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van Iersel SCJL, Backer JA, van Gaalen RD, Andeweg SP, Munday JD, Wallinga J, van Hoek AJ, Maxwell A, Niessen A, Teirlinck A, Valk AW, van Benthem B, de Gier B, Boudewijns B, Verstraten C, Laarman C, Berry D, van Wees D, van Meijeren D, Klinkenberg D, Vos E, Geubbels E, Jongenotter F, Petit F, Dijkstra F, Broekhaar G, Willekens G, de Melker H, Veldhuijzen I, Polman J, Kassteele JVD, Heijne J, van Heereveld J, Kemmeren J, Bulsink K, Ainslie K, Wielders L, van Asten L, Jenniskens L, Soetens L, Mulder M, Schipper M, de Lange M, Middeldorp M, Kooijman M, de Dreu M, Knol M, Smorenburg N, Neppelenbroek N, van den Berg P, de Boer P, Bressane Lima PDO, van Gageldonk-Lafeber R, Wijburg S, McDonald S, Zadeh SA, de Bruijn S, Wierenga S, Hahne S, Lanooij S, van den Hof S, Keijser S, Smit T, Dalhuisen T, Faber T, Boere T. Empirical evidence of transmission over a school-household network for SARS-CoV-2; exploration of transmission pairs stratified by primary and secondary school. Epidemics 2023; 43:100675. [PMID: 36889158 PMCID: PMC9968452 DOI: 10.1016/j.epidem.2023.100675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 02/08/2023] [Accepted: 02/22/2023] [Indexed: 02/27/2023] Open
Abstract
BACKGROUND Children play a key role in the transmission of many infectious diseases. They have many of their close social encounters at home or at school. We hypothesized that most of the transmission of respiratory infections among children occur in these two settings and that transmission patterns can be predicted by a bipartite network of schools and households. AIM AND METHODS To confirm transmission over a school-household network, SARS-CoV-2 transmission pairs in children aged 4-17 years were analyzed by study year and primary/secondary school. Cases with symptom onset between 1 March 2021 and 4 April 2021 identified by source and contact-tracing in the Netherlands were included. In this period, primary schools were open and secondary school students attended class at least once per week. Within pairs, spatial distance between the postcodes was calculated as the Euclidean distance. RESULTS A total of 4059 transmission pairs were identified; 51.9% between primary schoolers; 19.6% between primary and secondary schoolers; 28.5% between secondary schoolers. Most (68.5%) of the transmission for children in the same study year occurred at school. In contrast, most of the transmission of children from different study years (64.3%) and most primary-secondary transmission (81.7%) occurred at home. The average spatial distance between infections was 1.2 km (median 0.4) for primary school pairs, 1.6 km (median 0) for primary-secondary school pairs and 4.1 km (median 1.2) for secondary school pairs. CONCLUSION The results provide evidence of transmission on a bipartite school-household network. Schools play an important role in transmission within study years, and households play an important role in transmission between study years and between primary and secondary schools. Spatial distance between infections in a transmission pair reflects the smaller school catchment area of primary schools versus secondary schools. Many of these observed patterns likely hold for other respiratory pathogens.
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Affiliation(s)
- Senna C J L van Iersel
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
| | - Jantien A Backer
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | - Rolina D van Gaalen
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | - Stijn P Andeweg
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | - James D Munday
- Centre for the Mathematical Modelling of Infectious Diseases, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Jacco Wallinga
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands; Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands
| | - Albert Jan van Hoek
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
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Kok S, de Man-van Ginkel JM, Verstraten C, Resnick B, Metzelthin SF, Bleijenberg N, Schoonhoven L. Function focused care in hospital: A mixed-method feasibility study. International Journal of Nursing Studies Advances 2021. [DOI: 10.1016/j.ijnsa.2021.100045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
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van Hell-Cromwijk M, Metzelthin SF, Schoonhoven L, Verstraten C, Kroeze W, de Man van Ginkel JM. Nurses' perceptions of their role with respect to promoting physical activity in adult patients: a systematic review. J Clin Nurs 2021; 30:2540-2562. [PMID: 33899286 DOI: 10.1111/jocn.15747] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 01/19/2021] [Accepted: 02/26/2021] [Indexed: 11/26/2022]
Abstract
AIMS AND OBJECTIVES To identify the nurses' perceptions of their role with respect to promoting physical activity in adult patients and factors related to this role perceptions. BACKGROUND Ageing and chronic diseases are often accompanied by a decrease in physical activity. Nurses are in an excellent position to promote physical activity, because of their close and frequent interactions with patients. However, they often fail to actively stimulate patients to physical activity due to a lack of time, competing priorities and their focus on acute problems. Unclear was how nurses view their professional role in the promotion of physical activity. DESIGN Systematic literature review. METHODS PubMed, COCHRANE and CINAHL EBSCO were searched for papers published from 2006 to September 2019. Two reviewers independently assessed the methodological quality, using MMAT criteria. Thematic synthesis was used to analyse the data. The PRISMA statement was followed for reporting. RESULTS Overall, 10 quantitative, eight qualitative and one mixed methods study were included in the review. Analyses of these studies resulted in six themes: (1) active and professional role; (2) the recognised importance; (3) fear of patient falling; (4) patient's present health and need; (5) interdisciplinary context and responsibility; and (6) nurses' knowledge. CONCLUSIONS Nurses perceive they have an active role in the promotion of physical activity and consider it as important and part of their professional role. Clear guidance increased education and stronger awareness of guidelines might enable nurses to translate their perceived role into daily practice. This will enhance professional fulfilment as well as patients' physical activity. RELEVANCE TO CLINICAL PRACTICE The findings guide the development of interventions that aim to improve nursing care with respect to the promotion of physical activity and help managers and educators to provide appropriate resources and education.
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Affiliation(s)
| | - Silke F Metzelthin
- Care and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands
| | - Lisette Schoonhoven
- Julius Center for Health Sciences and Primary Care, Nursing Science, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands
| | - Carolien Verstraten
- Julius Center for Health Sciences and Primary Care, Nursing Science, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands
| | - Willemieke Kroeze
- Faculty of Nursing, Christian University of Applied Sciences, Ede, The Netherlands
| | - Janneke M de Man van Ginkel
- Julius Center for Health Sciences and Primary Care, Nursing Science, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands
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Ginkel JDMV, Verstraten C, Schuurmans M, Metzelthin S, Reitsma J, Schoonhoven L. Keep Moving Toward Recovery! Function-Focused Care in Hospitalized Stroke and Geriatric Patients. Innov Aging 2020. [PMCID: PMC7743279 DOI: 10.1093/geroni/igaa057.2149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Many hospitalized patients experience decline in functional status. Function Focused Care (FFC) has demonstrated to improve patients’ functional status in long-term care. In a stepped wedge cluster trial in 893 hospitalized geriatric and stroke patients, we investigated the effectiveness of FFC compared to usual care (FFC: n=427, UC: n=466) on ADL and mobility. We measured the Barthel Index and the Elderly Mobility Scale, and analysed using a mixed-model multi-level method. At discharge, 3 month and 6 months, the mean difference (MD) was in favour of FFC, although at none of the time points the level of significance was reached: the MD for ADL was respectively: 0.79 (95%CI: -0.98-2.56), 0.43 (95%CI: 0.10-1.79), and 0.57 (95%CI: -1.34- 2.48). For mobility, the MD was respectively 0.89 (95%CI: -1.01-2.80), 0.78 (95%CI: -1.18; 2.75), and 1.09 (95%CI: -0.88-3.07). Although the results are inconclusive, FFC shows a tendency to improve ADL and mobility in hospitalized patients. Part of a symposium sponsored by Nursing Care of Older Adults Interest Group.
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Affiliation(s)
| | - Carolien Verstraten
- Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht, Utrecht, Netherlands
| | | | | | - Johannes Reitsma
- Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht, Utrecht, Netherlands
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Cate D, Ettema RGA, Huisman‐de Waal G, Bell JJ, Verbrugge R, Schoonhoven L, Schuurmans MJ, Zwakhalen S, Vermeulen H, Man‐van Ginkel J, Heinen M, Metzelthin S, Verstraten C, Belle E, Noort H, Berg G, Manen A. Interventions to prevent and treat malnutrition in older adults to be carried out by nurses: A systematic review. J Clin Nurs 2020; 29:1883-1902. [DOI: 10.1111/jocn.15153] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2019] [Indexed: 12/23/2022]
Affiliation(s)
- Debbie Cate
- Research Group Chronic Diseases Utrecht University of Applied Sciences Utrecht The Netherlands
- Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht The Netherlands
- Institute of Nursing Studies Utrecht University of Applied Sciences Utrecht The Netherlands
| | - Roelof G. A. Ettema
- Research Group Chronic Diseases Utrecht University of Applied Sciences Utrecht The Netherlands
- Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht The Netherlands
- Institute of Nursing Studies Utrecht University of Applied Sciences Utrecht The Netherlands
| | - Getty Huisman‐de Waal
- Radboud University Medical Centre Radboud Institute for Health Sciences IQ Healthcare Nijmegen The Netherlands
| | - Jack J. Bell
- School of Human Movement and Nutrition Sciences The University of Queensland & The Prince Charles Hospital Brisbane QLD Australia
| | - Remco Verbrugge
- Institute of Nursing Studies Utrecht University of Applied Sciences Utrecht The Netherlands
| | - Lisette Schoonhoven
- Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht The Netherlands
| | - Marieke J. Schuurmans
- Education Center UMC Utrecht Academy University Medical Center Utrecht Utrecht University Utrecht The Netherlands
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Verstraten C, de Man-van Ginkel J, Metzelthin S, Schuurmans M. ENHANCEMENT OF PHYSICAL FUNCTIONING IN THE DAILY NURSING CARE: A SYSTEMATIC REVIEW OF INTERVENTIONS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- C. Verstraten
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands,
| | - J. de Man-van Ginkel
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands,
| | | | - M. Schuurmans
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands,
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