About
81
Publications
32,235
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
5,082
Citations
Publications
Publications (81)
Verzorgend wassen is een gelijkwaardig alternatief voor het wassen van cliënten en heeft voordelen ten opzichte van de ‘klassieke’ wasbeurt met water en zeep. Uit dit onderzoek blijkt dat verzorgend wassen nog regelmatig toegepast wordt. Verbeteringen zijn wenselijk ten aanzien van de voorkeur en keuzevrijheid van cliënten, maar ook naleving van ha...
Aim
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
Design‐based research.
Methods
A design group and four test groups of community nurses and nursing assistants were formed to develop a reflection method that aligns with...
Aims
The aims of the study were to gain insight in the transfer process from hospital to homecare or rehabilitation centre from a patient's perspectives and to describe the experienced involvement, information provision and information needs patients.
Design
A multiple case study with a phenomenological approach.
Methods
Observations and intervie...
Background:
A changing nursing workforce and an increase in demands for care together with more complex care, raise arguments that leading and guiding nursing practice is more challenging than ever. Therefore, nurses need to have a shared agenda and a common language to show the importance of nursing care and the consequences of not addressing thi...
Aims
To explore and describe hospital nurses' perceptions of leadership behaviours in facilitating patient participation in fundamental care.
Design
An ethnographic interview study.
Methods
Individual semi‐structured interviews with 12 nurses with a bachelor's or master's degree working at a university medical centre were conducted between Februa...
Background and Objective: Function-Focused Care (FFC) aims to optimize daily functioning of older people by changing clinical nursing practice of care professionals. Recently, three multicomponent FFC-programs were implemented in the Dutch home, nursing home, and hospital care setting. Process evaluations were conducted including eight focus groups...
Background
Patient-centred care has been recognised as vital for today's healthcare quality. This type of care puts patients at the centre, contributing to positive patient outcomes such as patient autonomy. Empirical research comparing nurses’ and patients’ perceptions of the support and provision of patient-centred care is limited and focuses sol...
SBAR (Situation, Background, Assessment and Recommendation) is a structured method developed for communicating critical information that requires immediate action. In 2016 the SBAR tool was introduced at the Amalia Children’s Hospital in the Netherlands to improve communication between healthcare workers. Despite formal training and the introductio...
Background:
Patient participation is fundamental to nursing care and has beneficial effects on patient outcomes. However, it is not well embedded yet and little is known on how nurses could effectively stimulate patient participation in hospital care. The Tell-us Card is a communication tool for inviting patients to talk about their preferences an...
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...
Aims and objectives
Translating and psychometrically assessing the Individualised Care Scale (ICS) for patients and nurses for the Flemish and Dutch healthcare context.
Background
Individualised care interventions have positive effects on health outcomes. However, there are no valid and reliable instruments for evaluating individualised care for t...
Background:
Undernutrition in surgical patients leads to a higher risk of postoperative complications like infections and delayed recovery of gastrointestinal functions, often resulting in a longer hospital stay and lower quality of life. Nurses at outpatient clinics can deliver nutritional care during outpatient preoperative evaluation of health...
De zorg is complex en voortdurend in beweging. Als verpleegkundig leider wordt van je verwacht dat je leiderschap toont in een complex systeem als de zorg. Maar hoe doe je dat precies, en hoe verhoudt je directe werkomgeving zich tot de organisatie waarin je werkt, en tot het systeem van de gezondheidszorg? Hoe word jij beïnvloed door je werkomgevi...
Aims and objective:
To gain insight into nurse practitioners' (NP) leadership roles in Dutch hospital care, by exploring the perceptions regarding their current leadership role and the differences with their previous role as a registered specialized nurse.
Background:
To meet today's challenges of the increasing healthcare demands, the employmen...
Aims and objectives:
To investigate potential barriers and enablers prior to the implementation of the Tell-us card.
Background:
Patient participation has the potential to improve quality of care and has a positive effect on health outcomes. In order to enhance participation of patients, adequate communication between patients, their relatives a...
Objective:
To explore how nurses in hospitals enact person-centred fundamental care delivery.
Background:
Effective person-centred care is at the heart of fundamental nursing care, but it is deemed to be challenging in acute health care as there is a strong biomedical focus and most nurses are not trained in person-centred fundamental care deliv...
![Model competencies [Colour figure can be viewed at wileyonlinelibrary.com]](publication/333615058/figure/fig2/AS:11431281175980875@1689985126470/Model-competencies-Colour-figure-can-be-viewed-at-wileyonlinelibrarycom_Q320.jpg)
Aim
To establish what leadership competencies are expected of Master level educated nurses like the Advanced Practice Nurses and the Clinical Nurse Leaders as described in the international literature.
Background
Developments in healthcare ask for well trained nurse leaders. Advanced Practice Nurses and Clinical Nurse Leaders are ideally positione...
Hyperhidrosis axillaris is a frequently occurring condition that can cause serious psychosocial problems in otherwise healthy people. Treatment with the miraDry device has been developed as a permanent solution for this condition. The treatment makes use of electromagnetic radiation that leads to an increased skin temperature. The high temperature...
Aims:
The aim of this paper is to describe and discuss the 'Basic Care Revisited' (BCR) research programme, a collaborative initiative that contributes to evidence-based basic nursing care and raises awareness about the importance of basic nursing care activities.
Background:
While basic nursing care serves nearly all people at some point in the...
Aims and objectives:
The aim of the study is to explore the perspectives of nursing students on their education concerning basic nursing care, learned either during theoretical education or clinical placement, with a specific focus on nutrition and communication.
Background:
Basic care activities lie at the core of nursing, but are ill-informed...
Rationale: Undernutrition among patients planned for surgery influences outcomes, e.g. higher complication rates, longer length of hospital stay (LoS) and increased mortality. The aim of this study was to evaluate the feasibility and effectiveness of an early nursing nutrition intervention (NNI) in outpatients planned for surgery.
Methods: The NNI...
Aims and objectives:
To describe the tailoring of the Tell-us Card intervention for enhanced patient participation to the Dutch hospital setting using Intervention Mapping as a systematic approach.
Background:
Even though patient participation is essential in any patient-to-nurse encounter, care plans often fail to take patients' preferences int...
Richtlijnen hebben tegenwoordig terecht een belangrijke plek in ons dagelijks professioneel handelen en in de nieuwe beroepsprofielen. Ze zijn een richtsnoer dat ons als zorgprofessionals helpt om excellente zorg volgens de laatste stand van wetenschap te geven. Daarmee is ons dagelijks klinisch handelen meer gebaseerd op wetenschappelijk bewijs. D...
Abstract
Aim: To assess the quality of evidence and determine the effect of patient-related and economic outcomes of self-management support interventions in chronically ill patients with a low socio-economic status.
Background: Integrated evidence on self-management support interventions in chronically ill people with low socio-economic status is...
Het betrekken van mantelzorgers in de zorg voor patiënten is effectief bij het voorkomen en behandelen van een delier. In het Slingeland Ziekenhuis in Doetinchem is onderzocht in welke mate en op welke onderdelen mantelzorgers betrokken willen worden.
Background:
Brief interventions in primary healthcare are cost-effective in reducing drinking problems but poorly implemented in routine practice. Although evidence about implementing brief interventions is growing, knowledge is limited with regard to impact of initial role security and therapeutic commitment on brief intervention implementation....
Background
Screening and brief interventions (SBI) in primary healthcare are cost-effective in risky drinkers, yet they are not offered to all eligible patients. This qualitative study aimed to provide more insight into the factors and mechanisms of why, how, for whom and under what circumstances implementation strategies work or do not work in inc...
Aim:
To test if training and support, financial reimbursement, and option of referring screen positive patients to an internet-based method of giving advice (eBI) can increase primary health care providers' delivery of AUDIT-C based screening and advice to heavy drinkers.
Design:
Cluster randomized factorial trial with 12-week implementation and...
Background:
The application of evidence-based lifestyle interventions is suboptimal, but little is known what interventions are actually used. This study aimed to explore the range of lifestyle interventions used in Dutch ambulatory health care settings.
Method:
We conducted interviews (n = 67) in purposefully selected hospitals, general practic...
Background: access to effective healthcare is in particular challenging for vulnerable and socially disadvantaged patients. Patients with chronic conditions are over-represented in these lower socioeconomic (LSES) groups. No generic review integrating the evidence on Self-Management support interventions in LSES patients with different chronic cond...
To describe goals set in individual nurse-led lifestyle counselling sessions in leg ulcer patients, and to explore patient and goal characteristics in relation to health behaviour change.
Goal setting is increasingly used in nurse-led counselling programmes, but the delivery is often unknown, especially in patient groups for which only recently pro...
Background and AimsScreening and brief interventions (SBI) delivered in primary health care (PHC) are cost-effective in decreasing alcohol consumption; however, they are underused. This study aims to identify implementation strategies that focus on SBI uptake and measure impact on: (1) heavy drinking and (2) delivery of SBI in PHC. Methods
Meta-ana...
Many implementation barriers relate to lifestyle interventions (LIs) being developed by scientists. Exploring whether implementation of non-evaluated LIs is less complicated, might offer insight how to improve the use of effective interventions. This study aimed to identify influencing factors for implementation and compare factors between evidence...
Frail older people often receive fragmented care from multiple providers. According to the literature, there is an urgent need for coordination of care. Online and eHealth tools are increasingly used to improve coordination. However, there are significant barriers to their implementation in frail older people.
Our aim was to (1) evaluate difference...
No study has systematically examined how researchers address cross-cultural adaptation of burnout. We conducted an integrative review to examine how researchers had adapted the instruments to the different contexts. We reviewed the Content Validity Indexing scores for the Maslach Burnout Inventory-Human Services Survey from the 12 country comparati...
Background
Older people suffering from frailty often receive fragmented chronic care from multiple professionals. According to the literature, there is an urgent need for coordination of care.
Objective
The objective of this study was to investigate the effectiveness of an online health community (OHC) intervention for older people with frailty ai...
General practitioners with more positive role security and therapeutic commitment towards patients with hazardous or harmful alcohol consumption are more involved and manage more alcohol-related problems than others. In this study we evaluated the effects of our tailored multi-faceted improvement implementation programme on GPs' role security and t...
Samenvatting Robben SH, Perry M, Huisjes M, Van Nieuwenhuijzen L, Schers HJ, Van Weel C, Rikkert MG, Van Achterberg T, Heinen MM, Melis RJ. Het ZWIP, een digitale overlegtafel voor ouderen en hulpverleners. Huisarts Wet 2014;57(2):58-62. Achtergrond Ons huidige zorgstelsel is onvoldoende in staat om adequate zorg te bieden aan het toenemende aantal...
Background Little is known of the extent to which nursing-care tasks are left undone as an international phenomenon.
Aim The aim of this study is to describe the prevalence and patterns of nursing care left undone across European hospitals and explore its associations with nurse-related organisational factors.
Methods Data were collected from 33 65...
Background
Although frail older people can be more reluctant to become involved in clinical decision making, they do want professionals to take their concerns and wishes into account. Discussing goals can help professionals to achieve this. Objective
To describe the development of a two-step method for discussing goals with frail older people in pr...
Our fragmented health care systems are insufficiently equipped to provide frail older people with high quality of care. Therefore, we developed the Health and Welfare Information Portal (ZWIP), an e-health intervention which aims (1) to facilitate self-management by frail older people and informal caregivers and (2) to improve collaboration among p...
Our fragmented health care systems are insufficiently equipped to provide frail older people with high quality of care. Therefore, we developed the Health and Welfare Information Portal (ZWIP), an e-health intervention which aims (1) to facilitate self-management by frail older people and informal caregivers and (2) to improve collaboration among p...
To investigate the effectiveness of the Lively Legs programme on patient adherence to compression therapy, walking behaviour and leg exercising, as well as on leg ulcer recurrence.
Randomized controlled trial (ClinicalTrials.gov identifier: NCT00184873).
A total of 184 patients with leg ulcers having predominantly venous aetiologies from 11 Dutch d...
Background
Implementation of lifestyle interventions in patient care is a major challenge. Understanding factors that influence implementation is a first step in programs to enhance uptake of these interventions. A lifestyle-counseling intervention, Lively Legs, delivered by trained nurses, can effectively improve the lifestyle in patients with ven...
Program adherence Lively Legs.
Background:
Current health care systems are not optimally designed to meet the needs of our aging populations. First, the fragmentation of care often results in discontinuity of care that can undermine the quality of care provided. Second, patient involvement in care decisions is not sufficiently facilitated.
Objective:
To describe the developme...
Due to fragmentation of care, continuity of care is often limited in the care provided to frail older people. Further, frail older people are not always enabled to become involved in their own care. Therefore, we developed the Health and Welfare Information Portal (ZWIP), a shared Electronic Health Record combined with a communication tool for comm...
Movie demonstrating the use of the Health and Welfare Information Portal by a frail older person and her informal caregiver. (WMV 16069 kb)
Care for the frail elderly is often provided by several professionals. Collaboration between them is essential, but remains difficult to achieve. Interprofessional education (IPE) can improve this collaboration. We developed a 9-hour IPE program for primary care professionals from 7 disciplines caring for the frail elderly, and aimed to establish w...
Background:
Patient involvement in clinical decision making is increasingly advocated. Although older patients may be more reluctant to become involved, most do appreciate being informed. However, knowledge about their experiences with and preferences for receiving information is limited, and even less is known about these topics for frail older p...
To determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient care and nurse workforce stability in European countries.
Cross sectional surveys of patients and nurses.
Nurses were surveyed in general acute care hospitals (488 in 12 European countries; 617 in the United Sta...
Web table 2: Response rates for the nurse and patient surveys for the European samples
Web table 1: Hospital response rates in European countries
Robben, Sarah H M Perry, Marieke Olde Rikkert, Marcel G M Heinen, Maud M Melis, Rene J F Letter Research Support, Non-U.S. Gov't United States J Am Geriatr Soc. 2011 Aug;59(8):1552-4. doi: 10.1111/j.1532-5415.2011.03515.x.
Development and psychometric testing of an instrument to assess venous leg ulcer lifestyle knowledge.
Nurses often lack knowledge to provide adequate leg ulcer advice. No valid and reliable instruments are available to assess knowledge on venous leg ulcer advice among nurses.
The instrument was developed based on a literature review and patient cas...
Patients with leg ulceration often have long lasting and recurrent wounds. The treatment exists mainly of wound-care and compression therapy. International literature shows several indications of problems in relation to leg ulceration, but no studies were performed to give a comprehensive overview of all problems identified and care received relate...
To assess levels of physical activity, particularly walking and leg exercises, among patients with venous leg ulcers and the extent to which patients adhere to compression therapy.
Descriptive cross-sectional study.
Patients from 12 outpatient dermatology clinics were invited to participate in this study. When they agreed, they were asked to wear a...
This paper is a report of a study to identify the determinants of physical activity (PA) in patients with venous leg ulcers to develop recommendations for behavioural interventions aimed at enhancing physical activity.
Physical activity promotes wound healing and prevents the recurrence of wounds in venous patients with leg ulcers. Many patients wi...
The objective of our project was to develop a lifestyle program for leg ulcer patients at outpatient clinics for dermatology.
We used the intervention-mapping (IM) framework for systematically developing theory and evidence based health promotion programs. We started with a needs-assessment. A multidisciplinary project group of health care workers...
This study explores the relevance of the International Classification of Functioning, Disability and Health (ICF) to nursing diagnoses.
As a multidisciplinary classification of human functioning, the ICF (previously known as ICIDH-2) is potentially relevant to nursing care. However, nurses have rarely used the classification during the 23 years of...
Current nursing care for leg ulcer patients often focuses on wound care and providing compression therapy. Nurses perceive leg ulcer patients as 'under-served' with regard to problems patients experience in daily life. An overview of patient problems is a first and essential step in the development of comprehensive nursing care.
To gather informati...
Having a leg ulcer has a major impact on daily life. Lifestyle is mentioned in most leg ulcer guidelines but mostly without much emphasis on the subject.
Evidence for the effect of nutrition, leg elevation and exercise on the healing of leg ulcers was reconsidered. Furthermore, the evidence for effective pain-related interventions was investigated....
