Abstract for lecture titled 'Time - making the best of it' by Karin Bundgaard from Denmark. Read less

Case presentations

Live Surgery

OR1: Right-sided colon cancer surgery (CME with Intracorporeal Anastomosis)

OR2: Left-sided colon cancer surgery (CME with use of quantitative ICG perfusion)

OR3: Combined endoscopic laparoscopic technique for colon cancer

Read less

The bedside handover of bedside shift report is a method in which the clinical handover between nurses is performed at the patient’s bedside, with participation of the patient. Although the method is not new, the interest in bedside handovers has drastically increased during the last decade. It is believed to improve patient participation, patient safety and nurses’ efficiency. However, rigorous research to prove these statements was, until recently, missing.
In a recent, and still ongoing mixed method study, 14 nursing wards in Flanders implemented the bedside shift report in order to explore its feasibility, appropriateness, meaningfulness and effectiveness of bedside handovers) as a specific method to increase patient participation on nursing wards. By use of systematic reviews (n=3), observations (n=1661), qualitative interviews before and after implementation (n=195), and quantitative questionnaires (n=954). By doing, the study tries to determine the added value of the bedside handover.
The study provides useful insight for the future use and implementation of bedside handovers as the new standard in nursing. The insights are translated into five practical statements for nursing practitioners and nursing managers to assist them in future implementation processes of the bedside handover. So far, the study concludes by stating that the bedside handover profiles itself as a suitable intervention, superior to the currently used methods for handover without patient participation, for those deliberately choosing for more patient participation and for those willing to make the organizational transition to more patient-centeredness.
  Read less

Background
Knowledge about patients’ perspectives on prehabilitation is sparse. A better understanding could contribute to patient-centred prehabilitation programmes that enhance functional capacity and are considered relevant by patients – with a view to improving adherence.
 Aim
To investigate cancer patients’ perspectives on a predefined, home-based, multimodal prehabilitation programme with particular attention to feasibility and acceptability.
 Patients and Methods
Fifteen patients with peritoneal carcinomatosis of colorectal or ovarian origin undergoing cytoreductive surgery, with or without hyperthermic intraperitoneal chemotherapy, participated in semi-structured interviews. Malterud’s principles of systematic text condensation were used to analyse the data.
 Results
Patients had a positive attitude towards home-based prehabilitation. Yet, they would not follow the programme unconditionally, and several barriers to adherence were identified:
Everyday life: Patients focused on maintaining their everyday lives.
Preferences: Patients prioritised enjoyable activities especially in relation to exercise and nutrition.
Restrictions: Smoking and alcohol cessation led to concerns, as the preoperative period was perceived as stressful enough as it was.
Lack of belief: Some patients did not believe that they could influence recovery themselves.
 Conclusion
The findings underscore the complexity of developing a home-based programme that not only enhance functional capacity, but are also experienced relevant to the patients. Furthermore, it demonstrates how patient involvement in research has the potential to change preconceptions and change research plans. Read less

This presentation concentrates on the question: What happens when certain moments in-between nurse and patient lights up and invite us into shared experiences of human end ethical meaningfulness?
With a theoretical departure in philosophical aesthetics put forth by Dorthe Jørgensen, the presentation points to such moments as moments of server beauty. This presentation inquiry into moments of beauty in nursing by questioning, how it is possible to describe the being of nurses in such moments, from a phenomenological and ontological approach.
The empirical departure is a phenomenological action research project named:  ‘Moments of beauty in Nursing – a source of innovation’. The research was anchored in 3 hospital wards in Denmark and 15 nurses participated as co-inquirers.
Through phenomenological descriptions and reflections a concept of ‘shared sensitive presence’ rise. ‘Shared sensitive presence’ refers to situations, where nurse and patient both are under the impression from communal life phenomena, while the phenomenon unfold. For example, nurse and patient in togetherness sense and share mortality as a communal human ground and existential reality.
In this presentation, Sine Maria Herholdt-Lomholdt will describe, explore and discuss ‘shared sensitive presence’ as a phenomenon that seems to exist in nurse’s practice. The phenomenon will be clarified using Baumgartens concept: ‘sensitive recognition’ and through the lenses of Heidegger. The phenomenon of ‘Shared sensitive presence’ will also be contrasted to other ways of describing similar situations, as eg. Carl Rogers concept of ‘empathy’ and Jungs archetype ‘The wounded healer’.
  Read less

Interesting fields for research in the treatment of colon cancer for the future are organ preserving treatment of early cancers, precision (neo)adjuvant treatment in combination with segmental resection, and multimodality treatment of locally advanced disease.
The RCT is probably not the appropriate study design to test technical innovations (i.e. Dutch LIMERIC II study) or active surveillance protocols that might safely replace segmental colectomy in early cancers. For the purpose of further reducing the indication and amount of (neo)adjuvant systemic therapy in stage II-III colon cancer, RCTs might be designed, but testing of (panels of) biomarkers can be more efficiently performed in large cohorts. Prevention, early detection and treatment of peritoneal metastases is subject of RCTs in the Netherlands (COLOPEC I and II, CAIRO 6), but new effective intraperitoneal treatment modalities should first be explored in organoid and animal models, before re-introducing this into clinical studies. Read less