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3Despite the increased use of activity trackers, little is known about how they can be used in healthcare settings. This study aimed to support healthcare professionals and patients with embedding an activity tracker in the daily clinical practice of a specialized mental healthcare center and gaining knowledge about the implementation process. An action research design was used to let healthcare professionals and patients learn about how and when they can use an activity tracker. Data collection was performed in the specialized center with audio recordings of conversations during therapy, reflection sessions with the therapists, and semi-structured interviews with the patients. Analyses were performed by directed content analyses. Twenty-eight conversations during therapy, four reflection sessions, and eleven interviews were recorded. Both healthcare professionals and patients were positive about the use of activity trackers and experienced it as an added value. Therapists formulated exclusion criteria for patients, a flowchart on when to use the activity tracker, defined goals, and guidance on how to discuss (the data of) the activity tracker. The action research approach was helpful to allow therapists to learn and reflect with each other and embed the activity trackers into their clinical practice at a specialized mental healthcare center.
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Objective: To examine the preconditions for the successful implementation of a workplace intervention and to evaluate the implementation process of a combined workplace intervention to improve the vitality of healthcare professionals within a Dutch healthcare organization. Methods: Preconditions were examined from three different perspectives (i.e., research, management, and healthcare professionals). The multifaceted implementation strategy consisted of six components, including a needs assessment, a workshop on workload, and a workshop on sleep. Results: Regarding intervention reach, out of the 248 healthcare professionals, 211 (85.1%) attended the workshop on workload, and 206 (83.1%) attended the workshop on sleep. Satisfaction scores (0-10) for the workshop on workload and the workshop on sleep were 6.9 (SD = 1.1) and 8.2 (SD = 0.7), respectively. Conclusion: The multifaceted implementation strategy for the combined workplace intervention was partially carried out as intended.
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Serious games are increasingly used in education and training of healthcare professionals. However, it remains unclear how evaluation of intended results in terms of gained knowledge, skills or behavior can be taken into account during development. To gain insights we conducted a scoping review. After screening of articles based on title and abstract, we analyzed relevance of selected databases, use of selected exclusion criteria, and inter-rater reliability. A Conference object of Supporting Health by Technology 2022 at Groningen, The Netherlands Part of project: Methods and Design Principles for Evaluating Serious Games at Windesheim University of Applied Sciences, Zwolle - Netherlands
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‘Legacy: Participatory Music Practices with Elderly People as a Resource for the Well-being of Healthcare Professionals’ was a qualitative research project into the learning and well-being of hospital nurses and nursing home caregivers working with vulnerable elderly people and participating in live music practices Meaningful Music in Healthcare (MiMiC) and Music and Dementia in the Netherlands.
The data collection (2016-2019) employed an ethnographic approach and data triangulation of participant observation, episodic interviews and group discussions. The constructivist grounded theory approach to data analysis proceeded from sensitising concepts to initial and focused coding, ultimately reconstructed into a thick description merging empirical data, theory and the researcher’s interpretations. The emerging core categories, Participation, Experience and Learning Benefits, were conceptualised within an epistemological framework of philosophical pragmatism.
The findings suggest that, through an emerging community of practice, healthcare professionals could collaborate with musicians to connect with patients or residents. The collaboration enabled the use of shared musical experiences as a resource for compassionate care. Still, allowing oneself to participate musically and showing emotional vulnerability were challenging. The accumulation of ‘experiencing’ and collegial encouragement supported healthcare professionals’ participation beyond their professional performance.
Person-centred music-making resonated with the values of person-centred care. It enabled healthcare professionals to take time and become engaged with patients or residents in musical situations. Healthcare professionals described gaining new understandings of the patients or residents and each other, which could be seen promoting a cultural shift from task-centredness towards relationship-focused person-centred care.
Musicians’ communication provided new professional insights into teamwork. Also, observing patients and residents’ responses to the music evoked sympathetic joy in healthcare professionals. Looking through the eyes of ‘the other’ was central for nurses and caregivers’ meaning-making of the value of music-making and awareness of its impact on patients, residents and themselves. The perceived benefits of the music practices for healthcare professionals’ job resources and satisfaction seemed connected to changes in care relationships, work atmosphere, sense of mindfulness and recognition.
The conclusions of the research suggest that participatory music practices might be considered as supportive of delivering person-centred care. The findings could be applied in training programmes and professional development of musicians, nurses and caregivers.
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Objective: Effective healthcare innovations are often not adopted and implemented. An implementation strategy based on facilitators and barriers for use as perceived by healthcare professionals could increase adoption rates. This study therefore aimed to identify the most relevant facilitators and barriers for use of an innovative breast cancer aftercare decision aid (PtDA) in healthcare practice. Methods: Facilitators and barriers (related to the PtDA, adopter and healthcare organisation) were assessed among breast cancer aftercare health professionals (n = 81), using the MIDI questionnaire. For each category, a backward regression analysis was performed (dependent = intention to adopt). All significant factors were then added to a final regression analysis to identify to most relevant determinants of PtDA adoption. Results: Expecting higher compatibility with daily practice and clinical guidelines, more positive outcomes of use, higher perceived relevance for the patient and increased self-efficacy were significantly associated with a higher intention to adopt. Self-efficacy and perceived patient relevance remained significant in the final model. Conclusions: Low perceived self-efficacy and patient relevance are the most important barriers for health professions to adopt a breast cancer aftercare PtDA. Practice implications: To target self-efficacy and perceived patient relevance, the implementation strategy could apply health professional peer champions.
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OBJECTIVES: To explore how healthcare professionals in burn aftercare approach self-management support for burn survivors.
METHODS: An inductive, interpretative qualitative approach was used, with interviews conducted with all six burn physicians, all six burn aftercare nurses/nurse specialists, two occupational therapists, and two medical psychologists providing aftercare in the three specialized burn centres in the Netherlands. Data were analysed using a constant comparative approach to construct a middle-range theoretical model.
RESULTS: The findings show significant variation in how healthcare professionals approach self-management support, and our middle-range theoretical model illustrates that professionals navigate roles and responsibilities between themselves and burn survivors, as well as between themselves and other disciplines within the multidisciplinary team. This navigation is shaped by three subcategories: (1) the challenge professionals face in recognising burn survivors' support needs after burn centre discharge, (2) the struggle in managing complex and often ambiguous boundaries of their tasks and duties, and (3) how professionals contend with unclear team roles, misaligned goals, and lack of time.
CONCLUSIONS: Healthcare professionals vary in their approaches to self-management support; this variation is related to how they interpret and navigate roles and responsibilities.
PRACTICE IMPLICATIONS: To aid healthcare professionals in providing self-management support, it may help to offer guidance in recognising patients' needs after discharge, guidance in managing responsibilities, well-defined team roles, aligned care and self-management goals, and sufficient time to deliver support.
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Background: Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for non-dental healthcare professionals, like nurses. The purpose of this systematic review was to evaluate the content and the measurement properties of oral health assessments for use by non-dental healthcare professionals in assessing older peoples’ oral health, in order to provide recommendations for practice, policy, and research. Methods: A systematic search in PubMed, EMBASE.com, and Cinahl (via Ebsco) has been performed. Search terms referring to ‘oral health assessments’, ‘non-dental healthcare professionals’ and ‘older people (60+)’ were used. Two reviewers individually performed title/abstract, and full-text screening for eligibility. The included studies have investigated at least one measurement property (validity/reliability) and were evaluated on their methodological quality using “The Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN) checklist. The measurement properties were then scored using quality criteria (positive/negative/indeterminate). Results: Out of 879 hits, 18 studies were included in this review. Five studies showed good methodological quality on at least one measurement property and 14 studies showed poor methodological quality on some of their measurement properties. None of the studies assessed all measurement properties of the COSMIN. In total eight oral health assessments were found: the Revised Oral Assessment Guide (ROAG); the Minimum Data Set (MDS), with oral health component; the Oral Health Assessment Tool (OHAT); The Holistic Reliable Oral Assessment Tool (THROAT); Dental Hygiene Registration (DHR); Mucosal Plaque Score (MPS); The Brief Oral Health Screening Examination (BOHSE) and the Oral Assessment Sheet (OAS). Most frequently assessed items were: lips, mucosa membrane, tongue, gums, teeth, denture, saliva, and oral hygiene. Conclusion: Taken into account the scarce evidence of the proposed assessments, the OHAT and ROAG are most complete in their included oral health items and are of best methodological quality in combination with positive quality criteria on their measurement properties. Non-dental healthcare professionals, policymakers and researchers should be aware of the methodological limitations of the available oral health assessments and realize that the quality of the measurement properties remains uncertain.
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This dissertation describes a research project about the communication between communication vulnerable people and health care professionals in long-term care settings. Communication vulnerable people experience functional communication difficulties in particular situations, due to medical conditions. They experience difficulties expressing themselves or understanding professionals, and/or professionals experience difficulties understanding these clients. Dialogue conversations between clients and professionals in healthcare, which for example concern health-related goals, activity and participation choices, diagnostics, treatment options, and treatment evaluation, are, however, crucial for successful client-centred care and shared decision making. Dialogue conversations facilitate essential exchanges between clients and healthcare professionals, and both clients and professionals should play a significant role in the conversation. It is unknown how communication vulnerable people and their healthcare professionals experience dialogue conversations and what can be done to support successful communication in these conversations. The aim of this research is to explore how communication vulnerable clients and professionals experience their communication in dialogue conversations in long-term care and how they can best be supported in improving their communication in these conversations.
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Many healthcare professionals experience difficulties in discussing sexual health with their patients. The aim of this review was to synthesize results of studies on communication practices in interactions about sexual health in medical settings, to offer healthcare professionals suggestions on how to communicate about this topic. Veel zorgprofessionals ervaren problemen bij het bespreken van seksuele gezondheid met hun patiënten. Het doel van deze review was een synthese te presenteren van studies naar communicatiepraktijken in interactie over seksuele gezondheid in medische settings, om zorgprofessionals handreikingen te bieden voor communicatie over dit thema.
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Artificial intelligence, the simulation of human intelligence by computers and machines, has found its way into healthcare, helping surgeons, doctors, radiologists, and many more. However, over 80% of healthcare professionals consists of people working in allied health professions such as nurses, physiotherapists, and midwives. Considering the aging of the general population around the world, the workforce shortages in these occupations are especially crucial. As the COVID-19 pandemic demonstrated, globally, most healthcare systems are strained, and there is a consensus that current healthcare systems are not sustainable with the increasing challenges. AI is often viewed as one of the potential solutions for not only reducing the strain on the healthcare workforce, but also to sustain the current workforce. Still, most AI applications are being developed for the medical community and often allied health is overlooked or not even considered despite comprising a large proportion of the total workforce. In addition, the interest of the private sector to invest specifically in the allied health workforce is low since the financial incentive is low. This paper provides examples of AI solutions for seven important allied health professions. To increase the uptake of AI solutions in allied healthcare, AI companies need to connect more with professional associations and be as patient-oriented as many claim to be. There also needs to be more AI schooling for allied healthcare professionals to increase adoption of these AI solutions.artikel
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