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39
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Introduction
Skills and Expertise
Publications
Publications (39)
Objectives:
This study evaluated the effect of a tailored, multifaceted improvement strategy on hand hygiene compliance in long-term care facilities (LTCFs). We also performed a process evaluation to explore the mechanisms through which our strategy brought about change.
Design:
We conducted a stepped-wedge cluster-randomized controlled trial wi...
Objectives
To assess the effects of a quality improvement (QI) team training intervention, by measuring the intervention fidelity and the compliance with a surgical site infection (SSI) bundle in the operating theatre (OT).
Design
Multicentre before–after study.
Setting
This study was performed in four Dutch hospitals.
Intervention
The QI team t...
This paper investigated facilitators and barriers to implementing the European Football Fans in Training program (EuroFIT) in professional sports clubs in England, the Netherlands, Norway, and Portugal. We analyzed qualitative data collected at clubs that delivered EuroFIT, based on semi-structured interviews with coordinating staff (n = 15), coach...
Background
: In Dutch nursing homes, healthcare workers’ attire has been the subject of debate for years. White uniforms and professional white jackets are increasingly being replaced by casual personal attire. Many nursing homes have made this choice because they want to create a homey atmosphere. However, with regard to infection control, casual...
Background
Hand hygiene is an important measure to prevent healthcare-associated infections in long-term care facilities.
Objectives
To evaluate compliance with hand hygiene recommendations by different nursing professionals in long-term care facilities and to investigate determinants potentially influencing hand hygiene and whether these differed...
Objective
To evaluate the effect of an intervention to improve disease activity-based management of RA in daily clinical practice by addressing patient level barriers.
Methods
The DAS-pass strategy aims to increase patients’ knowledge about DAS28 and to empower patients to be involved in treatment (decisions). It consists of an informational leafl...
Objective
To assess the extent to which evidence-based practices are regularly used in acute care hospitals in different countries.
Design
Cross-sectional survey study. Participants and setting: Infection preventionists in acute care hospitals in the United States (US), the Netherlands, Switzerland, and Japan.
Methods
Data collected from hospital...
Background
Elderly residents in long-term care facilities (LTCFs) are vulnerable to healthcare-associated infections. Although hand hygiene is a leading measure for preventing infection, the compliance of healthcare workers is low. The aim of this study is to identify determinants that influence hand hygiene compliance of nursing staff in LTCFs. Th...
Objectives
Research specifically addressing implementation strategies regarding nursing guidelines is limited. The objective of this review was to provide an overview of strategies used to implement nursing guidelines in all nursing fields, as well as the effects of these strategies on patient-related nursing outcomes and guideline adherence. Ideal...
Background:
In the last decade, there is an increasing focus on detecting and compiling lists of low-value nursing procedures. However, less is known about effective de-implementation strategies for these procedures. Therefore, the aim of this systematic review was to summarize the evidence of effective strategies to de-implement low-value nursing...
Dit hoofdstuk schetst hoe je een leiderschapsrol in je eigen team kunt vervullen. Wat voor een soort team zijn jullie eigenlijk en hoe kun je leiderschap tonen in jullie team? We laten zien wat er nodig is om jouw team optimaal te laten presteren en wat de invloed is van de organisatiecultuur op kwaliteitsverbetering en zorguitkomsten. Daarnaast be...
Objective:
To examine the extent to which acute care hospitals in the Netherlands have adopted recommended practices to prevent catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and Clostridioides difficile infection (CDI).
Methods:
Between 18 July...
Background/aims:
Power and sample size calculation formulas for stepped-wedge trials with two levels (subjects within clusters) are available. However, stepped-wedge trials with more than two levels are possible. An example is the CHANGE trial which randomizes nursing homes (level 4) consisting of nursing home wards (level 3) in which nurses (leve...
Verpleegkundig leiderschap
Dit boek nodigt de verpleegkundige uit om het thema verpleegkundig leiderschap te verkennen en eigen te maken. Door leiderschap kun jij invloed hebben op de patiëntgerichtheid, effectiviteit en veiligheid van zorg.
Verpleegkundigen zijn van cruciaal belang voor het leveren van kwalitatief hoogstaande zorg. Zeker in deze...
Ze weten het best, dat het desinfecteren van de handen ziekenhuisinfecties kan voorkomen. En toch doen artsen en verpleegkundigen het vaak niet op de momenten dat ze het wel zouden moeten doen. Hoe komt dat? En valt er iets aan te veranderen?
Ze weten het best, dat het desinfecteren van de handen ziekenhuisinfecties kan voorkomen. En toch doen artsen en verpleegkundigen het vaak niet op de momenten dat ze het wel zouden moeten doen. Hoe komt dat? En valt er iets aan te veranderen?
There is only limited understanding of why hand hygiene improvement strategies are successful or fail. It is therefore important to look inside the ‘black box’ of such strategies, to ascertain which components of a strategy work well or less well. This study examined which components of two hand hygiene improvement strategies were associated with i...
Background
Many strategies have been designed and evaluated to address the problem of low hand hygiene (HH) compliance. Which of these strategies are most effective and how they work is still unclear. Here we describe frequently used improvement strategies and related determinants of behaviour change that prompt good HH behaviour to provide a bette...
Coding manual.
Worked example data extraction.
Characteristics of excluded studies.
Calculation of relative difference.
Overview of strategies and methods in the 41 studies reviewed.
Details of study characteristics, improvement activities and results in the 41 studies reviewed.
Although hand hygiene (HH) compliance has been an important issue for years, the compliance rate is still a problem in health care today.
This was an observational, prospective, before-and-after study. We measured HH knowledge and HH compliance before (baseline), directly after (poststrategy), and 6 months after the performance of HH team strategie...
Public health authorities have recognized lack of hand hygiene in hospitals as one of the important causes of preventable mortality and morbidity at population level. The implementation strategy ACCOMPLISH (Actively Creating COMPLIance Saving Health) targets both individual and environmental determinants of hand hygiene. This study aims to evaluate...
Hand Hygiene Monitoring Tool. Scoreform Hand Hygiene opportunities.
Hand hygiene prescriptions are the most important measure in the prevention of hospital-acquired infections. Yet, compliance rates are generally below 50% of all opportunities for hand hygiene. This study aims at evaluating the short- and long-term effects of two different strategies for promoting hand hygiene in hospital nurses.
This study is a cl...
Healthcare-associated infections (HAI) are considered to be the most frequent adverse event in healthcare delivery. Active efforts to curb HAI have increased across Europe thanks to the growing emphasis on patient safety and quality of care. Recently, there has been dramatic success in improving the quality of patient care by focusing on the implem...
Improving hand hygiene (HH) compliance is still a major challenge. We compared a literature based 'state of the art' strategy with a 'team directed' strategy, based on social influence and leadership, on their effectiveness on HH compliance.
This paper reports a review of the literature conducted to identify organisation models in cancer pain management that contain integrated care processes and describe their effectiveness.
Pain is experienced by 30-50% of cancer patients receiving treatment and by 70-90% of those with advanced disease. Efforts to improve pain management have been mad...
