gms | German Medical Science

Background and Purpose: Like most Western countries, the Netherlands are facing an ageing society. To deal with this challenges the Dutch government facilitates an ageing-in-place policy and promote self-management in older adults. This is in line with the new concept of positive health, which indicates that health care has to focus on capacities and opportunities of clients instead of their impairments and limitations. Community nurses have an important role in supporting clients to maintain, gain or restore their competences to stay in their homes as long as possible. However, to do so community nurses need the knowledge, attitude, skills and social/organizational support. In this symposium four innovations will be presented, which aim to facilitate community nurses to support their clients in managing their everyday life as independently as possible.

Methods: Different study designs and research methods were used ranging from qualitative or quantitative cross-sectional studies which make use of interviews and questionnaires towards a longitudinal randomised controlled laboratory experiment that combine qualitative and quantitative data collection methods.

Research Focus: All presented studies aim to improve the quality of community-based nursing care.

Results:

• The first speaker talks about the experiences of community nurses with the Stay Active at Home programme.
• The second speaker describes the (development of the) Translating Innovation into Practice (TIP)-toolbox.
• The third speaker reports about the efficacy of a decision support app in dementia care.
• The fourth speaker discusses which client characteristics have to be incorporated into a new funding model for community-based nursing.

Conclusions: In this symposium four innovations in community-based nursing will be presented. The audience get insight into the development, feasibility and efficacy of these innovations.

Programme Overview:

1.

Silke F Metzelthin, Rowan Smeets, Whitney AG Hanssen, GA Rixt Zijlstra, JM de Man-van Ginkel, Erik van Rossum, Gertrudis IJM Kempen: Experiences of community nurses with the Stay Active at Home programme: results of a qualitative study.

2.

Ruth Vogel, Gerrie JJM Bours, Silke F Metzelthin, Petra MG Erkens, Jan PH Hamers, E van Rossum: Supporting the implementation of innovations and nurse leadership in community-based nursing care.

3.

Theresa Thoma-Lürken, Michel HC Bleijlevens, Monique AS Lexis, Jan PH Hamers: Efficacy of a decision support app for nurses in community-based dementia: a randomized controlled laboratory experiment.

4.

Anne OE van den Bulck, Silke F Metzelthin, Arianne MJ Elissen, Marianne C Stadlander, Jaap Stam, Dirk Ruwaard: Which client characteristics predict community-based nursing care needs? Results of a survey study among Dutch nurses

Disclosures: All authors declare that there are no conflicts of interest.

Funding:

• Study 1: The study was funded by The Netherlands Organisation of Health Research and Development (#520002003).
• Study 2: The study was funded by The Netherlands Organisation of Health Research and Development (#520003001).
• Study 3: The study was funded by the Province of Limburg (#2013/15434).
• Study 4: The study was not externally funded.