25 results on '"Vermeulen, Hester"'
Search Results
2. Zware vrijheidsbeperking
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van Til Dubbink, Wilma, Rietbergen, Tessa, H. Brunsveld-Reinders, Anja, Vermeulen, Hester, and Huisman-de Waal, Getty
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- 2024
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3. Overbodige lagen onder de patiënt
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Rietbergen, Tessa, van Til-Dubbink, Wilma, H. Brunsveld-Reinders, Anja, Vermeulen, Hester, and Huisman-de Waal, Getty
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- 2024
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4. Eenzaamheid: screening en casefinding
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Rosendal, Henk, H. Brunsveld-Reinders, Anja, Vermeulen, Hester, Huisman – de Waal, Getty, Rietbergen, Tessa, and van Til Dubbink, Wilma
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- 2024
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5. Verantwoord antibioticagebruik
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Bos, Maria, de Bot, Cindy, Vermeulen, Hester, Schouten, Jeroen, and Hulscher, Marlies
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- 2024
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6. Patiëntparticipatie en ondervoeding
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n den Berg, Gerda, de van der Schueren, Marian, Vermeulen, Hester, and Huisman, Getty
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- 2024
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7. Exploring the definition of surgical wound dehiscence in literature: a Scoping Review
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Muller-Sloof, Emmy, de Laat, Erik, Zwanenburg, Pieter, Wijlens, Anke, Vermeulen, Hester, Hummelink, Stefan, and Ulrich, Dietmar
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- 2024
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8. Inter-rater reliability among healthcare professionals in assessing postoperative wound photos for the presence or absence of surgical wound dehiscence: A Pretest - Posttest study
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Muller-Sloof, Emmy, de Laat, Erik, Baljé-Volkers, Corine, Hummelink, Stefan, Vermeulen, Hester, and Ulrich, Dietmar
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- 2024
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9. Integrative Review of the Impact of Coworker Support on Nurses' Job Motivation: Associations with Job Satisfaction, Stress, and Intention to Stay.
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Dijkshoorn-Albrecht, Wianda, Six, Frederique, Vermeulen, Hester, Meijerink, Jeroen, and Atashzadeh-Shoorideh, Foroozan
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JOB involvement ,CORPORATE culture ,PSYCHOLOGICAL distress ,WORK environment ,POSITIVE psychology ,PEER relations ,DISMISSAL of employees ,PSYCHOLOGICAL safety ,EMOTIONS ,MOTIVATION (Psychology) ,JOB satisfaction ,NURSES' attitudes ,JOB stress ,SOCIAL support ,COMMITMENT (Psychology) ,SELF-perception ,WELL-being - Abstract
Background. Staff shortages in healthcare, especially nurses, are a worldwide problem with negative effects for both nurses and patients. Supporting nurses is important for job motivation and to strengthen connectedness and intention to stay. Extensive research has been performed in the past on managerial support, but this is not the case for coworker support for nurses. Therefore, it is important to gain knowledge about areas of focus of coworker support impacting nurses' motivation to prevent the loss of motivation and turnover. Aim. To provide an overview of the current insights regarding coworker support's impact on nurses' motivation. Evaluation. A review was conducted using three computerized databases, Web of Science, CINAHL, and PsycINFO. A total of 15 studies matched the inclusion criteria (association between nurses' motivation and perceived coworker support and participants fulfilling the role of nurse). Coworker support was one of the main focuses of the included papers. Review Methods. Whittemore and Knafl's (2005) method of the integrative literature review was used, together with the critical appraisal tool by Hawker et al. (2002) to guide the methodological rigor appraisal of the included research studies. Result. Three main themes regarding associations related to the effect of perceived coworker support on nurses were identified, namely, job satisfaction, intention to stay, and stress. Conclusions. This review shows multiple areas of focus where coworker support is important for the perceived support of nurses, with emphasis on job satisfaction, intention to stay, and stress. Support foresees job satisfaction. With the intention to stay, the effect of experienced support is especially seen among the newly qualified nurses, where lack of support increases the likelihood of leaving their jobs prematurely. Experienced support from coworkers also has a stress‐reducing effect. Implications for Nursing Forum. Support from coworkers is essential for nurses, as it has a positive effect on work satisfaction, intention to stay, and stress reduction. It is important to create a work environment that offers room for coworker support. [ABSTRACT FROM AUTHOR]
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- 2024
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10. What can nurses learn from patient's needs and wishes when developing an evidence‐based quality improvement learning culture? A qualitative study.
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Giesen, Jeltje, Timmerman, Ilse, Bakker‐Jacobs, Annick, Berings, Marjolein, Huisman‐de Waal, Getty, Van Vught, Anneke, and Vermeulen, Hester
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EVIDENCE-based nursing ,NURSE-patient relationships ,CORPORATE culture ,EMPATHY ,COMMUNITY health nursing ,QUALITATIVE research ,RESPECT ,INTERVIEWING ,PRIVACY ,DIGNITY ,COMPASSION ,LEARNING ,HOSPITALS ,JUDGMENT sampling ,DECISION making ,DESCRIPTIVE statistics ,INFORMATION needs ,PATIENT-centered care ,RESEARCH methodology ,COMMUNICATION ,METROPOLITAN areas ,CONCEPTUAL structures ,QUALITY assurance ,NEEDS assessment ,PHENOMENOLOGY ,DATA analysis software ,SOCIAL support ,PATIENTS' attitudes ,MEDICAL ethics - Abstract
Background: Patient participation is fundamental in nursing care and has yielded benefits for patient outcomes. However, despite their compassionate care approach, nurses do not always incorporate patients' needs and wish into evidence‐based practice, quality improvement or learning activities. Therefore, a shift to continuous quality improvement based on evidence‐based practice is necessary to enhance the quality of care. The patient's opinion is an essential part of this process. To establish a more sustainable learning culture for evidence‐based quality improvement, it is crucial that nurses learn alongside their patients. However, to promote this, nurses require a deeper understanding of patients' care preferences. Objective: To explore patients' needs and wishes towards being involved in care processes that nurses can use in developing an evidence‐based quality improvement learning culture. Methods: A qualitative study was conducted in two hospital departments and one community care team. In total, 18 patients were purposefully selected for individual semi‐structured interviews with an average of 15 min. A framework analysis based on the fundamental of care framework was utilised to analyse the data deductively. In addition, inductive codes were added to patients' experiences beyond the framework. For reporting this study, the SRQR guideline was used. Results: Participants needed a compassionate nurse who established and sustained a trusting relationship. They wanted nurses to be present and actively involved during the care delivery. Shared decision‐making improved when nurses offered fair, clear and tailored information. Mistrust or a disrupted nurse–patient relationship was found to be time‐consuming and challenging to restore. Conclusions: Results confirmed the importance of a durable nurse–patient relationship and showed the consequences of nurses' communication on shared decision‐making. Insights into patients' care preferences are essential to stimulate the development of an evidence‐based quality improvement learning culture within nursing teams and for successful implementation processes. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Nurses' contribution to antimicrobial stewardship: business as usual?
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Bos, Maria, de Bot, Cindy, Vermeulen, Hester, Hulscher, Marlies, and Schouten, Jeroen
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PATIENT advocacy ,INTERPROFESSIONAL collaboration ,HOSPITAL rounds ,NURSING leadership ,ANTIMICROBIAL stewardship - Abstract
Background: Antimicrobial Stewardship (AMS), the set of actions to ensure appropriate antimicrobial use, is increasingly considered a multidisciplinary endeavour. However, it is unclear how Dutch hospital-based nurses envision their contribution to AMS. Objective: To explore the views and visions of Dutch bedside nurses on their role regarding appropriate antimicrobial use. Methods: A qualitative study using semi-structured interviews was conducted. Fourteen bedside nurses in nine different Dutch hospitals participated. Data were analysed using a thematic content analysis. Results: Nurses considered their role regarding appropriate use of antibiotics as an integral part of their daily nursing practice. They envisioned their future role as an expansion of their current practice, improving or intensifying this contribution. Prompting review of antimicrobial treatment by nurses was seen as regular practice. Ward rounds were considered the best moment to exert their nursing role, by showing leadership in communicating about different aspects of AMS. Patient advocacy ("striving for the best possible care for their patient") appears to be a driver of the nursing contribution. Nurses perceived a shared responsibility with prescribers on certain aspects of the antimicrobial treatment and wished for a clarification of this role. Education and cognitive reminders such as antibiotic checklist to be used in ward rounds, can support the uptake of the nurses' role. Conclusion: Nurses envision their future role in AMS as an enhanced, elaborated and empowered version of their current daily practice. Education, formal acknowledgment and increased awareness of the nursing role, may advance the contributing role nurses already have. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Systematic RADaR analysis of responses to the open-ended question in the Culture of Care Barometer survey of a Dutch hospital
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Maassen, Susanne M, primary, Spruit-van Bentvelzen, Lotte, additional, Weggelaar-Jansen, Anne Marie J W M, additional, Vermeulen, Hester, additional, and Oostveen, Catharina J van, additional
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- 2024
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13. Measuring the work environment among healthcare professionals: Validation of the Dutch version of the Culture of Care Barometer
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Maassen, Susanne, primary, van Oostveen, Catharina, additional, Weggelaar, Anne Marie, additional, Rafferty, Anne Marie, additional, Zegers, Marieke, additional, and Vermeulen, Hester, additional
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- 2024
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14. Competing risk analysis of cardiovascular disease risk in breast cancer patients receiving a radiation boost
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Koop, Yvonne, primary, Atsma, Femke, additional, Batenburg, Marilot C.T., additional, Meijer, Hanneke, additional, van der Leij, Femke, additional, Gal, Roxanne, additional, van Velzen, Sanne G.M., additional, Išgum, Ivana, additional, Vermeulen, Hester, additional, Maas, Angela H.E.M., additional, Messaoudi, Saloua El, additional, and Verkooijen, Helena M., additional
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- 2024
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15. Health economic evaluation of a nurse-assisted online eye screening in home healthcare to reduce avoidable vision impairment (iScreen): study protocol for a cluster randomized controlled trial
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Rooth, Vera, primary, van der Aa, Hilde, additional, Wisse, Robert P. L., additional, Maarsingh, Otto R., additional, Koopmanschap, Marc, additional, Keunen, Jan E. E., additional, Vermeulen, Hester, additional, Klaver, Caroline C. W., additional, Janssen, Gabriëlle, additional, van Rens, Ger H. M. B., additional, and van Nispen, Ruth M. A., additional
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- 2024
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16. Health economic evaluation of a nurse-assisted online eye screening in home healthcare to reduce avoidable vision impairment (iScreen):study protocol for a cluster randomized controlled trial
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Rooth, Vera, van der Aa, Hilde, Wisse, Robert P.L., Maarsingh, Otto R., Koopmanschap, Marc, Keunen, Jan E.E., Vermeulen, Hester, Klaver, Caroline C.W., Janssen, Gabriëlle, van Rens, Ger H.M.B., van Nispen, Ruth M.A., Rooth, Vera, van der Aa, Hilde, Wisse, Robert P.L., Maarsingh, Otto R., Koopmanschap, Marc, Keunen, Jan E.E., Vermeulen, Hester, Klaver, Caroline C.W., Janssen, Gabriëlle, van Rens, Ger H.M.B., and van Nispen, Ruth M.A.
- Abstract
Background: Among older people undiagnosed and untreated vision impairment and blindness are common. The leading causes are uncorrected refractive errors and cataracts. Vision problems are associated with a lower quality of life, several health problems, and a higher chance of falling accidents and fractures. To eliminate avoidable vision impairment and blindness, targeted eye screening programs are recommended. Older patients, receiving home healthcare, have not yet been considered as a population at risk who could benefit from eye screening. Methods: A cluster-randomized controlled trial will be conducted to investigate the cost-effectiveness and cost-utility of online nurse-assisted eye screening in home healthcare, compared to care as usual, in reducing avoidable vision impairment. A healthcare and societal perspective will be used. The study will be performed in collaboration with several home healthcare organizations in the Netherlands. The online eye screening consists of near and distance visual acuity, followed by an Amsler grading test. Measurements in both groups will take place at baseline and after 6 and 12 months of follow-up. A total of 240 participants will be recruited. Older men and women (65 +), who receive home-based nursing and are cognitively able to participate, will be included. The primary outcome will be the change of two lines or more on the Colenbrander-1 M visual acuity chart between baseline and 12-month follow-up. Discussion: An eye screening for populations at risk contributes to the detection of undiagnosed and untreated vision impairment. This may reduce the health-related consequences of vision loss and the high economic burden associated with vision impairment. Trial registration: ClinicalTrials.gov NCT06058637. Registered on 27 September 2023.
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- 2024
17. Low-value home-based nursing care:A national survey study
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Wendt, Benjamin, Cremers, Milou, Ista, Erwin, van Dijk, Monique, Schoonhoven, Lisette, Nieuwboer, Minke S., Vermeulen, Hester, Van Dulmen, Simone A., Huisman-de Waal, Getty, Wendt, Benjamin, Cremers, Milou, Ista, Erwin, van Dijk, Monique, Schoonhoven, Lisette, Nieuwboer, Minke S., Vermeulen, Hester, Van Dulmen, Simone A., and Huisman-de Waal, Getty
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Aims: To explore potential areas of low-value home-based nursing care practices, their prevalence and related influencing factors of nurses and nursing assistants working in home-based nursing care. Design: A quantitative, cross-sectional design. Methods: An online survey with questions containing scaled frequencies on five-point Likert scales and open questions on possible related influencing factors of low-value nursing care. The data collection took place from February to April 2022. Descriptive statistics and linear regression were used to summarize and analyse the results. Results: A nationwide sample of 776 certified nursing assistants, registered nurses and nurse practitioners responded to the survey. The top five most delivered low-value care practices reported were: (1) ‘washing the client with water and soap by default’, (2) ‘application of zinc cream, powders or pastes when treating intertrigo’, (3) ‘washing the client from head to toe daily’, (4) ‘re-use of a urinary catheter bag after removal/disconnection’ and (5) ‘bladder irrigation to prevent clogging of urinary tract catheter’. The top five related influencing factors reported were: (1) ‘a (general) practitioner advices/prescribes it’, (2) ‘written in the client's care plan’, (3) ‘client asks for it’, (4) ‘wanting to offer the client something’ and (5) ‘it is always done like this in the team’. Higher educational levels and an age above 40 years were associated with a lower provision of low-value care. Conclusion: According to registered nurses and certified nursing assistants, a number of low-value nursing practices occurred frequently in home-based nursing care and they experienced multiple factors that influence the provision of low-value care such as (lack of) clinical autonomy and handling clients' requests, preferences and demands. The results can be used to serve as a starting point for a multifaceted de-implement
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- 2024
18. Competing risk analysis of cardiovascular disease risk in breast cancer patients receiving a radiation boost
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Circulatory Health, Cancer, Cardiometabolic Health, Trialbureau Beeld, MS Radiotherapie, Koop, Yvonne, Atsma, Femke, Batenburg, Marilot C T, Meijer, Hanneke, van der Leij, Femke, Gal, Roxanne, van Velzen, Sanne G M, Išgum, Ivana, Vermeulen, Hester, Maas, Angela H E M, Messaoudi, Saloua El, Verkooijen, Helena M, Circulatory Health, Cancer, Cardiometabolic Health, Trialbureau Beeld, MS Radiotherapie, Koop, Yvonne, Atsma, Femke, Batenburg, Marilot C T, Meijer, Hanneke, van der Leij, Femke, Gal, Roxanne, van Velzen, Sanne G M, Išgum, Ivana, Vermeulen, Hester, Maas, Angela H E M, Messaoudi, Saloua El, and Verkooijen, Helena M
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- 2024
19. Systematic RADaR analysis of responses to the open-ended question in the Culture of Care Barometer survey of a Dutch hospital
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Maassen, Susanne M., Spruit-van Bentvelzen, Lotte, Weggelaar-Jansen, Anne Marie J.W.M., Vermeulen, Hester, Oostveen, Catharina J.van, Maassen, Susanne M., Spruit-van Bentvelzen, Lotte, Weggelaar-Jansen, Anne Marie J.W.M., Vermeulen, Hester, and Oostveen, Catharina J.van
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OBJECTIVES: Systematically measuring the work environment of healthcare employees is key to continuously improving the quality of care and addressing staff shortages. In this study, we systematically analyse the responses to the one open-ended question posed in the Dutch version of the Culture of Care Barometer (CoCB-NL) to examine (1) if the responses offered new insights into healthcare employees' perceptions of their work environment and (2) if the original CoCB had any themes missing. DESIGN: Retrospective text analysis using Rigorous and Accelerated Data Reduction technique. SETTING: University hospital in the Netherlands using the CoCB-NL as part of the annual employee survey. PARTICIPANTS: All hospital employees were invited to participate in the study (N=14 671). In total, 2287 employees responded to the open-ended question. RESULTS: 2287 comments were analysed. Comments that contained more than one topic were split according to topic, adding to the total (n=2915). Of this total, 372 comments were excluded because they lacked content or respondents indicated they had nothing to add. Subsequently, 2543 comments were allocated to 33 themes. Most comments (n=2113) addressed the 24 themes related to the close-ended questions in the CoCB-NL. The themes most commented on concerned questions on 'organisational support'. The remaining 430 comments covered nine additional themes that addressed concerns about work environment factors (team connectedness, team effectiveness, corporate vision, administrative burden and performance pressure) and themes (diversity and inclusion, legal frameworks and collective bargaining, resilience and work-life balance, and personal matters). CONCLUSIONS: Analysing responses to the open-ended question in the CoCB-NL led to new insights into relevant elements of the work environment and missing themes in the COCB-NL. Moreover, the analysis revealed important themes that not only require attention from healthcare organisations to ensur
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- 2024
20. Measuring the work environment among healthcare professionals:Validation of the Dutch version of the Culture of Care Barometer
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Maassen, Susanne, van Oostveen, Catharina, Weggelaar, Anne Marie, Rafferty, Anne Marie, Zegers, Marieke, Vermeulen, Hester, Maassen, Susanne, van Oostveen, Catharina, Weggelaar, Anne Marie, Rafferty, Anne Marie, Zegers, Marieke, and Vermeulen, Hester
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Objectives A positive work environment (WE) is paramount for healthcare employees to provide good quality care. To stimulate a positive work environment, employees’ perceptions of the work environment need to be assessed. This study aimed to assess the reliability and validity of the Dutch version of the Culture of Care Barometer (CoCB-NL) survey in hospitals. Methods This longitudinal validation study explored content validity, structural validity, internal consistency, hypothesis testing for construct validity, and responsiveness. The study was conducted at seven departments in two Dutch university hospitals. The departments were included based on their managers’ motivation to better understand their employees’ perception of their WE. All employees of participating departments were invited to complete the survey (n = 1,730). Results The response rate was 63.2%. The content of the CoCB-NL was considered relevant and accessible by the respondents. Two factor models were found. First, confirmative factor analysis of the original four-factor structure showed an acceptable fit (X2 2006.49; df 399; p = <0.001; comparative fit index [CFI] 0.82; Tucker-Lewis index [TLI] 0.80; root mean square error of approximation [RMSEA] 0.09). Second, explanatory factor analysis revealed a five-factor model including ‘organizational support’, ‘leadership’, ‘collegiality and teamwork’, ‘relationship with manager’, and ‘employee influence and development’. This model was confirmed and showed a better fit (X2 1552.93; df 395; p = < 0.00; CFI 0.87; TLI 0.86; RMSEA 0.07). Twelve out of eighteen hypotheses were confirmed. Responsiveness was assumed between the measurements. Conclusions The CoCB-NL is a valid and reliable instrument for identifying areas needing improvement in the WE. Furthermore, the CoCB-NL appears to be responsive and therefore useful for longitudinal evaluations of healthcare employees’ work environments.
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- 2024
21. Low‐value home‐based nursing care: A national survey study.
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Wendt, Benjamin, Cremers, Milou, Ista, Erwin, van Dijk, Monique, Schoonhoven, Lisette, Nieuwboer, Minke S., Vermeulen, Hester, Van Dulmen, Simone A., and Huisman‐de Waal, Getty
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EVALUATION of medical care ,NURSES ,HOME nursing ,WORK ,CROSS-sectional method ,SCALE analysis (Psychology) ,MEDICAL protocols ,NURSE-patient relationships ,PROFESSIONAL autonomy ,RESEARCH funding ,COST analysis ,EMPIRICAL research ,QUESTIONNAIRES ,QUANTITATIVE research ,DESCRIPTIVE statistics ,AGE distribution ,NURSE practitioners ,BOWEL & bladder training ,PHYSICIAN practice patterns ,NURSES' attitudes ,DATA analysis software ,PSYCHOSOCIAL factors ,NURSES' aides ,EXPERIENTIAL learning ,REGRESSION analysis ,PATIENTS' attitudes ,EDUCATIONAL attainment ,PERSONAL grooming - Abstract
Aims: To explore potential areas of low‐value home‐based nursing care practices, their prevalence and related influencing factors of nurses and nursing assistants working in home‐based nursing care. Design: A quantitative, cross‐sectional design. Methods: An online survey with questions containing scaled frequencies on five‐point Likert scales and open questions on possible related influencing factors of low‐value nursing care. The data collection took place from February to April 2022. Descriptive statistics and linear regression were used to summarize and analyse the results. Results: A nationwide sample of 776 certified nursing assistants, registered nurses and nurse practitioners responded to the survey. The top five most delivered low‐value care practices reported were: (1) 'washing the client with water and soap by default', (2) 'application of zinc cream, powders or pastes when treating intertrigo', (3) 'washing the client from head to toe daily', (4) 're‐use of a urinary catheter bag after removal/disconnection' and (5) 'bladder irrigation to prevent clogging of urinary tract catheter'. The top five related influencing factors reported were: (1) 'a (general) practitioner advices/prescribes it', (2) 'written in the client's care plan', (3) 'client asks for it', (4) 'wanting to offer the client something' and (5) 'it is always done like this in the team'. Higher educational levels and an age above 40 years were associated with a lower provision of low‐value care. Conclusion: According to registered nurses and certified nursing assistants, a number of low‐value nursing practices occurred frequently in home‐based nursing care and they experienced multiple factors that influence the provision of low‐value care such as (lack of) clinical autonomy and handling clients' requests, preferences and demands. The results can be used to serve as a starting point for a multifaceted de‐implementation strategy. Reporting Method: STROBE checklist for cross‐sectional studies. Patient or Public Contribution: No Patient or Public Contribution. Implications for the Profession and/or Patient Care: Nursing care is increasingly shifting towards the home environment.Not all nursing care that is provided is effective or efficient and this type of care can therefore be considered of low‐value.Reducing low‐value care and increasing appropriate care will free up time, improve quality of care, work satisfaction, patient safety and contribute to a more sustainable healthcare system. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Professionals in een context
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Tiemens, Bea, Munten, Guus, and Vermeulen, Hester
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De implementatie van zowel evidence based behandelingen als het evidence based gedachtegoed verloopt vaak moeizaam. Om het primaire proces te veranderen wordt veel inspanning gericht op de professional. Dat lijkt niet voldoende te zijn. Is die professional zo onwillig? Nee, de professional handelt in een context die minstens zo belangrijk is in implementatieprocessen. Dit artikel is eerder gepubliceerd in het Nederlands Tijdschrift voor Evidence Based Practice.
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- 2024
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23. What is needed for nurses to work with evidence-based practice? A qualitative study.
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Giesen, Jeltje, Bakker-Jacobs, Annick, van Vught, Anneke, Berings, Marjolein, Vermeulen, Hester, and Waal, Getty Huisman-de
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NURSING students , *COMMUNITY health nursing , *EVIDENCE-based nursing , *SCHOOL nursing , *NURSING education , *FOCUS groups , *NURSING schools - Abstract
BackgroundObjectiveDesignMethodsResultsConclusionTransformation of healthcare is necessary to ensure patients receive high-quality care. Working with the evidence-based practice (EBP) principles enables nurses to make this shift. Although working according to these principles is becoming more common, nurses base their actions too much on traditions and intuition. Therefore, to promote EBP in nursing practice and improve related education, more insight into nurses’ needs is necessary to overcome existing EBP barriers.To identify the current needs to work with EBP principles among hospital and community care nurses and student nurses.A qualitative, exploratory approach with focus group discussionsData was collected between February and December 2020 through 5 focus group discussions with 25 nurses and student nurses from a hospital, a community care organisation, and nursing education schools (bachelor and vocational). Data were analysed using reflexive thematic analysis, and the main themes were synchronised to the seven domains from the Tailored Implementation for Chronic Diseases (TICD) checklist.Nurses and student nurses experience EBP as complex and require more EBP knowledge and reliable, ready-to-use evidence. They wanted to be facilitated in access to evidence, the opportunity to share insights with colleagues and more time to work on EBP. The fulfilment of these needs serves to enhance motivation to engage with evidence-based practice (EBP), facilitate personal development, and empower nurses and student nurses to take more leadership in working according to EBP principles and improve healthcare delivery.Nurses experience difficulties applying EBP principles and need support with their implementation. Nurses’ and student nurses’ needs include obtaining more EBP knowledge and access to tailored and ready-to-use information. They also indicated the need for role models, autonomy, incentives, dedicated time, and incorporation of EBP in daily work practice. [ABSTRACT FROM AUTHOR]
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- 2024
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24. Developing and testing a reflection method for implementation of the informal care guideline in community nursing: Design‐based research.
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Vullings, Nicole, Maas, Marjo, Adriaansen, Marian, Vermeulen, Hester, Wees, Philip, and Heinen, Maud
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Aim Design Methods Results Conclusion Impact Report Method Patient or Public Contribution To develop a reflection method for community nurses and certified nursing assistants to support the implementation of the Dutch Informal Care guideline in daily care.Design‐based research.A design group and four test groups of community nurses and nursing assistants were formed to develop a reflection method that aligns with the needs and preferences of its end‐users. The design and test group meetings were video recorded. The video data were iteratively discussed and analysed thematically to adapt and refine the method and to identify its key features.A final reflection method was developed. Five main themes were identified from the analysis: the group, reflective triggers, knowledge about the guidelines, the coach and preconditions. The themes are linked to nine key features representing the building blocks of the reflection method. The key features are group size, participants with different (educational) backgrounds, pairs of participants, expressing thoughts, video feedback, reflection game, making the connection with the guideline, coaching as a process facilitator and meeting organizational and contextual conditions for implementation.An evidence‐ and practice‐based reflection method for community nurses and certified nursing assistants is developed to support the implementation. By involving community nurses and certified nursing assistants, the method closely matches their needs and preferences. Critical elements of the reflection method are a game element, video feedback and working in pairs in a group of participants from different (educational) backgrounds. Guidance is needed to make the transfer from theory to practice.A reflection method for community nurses and certified nursing assistants was developed to enhance care work according to guideline recommendations, aiming to improve the care provided by informal caregivers.The COREQ guideline was used.This reflection method was developed in close collaboration with all stakeholders during the entire study. [ABSTRACT FROM AUTHOR]
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- 2024
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25. Learning by Visualize a Nurse-Led CCOS Using the Functional Resonance Analysis Method.
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Op 't Hoog SAJJ, van Mersbergen-de Bruin M, Damen NLM, Chaboyer W, Weggelaar-Jansen AM, Eskes AM, Vloet LCM, and Vermeulen H
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Objectives: Quality improvements (QIs) in dynamic and complex health care contexts require resilience and take variability into account in quality improvement. The Functional Resonance Analysis Method (FRAM) helps us understand resilience and gain insight into (un)desirable variability in the complex system of daily practice. We explored how using FRAM in the Deming cycle of a QI project can help professionals and researchers learn from, reflect upon, and improve complex processes. We used FRAM in a Dutch hospital to study a QI: Critical Care Outreach Service (CCOS)., Methods: The aim was to use FRAM before and after implementation to create a FRAM model and reflect to health care professionals the mismatch between Work As Imagined (WAI) and Work As Done (WAD). The WAI FRAM model was co-created with professionals before the implementation of CCOS. We used descriptions of tasks and processes for ICU nurses and verified them in 30-minute semistructured interviews (N = 2). WAD was created by input of semistructured interviews with key professionals in CCOS (N = 21) and 3 nonparticipant observations of trained CCOS nurses. We validated WAD in 2 dialogue sessions with key professionals (N = 11). Data collection continued until saturation., Results: Juxtaposing the WAI and WAD models showed that WAD contained additional functions and highlighted unexpectedly complex functions. Reflecting on the application of FRAM with health care professionals revealed opportunities and challenges, especially time investment., Conclusions: FRAM helps professionals outline processes and tasks (WAI), learn from, and reflect upon their daily practice (WAD). FRAM models help professionals identify variability proactively to improve practices that enhance resilient performance., Competing Interests: The authors disclose no conflict of interest., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2024
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