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14. Exploring Goal-Setting and Achievement Within Reablement: A Comparative Case Study of Three Countries

Author

Buma,Lise, Tuntland,Hanne, Parsons,Matthew, Zwakhalen,Sandra, Metzelthin,Silke, Buma,Lise, Tuntland,Hanne, Parsons,Matthew, Zwakhalen,Sandra, and Metzelthin,Silke

Abstract

Lise Elisabeth Buma,1– 3 Hanne Tuntland,4 Matthew Parsons,5,6 Sandra Zwakhalen,1,2 Silke F Metzelthin1,2 1Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands; 2Living Lab in Ageing and Long-Term Care, Maastricht, the Netherlands; 3Cicero Zorggroep, Brunssum, the Netherlands; 4Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway; 5School of Health, University of Waikato, Hamilton, New Zealand; 6Te Whatu Ora Health New Zealand Waikato District, Hamilton, New ZealandCorrespondence: Lise Elisabeth Buma, Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, P.O. Box 616, 6200 MD Maastricht, the Netherlands, Tel +31-(0) 88 388 7092, Email l.buma@maastrichtuniversity.nlPurpose: Over the last two decades, reablement programs have been studied and implemented internationally. Goal-setting and multidisciplinary collaboration are central elements of reablement. Unfortunately, limited intervention descriptions leave questions on how they are applied in practice and how goals set by the user are achieved. As a consequence, healthcare providers and organizations often lack knowledge to implement and align reablement to their national and local context. This study aimed to collect data on goal-setting and achievement, and multidisciplinary collaboration within reablement services to provide insight into how these processes inform reablement practice as well as to explore the experiences of healthcare professionals in Norway, New Zealand, and the Netherlands.Material and Methods: A qualitative exploratory design was used comprising three focus group interviews with 20 healthcare professionals (nursing and allied health) involved in reablement programs from the three countries. Purposive sampling was employed considering a mix of gender, age and educational level.Results: Findings reflected healthcare

Published
2024

21. The Assessment of Pain in Older People

Author

Fischer, Thomas, Sirsch, Erika, Gnass, Irmela, Zwakhalen, Sandra, Santy-Tomlinson, Julie, Series Editor, Falaschi, Paolo, Series Editor, Hertz, Karen, Series Editor, Pickering, Gisèle, editor, Zwakhalen, Sandra, editor, and Kaasalainen, Sharon, editor

Published
2018
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35. Pain responses in preterm infants and parental stress over repeated painful procedures: a randomized pilot trial

Author

Eissler, Andrea Barbara, Stoffel, Liliane, Nelle, Mathias, Hahn, Sabine, Zwakhalen, Sandra, RS: CAPHRI - R1 - Ageing and Long-Term Care, and Health Services Research

Subjects
RT Nursing, PARTICIPATION, Obstetrics and Gynecology, RJ Pediatrics, Pain, parents, 610 Medicine & health, stress, RJ101 Child Health. Child health services, Pediatrics, Perinatology and Child Health, MANAGEMENT, active involvement, preterm infants, 610 Medizin und Gesundheit
Abstract

OBJECTIVES In this pilot study, the aims were to determine the feasibility of whether pain behavior in extremely and very preterm infants and perceived parental stress change when parents are involved in pain reducing measures, either actively, performing facilitated tucking or passively, observing the intervention, in comparison to the involvement of nurses only. In addition, the infant's pain reactivity and parental stress over three time points of measurement was of interest. METHODS Extremely and very preterm infants in need of subcutaneous erythropoietin were randomly assigned to the two intervention groups. The intervention encompassed that one parent of each infant was involved during the painful procedure: Either parents executed facilitated tucking themselves or stood by, observing the procedure. Usual care involved that nurse executed facilitated tucking. All infants received 0.5 ml of 30% oral glucose solution via cotton swab before the painful procedure. Infant pain was observed with the Bernese Pain Scale for Neonates (BPSN) and measured with the MedStorm skin conductance algesimeter (SCA) before, during, and after the procedure. Parents' stress levels were measured before and after the painful procedure on the infant, using the Current Strain Short Questionnaire (CSSQ). Feasibility of a subsequent trial was determined by assessing recruitment, measurement and active parental involvement. Quantitative data collection methods (i.e. questionnaires, algesimeter) were employed to determine the number of participants for a larger trial and measurement adequacy. Qualitative data (interviews) was employed to determine parents' perspectives of their involvement. RESULTS A total of 13 infants (98% participation rate) were included along with their mothers. Median gestational age was 27 weeks (IQR 26-28 weeks), 62% were female. Two infants (12.5%) dropped out of the study as they were transferred to another hospital. Facilitated tucking turned out to be a good method to actively involve parents in pain reducing measures. No significant differences between the two intervention and control groups were found concerning parental stress and infant pain (p = .927). Power analysis indicated that at least N = 741 infants (power of 81%, α = .05) would be needed to obtain statistically significant results in a larger trial, as effect sizes were smaller than expected. Two of the three measurement tools - i.e. the BPSN and CSSQ) - proved easy to implement and were well accepted. owever, the SCA was challenging in this context. Measurements were also found to be time-consuming and resource-intense (i.e. health professionals as assistants). CONCLUSIONS Although the intervention was feasible and was readily accepted by parents, the study design was found to be challenging along with the SCA. In preparation of the larger trial, the study design needs to be revisited and adjusted. Thus, issues of time and resources may be resolved. In addition, national and international collaboration with similar neonatal intensive care units (NICU) needs to be considered. Thus, it will be possible to conduct an appropriately powered larger trial, which will yield important results to improve pain management in extremely and preterm infants in NICU.

Published
2023

36. Exploring Goal-Setting and Achievement Within Reablement: A Comparative Case Study of Three Countries.

Author

Buma, Lise Elisabeth, Tuntland, Hanne, Parsons, Matthew, Zwakhalen, Sandra, and Metzelthin, Silke F

Subjects
GOAL (Psychology), CAREGIVERS, MEDICAL personnel, TASK shifting, JOB satisfaction, BIOLOGICAL laboratories
Abstract

Purpose: Over the last two decades, reablement programs have been studied and implemented internationally. Goal-setting and multidisciplinary collaboration are central elements of reablement. Unfortunately, limited intervention descriptions leave questions on how they are applied in practice and how goals set by the user are achieved. As a consequence, healthcare providers and organizations often lack knowledge to implement and align reablement to their national and local context. This study aimed to collect data on goal-setting and achievement, and multidisciplinary collaboration within reablement services to provide insight into how these processes inform reablement practice as well as to explore the experiences of healthcare professionals in Norway, New Zealand, and the Netherlands. Material and Methods: A qualitative exploratory design was used comprising three focus group interviews with 20 healthcare professionals (nursing and allied health) involved in reablement programs from the three countries. Purposive sampling was employed considering a mix of gender, age and educational level. Results: Findings reflected healthcare professionals' experiences and reablement processes in three main themes: (1) Goal-setting processes; clearly demonstrating goal-setting as an essential part of reablement and contributing to better understanding of users' motives; (2) Impact of goal-setting on multidisciplinary collaboration; promoting a sense of community, learning climate, job satisfaction and task-shifting; and (3) Behavior change techniques used to reach users' goals, promoting self-reflection and changing users' perspectives. Conclusion: This study offers valuable insights from three countries. Goal-setting serves a crucial role enabling effective reablement implementation across diverse contexts. More specifically, to facilitate tailoring of reablement programs to the user's needs as well as establish more effective multidisciplinary collaboration by promoting trust, shared vision, and utilizing each other's expertise. However, despite the acknowledgement of the significance of reablement, it was reported by all that a cultural shift is necessary for users, informal caregivers as well as healthcare professionals. [ABSTRACT FROM AUTHOR]

Published
2024
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41. Caring for a Person With Dementia on the Margins of Long-Term Care: A Perspective on Burden From 8 European Countries

Author

Meyer, Gabriele, Stephan, Astrid, Renom-Guiteras, Anna, Sauerland, Dirk, Wübker, Ansgar, Bremer, Patrick, Hamers, Jan P.H., Afram, Basema, Beerens, Hanneke C., Bleijlevens, Michel H.C., Verbeek, Hilde, Zwakhalen, Sandra M.G., Ruwaard, Dirk, Ambergen, Ton, Hallberg, Ingalill Rahm, Emilsson, Ulla Melin, Karlsson, Staffan, Bökberg, Christina, Lethin, Connie, Challis, David, Sutcliffe, Caroline, Jolley, David, Tucker, Sue, Bowns, Ian, Roe, Brenda, Burns, Alistair, Leino-Kilpi, Helena, Koskenniemi, Jaana, Suhonen, Riitta, Viitanen, Matti, Arve, Seija, Stolt, Minna, Hupli, Maija, Saks, Kai, Tiit, Ene-Margit, Leibur, Jelena, Raamat, Katrin, Armolik, Angelika, Toivari, Teija Tuula Marjatta, Zabalegui, Adelaida, Navarro, Montserrat, Cabrera, Esther, Risco, Ester, Alvira, Carme, Farre, Marta, Miguel, Susana, Soto, Maria, Milhet, Agathe, Sourdet, Sandrine, Gillette, Sophie, Vellas, Bruno, Giebel, Clarissa, Bleijlevens, Michel, Soto, Maria E., and Chester, Helen

Published
2017
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46. Defining practice variation and exploring influencing factors on needs assessment in home care nursing: A Delphi study

Author

Verplegingswetenschap, Infection & Immunity, Van Dorst, Johanna Jose Isabella Elisabeth, Schwenke, Marit, Bleijenberg, Nienke, De Jong, Judith Daniëlle, Brabers, Adriana Anne Elisabeth Maria, Zwakhalen, Sandra M G, Verplegingswetenschap, Infection & Immunity, Van Dorst, Johanna Jose Isabella Elisabeth, Schwenke, Marit, Bleijenberg, Nienke, De Jong, Judith Daniëlle, Brabers, Adriana Anne Elisabeth Maria, and Zwakhalen, Sandra M G

Published
2023

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