Ruth Vogel, Gerrie Bours, Petra Erkens, Silke Metzelthin, Sandra Zwakhalen and Erik van Rossum
This study aims to provide a detailed description of the nurses in the lead (NitL) programme for empowering community nurse leadership in implementing evidence.
Abstract
Purpose
This study aims to provide a detailed description of the nurses in the lead (NitL) programme for empowering community nurse leadership in implementing evidence.
Design/methodology/approach
The NitL programme is described using the template for intervention description and replication-checklist.
Findings
The NitL programme consists of two components. The first component is a systematic approach with implementation steps and tools to empower community nurses in implementing evidence targeted at encouraging functional activities of older adults offered via a Web-based eLearning programme. The second component is training to empower community nurses in enabling team members to change their practice, which focussed on motivational interviewing, influencing behaviour, dealing with resistance to change and coaching delivered as a combination of group training in practice and background theory via a web-based eLearning programme.
Research limitations/implications
Further research is needed to evaluate the feasibility and effects of the NitL programme.
Practical implications
The NitL programme has been developed in cooperation with community nurses to meet their needs in practice and has the potential to develop leadership for the core tasks of community nurses.
Originality/value
The NitL programme has been developed to empower the leadership of community nurses in implementing evidence targeted at encouraging functional activities of older adults. The leadership role of community nurses is key for delivering high-quality care and implementing evidence within the community care setting for encouraging functional activities of older adults to preserve their independence.
Details
Keywords
Fabian Groven, Gaby Odekerken-Schröder, Sandra Zwakhalen and Jan Hamers
This paper aims to explore how tensions and alignments between different actors’ needs in a transformative services network affect balanced centricity, which is an indicator of…
Abstract
Purpose
This paper aims to explore how tensions and alignments between different actors’ needs in a transformative services network affect balanced centricity, which is an indicator of well-being. Balanced centricity describes a situation in which all network actors’ interests and needs are fulfilled simultaneously. In such cases, all actors are better off, which increases both individual actors’ and overall actor-network well-being.
Design/methodology/approach
The empirical study takes place in nursing homes in which in-bed baths represent co-created service encounters that affect the well-being of focal actors (i.e. patients), frontline service employees (i.e. nurses) and transformative service mediators (i.e. family members), who have potentially competing needs. Using a qualitative, phenomenological approach, the study inductively explores and deductively categorizes actors’ personal experiences to gain deep, holistic insights into the service network and its complex web of actor interdependencies.
Findings
The resulting conceptual model of balanced centricity identifies actors’ lower-order needs as different manifestations of the psychological needs for autonomy, competence and relatedness. If actors’ needs are aligned, their psychological needs can be satisfied, which facilitates balanced centricity. If actors exhibit competing needs though, balanced centricity is impeded.
Practical implications
This study establishes actors’ psychological needs as the origin of tensions/alignments in multi-actor networks that impede/contribute to balanced centricity. Transformative service providers should try to address all actors’ psychological needs when co-creating services to achieve network well-being.
Originality/value
This study adopts a novel, multi-actor perspective and thereby presents a conceptual model that contributes to the understanding of balanced centricity. Future research could test this model in other transformative service settings.
Details
Keywords
Sandra Bartolomeu Pires, Mari Carmen Portillo and Wilco Achterberg
This article aims to gather lessons from a research interchange between England and The Netherlands, reflecting on the countries’ delivery of integrated care across adult and…
Abstract
Purpose
This article aims to gather lessons from a research interchange between England and The Netherlands, reflecting on the countries’ delivery of integrated care across adult and elderly long-term care and how to transfer learning across contexts.
Design/methodology/approach
The paper describes the Dutch health and care system, using four key components of integrated care described in the literature: person-centred, expert knowledge, continuity and coordination.
Findings
The Dutch deliver integrated care expertise in each component assessed. The weakest integrated care characteristics in England are multi-sectoral coordination and person-centred care.
Originality/value
This article develops an overview of integrated care delivery in The Netherlands and puts a spotlight on the importance of exchanging real-world experiences, not just evidence-based, to collaboratively improve integrated care in England. There is no need to reinvent the all-wheel, a lot of good is already done, tested and proved.