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Exclusief inclusief?
Deze rede is in verkorte vorm uitgesproken door Bernhard Reitsma bij zijn afscheid van het lectoraat ‘Diversiteit en professionaliteit’. Hierin wordt een visie uitgewerkt op de verhouding van exclusiviteit en inclusiviteit vanuit het christelijk geloof.
Diversiteit en Professionaliteit | 05-10-2023Experiences and needs of Dutch cancer survivors regarding lifestyle counselling: a qualitative study
Background:Cancer survivors face various short- and long-term consequences of their disease and treatment, which may negatively impact their quality of life. Healthy lifestyle changes can have a positive effect on these consequences but current counselling does not sufficiently meet their needs. This study explores the experiences and needs of cancer survivors regarding lifestyle counselling.Methods:A qualitative design comprising semi-structured interviews was used. We conducted 18 interviews with Dutch adult cancer survivors with various types of cancer, including people with limited health literacy. The data were analysed using reflexive thematic analysis. This study is part of the GLINK project, which aims to develop and evaluate an integrated lifestyle intervention for cancer survivors.Results:Dutch cancer survivors experienced current lifestyle counselling as fragmented and not structurally embedded, which requires them to be proactive in seeking support. Participants expressed a desire for stronger integration of lifestyle counselling within oncological (after)care, with clear information on available options and improved accessibility in terms of location, contact with professionals, and referral pathways. They reported a need for personalised, flexible support from professionals specialized in oncology, focusing on individual needs to ensure that patients feel seen and heard.Conclusions:This study provides insights into how lifestyle counselling for cancer survivors can be improved from the patients’ perspective. These findings can enhance the initiation of lifestyle conversations and referral processes and serve as a foundation for developing an integrated lifestyle intervention for cancer survivors.
Leefstijl en Gezondheidsbevordering | 12-11-2025Exploring dialogue in virtual simulation in nursing education – An observational study
Objectives: Simulation is an important learning activity in nursing education. There is little knowledge about dialogue and communication between students and facilitators in a virtual simulation setting. The current study, conducted in Norway, explores the dialogic teaching approaches applied by facilitators in a virtual classroom and adapt an analytic tool from a physical classroom in lower education to a virtual classroom in higher education.Methods: Sixteen virtual simulation sessions of groups with nursing students were video-taped. The videos were coded with a coding scheme developed for physical classrooms and adapted to the virtual setting. The dialogic approaches from the facilitator were analysed using descriptive analysis.Results:The most frequently used approaches from the facilitator were categorized as listening (“Modelling prompts and body language to encourage continuation”) and asking (“Big questions”). The most frequent pattern seen in the use of dialogic approaches fall under the category listening.Conclusions:The coding scheme is suitable to analyse facilitators’ dialogic approaches in a virtual setting in nursing education. Further research should examine how the facilitator can strategically deploy dialogic approaches in other types of simulations with students.Innovation: The coding scheme was developed from lower to higher education, and from a physical to a virtual setting.
24-05-2024Exploring the concept of school belonging
School belonging is important for well-being and academic achievement of youth. School belonging is a broad concept for which researchers from different disciplinary backgrounds have developed a variety of synonyms and indicators. To explore the content of the concept of school belonging, an expert rating study was conducted with 73 expert researchers who rated different synonyms, indicators, and clusters of indicators of school belonging. Results showed that the experts considered connectedness the most suitable synonym of school belonging and inclusion, acceptance, connection, and respect the best indicators. With a multidimensional scaling analysis, two dimensions (the object of belonging and the intra- versus interpersonal nature of belonging) and five clusters of indicators were identified. The findings of this study provides some conceptual clarity that may help future research.
Samen Divers | 26-07-2023Facilitators and barriers for promoting healthy eating among primary care patients: results of a qualitative study among practice nurses
Background:Practice nurses have an important role in promoting healthy eating to prevent or delay long-term complications from chronic lifestyle-related diseases.Objective:To identify the facilitators and barriers encountered by practice nurses at a professional level when promoting healthy eating among patients.Methods:Face-to-face semi-structured interviews were conducted with 21 Dutch practice nurses. Data were recorded, transcribed and analysed using inductive thematic analysis.Results:Two main themes were determined: professional characteristics and professional–patient encounter. Professional characteristics included good communication skills and experience facilitated the successful promotion of healthy eating, while a lack of communication skills and lack of knowledge about diet were perceived as barriers. The most frequently identified facilitators for professional–patient encounter included ensuring a personal connection with patients, creating food awareness, focussing on small changes, adopting a tailored approach, motivating and arranging extra consultations. Barriers included lack of skills to raise the topic, lack of persistence, inability to find a common understanding, lack of competence in handling patients’ own choices and underuse of existing educational materials.Conclusions:Further research using the identified facilitators and barriers for promoting healthy eating in primary care patients with chronic diseases could assist in the development of future training programmes for practice nurses.
Leefstijl en Gezondheidsbevordering | 05-09-2021Factors associated with dietary behaviour change support in patients
Aim:To explore which factors, influencing dietary behaviour change support among patients by Dutch community nurses (CNs; nurses), are key focal points in training programmes.Background:Nurses have an important role in counselling patients towards healthier dietary behaviour to prevent or delay long-term complications from chronic lifestyle-related diseases. Most nurses do not incorporate dietary behaviour change support in their routines to the fullest potential.Design:A qualitative descriptive study.Methods:Data were collected in the Netherlands in 2018–2019 via semi-structured face-to-face interviews with 18 nurses. Interview guide themes were informed by the COM-B model, using validated descriptions in Dutch. Data were recorded, transcribed and analysed using inductive thematic analysis.Results:Factors that affected dietary behaviour change support were linked to (1) the nurse (role identity, dietary knowledge and competences such as methodical approach, behaviour change techniques and communication techniques), (2) nurse–patient encounter (building a relationship with a patient, supporting patient autonomy and tailoring the approach) and (3) cooperation and organizational context.Conclusion:It is of utmost importance to pay attention to nurses' role identity regarding dietary behaviour change support, as this underlies professional behaviour. This should be accompanied by improving competences on dietary behaviour change support. Focus on competences regarding the application of behaviour change technique is crucial. Furthermore, having a relationship of trust with a patient was important for discussing sensitive topics such as diet.Impact:The promotion of a healthy diet provides opportunities to contribute to patient autonomy and self-management. Well-fitted training offers for (senior) nurses will lead to improved professional practice of nurses, leading to healthier dietary behaviour of patients.
Leefstijl en Gezondheidsbevordering | 30-07-2023Fine-tuning knowledge as part of professional knowing of nurses to provide individual tailored nursing care
The general objective of this study was to develop a substantive theory of how good nurses in acute care tune in to patient preferences in their nursing decision-making, and what knowledge they deploy in doing so.
Verpleegkundige beroepsethiek, Reflectie op goede zorg | 01-01-2016Focus op Focus
Focus is een missionair traject van de IZB, bedoeld voor lokale gemeenten. De IZB is een missionaire organisatie binnen de Protestantse Kerk in Nederland. Na een introductie van de opzet en de inhoud van Focus volgen praktijkervaringen binnen twee verschillende gemeenten in resp. Amersfoort en Eethen-Drongelen. Aansluitend is er een gemeenteopbouwkundige evaluatie van dit missionaire traject. De artikelen vormen samen aflevering 28 van de rubriek 'Wegen tot vernieuwing. Praktijkberichten uit gemeenten en parochies' in het tijdschrift Inspirare.
Zingeving in nieuwe geloofsgemeenschappen | 01-07-2021
