Malnutrition is a serious and widespread health problem in community-dwelling older adults who receive care in hospital and at home. Hospital and home care nurses and nursing assistants have a key role in the delivery of high-quality multidisciplinary nutritional care. Nursing nutritional care in current practice, however, is still suboptimal, which impacts its quality and continuity. There appear to be at least two reasons for this. First, there is a lack of evidence for nutritional care interventions to be carried out by nurses. Second, there are several factors, that influence nurses’ and nursing assistants’ current behaviour, such as lack of knowledge, moderate awareness of the importance and neutral attitudes. This results in a lack of attention towards nutritional care. Therefore, there is a need to generate more evidence and to focus on targeting the factors that influence nurses’ and nursing assistants’ current behaviour to eventually promote behaviour change. To increase the likelihood of successfully changing their behaviour, an evidence-based educational intervention is appropriate. This might lead to enhancing nutritional care and positively impact nutritional status, health and well-being of community-dwelling older adults. The general objectives of this thesis are: 1) To understand the current state of evidence regarding nutrition-related interventions and factors that influence current behaviour in nutritional care for older adults provided by hospital and home care nurses and nursing assistants to prevent and treat malnutrition. 2) To develop an educational intervention for hospital and home care nurses and nursing assistants to promote behaviour change by affecting factors that influence current behaviour in nutritional care for older adults and to describe the intervention development and feasibility.
INAUGURAL LECTURE The world is in disarray. Species are extinct, climates are changing, we are becoming unhealthier.To liberate ourselves from this doom scenario we need to take care of ourselves and our environment. The solutions of former generations offer no future solace. Moreover, these caused the current problems. Instead of exploiting our environment for energy, resources and capacity we need to increase the potential for the recuperation of the environment, the planet and our minds. Instead of taking, giving!The reciprocity of the urbanized land we live in should be our main objective. The professorship Spatial Transformations - Sustainability will therefore design and plan for our physical and mentalcity and surroundings. This way the city becomes a purification machine for polluted water and acts as a net carbon sink. The city becomes a source of biodiversity, transformed into an urban nature reserve. Food will be produced that extends our lives. And wouldn’t it be nice to see the city as a place for contemplation so our mental abilities can grow instead of vegetating in dull offices? The city should offer people a healthy life, replenish resources and be beautiful. The professorship contributes to educating a new generation finding extraordinary solutions for current problems. With creativity, initiative and a healthy dose of disobedience this must work!
