Publications P. Jepma
- Positions
- PhD Candidate, Research Associate
- Main activities
- Education, Research
- Specialisation
- Transitional care
- Focus of research
The Cardiac Care Bridge program is a nurse-coordinated transitional intervention that aims to reduce readmission and mortality in older cardiac patients (>70 years) at high risk of functional decline admitted to the departments of cardiology or cardiothoracic surgery. The intervention will be provided in three distinctive phases of care (clinical phase, transitional phase and post-clinical phase) and combines case management, disease management and home-based cardiac rehabilitation. In the clinical phase, patients in the intervention group will receive a comprehensive geriatric assessment and an integrated care plan based on identified problems by a cardiac nurse (disease manager). This plan is leading in all phases of care. In the transitional phase, a community-care registered nurse (case manager, CCRN) will receive a face-to-face handover of the integrated care plan by the disease manager. In addition, the CCRN will visit the patients to discuss and prepare discharge to home. In the post-clinical phase, the CCRN will visit the patient four times to establish and evaluate the integrated care plan. A primary care physiotherapist will perform home-based cardiac rehabilitation.
2020
- Jepma Patricia, Jorstad Harald T., Snaterse Marjolein, ter Riet Gerben, Kragten Hans, Lachman Sangeeta, Minneboo Madelon, Boekholdt S. Matthijs, Peters Ron J., Scholte op Reimer Wilma Lifestyle modification in older versus younger patients with coronary artery disease Heart (British Cardiac Society) 2020 [PubMed]
- Habes E. V., Jepma P., Parlevliet J. L., Bakker A., Buurman B. M. Video-based tools to enhance nurses' geriatric knowledge: A development and pilot study Nurse education today 2020;90 [PubMed]
2019
- Jepma P., ter Riet G., van Rijn M., Latour C. H.M., Peters R. J.G., Scholte op Reimer W. J.M., Buurman B. M. Readmission and mortality in patients ≥70 years with acute myocardial infarction or heart failure in the Netherlands: a retrospective cohort study of incidences and changes in risk factors over time Netherlands heart journal 2019;27 (3):134-141 [PubMed]
2018
- Verweij L., Jepma P., Buurman B. M., Latour C. H. M., Engelbert R. H. H., ter Riet G., Karapinar-Çarkit F., Daliri S., Peters R. J. G., Scholte op Reimer W. J. M. The cardiac care bridge program: Design of a randomized trial of nurse-coordinated transitional care in older hospitalized cardiac patients at high risk of readmission and mortality BMC health services research 2018;18 (1) [PubMed]
2016
- Snaterse Marjolein, Dobber Jos, Jepma Patricia, Peters Ron J. G., ter Riet Gerben, Boekholdt S. Matthijs, Buurman Bianca M., Scholte op Reimer Wilma J. M. Effective components of nurse-coordinated care to prevent recurrent coronary events: a systematic review and meta-analysis Heart (British Cardiac Society) 2016;102 (1):50-56 [PubMed]