276557 research outputs found
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Developing and Testing a Reflection Method for Implementation of a Professional Reporting Guideline in Community Nursing: Design-Based Research.
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324783.pdf (Publisher’s version ) (Open Access)AIM: To develop a reflection method for community nurses and certified nursing assistants to support the implementation of a professional reporting guideline for nurses and certified nursing assistants in daily care and to identify its key features. DESIGN: Design-based research. METHODS: This study was conducted in the Netherlands from February 2021 to April 2022. The reflection method was developed by a design group (community nurses, certified nursing assistants and a patient representative) and four test groups of nurses. Experiences of participants were explored with video recordings and observational notes from test group meetings. The data were thematically analysed to refine the reflection method and identify key features. RESULTS: A final reflection method was developed. We identified three main themes: (1) Impact on behaviour change, (2) group learning and (3) conditional factors for critical reflection. Seven key features emerged as essential, forming the building blocks of the reflection method: focus on critical reflection, allocate time to formulate themes, include participants from various backgrounds and organisations, ensure the group is appropriately sized, allow for sufficient time, keep it simple and attractive and stimulate the group to make the transfer of learning to their clinical practice. CONCLUSIONS: The final method included two 2 h meetings with up to six participants and a coach. Participants learned from critical reflection and feedback to improve the reporting quality and critical assessment of daily practices, especially from colleagues with varying team affiliations and educational backgrounds. IMPACT: This reflection method enables community nurses and certified nursing assistants to learn collaboratively, aligning with the 'Nursing and Caring Reporting' guideline and bridging the gap between research and clinical practice. REPORT METHOD: The COREQ guideline was used. PATIENT OR PUBLIC CONTRIBUTION: The study design facilitated close collaboration among researchers, community nurses, certified nursing assistants and clients.01 november 202
Magmatic immiscibility provides phosphate for prebiotic chemistry
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326110.pdf (Publisher’s version ) (Open Access
De AVG en de WAMCA. de wapens in de strijd tegen Big Tech
No full textItem does not contain fulltextStudiemiddag Big Tech, 18 september 202
Functional Connectivity Signatures of Autism
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325473.pdf (Publisher’s version ) (Open Access)Radboud University, 17 november 2025Promotores : Buitelaar, J.K., Fornito, A. Co-promotor : Oldehinkel, M.161 p
Stiff knee gait after stroke: The potential compensatory role of mid-swing rectus femoris activity
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324395.pdf (Publisher’s version ) (Open Access)Reduced knee flexion during the swing phase of gait, commonly referred to as 'stiff knee gait,' is frequently encountered in patients with upper motor neuron syndrome, e.g., due to stroke. Rectus femoris spasticity is one of the main causes of stiff knee gait and can be treated with botulinum toxin (BoNT-A) injections. However, previous literature shows large response variations after BoNT-A treatment between individual participants. These variations could be due to the overestimation of rectus femoris spasticity during gait analyses based on the current main indicator: mid-swing rectus femoris activity. The objective of this video-illustrated case series, including gait data of four stroke patients with stiff knee gait, is to propose an alternative explanation for this mid-swing rectus femoris activity. The presented patients all show mid-swing rectus femoris activity, which could be considered a sign of spasticity but was interpreted as compensatory activity to improve foot clearance during the swing phase instead. Misinterpretation of compensatory rectus femoris activity as spasticity may lead to inadequate treatment with BoNT-A injections in some patients, possibly explaining the response variations found in previous literature. Additional biomechanical markers should be explored to better determine the contribution of rectus femoris spasticity in stiff knee in individual patients.6 p
Improving imiquimod use in cervical high-grade squamous intraepithelial lesions: A qualitative study.
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322876.pdf (Publisher’s version ) (Open Access)INTRODUCTION: To investigate patient experiences and satisfaction with imiquimod for cervical high-grade squamous intraepithelial lesions and its side effects, possibly influencing the (dis)continuation of treatment. Secondary objectives include evaluating patient counseling and guidance before and during imiquimod treatment for cervical high-grade squamous intraepithelial lesions by gynecologists and nurse practitioners to improve patient guidance. MATERIAL AND METHODS: Semi-structured interviews were conducted with patients treated with imiquimod for cervical high-grade squamous intraepithelial lesions and with healthcare professionals from hospitals in the Netherlands. Interviews were transcribed and transcripts were analyzed using thematic analysis. RESULTS: A total of 15 patients, 11 of whom finished imiquimod treatment and four who discontinued imiquimod treatment, and six healthcare professionals were interviewed. Three main themes were identified: counseling and side effects, use of imiquimod, and contact moments during treatment. Many patients believed that sharing patient experiences would help in making treatment decisions. Patients discontinued treatment early due to side effects and the mode of application. Detailed information on application methods and side effect severity during counseling is desirable. Healthcare professionals agreed on the factors that need to be addressed during counseling but held different opinions on imiquimod's side effect severity and application methods. CONCLUSIONS: Adequate patient counseling on imiquimod treatment, including the possible application methods and potential side effects, along with optimal guidance during treatment, contributes to a better patient experience and reduces the likelihood of early discontinuation of treatment.01 september 202
Sint Werenfried keert terug naar Elst
No full textItem does not contain fulltextBoekpresentatie 'Voor God naar de Betuwe', 11 oktober 2025(Katholieke) St. Werenfriduskerk, Elst / uitgeverij Flano
GUBIC: The global urban biological invasions compendium for plants
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326535.pdf (Publisher’s version ) (Open Access
Evaluation of breast cancer screening programmes: Candidate performance indicators and their association with breast cancer mortality
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326067.pdf (Publisher’s version ) (Open Access)6 p