Active participation of stakeholders in health research practice is important to generate societal impact outcomes, as innovations will more likely be implemented and disseminated clinical practice. To foster a co-creative process, numerous frameworks tools are available. As they originate from different professions, it not evident that researchers aware these tools, or able select use them meaningful way. This article describes the bottom-up development process compass presents final...

Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with approach. This study aimed explore views of stakeholders on achieving a diseases. qualitative explorative design, we held semi-structured interviews stakeholders, face-to-face or by telephone. Data were analysed using content analysis. Thirty...

The significance of effective interprofessional teamwork to improve the quality care has been widely recognised. Effective calls on good collaboration between professionals and patients, coordination professionals, development over time. teams also requires support from wider organisational context. In a Dutch village, healthcare work closely together, mutual consultations as well meetings take place regular basis. network was created precondition for sustainable in elderly care. However,...

Objective To evaluate the effectiveness of biopsychosocial Self-Management Support (SMS) delivered by practice nurses in routine diabetes care. Design A pragmatic cluster-randomised controlled trial within a hybrid effectiveness-implementation study design. Practice were cluster-randomised. Setting regional care group Netherlands consisting 77 family practices. The involved (n=40) providing to approximately 4000 patients with diabetes. Participants Patients type 2 (n=264) selected...

Teamwork between healthcare providers is conditional for the delivery of integrated care. This study aimed to assess usefulness conceptual framework Integrated Team Effectiveness Model developing and testing Instrument.Focus groups with in an care setting people chronic obstructive pulmonary disease (COPD) were conducted examine recognisability explore critical success factors collaborative COPD practice out this framework. The resulting items transposed into a pilot instrument. was reviewed...

Abstract Background Advance care planning (ACP) is becoming increasingly important in medical care. Some suggest standardized approaches to initiate ACP with all older adults. However, the idea of patient-centered suggests more nuanced tailored individual adults’ needs. This study investigated how adults different views and needs about can be approached an adequate most beneficial way by health professionals. Methods We used questionnaires, interviews, focus groups informal conversations...

Abstract Background Psychosocial problems are more prevalent among patients with chronic diseases than the general population. They may lead to a downward spiral of poor adherence, deterioration condition and decline in daily functioning. In addition medical management, systematic attention emotional role management tasks during routine care seems mandatory. We intend integrate an existing nurse-led minimal psychological intervention support patients’ self-management, which appeared be...

Involving patients in decisions on primary prevention can be questioned from an ethical perspective, due to a tension between health promotion activities and patient autonomy. A nurse-led intervention for of cardiovascular diseases, including counselling (risk communication, elements shared decision-making motivational interviewing) supportive tools such as decision aid, was implemented care. The aim this study evaluate the perspective by exploring detail experiences with intervention, their...

Abstract Background The integrated uptake of patient-reported experience measures, using outcomes for the micro, meso and macro level, calls a successful implementation process which depends on how stakeholders are involved in this process. Currently, impact strategies to improve use is rarely reported, information about can be engaged, including care-users who communication vulnerable, limited. This study illustrates all developing tailored provides insights into supportive conditions...

Abstract Introduction In 24/7 disability care facilities, patient‐reported experience measures (PREMs) are important to help healthcare professionals understand what matters users and improve the quality of care. However, successful implementation a PREM is complex. Dutch organization, stakeholders cocreated tailored strategies aimed at improving use integration qualitative PREM. This study gives insights into uptake experiences with these perceived impact set strategies. Methods We...

Background As the requirements for collaboration in primary care increase, effective interprofessional teamwork between GPs and other professionals is crucial. The need more training collaborative competencies widely recognised. However, existing competency frameworks do not sufficiently specify to guide development. Aim To reach consensus among on that GP trainees should learn. Design & setting A qualitative study Dutch professionals, all with expertise practice. Method Three nominal...