Nursing Leadership is an important competence to develop for providing quality of care and preventing attrition of nurses. This study looked into the perceptions and experiences of nurses on practising leadership related to performing bachelor nursing competencies. Next to that awareness of the development of nursing leadership was addressed.
Community care is becoming increasingly important. In the Netherlands, the percentage of people over the age of 65 is expected to increase to 22% by 2025, leading to more elderly patients, often with long-term and complex health problems (multimorbidity). Because many of these patients continue to live at home until a very old age, nurses are increasingly working outside of institutions. The 17 Dutch Bachelor nursing programmes responded to this development with a new national education profile 'Bachelor Nursing 2020 (BN2020)’ with more elements of community care. However, despite the increase in extramural care, the Dutch labour market has a shortage of community nurses with higher professional education qualifications, partly because most nursing students focus on the general hospital setting as the environment for their future career. Whether this is based on a perception of community care that deters making this choice has never been systematically investigated. It is also unclear whether a more community-oriented curriculum will better equip students for working in community care. In response to these issues, the nursing programme at the Amsterdam University of Applied Sciences (AUAS) redesigned its curriculum to include more elements of community care. Three perspectives were chosen for the redesign: (1) the influence of lecturers as role models, (2) positive placement experiences, and (3) five new ‘community-based’ themes in education. These new themes are as follows: patient self-management, shared decision-making, collaboration with the patients’ social system, healthcare technology, and allocation of care. The redesign also includes a ‘paved way’ into community care in the form of a coherent and attractive programme for interested students.This thesis describes whether and how the curriculum-redesign within higher professional education in nursing can be effective in terms of (1) stimulating a positive perception of community care and (2) realising a form of community care in line with the new themes in BN2020. In other words, that students will base choices in their actions/nursing interventions on these new themes in the education profile.
Nursing Leadership is an important competence to develop in order to provide quality of care and prevent attrition of nurses. This research program looked into the perceptions and experiences of nurses on practising leadership. Next to that supporting the development of nursing leadership was addressed. The program has a mixed-method, action research design in which 75 in-depth interviews and 24 focus group interviews and quantitative data of 435 nurses form the backbone. According to hospital nurses, nursing leadership is related to proactiveness and voicing expertise in order to deliver good nursing care. Nevertheless, they do not feel fully competent and knowledge deficits were detected on aspects of the bachelor nursing profile, such as evidence based practice. Working-culture factors can either inhibit or encourage nursing leadership. The further awareness of unconsciously using expertise and knowledge deficits as well as team development towards a continuous safe learning environment are necessary steps for the enhancement of nursing leadership. A Nursing Leadership model was developed in which generic personal leadership competencies combined with expertise of the nurses' level of education and degrees form the essence of shared leadership in teams focussed on the realisation of good nursing care.
MULTIFILE
The project aims to improve palliative care in China through the competence development of Chinese teachers, professionals, and students focusing on the horizontal priority of digital transformation.Palliative care (PC) has been recognised as a public health priority, and during recent years, has seen advances in several aspects. However, severe inequities in the access and availability of PC worldwide remain. Annually, approximately 56.8 million people need palliative care, where 25.7% of the care focuses on the last year of person’s life (Connor, 2020).China has set aims for reaching the health care standards of the developed countries by 2030 through the Healthy China Strategy 2030, where one of the improvement areas in health care includes palliative care, thus continuing the previous efforts.The project provides a constructive, holistic, and innovative set of actions aimed at resulting in lasting outcomes and continued development of palliative care education and services. Raising the awareness of all stakeholders on palliative care, including the public, is highly relevant and needed. Evidence based practice guidelines and education are urgently required for both general and specialised palliative care levels, to increase the competencies for health educators, professionals, and students. This is to improve the availability and quality of person-centered palliative care in China. Considering the aging population, increase in various chronic illnesses, the challenging care environment, and the moderate health care resources, competence development and the utilisation of digitalisation in palliative care are paramount in supporting the transition of experts into the palliative care practice environment.General objective of the project is to enhance the competences in palliative care in China through education and training to improve the quality of life for citizens. Project develops the competences of current and future health care professionals in China to transform the palliative care theory and practice to impact the target groups and the society in the long-term. As recognised by the European Association for Palliative Care (EAPC), palliative care competences need to be developed in collaboration. This includes shared willingness to learn from each other to improve the sought outcomes in palliative care (EAPC 2019). Since all individuals have a right to health care, project develops person-centered and culturally sensitive practices taking into consideration ethics and social norms. As concepts around palliative care can focus on physical, psychological, social, or spiritual related illnesses (WHO 2020), project develops innovative pedagogy focusing on evidence-based practice, communication, and competence development utilising digital methods and tools. Concepts of reflection, values and views are in the forefront to improve palliative care for the future. Important aspects in project development include health promotion, digital competences and digital health literacy skills of professionals, patients, and their caregivers. Project objective is tied to the principles of the European Commission’s (EU) Digital Decade that stresses the importance of placing people and their rights in the forefront of the digital transformation, while enhancing solidarity, inclusion, freedom of choice and participation. In addition, concepts of safety, security, empowerment, and the promotion of sustainable actions are valued. (European Commission: Digital targets for 2030).Through the existing collaboration, strategic focus areas of the partners, and the principles of the call, the PalcNet project consortium was formed by the following partners: JAMK University of Applied Sciences (JAMK ), Ramon Llull University (URL), Hanze University of Applied Sciences (HUAS), Beijing Union Medical College Hospital (PUMCH), Guangzhou Health Science College (GHSC), Beihua University (BHU), and Harbin Medical University (HMU). As project develops new knowledge, innovations and practice through capacity building, finalisation of the consortium considered partners development strategy regarding health care, (especially palliative care), ability to create long-term impact, including the focus on enhancing higher education according to the horizontal priority. In addition, partners’ expertise and geographical location was also considered important to facilitate long-term impact of the results.Primary target groups of the project include partner country’s (China) staff members, teachers, researchers, health care professionals and bachelor level students engaging in project implementation. Secondary target groups include those groups who will use the outputs and results and continue in further development in palliative care upon the lifetime of the project.
The GeNEdu project aims to renew nursing curricula through building capacities of the Chinese partner institutions to develop gerontological nursing education for future health care professionals to meet the needs of the ageing society in China. It is financed from the Erasmus+ Programme, Key Action 2, Capacity Building in the Field of Higher Education 2019.
Pijn treft veel mensen en veroorzaakt niet alleen veel persoonlijk leed, maar sluit grote groepen mensen uit van maatschappelijke participatie en brengt dientengevolge ook hoge kosten voor de samenleving met zich mee. Momenteel is het thema ‘pijn’ evenwel slechts gefragmenteerd in het onderwijscurriculum van zorgverleners binnen de HAN opgenomen. Docenten zijn vaak onvoldoende onderlegd op het gebied van pijn en beschikbare richtlijnen worden onvoldoende in de praktijk gebruikt. Ook praktijkgericht onderzoek naar preventie en behandeling van pijn wordt onvoldoende opgezet. Deze postdoc aanstelling biedt een unieke kans om het thema ‘Intensieve pijnzorg’ voor verpleegkundigen en paramedici verder te ontwikkelen en te verbinden in zowel het onderwijs als het praktijkgerichte onderzoek. Hierbij kan worden aangesloten bij wat de afgelopen jaren is ontwikkeld aan onderwijs en onderzoek door de kandidaat zelf. De kandidaat bevindt zich in de unieke positie waarin zij haar functie als docent en coördinator in Bachelor, post-hbo en Master van de Hogeschool Arnhem en Nijmegen (HAN) combineert met zowel een functie als onderzoeker en verpleegkundig pijnexpert aan het Radboudumc, als met een functie als voorzitter van de afdeling Pijnverpleegkundigen van Verpleegkundigen en Verzorgenden Nederland (V&VN). De kandidaat beschikt over een uitgebreid nationaal en internationaal netwerk waarin zij een voortrekkende rol vervult. De activiteiten van de kandidaat zullen in de postdoc periode zijn gericht op onderzoek naar preventie van acute en chronische postoperatieve pijn met daaraan verbonden complicaties en het verbeteren van onderwijs over pijn. Deze activiteiten passen bij de activiteiten van het HAN kenniscentrum Duurzame Zorg en meer specifiek het Lectoraat Acute Intensieve Zorg (LAIZ) en zwaartepunt Health. De HAN is tevens de enige opleider in Nederland die op (post-)hbo niveau opleidingen en cursussen aanbiedt op het thema pijn voor verpleegkundigen. Hierin wordt, evenals voor het onderzoek, nauw samengewerkt met het Radboud Expertisecentrum Pijn en Palliatieve Geneeskunde (REPPG).
