Also, the rehabilitation method most commonly used currently is based on old theories and has been found not to be effective (Hafsteinsdóttir 2005). Therefore, there is a need for a nursing rehabilitation guideline for patients with stroke. The aim of this project is to develop an evidence based rehabilitation guideline, that offers a systematic overview of the research literature and findings and the evidence provided for rehabilitation nursing interventions for patients with stroke. The methods of SIGN, Nursing Science department UMC, Utrecht, AVVV, AGREE and Cochrane are used.
The guideline is developed by:
Drs. M. Rensink, researcher, Faculty chair for people with chronic illness, University of Professional Sciences, Utrecht
C. Schoneveld, clinical nurse specialist, department of Neurosurgery, UMC Utrecht
Y. Ubels, clinical nurse specialist, department of Neurology, UMC Utrecht
Drs. I. Uitewaal, clinical nurse specialist, department of Psychiatry, UMC Utrecht
F. Gooskens, clinical nurse specialist, department of Psychiatry, UMC Utrecht and Nursing Science-student
J. de Man, nurse practitioner, department of Neurology and Nursing Science-student
This is a collaboration project between the Division of Neuroscience, UMC Utrecht and the Faculty Chair for People with Chronic Illness, University of Professional Sciences, Utrecht, The Netherlands and the Landspítali University Hospital in Iceland.
2. A nutritional nursing guideline for stroke patientsDue to the high incidence and prevalence of malnutrition in patients with stroke (16%-62%), we set out to develop an evidence based nutritional guideline for patients with stroke, that nurses can use in the daily care of these patients. The aim of this project is to develop an evidence based rehabilitation guideline, that offers a systematic overview of the research literature and the evidence provided for nutritional interventions for patients with stroke. In this project we use the same method as presented for the rehabilitation guideline. The methods of SIGN, Nursing Science department UMC, Utrecht, AVVV, AGREE and Cochrane are used.
This guideline is currently being developed by:
S. Sigurjónsdóttir BSc, department of Neurology, Landspítali University Hospital in Iceland
M. Klinke BSc, department of Neurology, Landspítali University Hospital in Iceland
K. Björvinsdóttir BSc, department of Neurology, Landspítali University Hospital in Iceland
D. Bergs MSN, rehabilitation centre, Grensás, Landspítali University Hospital in Iceland
This is a collaboration project between the Division of Neuroscience, UMC Utrecht and the Faculty Chair for People with Chronic Illness, University of Professional Sciences, Utrecht, The Netherlands and the Landspítali University Hospital in Iceland.
3.Nutritional status of patients with neurological conditionsThe aim of this study is to gain some insights into the nutritional status of patients with neurological conditions admitted to the Neurological and Neurosurgical wards of the UMC Utrecht.
This study will be conducted by:
C. Schoneveld, clinical nurse specialist, department of Neurosurgery, UMC Utrecht
Y. Ubels, clinical nurse specialist, department of Neurology, UMC Utrecht
4. Depression in stroke
Post stroke depression (PSD) is common in patients after stroke (16%-61%) and has negative impact on patients’ participation in the rehabilitation and the associated rehabilitation outcome. Therefore, early detection of PSD is emphasized in the literature. Antidepressant treatment improves functional status and health related Quality of Life and lowers mortality up to 9 years.
These are two literature studies focusing on instruments to detect depression in stroke patients and on therapeutic interventions for depression in stroke patients.
The literature studies are being conducted by:
Floor Gooskens, clinical nurse specialist, department of Psychiatry, UMC Utrecht and Nursing Science-student
Janneke de Man, nurse practitioner, department of Neurology and Nursing Science-student
Collaborations within UU
- Department of Rehabilitation, division of Neuroscience, UMC Utrecht
- Department of Nursing Sciences, Julius Center for Health Sciences and Primary Care, UMC Utrecht
- Julius Center for Health Sciences and Primary Care, UMC Utrecht
Collaborations national
- Faculty Chair for People with Chronic Illness, University of Professional Sciences, Utrecht
- Rehabilitation Center de Hoogstraat, Utrecht
- Stroke Service Utrecht Oost
- Nederlandse Hartstichting
- Landelijke Experticecentrum Verpleging en Verzorging (LEVV)
- Nederlandse Vereiniging Neuro-Verpleegkunidgen (NVNV)
Collaborations international
- The Landspítali University Hospital in Iceland
- Participation in the Cochrane Collaboration Stroke Review Group on Stroke Liaison Worker, Editor P. Langhorne Glasgow UK
Publications
- Hafsteinsdóttir TB, Algra A, Kappelle LJ, Grypdonck MHF. Neurodevelopmental Treatment after stroke: A comparative study. Journal of Neurology, Neurosurgery and Psychiatry.200576:788-792
- Hafsteinsdóttir TB, Grypdonck MHF. NDT-competence of nurses caring for patients with stroke. Journal of Neuroscience Nursing. 2004 36(5)290-293
- Rensink M, Hafsteinsdóttir TB Het belang van het herkennen van inattentieproblemen bij patiënten met een beroerte. Vakblad van de Nederlandse Vereniging Fysiotherapie in de Geriatrie. 2004, juni, 25-32
- Hafsteinsdóttir TB, Algra A, Kappelle LJ, Grypdonck MHF. Neurodevelopmental Treatment after stroke: Effects on Quality of Life. [submitted]
- Hafsteinsdóttir TB, Kruitwagen C, Grypdonck MHF. Developing an instrument to assess quality of nursing care as a confounding variable. [submitted]
- Hafsteinsdóttir TB, Kruitwagen C, Strijker K, van der Weide L, Grypdonck MHF. Implementation of NDT-nursing: Is the NDT implemented on better wards? 2004 [submitted]
- Hafsteinsdóttir TB. Neurodevelopmental Treatment voor iedereen.CVA tot Z 1998, 9:8-9
- Hafsteinsdóttir TB. Neurodevelopmental Treatment - een onderzoek naar effecten van NDT bij de CVA-patient met een hemiplegie. Keypoint 1999, 27.10-11
- Hafsteinsdóttir TB and Grypdonck M. Being a stroke patient: A review of the literature. Journal of Advanced Nursing. 1997, 25:580-588
- Hafsteinsdóttir TB. Neurodevelopmental Treatment (NDT): A review of the literature. Keypoint. 1997,21(1):6-10
- Hafsteinsdóttir TB. Neurodevelopmental Treatment application to nursing and effects on the hemiplegic stroke patient: a review of the literature. Journal of Neuroscience Nursing.1996, 28(1):36-47
- Hafsteinsdóttir TB. Patient's experiences of communication during the respirator treatment period. Intensive and Critical Care Nursing. 1996, 12:261-2711
- Hafsteinsdóttir TB, Algra A, Kappelle LJ, Grypdonck MHF: Neurodevelopmental treatment after stroke: popular but does not work (in Dutch) Tijdschrift voor Verpleeghuisgeneeskunde 2006;31(1): 6-10
- Boter H., Hafsteinsdóttir TB, Lensink M. Nursing Reseach in Nursing Practice (in Dutch). Tijdschrift voor Verpleegkundigen en ziekteverzorgenden (TvZ ), 2005; 115 (7/8): 48-51
- Hafsteinsdóttir TB, van Meeteren NLU, Grypdonck MHF. Is Neurodevelopmental Treatment used by Physiotherapists? Advances in Physiotherapy. 2005 (7)176-182