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  1. Article ; Online: Developing an interprofessional learning and working culture to improve person-centred care in nursing homes: a realist action research protocol.

    Verbeek, Frank H O / Lovink, Marleen H / Laurant, Miranda G H / van Vught, Anneke J A H

    BMJ open

    2022  Volume 12, Issue 3, Page(s) e058319

    Abstract: Introduction: Healthcare is changing due to the ageing of the general population, complex care demands and growing attention to person-centred care. To deal with these changes and provide the best possible person-centred care, the different ... ...

    Abstract Introduction: Healthcare is changing due to the ageing of the general population, complex care demands and growing attention to person-centred care. To deal with these changes and provide the best possible person-centred care, the different professionals in nursing homes should all collaborate intensively. However, most professionals work within the field of their own expertise and share very little knowledge, experiences and insights. A lack of an interprofessional learning and working culture also prevents professionals with different expertise from working and learning intensively together to achieve high-quality person-centred care. There is a gap of knowledge about how to develop such a culture. Our aim is to provide insights into what actions, in what context and to what extent can contribute to an impactful development of an interprofessional learning and working culture.
    Methods and analysis: The realist action research design will be applied. It consists of three iterative steps: plan, act and observe, and reflect. First, we will formulate the theory about interprofessional learning and working culture and measure this culture by means of interviews, focus groups and questionnaires. Second, we will apply the nine principles of Practice Development to coach professionals from six Dutch nursing homes to improve their interprofessional learning and working culture. Finally, we will evaluate the impact of the changed attitudes and skills on healthcare practice.
    Ethics and dissemination: Approval for the project was given by the Hogeschool van Arnhem en Nijmegen (HAN) Research Ethics Committee, the Netherlands, registration number EACO 164.12/19. All organisations, professionals and residents/family members will be informed verbally and by letter about the study and asked for informed consent. The results will be presented in peer-reviewed scientific journals, professional journals and at symposia and conferences. The findings will be transferred to an online toolbox and e-learning modules for graduated professionals and students.
    MeSH term(s) Delivery of Health Care ; Health Services Research ; Humans ; Learning ; Nursing Homes ; Patient-Centered Care
    Language English
    Publishing date 2022-03-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-058319
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Supporting autonomy for people with dementia living in nursing homes: A rapid realist review.

    van der Weide, Henny / Lovink, Marleen H / Luijkx, Katrien G / Gerritsen, Debby L

    International journal of nursing studies

    2022  Volume 137, Page(s) 104382

    Abstract: Background: For people with dementia living in nursing homes, autonomy is important. However, they experience difficulty with being heard as an autonomous person, as well as with expressing their preferences and choices. The question is how to support ... ...

    Abstract Background: For people with dementia living in nursing homes, autonomy is important. However, they experience difficulty with being heard as an autonomous person, as well as with expressing their preferences and choices. The question is how to support their autonomy.
    Objective: Despite extensive efforts to support autonomy in daily care for people with dementia living in nursing homes, we do not know exactly what works for whom, in which context, how and why. The objective of this realist review is to explore what is known in literature on autonomy support interventions for people with dementia in nursing homes.
    Design: A rapid realist review of literature.
    Review methods: To understand how autonomy is supported, a realist approach was applied that entailed identifying the research question, searching for information, performing a quality appraisal, extracting data, synthesizing the evidence and validating the findings with a panel of experts. Causal assumptions were derived from articles found in four bibliographic databases (PubMed, PsychInfo, Cochrane and CINAHL) leading to context (C)-mechanism (M)-outcome (O) configurations.
    Results: Data extraction from the included articles ultimately resulted in sixteen CMO configurations on four themes: a. preferences and choice: interventions for supporting autonomy in nursing homes and their results, b. personal characteristics of residents and family: people with dementia and their family being individuals who have their own character, habits and behaviors, c. competent nursing staff each having their own level of knowledge, competence and need for support, and d. interaction and relationships in care situations: the persons involved are interrelated, continuously interacting in different triangles composed of residents, family members and nursing staff.
    Conclusion: The findings showed that results from interventions on autonomy in daily-care situations are likely to be just as related not only with the characteristics and competences of the people involved, but also to how they interact. Autonomy support interventions appear to be successful when the right context factors are considered.
    MeSH term(s) Humans ; Dementia ; Family ; Nursing Homes ; Nursing Staff
    Language English
    Publishing date 2022-10-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80148-3
    ISSN 1873-491X ; 0020-7489
    ISSN (online) 1873-491X
    ISSN 0020-7489
    DOI 10.1016/j.ijnurstu.2022.104382
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study.

    Lovink, Marleen H / Verbeek, Frank / Persoon, Anke / Huisman-de Waal, Getty / Smits, Marleen / Laurant, Miranda G H / van Vught, Anneke J

    International journal of environmental research and public health

    2022  Volume 19, Issue 3

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Aged ; Evidence-Based Nursing/methods ; Focus Groups ; Health Services Research ; Humans ; Leadership ; Nursing Homes
    Language English
    Publishing date 2022-02-02
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19031733
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Development and Validation of the Dutch EBPAS-ve and EBPQ-ve for Nursing Assistants and Nurses with a Vocational Education.

    Maessen, Kim / van Vught, Anneke / Gerritsen, Debby L / Lovink, Marleen H / Vermeulen, Hester / Persoon, Anke

    Worldviews on evidence-based nursing

    2019  Volume 16, Issue 5, Page(s) 371–380

    Abstract: Background: In recent years, there has been an increasing focus on the role of evidence-based practice (EBP) to increase the quality and safety of care. However, EBP implementation research has predominantly taken place in hospitals and hardly in ... ...

    Abstract Background: In recent years, there has been an increasing focus on the role of evidence-based practice (EBP) to increase the quality and safety of care. However, EBP implementation research has predominantly taken place in hospitals and hardly in nursing homes or home care. In these care settings, patients are attended by nursing assistants and registered vocationally trained nurses. A good EBP starting point is to assess their current attitude toward and use of EBP. However, current questionnaires are not valid for assistants and nurses with vocational education.
    Aims: To adapt the Evidence-Based Practice Attitude Scale (EBPAS) and the Evidence-Based Practice Questionnaire (EBPQ) to a Dutch questionnaire for nursing assistants and registered vocationally trained nurses European Qualification Framework level 3-4 employed in home care or nursing homes.
    Methods: Translation, adaptation through cross-cultural validation, pretesting, exploratory factor analysis, and evaluation of psychometric properties among a group of nursing assistants and registered vocationally trained nurses.
    Results: Cross-cultural validation led to modified items of EBPQ and EBPAS. The sample comprised 273 nurses. Analysis of both instruments showed a robust factor structure. EBPAS-ve: internal consistency: α = 0.76; intra-rater reliability: ICC = 0.52. EBPQ-ve: α = 0.75; ICC = 0.60. Convergent validity (correlation EBPAS-ve and EBPQ-ve's subscale Attitude): r = .300 (p < .01). Construct validity: significantly higher scores (p < .01) in the group with higher education.
    Linking evidence to action: Psychometric qualities of both instruments were satisfactory, although we recommend refinement of EBPAS-ve's subscale Divergence and extra instructions for the EBPQ's subscale Attitude. To our knowledge, this is the first adaptation of an EBP measurement instrument for nursing assistants and registered vocationally trained nurses. The questionnaires appeared to be feasible and showed multiple valid and reliable properties, including a satisfactory intra-rater reliability. Both questionnaires may facilitate the implementation of EBP as they contribute to a richer understanding of the attitude toward and use of EBP in nursing homes and home care.
    MeSH term(s) Adult ; Attitude of Health Personnel ; Evidence-Based Practice/standards ; Female ; Humans ; Male ; Middle Aged ; Netherlands ; Nurses/psychology ; Nurses/statistics & numerical data ; Nursing Assistants/psychology ; Nursing Assistants/statistics & numerical data ; Psychometrics/instrumentation ; Psychometrics/methods ; Psychometrics/standards ; Reproducibility of Results ; Surveys and Questionnaires ; Translating ; Vocational Education/standards
    Language English
    Publishing date 2019-09-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2401967-7
    ISSN 1741-6787 ; 1545-102X
    ISSN (online) 1741-6787
    ISSN 1545-102X
    DOI 10.1111/wvn.12389
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Who is that nurse?: Transferring knowledge requires clarity about professional titles.

    Lovink, Marleen H / Persoon, Anke / Finnema, Evelyn / Francke, Anneke L / Schoonhoven, Lissette / Holle, Daniela / Palm, Prof Rebecca / Backhaus, Ramona

    International journal of nursing studies

    2020  Volume 113, Page(s) 103805

    MeSH term(s) Humans ; Nurse Specialists/classification ; Nurse's Role ; Nurses/classification ; Nursing Staff/classification ; Terminology as Topic
    Language English
    Publishing date 2020-10-20
    Publishing country England
    Document type Letter
    ZDB-ID 80148-3
    ISSN 1873-491X ; 0020-7489
    ISSN (online) 1873-491X
    ISSN 0020-7489
    DOI 10.1016/j.ijnurstu.2020.103805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study.

    Lovink, Marleen H / van Vught, Anneke J A H / Persoon, Anke / Koopmans, Raymond T C M / Laurant, Miranda G H / Schoonhoven, Lisette

    Nursing & health sciences

    2019  Volume 21, Issue 3, Page(s) 282–290

    Abstract: Nursing home physicians face heavy workloads, because of the aging population and rising number of older adults with one or more chronic diseases. Skill mix change, in which professionals perform tasks previously reserved for physicians independently or ... ...

    Abstract Nursing home physicians face heavy workloads, because of the aging population and rising number of older adults with one or more chronic diseases. Skill mix change, in which professionals perform tasks previously reserved for physicians independently or under supervision, could be an answer to this challenge. The aim of this study was to describe how skill mix change in nursing homes is organized from four monodisciplinary perspectives and the interdisciplinary perspective, what influences it, and what its effects are. The study focused particularly on skill mix change through the substitution of nurse practitioners, physician assistants, or registered nurses for nursing home physicians. Five focus group interviews were conducted in the Netherlands. Variation in tasks and responsibilities was found. Despite this variation, stakeholders reported increased quality of health care, patient centeredness, and support for care teams. A clear vision on skill mix change, acceptance of nurse practitioners, physician assistants, and registered nurses, and a reduction of legal insecurity are needed that might maximize the added value of nurse practitioners, physician assistants, and registered nurses.
    MeSH term(s) Adult ; Female ; Focus Groups/methods ; Health Personnel/psychology ; Health Personnel/trends ; Humans ; Male ; Middle Aged ; Netherlands ; Nurse Practitioners/trends ; Nurses/trends ; Nursing Homes/statistics & numerical data ; Physician Assistants/trends ; Physicians/trends ; Primary Health Care/methods ; Primary Health Care/standards ; Primary Health Care/statistics & numerical data ; Professional Role ; Qualitative Research
    Language English
    Publishing date 2019-04-01
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2213282-X
    ISSN 1442-2018 ; 1441-0745
    ISSN (online) 1442-2018
    ISSN 1441-0745
    DOI 10.1111/nhs.12601
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Skill mix change between general practitioners, nurse practitioners, physician assistants and nurses in primary healthcare for older people: a qualitative study.

    Lovink, Marleen H / van Vught, Anneke J A H / Persoon, Anke / Schoonhoven, Lisette / Koopmans, Raymond T C M / Laurant, Miranda G H

    BMC family practice

    2018  Volume 19, Issue 1, Page(s) 51

    Abstract: Background: More and more older adults desire to and are enabled to grow old in their own home, regardless of their physical and mental capabilities. This change, together with the growing number of older adults, increases the demand for general ... ...

    Abstract Background: More and more older adults desire to and are enabled to grow old in their own home, regardless of their physical and mental capabilities. This change, together with the growing number of older adults, increases the demand for general practitioners (GPs). However, care for older people lacks prestige among medical students and few medical students are interested in a career in care for older people. Innovative solutions are needed to reduce the demand for GPs, to guarantee quality of healthcare and to contain costs. A solution might be found in skill mix change by introducing nurse practitioners (NPs), physician assistants (PAs) or registered nurses (RNs). The aim of this study was to describe how skill mix change is organised in daily practice, what influences it and what the effects are of introducing NPs, PAs or RNs into primary healthcare for older people.
    Methods: In total, 34 care providers working in primary healthcare in the Netherlands were interviewed: GPs (n = 9), NPs (n = 10), PAs (n = 5) and RNs (n = 10). Five focus groups and 14 individual interviews were conducted. Analysis consisted of open coding, creating categories and abstraction.
    Results: In most cases, healthcare for older people was only a small part of the tasks of NPs, PAs and RNs; they did not solely focus on older people. The tasks they performed and their responsibilities in healthcare for older people differed between, as well as within, professions. Although the interviewees debated the usefulness of proactive structural screening on frailty in the older population, when implemented, it was also unclear who should perform the geriatric assessment. Interviewees considered NPs, PAs and RNs an added value, and it was stated that the role of the GP changed with the introduction of NPs, PAs or RNs.
    Conclusions: The roles and responsibilities of NPs, PAs and RNs for the care of older people living at home are still not established. Nonetheless, these examples show the potential of these professionals. The establishment of a clear vision on primary healthcare for older people, including the organisation of proactive healthcare, is necessary to optimise the impact of skill mix change.
    MeSH term(s) Aged ; Clinical Competence ; Focus Groups ; General Practitioners ; Health Services for the Aged/organization & administration ; Health Workforce ; Humans ; Independent Living ; Netherlands ; Nurse Practitioners ; Nurses ; Patient Care Team ; Physician Assistants ; Primary Health Care/organization & administration ; Qualitative Research
    Language English
    Publishing date 2018-05-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1471-2296
    ISSN (online) 1471-2296
    DOI 10.1186/s12875-018-0746-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Patients' experiences of safety during haemodialysis treatment--a qualitative study.

    Lovink, Marleen H / Kars, Marijke C / de Man-van Ginkel, Janneke M / Schoonhoven, Lisette

    Journal of advanced nursing

    2015  Volume 71, Issue 10, Page(s) 2374–2383

    Abstract: Aim: To explore the experiences of safety of adult patients during their haemodialysis treatment.: Background: Haemodialysis is a complex treatment with a risk for harm that causes anxiety among many patients. To date, no in-depth study of ... ...

    Abstract Aim: To explore the experiences of safety of adult patients during their haemodialysis treatment.
    Background: Haemodialysis is a complex treatment with a risk for harm that causes anxiety among many patients. To date, no in-depth study of haemodialysis patients' emotional responses to conditions of their treatment exists.
    Design: A descriptive exploratory qualitative study using content analysis was conducted.
    Methods: Outpatients (≥18 years old) (n = 12) who were treated with haemodialysis for more than half a year were purposefully selected from two haemodialysis units (one in an academic hospital and one in a top clinical hospital) in the Netherlands. Data were collected through in-depth individual interviews from January-April 2013. Analysis of the transcribed interviews consisted of open coding, creating categories and synthesis.
    Results: Patients defined 'safety' as feeling safe from physical or emotional threats. Four main categories were identified in the descriptions of haemodialysis patients' experiences of safety: (a) insecurity; (b) trust in the nurse; (c) presence of the nurse; and (d) patients' need to control their situation.
    Conclusion: Although haemodialysis patients perceived multiple risks, most patients reported feeling safe during their treatment. The nurse had a pivotal role in promoting patients' feelings of safety. Nurses should take into account patients' coping strategies because these coping strategies may cause some patients to feel anxious, especially when patients say that they leave everything to the nurse, yet they still desire control over their treatment.
    MeSH term(s) Aged ; Anxiety/etiology ; Attitude to Health ; Female ; Humans ; Male ; Nurse-Patient Relations ; Patient Safety ; Renal Dialysis/psychology ; Social Responsibility ; Trust ; Young Adult
    Language English
    Publishing date 2015-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.12690
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Effects of substituting nurse practitioners, physician assistants or nurses for physicians concerning healthcare for the ageing population: a systematic literature review.

    Lovink, Marleen H / Persoon, Anke / Koopmans, Raymond T C M / Van Vught, Anneke J A H / Schoonhoven, Lisette / Laurant, Miranda G H

    Journal of advanced nursing

    2017  Volume 73, Issue 9, Page(s) 2084–2102

    Abstract: Aims: To evaluate the effects of substituting nurse practitioners, physician assistants or nurses for physicians in long-term care facilities and primary healthcare for the ageing population (primary aim) and to describe what influences the ... ...

    Abstract Aims: To evaluate the effects of substituting nurse practitioners, physician assistants or nurses for physicians in long-term care facilities and primary healthcare for the ageing population (primary aim) and to describe what influences the implementation (secondary aim).
    Background: Healthcare for the ageing population is undergoing major changes and physicians face heavy workloads. A solution to guarantee quality and contain costs might be to substitute nurse practitioners, physician assistants or nurses for physicians.
    Design: A systematic literature review.
    Data sources: PubMed, EMBASE, CINAHL, PsycINFO, CENTRAL, Web of Science; searched January 1995-August 2015.
    Review methods: Study selection, data extraction and quality appraisal were conducted independently by two reviewers. Outcomes collected: patient outcomes, care provider outcomes, process of care outcomes, resource use outcomes, costs and descriptions of the implementation. Data synthesis consisted of a narrative summary.
    Results: Two studies used a randomized design and eight studies used other comparative designs. The evidence of the two randomized controlled trials showed no effect on approximately half of the outcomes and a positive effect on the other half of the outcomes. Results of eight other comparative study designs point towards the same direction. The implementation was influenced by factors on a social, organizational and individual level.
    Conclusion: Physician substitution in healthcare for the ageing population may achieve at least as good patient outcomes and process of care outcomes compared with care provided by physicians. Evidence about resource use and costs is too limited to draw conclusions.
    Language English
    Publishing date 2017-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.13299
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Effects of substituting nurse practitioners, physician assistants or nurses for physicians concerning healthcare for the ageing population : a systematic literature review

    Lovink, Marleen H. / Persoon, Anke / Koopmans, Raymond T.C.M. / Vught, Anneke J.A.H. Van / Schoonhoven, Lisette / Laurant, Miranda G.H.

    Journal of advanced nursing

    2017  Volume 73, Issue 9, Page(s) 2084–2102

    Keywords Alter Mensch ; Altenpflege
    Language English
    Document type Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.13299
    Database bibnet.org

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