Papers by Nicole Ketelaar
Tijdschrift Voor Gerontologie En Geriatrie, Jul 18, 2019
A qualitative research focused on contributing and obstructing factors for healthcare assistants ... more A qualitative research focused on contributing and obstructing factors for healthcare assistants in district nursing Older people with confused behavior have behavioral problems due to dementia, mental problems or social problems. For the Healthcare Assistant (HA) in district nursing, it is a daily challenge to care for older people with confused behavior. Aim of this research is to achieve an insight in the strategies the HA uses to deal with the daily care for older people with confused behavior. It is also the aim to have insight in factors which contribute to the daily care in a positive or negative way. Method: a qualitative explorative research. 17 HA’s in district nursing participated in semi-structured interviews. All respondents had experience with caring for older people with confused behavior. The most important influencing factors are the experienced relationship between HA and the client and the experienced support by the team. Particularly behavioral problems due to mental problems can impede a relationship with the client. Further research is recommended to study the level of knowledge and competences of all levels of employees in district nursing.
Chapter 3 Patients' expectations of variation in quality of care relates to their search for comp... more Chapter 3 Patients' expectations of variation in quality of care relates to their search for comparative performance information
Contains fulltext : 138965.pdf (publisher's version ) (Open Access)BackgroundChoice of hospit... more Contains fulltext : 138965.pdf (publisher's version ) (Open Access)BackgroundChoice of hospital based on comparative performance information (CPI) was introduced for Dutch healthcare consumers at least 5 years ago, but CPI use has not yet become commonplace. Our aim was to assess the role of patients inverted question mark expectations regarding variation in the quality of hospital care in determining whether they search for CPI.MethodsA questionnaire (for a cross-sectional survey) was distributed to 475 orthopaedic patients in a consecutive sample, who underwent primary hip or knee replacement in a university, teaching, or community hospital between September 2009 and July 2010.ResultsOf the 302 patients (63%) who responded, 13% reported searching for CPI to help them choose a hospital. People who expected quality differences between hospitals (67%) were more likely to search for CPI (OR =3.18 [95% CI: 1.02 inverted question mark9.89]; p <0.04) than those who did not. Qualit...
Mensen met dementie en hun naasten zijn in veel gevallen gebaat bij ondersteuning en begeleiding ... more Mensen met dementie en hun naasten zijn in veel gevallen gebaat bij ondersteuning en begeleiding door een casemanager. Voor hen zijn casemanagers een vast aanspreekpunt en belangrijk vertrouwenspersoon. Kenmerkend aan casemanagement dementie is dat persoonlijke begeleiding en trajectbegeleiding hand in hand gaan. Dit laatste betekent dat casemanagers ook veel samenwerken met andere professionals en informele netwerkleden. De kern van het werk van een casemanager is het ondersteunen van de zelfregie van de mensen met dementie en hun naasten. En dat vraagt nogal wat! Je bent niet alleen aanspreekpunt van de persoon met dementie en zijn mantelzorgers, maar ook die van de andere betrokken professionals. Je benadert het ziekteproces en de gevolgen daarvan voor de persoon met dementie zelf en andere betrokkenen.
The Cochrane database of systematic reviews, 2018
BACKGROUND It is becoming increasingly common to publish information about the quality and perfor... more BACKGROUND It is becoming increasingly common to publish information about the quality and performance of healthcare organisations and individual professionals. However, we do not know how this information is used, or the extent to which such reporting leads to quality improvement by changing the behaviour of healthcare consumers, providers, and purchasers. OBJECTIVES To estimate the effects of public release of performance data, from any source, on changing the healthcare utilisation behaviour of healthcare consumers, providers (professionals and organisations), and purchasers of care. In addition, we sought to estimate the effects on healthcare provider performance, patient outcomes, and staff morale. SEARCH METHODS We searched CENTRAL, MEDLINE, Embase, and two trials registers on 26 June 2017. We checked reference lists of all included studies to identify additional studies. SELECTION CRITERIA We searched for randomised or non-randomised trials, interrupted time series, and contr...
Ageing Science & Mental Health Studies, 2019
Older people with confused behavior, have behavioral problems due to dementia, mental problems or... more Older people with confused behavior, have behavioral problems due to dementia, mental problems or social problems. For the Healthcare Assistant (HA) in district nursing, it is a daily challenge to care for older people with confused behavior. Aim of this research is to achieve an insight in the strategies the HA uses to deal with the daily care for older people with confused behavior. It is also the aim to have insight in factors which contribute to the daily care in a positive or negative way. Method: a qualitative explorative research. 17 HA’s in district nursing participated in semi-structured interviews. All respondents had experience with caring for older people with confused behavior. The most important influencing factors are the experienced relationship between HA and the client and the experienced support by the team. Particularly behavioral problems due to mental problems can impede a relationship with the client. Further research is recommended to study the level of knowl...
Clinica Chimica Acta, 2019
Background-aim A 17-year-old woman born out of nonconsanguineous marriage, presented at the gynec... more Background-aim A 17-year-old woman born out of nonconsanguineous marriage, presented at the gynecology service with primary amenorrhea. She was of tall stature, overweight from very early age and unhealthy eating habits.
TSG, 2007
ABSTRACT De huidige organisatie rond de farmaceutische zorg bevordert niet de gewenste continuïte... more ABSTRACT De huidige organisatie rond de farmaceutische zorg bevordert niet de gewenste continuïteit en samenwerking tussen apothekers, huisartsen en medische specialisten. Het doel van de hier beschreven studie was om een inventarisatie uit te voeren van de huidige problematiek. Hoe ervaren professionals deze situatie? Welke wensen bestaan er om de situatie te verbeteren? Kan een Farmaco Therapeutisch Transmuraal Overleg hierbij worden ingezet?
Journal of Comparative Social Work
The COVID-19 pandemic has had a major impact on everyone’s life. Like many other professionals, ... more The COVID-19 pandemic has had a major impact on everyone’s life. Like many other professionals, social workers have been forced to adapt to these new working conditions and new challenges in order to support clients during the pandemic, as new needs have arisen. Together with professional associations from three nations (Germany, Switzerland and the Netherlands), we used a coordinated approach to explore the consequences of the pandemic for social work professionals. This study was conducted during the most severe contact and hygiene restrictions of the second wave of the COVID-19 pandemic in the winter of 2020/2021. The data addresses the changes perceived by social work professionals in relation to their contact and communication with clients, the use of digital technology in the context of work, the professional response in terms of innovation, the working conditions and the psychosocial risks they face. MethodsCross-sectional data was collected from 7,241 social workers in Germ...
Cochrane Database of Systematic Reviews, 2003
It is becoming increasingly common to release information about the performance of hospitals, hea... more It is becoming increasingly common to release information about the performance of hospitals, health professionals, and health care organisations into the public domain. This takes several forms-'consumer reports','report cards','provider profiles' or'hospital ...
International Journal for Quality in Health Care, 2013
Purpose. To review the literature on the content and development of the sets of quality indicator... more Purpose. To review the literature on the content and development of the sets of quality indicators used in studies on the quality of diabetes care in primary care settings. Data sources. The MEDLINE (Ovid), PubMed, PsychINFO, Embase and CINAHL databases were searched for relevant articles published up to January 2011. Study selection and data extraction. We included studies on the quality of adult diabetes care, using quality indicators. We excluded studies focusing on the hospital setting, patient subgroups, specific components of diabetes care and specific outcomes. In total, 102 studies (including 102 sets and 1494 indicators) were analyzed by two independent reviewers, using the criteria of the National Quality Measures Clearinghouse and international guidelines to document the content and selection of the identified indicators. Results of data synthesis. Sets varied greatly in number, content and definitions of quality indicators. Most of the indicators concerned HbA1C, lipids, blood pressure, eye and foot examination and urinalysis. Few sets included indicators on lifestyle counseling, patient experiences, healthcare structure or access to healthcare providers. Seventy sets did not specify explicit selection criteria, and 19 of these did not report the sources of the indicators. Conclusions. Sets of quality indicators are diverse in number, content and definitions. This diversity reflects a lack of uniformity in the concept of diabetes care quality and hinders the interpretation of and comparison between quality assessments. Methodology regarding defining constructs such as the quality of diabetes care and indicator selection procedures is available and should be used more rigorously.
Vakblad sociaal werk, Mar 31, 2022
Please be advised that this information was generated on 2016-05-09 and may be subject to
To identify the evidence for the effectiveness of behaviour change techniques, when used by healt... more To identify the evidence for the effectiveness of behaviour change techniques, when used by health-care pro-fessionals, in accomplishing health-promoting behaviours in patients. Reviews were used to extract data at a study level. A taxonomy was used to classify behaviour change techniques. We included 23 systematic reviews: 14 on smoking cessation, 6 on physical exercise, and 2 on healthy diets and 1 on both exercise and diets. None of the behaviour change techniques demonstrated clear effects in a convincing majority of the studies in which they were evaluated. Techniques targeting knowledge (n 210 studies) and facilitation of behaviour (n 172) were evaluated most frequently. However, self-monitoring of behaviour (positive effects in 56 % of the studies), risk communication (52%) and use of social support (50%) were most often identified as effective. Insufficient insight into appropriateness of technique choice and quality of technique delivery hinder precise conclusions. Relative...
The importance of international youth work, 2019
A participatory youth research that shows how non-formal education supports the learning and deve... more A participatory youth research that shows how non-formal education supports the learning and development of young people, youth workers and their organisations.
Does international youth work offer a valuable contribution to the development and education of young people? The six youth work organisations from Romania, Spain, Portugal, The Netherlands, Lithuania and Ireland involved believe it does. The organisations collaborate since 2015 in providing an alternative form of education for young people all over Europe. This form of education is better known as ‘non-formal education’ and is enacted in an international youth work setting. It allows young people to have agency in their learning process, to find their intrinsic motivation for learning, to formulate their issues of concern and to have an impact in their communities. Contrary to formal education, learning outcomes within non-formal education, are not measured by standardised testing but are based on self- and peer assessment. The organisations involved were eager to explore ways how the impact of their international non-formal educational programmes could be measured. In line with their way of working, this should start with the inclusion of young people.
It resulted in ImpACT+, a research programme in which young people have been supported to perform qualitative research. An international team of youth researchers looked into the question whether international youth work has an impact on the personal and professional development of young people, youth workers, youth work organisations and their local communities.
SamenvattingLoslaten van regels en procedures, financiële ontschotting en de inzet van een flexib... more SamenvattingLoslaten van regels en procedures, financiële ontschotting en de inzet van een flexibel budget, kan mogelijk zorgen voor meer passende hulp en ondersteuning aan burgers. Wijkcoaches uit Enschede delen hun ervaringen met een experiment met een flexibel budget. Wat zijn de kansen en spanningsvelden? En hoe werken die door in hun handelen?
TVZ - Verpleegkunde in praktijk en wetenschap
Journal of Social Intervention: Theory and Practice
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Papers by Nicole Ketelaar
Does international youth work offer a valuable contribution to the development and education of young people? The six youth work organisations from Romania, Spain, Portugal, The Netherlands, Lithuania and Ireland involved believe it does. The organisations collaborate since 2015 in providing an alternative form of education for young people all over Europe. This form of education is better known as ‘non-formal education’ and is enacted in an international youth work setting. It allows young people to have agency in their learning process, to find their intrinsic motivation for learning, to formulate their issues of concern and to have an impact in their communities. Contrary to formal education, learning outcomes within non-formal education, are not measured by standardised testing but are based on self- and peer assessment. The organisations involved were eager to explore ways how the impact of their international non-formal educational programmes could be measured. In line with their way of working, this should start with the inclusion of young people.
It resulted in ImpACT+, a research programme in which young people have been supported to perform qualitative research. An international team of youth researchers looked into the question whether international youth work has an impact on the personal and professional development of young people, youth workers, youth work organisations and their local communities.
Does international youth work offer a valuable contribution to the development and education of young people? The six youth work organisations from Romania, Spain, Portugal, The Netherlands, Lithuania and Ireland involved believe it does. The organisations collaborate since 2015 in providing an alternative form of education for young people all over Europe. This form of education is better known as ‘non-formal education’ and is enacted in an international youth work setting. It allows young people to have agency in their learning process, to find their intrinsic motivation for learning, to formulate their issues of concern and to have an impact in their communities. Contrary to formal education, learning outcomes within non-formal education, are not measured by standardised testing but are based on self- and peer assessment. The organisations involved were eager to explore ways how the impact of their international non-formal educational programmes could be measured. In line with their way of working, this should start with the inclusion of young people.
It resulted in ImpACT+, a research programme in which young people have been supported to perform qualitative research. An international team of youth researchers looked into the question whether international youth work has an impact on the personal and professional development of young people, youth workers, youth work organisations and their local communities.