Filters
40 resultaten gevonden
Dietary behavioural support in Dutch nursing homes: a cross-sectional study
**Background**Dietary support among residents by nursing home nurses can enhance quality of life and mitigate risks. The extent to which this support is provided may be influenced by determinants that shape professional behaviour, such as skills, knowledge, professional role perception, emotions, attitude, self-efficacy, outcome expectancies, and priority. This explorative study described self-reported dietary support practices, determinants of practice, and additional knowledge needs among Dutch nursing home nurses.**Methods**A cross-sectional design was used. Nurses completed an online, self-administered 70-item questionnaire (*n* = 138). Nurses reported on a 5-point Likert scale (never [1] to always [5]) frequency of healthy dietary support practice in general and of four specific practices: observing any problems, having a conversation, motivating, setting goals. Ten determinants were rated (strongly disagree [1] to strongly agree [5]). Percentage of nurses who reported performing practices often or always, and who (strongly) agreed with the determinant, were obtained.**Results**Most nurses frequently supported healthy diet in general (71%). With respect to the specific practices, almost all nurses observed any problems with eating and drinking among residents (91%), only about half of the nurses addressed diet in a conversation (48%) or motivated residents (55%), and nurses set goals rarely (19%). Sufficient skills (80%), sufficient knowledge (79%), a favourable professional role perception (77%), positive emotions (72%), and a high intent (70%) regarding general healthier dietary support was expressed by a lot of nurses. Fewer nurses indicated lack of negative emotions (63%), positive attitude (56%), high self-efficacy (55%), high outcome expectancies (34%), and lack of competing priorities (34%). Nurses expressed a broad need for additional knowledge related to nutrition and behaviour change.**Conclusions**Nurses generally supported healthy diet among residents, but specific practices that go beyond merely observing problems are implemented less frequently. Competing priorities, belief in outcome expectancies, and knowledge related to this support require further attention.
Leefstijl en Gezondheidsbevordering | 17-04-2026Digitale zorg in de jeugdgezondheidszorg: ontwikkeling en haalbaarheid van een zorgpad met e-consulten
Inleiding: De JGZ nodigt op specifieke leeftijden alle ouders uit voor fysieke consulten om de ontwikkeling van het kind te volgen. Na validering van de Structured Problem Analysis of Raising Kids (SPARK) ontstond de mogelijkheid om de zorg te differentiëren op basis van de verschillende behoeften van gezinnen. Methode: Dit onderzoek startte met de ontwikkeling van een zorgpad met e-consulten voor peuters met laag risico. Na implementatie werden gezondheid en ontwikkeling van het kind gevolgd via door ouders ingevulde vragenlijsten. Ter evaluatie werd een consult op de leeftijd van 30 maanden uitgevoerd en werden gebruikerservaringen van ouders en jeugdverpleegkundigen uitgevraagd.Resultaten: Het bleek in de dagelijkse praktijk haalbaar om ouders en kinderen met een laag risico op opvoedings- en ontwikkelingsproblemen e-consulten aan te bieden, die hen ondersteunen. Binnen de projectduur zijn 106 e-consulten op 24 maanden, 81 op 30 maanden en 59 op 36 maanden uitgevoerd. Ouders waren zeer tevreden over de e-consulten, in tegenstelling tot jeugdverpleegkundigen.Beschouwing: Dit onderzoek liet veelbelovende mogelijkheden zien voor digitale zorg in de JGZ. Het perspectief van ouders motiveerde jeugdverpleegkundigen om door te gaan met e-consulten. Door te beginnen met een digitaal aanbod voor ouders en kinderen met laag risico, kan tijd vrijkomen om in te zetten voor ouders en kinderen met meer zorgbehoeften en hoger risico. Vervolgonderzoek naar de effectiviteit van e-consulten ten opzichte van fysieke consulten volgt.E-health; ouderschap; gezondheid van kinderen; ouderperspectief; relatieverpleegkundige-gezin
Leefstijl en Gezondheidsbevordering | 26-08-2025Dilemma’s rond langer thuiswonen van ouderen
De Nederlandse overheid ontwikkelde beleid om bij de verwachte bevolkingsopbouw in 2040 – met een relatief groot aantal oudere ouderen - de beperkt beschikbare professionele zorg zo efficiënt mogelijk, toegankelijk, betaalbaar en van hoge kwaliteit te houden. Ouderen wonen daarom langer thuis, zijn zelfredzaam en zorgen voor elkaar. Dit maakbaarheidsdenken vraagt om reflectie op normatieve en existentiële dimensies om te komen tot een betekenisvolle transformatie die ‘deugt en deugd doet’. Recent overheidsbeleid over langer thuiswonen van ouderen is in kaart gebracht en hoe adviesraden rondom politiek en openbaar bestuur dit beleidsvraagstuk duiden. Onderzoekers verkenden waarden en normen in reflectieve dialogen met ouderen, beleidsmakers, zorgprofessionals en opleiders. Een aantal dilemma’s rond dit beleid zijn geconstateerd: het beleid gaat uit van maakbaarheid en energieke ouderen, het beheersingsvraagstuk is enorm, de beleidskaders knellen voor professionals en ouderen hebben nauwelijks stem. De slotbeschouwing roept op om in beleid en professioneel handelen deze ambivalentie een plek te geven.
Leefstijl en Gezondheidsbevordering, Bezieling en Professionaliteit, Informele Netwerken | 01-10-2025Experiences 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 | 12-11-2025Facilitators 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 | 30-07-2023Gezond eten bevorderen
In de rol van ‘gezondheidsbevorderaar' hebben wijkverpleegkundigen een belangrijke taak bij het bevorderen van gezond eet- en drinkgedrag. In de praktijk vervullen wijkverpleegkundigen deze rol nog niet altijd. Het is onduidelijk welke factoren hierop invloed hebben. Het doel van deze studie was het in kaart brengen van belemmerende en bevorderende factoren die wijkverpleegkundigen ervaren in het bevorderen van gezond eet- en drinkgedrag van cliënten. En ook: welke factoren hebben daarom aandacht nodig in professionalisering?
Leefstijl en Gezondheidsbevordering | 10-04-2025Gezonder gedrag bij de patiënt stimuleren
Voeding is van groot belang bij de preventie en behandeling van ziekten. Als gezondheidsbevorderaar speelt de poh een belangrijke rol in het bespreekbaar maken van voedingsgedrag en het begeleiden van patiënten naar een gezonder voedingspatroon. Wat kunnen poh's doen om gezonder voedingsgedrag te stimuleren? De auteurs geven tips.
Leefstijl en Gezondheidsbevordering | 01-04-2020
