Nurse practitioners’ perceptions of their ability to enact leadership in hospital care

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 specialised nurse. Background: To meet today's challenges of the increasing healthcare demands, the employment of NPs is proliferating. NPs have the ideal position to play a pivotal role within healthcare reforms, yet full expansion of their scope of practi

Actions to influence the care network of home-dwelling elderly people: A qualitative study

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Care networks of home-dwelling older adults in the Netherlands: proof of concept of a network typology

Abstract Background Studies on care networks of home-dwelling older adults often focus on network composition. However, looking at network mechanisms (negotiation, navigation and contagion) can be helpful to improve the support generated by the care network. A European study on diabetes patients identified network types based on interaction, which can be beneficial (generative, proxy) or detrimental (struggling, avoidant) to support. This study explored whether these network types are present in care networks of home-dwelling older adults in the Netherlands, and how these types manifest in composition or mechanisms. Methods The present study is a cross‐sectional qualitative study of care networks supporting 19 home‐dwelling older adults. Face-to-face interviews were conducted with the older adult and their informal and formal caregivers between March and September 2016. Network composition and mechanisms were abstracted from content analysis of interview transcripts, then network type was determined for each network. Results Three of the 19 networks had only one respondent and were excluded, yielding 16 for analysis: eight proxy networks, three generative networks, two avoidant networks, one struggling network, and two possibly hybrid networks. In the proxy networks, all negotiation and navigation were centralised by the proxy. In generative networks, negotiation was possible if the older adult could reciprocate, and the network supported this. In avoidant networks, informal and formal caregivers had to deal with an older adult who refused support. In the struggling network, the underlying problem could not be addressed. Furthermore, two networks could either be hybrid network types or networks in a transition process from generative to proxy network. Conclusion Our results suggest that the network typology developed in the context of diabetes patients is relevant and mostly replicable in networks of multi-morbid older adults. We found that a care network typology based on mechanisms offered additional information beyond network composition. It also appears that the network type can change over time, but more research is needed to confirm this. This study suggests that interventions in avoidant or struggling networks are difficult. Also, actions of network participants seemed aimed at developing proxy networks. Interventions designed to develop or maintain generative networks seem underused

Evaluatie door casemanagers dementie: een explorerende praktijkstudie naar vormen en inhoud

Achtergrond Deze praktijkgerichte explorerende studie beoogt inzicht te geven in dewijzewaarop casemanagers dementie vorm en inhoud geven aan de evaluatie van hun begeleiding van het informele zorgnetwerk. Methode Er is gebruik gemaakt van een combinatie van kwantitatieve en kwalitatieve onderzoeksmethoden, uitgevoerd onder 57 casemanagers dementie, verbonden aan drie verschillende dementienetwerken. Resultaten De kwantitatieve en kwalitatieve data zijn ondergebracht in vier thema’s: (1) houding ten aanzien van evaluatie, (2) vormen van evaluatie, (3) uitvoering van evaluatie en (4) inhoud van evaluatie. Er bestaat diversiteit in vorm en inhoud van het evalueren door casemanagers met cliënten enmantelzorgers. Casemanagers erkennen het belang van een tussentijdse- en eindevaluatie, maar het ismoeilijk daarmethodisch vorm aan te geven. Belemmeringen die casemanagers ervaren, hebben te maken met cliënt- en professionalfactoren en laten hierin diverse aspecten zien. Conclusie Casemanagers evalueren vooral informeel en doorlopend om hun begeleiding op de behoeften van cliënt en mantelzorger af te stemmen. In mindere mate gebruiken casemanagers evaluatie om de kwaliteit van hun handelen systematisch te toetsen. Een vervolgdiscussie over vorm en inhoud van evalueren dientmet casemanagers en cliënten op individueel, professioneel en maatschappelijk niveau gevoerd te worden

What interventions affect the psychosocial burden experienced by prostate cancer patients undergoing active surveillance?:A scoping review

PURPOSE: Living with untreated prostate cancer (PCa) may cause anxiety and uncertainty in men undergoing active surveillance (AS). Developing a psychosocial support program for such patients might promote psychosocial well-being and patient engagement. This review aims to identify interventions with the potential to influence the psychosocial burden of prostate cancer patients undergoing AS. METHODS: A scoping review was conducted in accordance with the PRISMA Extension for Scoping Reviews Checklist. A systematic search was conducted in six databases and included publications dating from 2009. All available and eligible evidence was included in this review. RESULTS: After screening 2824 articles, 12 studies were included in the review: nine quantitative, one qualitative, and two mixed method papers. The relative strength of these studies was limited and the quality of most was moderate. CONCLUSIONS: The described interventions can be categorized into three major themes: information and education, coping and (psycho)social support, and lifestyle. Psychosocial support for men undergoing AS should entail involvement of family and spouse during the decision-making process, tailored information about PCa treatments, risks, benefits, protocols, lifestyle adjustments, and complementary and alternative medicine. Assessment and promotion of effective coping and self-management strategies are recommended. Healthcare providers should actively promote physical activity and nutritional improvements. Physical activity programs may also be helpful in facilitating peer support, which is especially important for men with limited social support. Future research should investigate combining interventions to increase efficacy and optimize supportive care during AS. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00520-022-06830-z

Self-management support in cardiovascular consultations by advanced practice nurses trained in motivational interviewing: An observational study

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