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Factors associated with dietary behaviour change support in patients

Aim:To explore which factors, influencing dietary behaviour change support among patients by Dutch community nurses (CNs; nurses), are key focal points in training programmes.Background:Nurses have an important role in counselling patients towards healthier dietary behaviour to prevent or delay long-term complications from chronic lifestyle-related diseases. Most nurses do not incorporate dietary behaviour change support in their routines to the fullest potential.Design:A qualitative descriptive study.Methods:Data were collected in the Netherlands in 2018–2019 via semi-structured face-to-face interviews with 18 nurses. Interview guide themes were informed by the COM-B model, using validated descriptions in Dutch. Data were recorded, transcribed and analysed using inductive thematic analysis.Results:Factors that affected dietary behaviour change support were linked to (1) the nurse (role identity, dietary knowledge and competences such as methodical approach, behaviour change techniques and communication techniques), (2) nurse–patient encounter (building a relationship with a patient, supporting patient autonomy and tailoring the approach) and (3) cooperation and organizational context.Conclusion:It is of utmost importance to pay attention to nurses' role identity regarding dietary behaviour change support, as this underlies professional behaviour. This should be accompanied by improving competences on dietary behaviour change support. Focus on competences regarding the application of behaviour change technique is crucial. Furthermore, having a relationship of trust with a patient was important for discussing sensitive topics such as diet.Impact:The promotion of a healthy diet provides opportunities to contribute to patient autonomy and self-management. Well-fitted training offers for (senior) nurses will lead to improved professional practice of nurses, leading to healthier dietary behaviour of patients.

Leefstijl en Gezondheidsbevordering | 30-07-2023

Fine-tuning knowledge as part of professional knowing of nurses to provide individual tailored nursing care

The general objective of this study was to develop a substantive theory of how good nurses in acute care tune in to patient preferences in their nursing decision-making, and what knowledge they deploy in doing so.

Verpleegkundige beroepsethiek, Reflectie op goede zorg | 01-01-2016

Focus op Focus

Focus is een missionair traject van de IZB, bedoeld voor lokale gemeenten. De IZB is een missionaire organisatie binnen de Protestantse Kerk in Nederland. Na een introductie van de opzet en de inhoud van Focus volgen praktijkervaringen binnen twee verschillende gemeenten in resp. Amersfoort en Eethen-Drongelen. Aansluitend is er een gemeenteopbouwkundige evaluatie van dit missionaire traject. De artikelen vormen samen aflevering 28 van de rubriek 'Wegen tot vernieuwing. Praktijkberichten uit gemeenten en parochies' in het tijdschrift Inspirare.

Zingeving in nieuwe geloofsgemeenschappen | 01-07-2021

Formatief evalueren met leesgesprekken

Formatief evalueren binnen het leesonderwijs is waar¬devol (Hattie, 2013; Damhuis, 2015). Deze evaluatievorm blijkt effectief voor het verbeteren van het leerproces van kinderen. Om zo’n leerproces in kaart te brengen kan een leraar kind- of leergesprekken voeren. Leesgesprek¬ken zijn een uitgewerkte vorm van zo’n leergesprek. Het zijn gesprekken over lezen die je als leraar (of andere gespreksleider) voert met individuele leerlingen of met groepjes leerlingen. Door deze gesprekken over lezen krijgen leerling en leraar informatie om te bepalen welke vervolgactie nodig is om de leerling nieuwe doelen in zijn of haar leesontwikkeling te laten bereiken. In dit artikel beschrijven de auteurs hoe je via leesgesprekken de lees¬ontwikkeling van leerlingen kunt volgen en een stapje verder kunt brengen.

Talenten en Opbrengsten | 05-07-2016

Framing Nature

The way people and organisations describe or depict nature betrays their fundamental attitude towards nature. In this PhD thesis views of nature are seen as digestions of meaningful experiences of nature in which a religious depth can be identified. This PhD thesis contains both theoretical and empirical evidence to answer the question whether (implicit) religious elements play a role in the communication regarding nature in the Netherlands. The conclusion shows that the communication regarding nature is religionised to some extent, but there is no mentioning of a personal God or other reference to a supernatural reality.This PhD thesis also shows that the religious depth dimension does not explicitly come to the fore in what visitors are saying. The result is that this thesis, in addition to the question regarding the appropriateness of religious subtexts in the communication regarding nature, also questions whether these subtexts are convincing from the perspective of the visitors.

Journalistiek & Communicatie | 14-06-2017

Fun and games

Een bespreking van het boek 'Lord of the flies' van William Golding gerelateerd aan de actualiteit.

Journalistiek & Communicatie | 01-04-2017

Future Talk : Discussing hypothetical situations with prospective adoptive parents

The objective of this study is to contribute towards understandinghow welfare and justice discourses becomeapparent in institutional conversations where social workersinvolved in child protection have dual professional identities:that of helper and of gatekeeper. In this article weanalyse a specific conversational practice in a particular childprotection context: social workers asking questions abouthypothetical situations in interviews with prospectiveadoptive parents. We show the nature of these questions inface-to-face interactions between social workers andprospective adoptive parents. In addition, we also analysehow the social workers manage to integrate aspects oftesting the capabilities of the prospective adoptive parentswhile, at the same time, also helping them to become evenbetter prepared parents. Using the method of conversationanalysis makes it possible to analyse how the social workersare doing being a gatekeeper and/or helper withoutspelling that out.

17-10-2011

Ga depressie bij jongere structureel tegen

Depressieve klachten komen veel voor onder jongeren maar worden vaak niet herkend. Jongeren krijgen daardoor geen of pas laat hulp. Een structurele preventieve aanpak is nodig.

Informele Netwerken | 21-03-2023