12 results on '"Jeroen W. B. Peters"'
Search Results
2. Perceived usefulness of the International Classification of Functioning, Disability and Health (ICF) increases after a short training
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Gabriel Roodbol, Pieter U. Dijkstra, Huib ten Napel, Petrie F. Roodbol, H.A. Stallinga, Yvonne F. Heerkens, Jeroen W. B. Peters, Faculteit Medische Wetenschappen/UMCG, Extremities Pain and Disability (EXPAND), and Lifelong Learning, Education & Assessment Research Network (LEARN)
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Adult ,Male ,musculoskeletal diseases ,Health Knowledge, Attitudes, Practice ,030506 rehabilitation ,Nurse practitioners ,education ,Education ,law.invention ,03 medical and health sciences ,Nursing ,International Classification of Functioning, Disability and Health ,Randomized controlled trial ,law ,Learning outcomes ,Surveys and Questionnaires ,Intervention (counseling) ,Health care ,IMPLEMENTATION ,Humans ,Education, Nursing, Graduate ,Curriculum ,General Nursing ,ICF training ,Nursing practice ,WORK ,Advanced Practice Nursing ,030504 nursing ,business.industry ,General Medicine ,social sciences ,CARE ,FRAMEWORK ,Master of advanced nursing practice ,humanities ,Test (assessment) ,MODEL ,PRACTITIONERS ,Female ,Perception ,Students, Nursing ,0305 other medical science ,business ,Psychology ,human activities - Abstract
The Master program of Advanced Nursing Practice (MANP) educates nurses to become a nurse practitioner. Nurse practitioners are health care professionals focusing on the intersection of cure and care. However, a clear model covering that area is lacking. The use of the International Classification of Functioning, Disability and Health (ICF) may be considered for incorporation in curricula due to its focus on the integration of cure and care. The purpose of this study is to test the effects of a short (= 4-h instructor-led) ICF training on perceived usefulness of the ICF. In a randomized controlled trial, 76 MANP students were randomly allocated to intervention or control group. Data were collected using an 'ICF survey and learning assessment tool'. Data of 56 students were included for analysis. Perceived usefulness of the ICF increased significantly in the intervention group immediately after training (p = 0.001) but no longer at 3-months follow-up (p = 0.388). Attitude and knowledge related to the ICF were significantly increased in the intervention group at both post-training assessments (p
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- 2018
3. The effect of postoperative closed incision negative pressure therapy on the incidence of donor site wound dehiscence in breast reconstruction patients: DEhiscence PREvention Study (DEPRES), pilot randomized controlled trial
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H.E.W. de Laat, Stefan Hummelink, Dietmar J.O. Ulrich, Jeroen W. B. Peters, and E. Muller-Sloof
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Adult ,medicine.medical_specialty ,Pilot Projects ,Dermatology ,030230 surgery ,Dehiscence ,Surgical Flaps ,Pathology and Forensic Medicine ,law.invention ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Randomized controlled trial ,Risk Factors ,law ,Diabetes mellitus ,Surgical Wound Dehiscence ,Humans ,Surgical Wound Infection ,Medicine ,Single-Blind Method ,Prospective Studies ,business.industry ,Wound dehiscence ,Incidence ,Incidence (epidemiology) ,Postoperative complication ,Surgical wound ,Middle Aged ,Plastic Surgery Procedures ,medicine.disease ,Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] ,Surgery ,Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,030220 oncology & carcinogenesis ,Female ,business ,Breast reconstruction ,Negative-Pressure Wound Therapy - Abstract
Contains fulltext : 200454.pdf (Publisher’s version ) (Open Access) AIM: Wound dehiscence is a serious postoperative complication associated both with high morbidity and mortality. It has a significant rate of occurrence in breast reconstruction surgeries with a deep internal epigastric perforator (DIEP) and with a profunda artery perforator (PAP) flap. Risk factors for wound dehiscence include smoking, diabetes mellitus, chronic obstructive pulmonary disease, and obesity. The aim of this pilot study was to assess whether postoperative treatment with closed incision negative pressure therapy (ciNPT) decreases the incidence of donor site wound dehiscence in breast reconstruction patients. METHOD: Women undergoing a breast reconstruction with a DIEP or PAP flap were enrolled in a pilot randomized controlled trial and assigned treatment with either ciNPT or adhesive strips. The primary outcome was wound dehiscence upon follow-up after four weeks. Secondary outcomes that were evaluated included wound infection, pain, and allergy. There was no loss to follow-up. RESULTS: This pilot study included 51 women (n=25 ciNPT, n=26 adhesive strips). The two groups did not differ significantly in patients demographics or comorbidities. Wound dehiscence occurred in 11 patients (n=2 ciNPT, n=9 adhesive strips). This difference was statistically significant: p=0.038. There were no statistically significant differences in secondary outcomes between the two groups. CONCLUSION: In this pilot study, postoperative treatment with ciNPT decreased the incidence of donor site wound dehiscence in breast reconstruction patients. Further research is ongoing by the same hospital. This trial was registered in the Netherlands Trial Register (NTR) under ID no. NTR5808.
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- 2018
4. Physician Assistants and Nurse Practitioners in Primary Care Plus: A Systematic Review
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A.L. van Doorn, Miranda Laurant, G.T.W.J. van den Brink, A.J.A.H. van Vught, R.M.A. van Erp, and Jeroen W. B. Peters
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Health (social science) ,Sociology and Political Science ,Referral ,Nurse practitioners ,Primary care ,nurse practitioners ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,systematic review ,Health care ,Medicine ,030212 general & internal medicine ,Physician assistants ,Quality of care ,physician assistants ,Specialist care ,integrated care ,lcsh:R5-920 ,030504 nursing ,Research and Theory ,business.industry ,Health Policy ,Integrated care ,primary health care ,substitution of care ,0305 other medical science ,business ,lcsh:Medicine (General) - Abstract
Contains fulltext : 232486.pdf (Publisher’s version ) (Open Access) INTRODUCTION: Shifting specialist care from the hospital to primary care/community care (also called primary care plus) is proposed as one option to reduce the increasing healthcare costs, improve quality of care and accessibility. The aim of this systematic review was to get insight in primary care plus provided by physician assistants or nurse practitioners. METHODS: Scientific databases and reference list were searched. Hits were screened on title/abstract and full text. Studies published between 1990-2018 with any study design were included. Risk of bias assessment was performed using QualSyst tool. RESULTS: Search resulted in 5.848 hits, 15 studies were included. Studies investigated nurse practitioners only. Primary care plus was at least equally effective as hospital care (patient-related outcomes). The number of admission/referral rates was significantly reduced in favor of primary care plus. Barriers to implement primary care plus included obtaining equipment, structural funding, direct access to patient-data. Facilitators included multidisciplinary collaboration, medical specialist support, protocols. CONCLUSIONS AND DISCUSSION: Quality of care within primary care plus delivered by nurse practitioners appears to be guaranteed, at patient-level and professional-level, with better access to healthcare and fewer referrals to hospital. Most studies were of restricted methodological quality. Findings should be interpreted with caution.
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- 2021
5. Creating Strong Clinical Networks
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Petrie F. Roodbol and Jeroen W. B. Peters
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Nurse practitioners ,Phenomenon ,Engineering ethics ,Sociology ,Quality of care ,Competence (human resources) - Abstract
For the majority of the nurse practitioners, networking is a new phenomenon. Nurse practitioners, as T-shaped professionals who combine general and specific expertise, are in the position to develop strong clinical networks with focus on care and cure. Examples are presented in this chapter. Interdisciplinary collaboration is necessary to achieve quality of care. How can we realize successful collaboration? For an important part, collaboration needs to be learned in practice. A vital part is understanding each other’s practice, identity and drives, but most of all reflection is a crucial competence to become a leader of a network.
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- 2020
6. Leadership in Maintaining Standards for the APN Role
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Jeroen W. B. Peters and Petrie F. Roodbol
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Nurse practitioners ,business.industry ,Learning environment ,media_common.quotation_subject ,Advanced practice nursing ,Servant leadership ,Public relations ,Coaching ,Quality management system ,Accountability ,Psychology ,business ,Empowerment ,media_common - Abstract
The academy for advanced practice nursing is tasked with training highly qualified nurse practitioners (NP). Initially, the most crucial cornerstones to obtain this goal seem to be the development of documents describing (1) the role of the NP, (2) education and testing, (3) the requirements imposed on academics, and (4) the quality system. Having a vision and plan for how you want to obtain your goals, however, does not necessarily mean that these goals will be obtained. The addition of cornerstones facilitating the intrinsic motivation of academics is necessary to let them do what they are expert in. These cornerstones should increase accountability, ownership, and involvement in decision-making. A supportive learning environment, as well as coaching and empowerment by means of servant leadership are necessary cornerstones to graduate highly qualified NPs.
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- 2020
7. Impact of nurse practitioner care on patients with chronic conditions
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Marian Adriaansen, Jeroen W. B. Peters, A.J.A.H. van Vught, L. van Dusseldorp, Marieke Groot, and Kris Vissers
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Value (ethics) ,medicine.medical_specialty ,Palliative care ,business.industry ,media_common.quotation_subject ,Palliative Care ,MEDLINE ,General Medicine ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,Integrated care ,Interpersonal relationship ,All institutes and research themes of the Radboud University Medical Center ,Orientation (mental) ,Family medicine ,Physicians ,Chronic Disease ,Medicine ,Humans ,Quality (business) ,Nurse Practitioners ,business ,General Nursing ,Qualitative Research ,media_common ,Qualitative research - Abstract
Background A previous study found that care provided by a nurse practitioner (NP) during oncological or palliative care was highly regarded. These patients, however, were considered a special population due to suffering from life-threatening illnesses. It remains unclear whether the results are transferable to patients with chronic conditions. Patient's perceptions of the quality of NP care have reflected that it equals or exceeds that of physicians, but the root causes of these remarks remain unclear. Purpose To describe the difference in perception of NP care by patients suffering from chronic heart failure (CHF) or inflammatory bowel disease (IBD) in contrast with NP oncological or palliative care. Methodological orientation A qualitative study from a phenomenological perspective was conducted. Data were analyzed using Colaizzi's seven-step method and the Metaphor Identification Procedure. Sample In 2018 and 2019, 16 outpatients receiving CHF or IBD care were interviewed. Conclusions Although chronic and life-threatening diseases may differentiate patients' perspectives, it can be generally stated that patients value NPs to be reliable, helpful, and empathic. Patients feel empowered, at peace and in control thanks to integrated care by dedicated experts. Implications for practice Outpatients highly appreciate the "communicator role" and "skilled companionship" performed by NPs, to fulfill their needs for attention to the "complete picture." Therefore, further consideration of these competencies is recommended.
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- 2019
8. Nurse practitioners leading the way: An exploratory study on the added value of nurse practitioners in outpatient care in the Netherlands
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Anneke J. A. H. van Vught, Jeroen W. B. Peters, and Enzio R.K. Boeijen
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Adult ,Male ,Nurse practitioners ,education ,Exploratory research ,MEDLINE ,Nurse's Role ,Interviews as Topic ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Ambulatory care ,mental disorders ,Added value ,Ambulatory Care ,Outpatient clinic ,Humans ,Nurse Practitioners ,030212 general & internal medicine ,health care economics and organizations ,General Nursing ,Qualitative Research ,Netherlands ,030504 nursing ,technology, industry, and agriculture ,General Medicine ,Middle Aged ,Leadership ,Skill mix ,Workforce ,Female ,Clinical Competence ,Thematic analysis ,0305 other medical science ,Psychology - Abstract
Background Many Dutch nurse practitioners (NPs) work together with physicians and specialized nurses (SNs) in outpatient clinics, although the latter have questioned the added value of NPs in the outpatient clinic. Clarification of the distinction between and the added value of both nursing professions in relation to each other could lead to optimal use of the unique competencies of each type of nurse. Purpose To explore NPs' perspectives on their added value in relation to SNs in the outpatient clinic. Methodological orientation Data were analyzed by Braun and Clarke's thematic analysis. The CanMEDS competences were used to identify the NPs' comments about their practice. Sample Twelve semi-structured interviews were conducted with NPs from two hospital settings. Conclusions The added value of NPs was most evident in: nursing leadership, integrating care and cure and performing an expert level of nursing expertise, and competencies in science. To optimize their roles, NPs and SNs need to make all team members aware of their unique competences and promote role clarification. Implications for practice This study provides barriers in barriers that influence optimal positioning of NPs within the interdisciplinary team, stresses the importance of discussion on the optimal skill mix within the interdisciplinary team, and describes the NPs' leadership role because this is the encompassing link between the main competencies of their practice. Addressing and overcoming these findings could improve the NPs' positioning and effective collaboration within (the outpatient clinic's) interprofessional teams.
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- 2019
9. What does the nurse practitioner mean to you? A patient-oriented qualitative study in oncological/palliative care
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Loes van Dusseldorp, Kris Vissers, Jeroen W. B. Peters, Anneke J. A. H. van Vught, Marian Adriaansen, and Marieke Groot
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Male ,Coping (psychology) ,Palliative care ,oncological and palliative care ,metaphors ,Nurse's Role ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,Body of knowledge ,patients’ meaning ,03 medical and health sciences ,All institutes and research themes of the Radboud University Medical Center ,phenomenological perspective ,0302 clinical medicine ,Patient satisfaction ,nursing ,Nursing ,Neoplasms ,Health care ,Humans ,Medicine ,Nurse Practitioners ,030212 general & internal medicine ,hospital ,Qualitative Research ,General Nursing ,Aged ,030504 nursing ,business.industry ,Technician ,Palliative Care ,patients’ experiences ,Original Articles ,General Medicine ,Middle Aged ,Integrated care ,Patient Satisfaction ,nurse practitioner ,Hospice and Palliative Care Nursing ,Female ,Original Article ,0305 other medical science ,business ,Qualitative research - Abstract
Aims and objectives To explore what meaning patients associate with their experiences with a nurse practitioner (NP) in oncological or palliative care. Background Care provided by NPs results in high patient satisfaction, mostly related to the assurance of continuity of care, and to receiving information and advice on coping with the disease. Research shows that health care provided by NPs equals the quality of care provided by physicians. Patients may be even more satisfied with care provided by NPs. Because patients' views have only been examined quantitatively, underlying experiences and meanings remain unclear. Design A qualitative study from a phenomenological perspective. Methods In 2017, seventeen outpatients aged 45-79 years, receiving oncological or palliative care, were interviewed in depth. Data were analysed by Colaizzi's seven-step method and by the Metaphor Identification Procedure. Results Six fundamental themes emerged: the NP as a human (1) and as a professional (2), the NP providing care (3) and cure (4), NPs organising patient care (5) and the impact on patient's well-being (6). MIP analysis revealed six metaphors: NP means trust; is a travel aid; is a combat unit; is a chain; is a signpost; and is a technician. Conclusions NPs mean a lot to patients. NPs are valued as reliable, helpful and empathic. Patients feel empowered, at peace and in control as a result of the support, guidance and attention to them as a person as well as to aspects of the disease. Providing expert, integrated care makes patients feel safe and embraced in the NP's expertise. Relevance to clinical practice This qualitative insight into patients' experiences will contribute to the body of knowledge on patients' perceptions of the treatment and support provided by NPs. It adds to the further development of the NPs' profession and education.
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- 2018
10. Nurse practitioners' perceptions of their ability to enact leadership in hospital care
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Maud Heinen, Anita Huis, Hester Vermeulen, Marian Adriaansen, Julia van Kraaij, Jeroen W. B. Peters, and Catharina van Oostveen
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Adult ,Male ,Scope of practice ,media_common.quotation_subject ,education ,Nursing Staff, Hospital ,Nurse's Role ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,Nonprobability sampling ,03 medical and health sciences ,0302 clinical medicine ,Health care ,mental disorders ,Humans ,Quality (business) ,Nurse Practitioners ,030212 general & internal medicine ,General Nursing ,health care economics and organizations ,Qualitative Research ,media_common ,Netherlands ,Medical education ,030504 nursing ,Scope (project management) ,business.industry ,General Medicine ,Middle Aged ,Checklist ,Leadership ,lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] ,Professional association ,Female ,Nursing Care ,0305 other medical science ,business ,Psychology ,Qualitative research - Abstract
Contains fulltext : 218897.pdf (Publisher’s version ) (Closed access) AIMS AND OBJECTIVE: To gain insight into nurse practitioners' (NP) leadership roles in Dutch hospital care, by exploring the perceptions regarding their current leadership role and the differences with their previous role as a registered specialised nurse. BACKGROUND: To meet today's challenges of the increasing healthcare demands, the employment of NPs is proliferating. NPs have the ideal position to play a pivotal role within healthcare reforms, yet full expansion of their scope of practice and expertise is having limited success. Long-term sustainability of NPs depends on the ability to perform and develop a leading role. DESIGN AND METHODS: This qualitative descriptive study was conducted in fifteen Dutch hospitals. Data were collected from April-July 2018, and purposive sampling was used for eighteen semi-structured interviews. This study is conducted and reported according to the COREQ checklist. RESULTS: Three main themes concerning NPs' current leadership role emerged, and they were all linked to a successful positioning of NPs. All themes seemed to be of influence on NPs' scope of daily practice. Direct patient care was emphasised, and leadership on other levels appeared to be underused. Most NPs desired to reshape their profession. However, unprofitable use of their leadership skills especially on professional and organisational level and lack of supportive factors seemed to hinder them. CONCLUSIONS: An adequate use of leadership is crucial for role development and positioning of NPs. Further development of the NP profession can help to better differentiate between the tasks of registered specialised nurses and NPs. RELEVANCE TO CLINICAL PRACTICE: Leadership in nursing contributes to the improvement of the quality and efficiency of health care. Further positioning of the NP profession depends on a profitable use of leadership competencies. Besides, NPs should collaborate with healthcare organisations, educational institutions and professional associations to value the NP profession in the current healthcare system.
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- 2019
11. An integrative review of leadership competencies and attributes in advanced nursing practice
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Maud Heinen, Hester Vermeulen, Anita Huis, Catharina van Oostveen, Jeroen W. B. Peters, and Health Services Management & Organisation (HSMO)
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leadership ,literature review ,education ,MEDLINE ,CINAHL ,03 medical and health sciences ,0302 clinical medicine ,Professional Competence ,Health care ,Humans ,030212 general & internal medicine ,Curriculum ,General Nursing ,Health policy ,health care economics and organizations ,Review Papers ,Medical education ,Advanced Practice Nursing ,Review Paper ,030504 nursing ,Leadership development ,business.industry ,Evidence Synthesis ,Core competency ,advanced nursing practice ,Leadership competencies ,competency ,clinical nurse leaders ,0305 other medical science ,business ,Psychology - Abstract
textabstractAim: To establish what leadership competencies are expected of master level‐edu‐ cated nurses like the Advanced Practice Nurses and the Clinical Nurse Leaders as described in the international literature. Background: Developments in health care ask for well‐trained nurse leaders. Advanced Practice Nurses and Clinical Nurse Leaders are ideally positioned to lead healthcare reform in nursing. Nurses should be adequately equipped for this role based on internationally defined leadership competencies. Therefore, identifying leadership competencies and related attributes internationally is needed. Design: Integrative review. Methods: Embase, Medline and CINAHL databases were searched (January 2005– December 2018). Also, websites of international professional nursing organizations were searched for frameworks on leadership competencies. Study and framework selection, identification of competencies, quality appraisal of included studies and analysis of data were independently conducted by two researchers. Results: Fifteen studies and seven competency frameworks were included. Synthesis of 150 identified competencies led to a set of 30 core competencies in the clinical, pro‐ fessional, health systems. and health policy leadership domains. Most competencies fitted in one single domain the health policy domain contained the least competencies. Conclusions: This synthesis of 30 core competencies within four leadership domains can be used for further development of evidence‐based curricula on leadership. Next steps include further refining of competencies, addressing gaps, and the linking of knowledge, skills, and attributes. Impact: These findings contribute to leadership development for Advanced Practice Nurses and Clinical Nurse Leaders while aiming at improved health service delivery and guiding of health policies and reforms.
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- 2018
12. Innovatie en implementatie
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Jeroen W. B. Peters, Ignas Jansen, and Erwin Joosten
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Sociology - Published
- 2018
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