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Leefstijl in de zorg. Richtlijnen en afspraken rondom het bevorderen van een gezonde leefstijl bij cardiovasculair risicomanagement
De Preventiecoalitie Foodvalley heeft zich onder andere ten doel gesteld om te werken aan de verbetering van de samenwerking bij het integreren van de preventieve begeleiding in de ketenaanpak bij verschillende zorgsoorten, te beginnen met CVRM-zorg. De eerste stap is de verkenning van de huidige situatie om kansen voor verbetering te identificeren. Stap twee is het identificeren van gewenste verbeteringen om tot een geïntegreerde werkwijze te komen.De verkenning van de huidige situatie bestaat, naast focusgroepen, uit een documentenanalyse. U heeft van deze analyse de rapportage nu voor u liggen. De verschillende richtlijnen en afspraken over het bevorderen van een gezonde leefstijl binnen de zorg rondom cardiovasculair risicomanagement zijn in kaart gebracht. Deze rapportage en de uitkomsten van de focusgroepen zullen samen een helder beeld geven van de huidige praktijk van samenwerken tussen de Huisartsen Gelderse Vallei en het Ziekenhuis Gelderse Vallei.
Leefstijl en Gezondheidsbevordering | 17-06-2021Letting people flourish
Background: The concept of “positive health” emerged from the need for a holistic and more dynamic perspective on health, emphasising the ability of individuals to adapt and self-manage. The positive health conversation tool helps understand how people score on six positive health dimensions. However, skills within these dimensions to maintain or improve health have not yet been described. This is important for enabling individuals to put health advice into practise. Therefore, this paper aims to define and suggest skills for maintaining and improving positive health.Subsections: Suggestions for definitions of skills within the positive health dimensions are described using the functional, interactive, and critical health literacy framework. Additionally, executive functions and life skills were incorporated. Moreover, the environment's role in these individual skills was noted, mentioning organisational health literacy that emphasises organisations' responsibility to provide comprehensible health information to all individuals. We propose that health promotion interventions can incorporate the proposed skills in practical exercises while aligning intervention materials and implementation tools with end-users and implementers.Discussion and conclusion: The suggested skills for maintaining and improving positive health are a first step towards a more comprehensive understanding and open to discussion. These skills may also be applied to other practical conversation tools for maintaining or improving health. Increasing positive health through the defined skills may be especially relevant to those with a lower socioeconomic position who also have limited health literacy and thereby may contribute to reducing health inequalities. Taken together, strengthening the defined skills may hopefully contribute to allowing people to flourish in life.
Leefstijl en Gezondheidsbevordering | 12-10-2023Nurse-related behavioural determinants associated with healthy eating support provided by Dutch community nurses: a cross-sectional study
Background:Community nurses (CNs) play an important role in supporting healthy lifestyles, including healthy eating behaviour of patients. However, many CNs do not incorporate healthy eating support in their daily routines to the fullest extent possible. This study aimed to explore (1) the associations between nurse-related behavioural determinants and self-reported healthy eating support practices of Dutch CNs and (2) CNs’ need for additional knowledge.Methods:In this cross-sectional survey design, 244 Dutch CNs completed an online, self-administered questionnaire in October-November 2021. The 60 questionnaire items were related to CNs’ characteristics, nurse-related determinants, healthy eating support practices (observing problems, having a conversation about patients’ dietary behaviour, motivating patients to eat and drink healthier and supporting patients in goal setting) and the need for additional knowledge. The items on determinants and practices used a 5-point Likert scale. Adjusted prevalence ratios (PRadjusted) with 95% confidence intervals (95%CIs) were obtained for the associations between determinants and practices, using adjusted Poisson regression with robust variance estimations.Results:More CNs practiced observing problems (75%) and having a conversation (70%) than did motivating patients (45%) and supporting goal setting (28%) at least often. A more positive attitude (PRadjusted 1.8; 95%CI 1.5–2.2), greater self-efficacy (PRadjusted 1.3; 95%CI 1.1–1.5), greater motivation (PRadjusted 1.5; 95%CI 1.3–1.7) and better abilities (PRadjusted 1.4; 95%CI 1.2–1.6) were associated with a greater prevalence of supporting healthy eating at least often (vs. never to sometimes). Barriers were not associated with healthy eating support (PRadjusted 1.1; 95%CI 1.0-1.2). CNs especially desired more knowledge on diet in relation to cancer, gastrointestinal diseases, severe psychiatric diseases and dementia; methods for motivating patients to start and for supporting patients to sustain healthy eating; and dealing with patient autonomy.Conclusions:This study suggests that nurse-related behavioural determinants such as attitude, self-efficacy, motivation and ability should be addressed to improve CNs’ competences in healthy eating support. In addition, based on self-reported need for additional knowledge, it is recommended to pay attention to evidence-based behaviour change techniques, dealing with patient autonomy, and diet in relation to cancer, gastrointestinal diseases, severe psychiatric diseases and dementia.
Leefstijl en Gezondheidsbevordering | 21-10-2024Oplossingsgerichte aanpak: veel potentie, ook voor de (ggz-)zorgkosten in de huisartsenpraktijk?!
De geestelijke gezondheidszorg (ggz) staat onder druk door onder andere hoge kosten en lange wachttijden, waardoor inzicht in manieren en werkwijzen om de druk te verminderen belangrijk is. Oplossingsgericht werken, een pragmatische aanpak gericht op wat voor de patiënt werkt, kan zo’n werkwijze zijn. In een Nederlandse huisartsenpraktijk die al jaren oplossingsgericht werken toepast, lieten zorgkostendata over 2024 lagere totale zorgkosten (−5%), lagere huisartsenzorgkosten (−8%), lagere ggz-zorgkosten (−30%) en minder medicatiegebruik voor onder andere psychische klachten (−31%) zien, vergeleken met landelijke cijfers. De resultaten geven een voorzichtige, maar hoopvolle aanwijzing dat oplossingsgerichte gesprekken kunnen bijdragen aan lagere ggz-zorgkosten.
Leefstijl en Gezondheidsbevordering | 13-05-2026Perceptions of employees with a low and medium level of education towards workplace health promotion programmes: a mixed-methods study
BackgroundUnderstanding the perceptions of lower socioeconomic groups towards workplace health promotion is important because they are underrepresented in workplace health promotion activities and generally engage in unhealthier lifestyle behaviour than high SEP groups. This study aims to explore interest in workplace health promotion programmes (WHPPs) among employees with a low and medium level of education regarding participation and desired programme characteristics (i.e. the employer’s role, the source, the channel, the involvement of the social environment and conditions of participation).MethodsA mixed-methods design was used, consisting of a questionnaire study (n = 475) and a sequential focus group study (n = 27) to enrich the questionnaire’s results. Multiple logistic regression analysis was performed to analyse the associations between subgroups (i.e. demographics, weight status) and interest in a WHPP. The focus group data were analysed deductively through thematic analysis, using MAXQDA 2018 for qualitative data analysis.ResultsThe questionnaire study showed that 36.8% of respondents were interested in an employer-provided WHPP, while 45.1% expressed no interest. Regarding subgroup differences, respondents with a low level of education were less likely to express interest in a WHPP than those with a medium level of education (OR = .54, 95%, CI = .35–.85). No significant differences were found concerning gender, age and weight status. The overall themes discussed in the focus groups were similar to the questionnaires (i.e. the employer’s role, the source, the channel, the involvement of the social environment and conditions of participation). The qualitative data showed that participants’ perceptions were often related to their jobs and working conditions.ConclusionsEmployees with a medium level of education were more inclined to be interested in a WHPP than those with a low level of education. Focus groups suggested preferences varied depending on job type and related tasks. Recommendations are to allow WHPP design to adapt to this variation and facilitate flexible participation. Future research investigating employers’ perceptions of WHPPs is needed to enable a mutual understanding of an effective programme design, possibly contributing to sustainable WHPP implementation.
Leefstijl en Gezondheidsbevordering | 25-08-2022Preventie en leefstijl in de zorg
Welke barrières ervaren verpleegkundigen wanneer ze met patiënten werk willen maken van leefstijl? Wat zijn mogelijke oplossingsrichtingen? Om deze vragen draaide een rondetafelgesprek in september 2022.
Leefstijl en Gezondheidsbevordering | 06-04-2023Samenwerken met wijkverpleegkundigen en POH’ers
Het ondersteunen en bevorderen van de zorg voor voeding door verpleegkundigen en praktijkondersteuners: dat is het doel van het nieuwe lectoraat Zorg voor Voeding en Gezondheid van de Christelijke Hogeschool Ede. Voor het verbeteren van de praktijk is nauwe samenwerking met de professionals nodig. Daarom zijn bij de start van dit lectoraat wijkverpleegkundigen en praktijkondersteuners betrokken, om hun dagelijkse praktijk rondom zorg voor voeding beter te begrijpen, inclusief hun samenwerking met de diëtist.
Leefstijl en Gezondheidsbevordering | 25-03-2020Stakeholders’ Perceptions Regarding Adaptation and Implementation of Existing Individual and Environmental Workplace Health Promotion Interventions in Blue-Collar Work Settings
Blue-collar workers often have disadvantageous health statuses and might therefore benefit from a combination of individual and environmental workplace health promotion interventions. Exploring stakeholders’ perceived facilitators and barriers regarding the combined implementation of these interventions in blue-collar work settings is important for effective implementation. A qualitative study consisting of 20 stakeholder interviews within six types of organisations in The Netherlands was conducted. The potential implementation of the evidence-based individual intervention SMARTsize and the environmental intervention company cafeteria 2.0 was discussed. Data were analysed using thematic analysis with a deductive approach. Five main themes emerged: (1) the availability of resources, (2) professional obligation, (3) expected employee cooperation, (4) the compatibility of the proposed health interventions, and (5) the content of implementation tools and procedures. Generally, stakeholders expressed a sense of professional obligation toward workplace health promotion, mentioning that the current societal focus on health and lifestyle provided the perfect opportunity to implement interventions to promote healthy eating and physical activity. However, they often perceived the high doses of employees’ occupational physical activity as a barrier. We recommend co-creating interventions, implementation tools, and processes by involving stakeholders with different professional backgrounds and by adapting communication strategies at diverse organisational levels.
Leefstijl en Gezondheidsbevordering | 19-10-2022
