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Andrade ICSD, Tosin MHDS, Oliveira M, Nandram S, Pinheiro FGDMS, Oliveira BGRBD. Implementation of an innovative model of community nursing for older adults based on Buurtzorg principles: a scoping review protocol. JBI Evid Synth 2022; 20:2565-2571. [PMID: 36081375 DOI: 10.11124/jbies-21-00388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE The objective of this review is to map the international evidence on the implementation of the Buurtzorg model of community nursing practice for the care of older adults. We will describe where and how it has been used, and the challenges and facilitators of implementing this model of care. INTRODUCTION The challenges of aging have mobilized health systems around the world to replace the current facility- and disease-centered care model with integrated patient-centered care models. The Buurtzorg model provides autonomy to nurses, who, in turn, empower patients in need-based and self-reliant care. INCLUSION CRITERIA We will consider both published and unpublished studies and reports exploring the process of implementing the Buurtzorg community nursing model for the care of older adults (65 years and older) internationally, in all settings. Concepts of interest will include where the model has been used, how the model has been implemented, and what challenges and facilitators were reported. METHODS We will implement a three-step search strategy to locate both published and unpublished primary studies, theses, dissertations, book chapters, and text and opinion reports using the following databases: MEDLINE, LILACS, Cochrane CENTRAL, CINAHL, Web of Science, Google Scholar, Embase, Scopus, ProQuest Dissertations and Theses Global, and the official Buurtzorg website. We will present the search strategy in a PRISMA flow diagram. Data will be extracted using Excel spreadsheets and then analyzed narratively. Extracted data will be quantitatively pooled in tables using descriptive statistics to synthesize the characteristics of the reports and sample, followed by a qualitative summary of how the Buurtzorg model has been used, and the challenges and facilitators of implementing this care model.
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Affiliation(s)
| | | | - Martha Oliveira
- Executive Director of Laços Saúde, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Sharda Nandram
- Center of Entrepreneurship Stewardship and Governance of the Nyenrode Business Universiteit, Breukelen, Netherlands.,Faculty of Religion and Theology of the Vrije Universiteit Amsterdam, Netherlands.,Faculty of WISDOM, Banasthali University, Jaipur, India
| | | | - Beatriz Guitton Renaud Baptista de Oliveira
- Department of Nursing, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.,The Brazilian Centre for Evidence-based Healthcare: A JBI Centre of Excellence, São Paulo, Brazil
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Promoting Self-Care in Nursing Encounters with Persons Affected by Long-Term Conditions-A Proposed Model to Guide Clinical Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052223. [PMID: 33668201 PMCID: PMC7956321 DOI: 10.3390/ijerph18052223] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 02/11/2021] [Accepted: 02/17/2021] [Indexed: 12/24/2022]
Abstract
Background: Nursing interventions for persons affected by long-term conditions should focus on providing support to enhance the ability to manage disease in everyday life. Many clinical nurses feel they have inadequate training or experience to provide self-management support in a beneficial and structured way. This study explores the process towards independent self-care and management of disease in persons affected by Parkinson’s disease and the support required from healthcare to achieve this. It presents a nursing model to guide nurses in providing self-management support in the clinical care encounter. Methods: The results from three previously published articles investigating a self-management support program for persons with Parkinson’s disease were combined to form a new data set, and analyzed using qualitative thematic analysis. Results: Three separate, but interrelated, themes were identified, which described the process towards self-management of disease as expressed by the participants of the self-management program. Themes describe the factors important for developing and improving self-management abilities and actions. The results were applied to Orem’s Self-care deficit theory to suggest a model of self-management support in the clinical nursing encounter. Conclusion: This study investigated factors important for self-management and highlighted the unique contribution and focus of nursing support to promote independent self-care.
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Huis In Het Veld JG, Verkaik R, van Meijel B, Francke AL. A systematic meta-review of self-management support for people with dementia. DEMENTIA 2018; 19:253-269. [PMID: 29699409 DOI: 10.1177/1471301218772894] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Self-management support for people with dementia is important to help them and their family caregivers to cope with challenges in daily live. Insight into the effects of self-management support interventions on people with dementia is however lacking, despite existing relevant systematic reviews. We therefore conducted a meta-review of relevant systematic reviews, following the PRISMA statement. Systematic literature searches were conducted in PubMed, CINAHL, the Cochrane Library, Embase and PsycINFO. The searches were done in December 2015, and all relevant references until then were taken into consideration. No conclusions about the effects of self-management support interventions on people with dementia could be drawn. Recommendations for future research and practice include that self-management support interventions and effect measurements should be wider in scope than psychological well-being.
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Affiliation(s)
- Judith G Huis In Het Veld
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, The Netherlands
| | - Renate Verkaik
- Netherlands Institute for Health Services Research (Nivel), The Netherland
| | - Berno van Meijel
- Department of Psychiatry, Amsterdam Public Health Research Institute, VU University Medical Center, The Netherlands.,Inholland University of Applied Sciences, The Netherlands.,Parnassia Psychiatric Institute, The Netherlands.,GGZ-VS, Academy for Masters in Advanced Nursing Science, The Netherlands
| | - Anneke L Francke
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, The Netherlands.,Netherlands Institute for Health Services Research (Nivel), The Netherland
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Huis In Het Veld JG, Verkaik R, van Meijel B, Verkade PJ, Werkman W, Hertogh CMPM, Francke AL. Self-Management Support and eHealth When Managing Changes in Behavior and Mood of a Relative With Dementia: An Asynchronous Online Focus Group Study of Family Caregivers' Needs. Res Gerontol Nurs 2018; 11:151-159. [PMID: 29498746 DOI: 10.3928/19404921-20180216-01] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Accepted: 01/02/2018] [Indexed: 11/20/2022]
Abstract
The current article discusses how and by whom family caregivers want to be supported in self-management when managing changes in behavior and mood of relatives with dementia and whether family caregivers consider eHealth a useful tool for self-management support. Four asynchronous online focus groups were held with 32 family caregivers of individuals with dementia. Transcripts of the online focus groups were analyzed using qualitative thematic analysis. Family caregivers need support from professionals or peers in the form of (a) information about dementia and its symptoms, (b) tips and advice on managing changes in behavior and mood, (c) opportunities to discuss experiences and feelings, and (d) appreciation and acknowledgement of caregiving. The opinions of family caregivers about self-management support through eHealth were also reported. Findings suggest a personal approach is essential to self-management support for family caregivers managing changes in behavior and mood of relatives with dementia. In addition, self-management support can be provided to some extent through eHealth, but this medium cannot replace personal contacts entirely. [Res Gerontol Nurs. 2018; 11(3):151-159.].
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Slev VN, Pasman HRW, Eeltink CM, van Uden-Kraan CF, Verdonck-de Leeuw IM, Francke AL. Self-management support and eHealth for patients and informal caregivers confronted with advanced cancer: an online focus group study among nurses. BMC Palliat Care 2017; 16:55. [PMID: 29162081 PMCID: PMC5699199 DOI: 10.1186/s12904-017-0238-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Accepted: 11/14/2017] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Self-management by patients and informal caregivers confronted with advanced cancer is not self-evident. Therefore they might need self-management support from nurses. This article reports on nurses' perspectives on self-management support for people confronted with advanced cancer, and nurses' experiences with eHealth in this context. METHODS Six online focus groups were organized, with a total of 45 Dutch nurses with different educational levels and working in different care settings. Nurses were asked how they support patients and informal caregivers facing advanced cancer in managing physical and psychosocial problems in their daily life. Questions were also asked regarding the nurses' experiences with eHealth. Transcripts of the online focus group discussions were analyzed qualitatively following the principles of thematic analysis. The main themes derived from the analyses were ordered according to the elements in the 5 A's Behavior Change Model. RESULTS Within the scope of self-management support, nurses reported that they discuss the background, personal situation, wishes, and needs of advanced cancer patients ('Assess' in the 5 A's model), and they provide information about cancer and specifically the advanced type ('Advise'). However, nurses hardly give any advice on how patients can manage physical and psychological problems themselves and/or pay any attention to collaborative goal-setting ('Agree'). Neither do they explain how follow-up can be arranged ('Arrange'). In addition, they do not appear to pay much attention to self-management support for informal caregivers. Nurses' attitudes towards eHealth within the scope of self-management support are positive. They see many advantages, such as allowing advanced cancer patients to stay in charge of their own care and lives. However, nurses also explicitly stressed that eHealth can never be a substitute for personal contact between nurses and patients. CONCLUSIONS Nurses value self-management support and eHealth for advanced cancer patients and their informal caregivers. However, they seem to disregard important elements in the support of self-management, such as providing practical advice, collaborative goal-setting, and arrangement of follow-up. We recommend further promoting and clarifying the essence and importance of self-management support, including self-management support for informal caregivers.
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Affiliation(s)
- Vina N Slev
- Department of Public and Occupational Health, VU University Medical Center/Amsterdam Public Health research institute, Van Der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands. .,Expertise Center for Palliative Care, Van der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands.
| | - H Roeline W Pasman
- Department of Public and Occupational Health, VU University Medical Center/Amsterdam Public Health research institute, Van Der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands.,Expertise Center for Palliative Care, Van der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands
| | - Corien M Eeltink
- Department of Hematology, VU University Medical Center, De Boelelaan 1118, 1081 HZ, Amsterdam, Netherlands
| | - Cornelia F van Uden-Kraan
- Department of Clinical Psychology, VU University, Van der Boechorststraat 1, 1081 BT, Amsterdam, Netherlands
| | - Irma M Verdonck-de Leeuw
- Department of Clinical Psychology, VU University, Van der Boechorststraat 1, 1081 BT, Amsterdam, Netherlands.,Department of Otolaryngology - Head & Neck Surgery, VU University Medical Center, De Boelelaan 1118, 1081 HZ, Amsterdam, Netherlands.,Cancer Center Amsterdam (CCA), De Boelelaan 1118, 1081 HZ, Amsterdam, Netherlands
| | - Anneke L Francke
- Department of Public and Occupational Health, VU University Medical Center/Amsterdam Public Health research institute, Van Der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands.,Expertise Center for Palliative Care, Van der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands.,NIVEL, Netherlands Institute for Health Services Research, Otterstraat 118 - 124, 3513 CR, Utrecht, Netherlands
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