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SMILE – Self management support In clinical Leaders and Education

Projectomschrijving

Zelfmanagementondersteuning door verpleegkundige leiders op leerafdelingen

Het onderzoeksprogramma SMILE (Self Management support In clinical Leaders and Education) richt zich op verpleegkundigen en verzorgenden die het zelfmanagement van patiënten ondersteunen tijdens de dagelijkse zorg.

Doel

Het uitgangspunt in dit participatieve actieonderzoek is dat klinische leiders een rolmodel voor zelfmanagementondersteuning kunnen worden door extra support. De goede voorbeelden van rolmodellen worden verzameld om zo studenten, en andere zorgprofessionals, te inspireren. Studenten zien wat zelfmanagementondersteuning in de praktijk concreet inhoudt en hoe het vorm gegeven kan worden. Daardoor zal de kloof tussen theorie en praktijk kleiner worden.

Werkwijze

De verpleegkundige en verzorgende leiders in dit project werken op leerafdelingen in ziekenhuizen, de wijk, de ouderenzorg of psychiatrie. Zij begeleiden studenten die zich nadrukkelijk met ondersteunen van zelfmanagement bezig houden. Zo worden de leiders van verschillende kanten uitgedaagd om zich als rolmodel te ontwikkelen.

Producten

Titel: 'You just have to be aware’How nurse students perceive self-management support by clinical leaders
Auteur: van Hooft, S.M., Groenenboom-Jongenotter N. & van Staa AL.
Titel: Zó aan de slag met zelfmanagement. Inspiratievragen om zelfmanagement in de praktijk te bespreken.
Auteur: Jongenotter N & van Hooft SM
Link: https://bit.ly/3RIeVO3

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Samenvatting van de aanvraag

Self-management is something most people with a chronic condition do in order to incorporate the condition in their lives and therefore it is an empiric phenomenon. Furthermore, patient participation is strongly promoted from an empowerment perspective, but also as a means to reduce health care expenditure as a way of dealing with the increasing numbers of people with chronic conditions. A partnership between the patient and the nurses/nurse assistants is an essential feature of self-management support (SMS) and therefore a person-centred care approach is warranted. In daily practice, many nurses seem to have difficulties with working in a person-centred way. Showing students how to navigate between daily routines and person-centred care can be done by learning from examples (role models), which has proven to be effective in adaptation of new behaviour and in nurse education. There is little attention for SMS in everyday clinical practice which may contribute to a gap between education and clinical practice regarding SMS and may also lead to dropout of nurse students and nurses who cannot act upon their values and beliefs. Empowering clinical leaders could be an effective way to improve everyday SMS in clinical settings and to diminish this gap. To improve SMS support in clinical practice we should thoroughly examine how nurses and nurse assistants could be guided to use tacit knowledge and already developed tools in their daily practice and subsequently become role models for nurse students. Existing research into SMS has a strong focus on interventions that require scheduled appointments e.g. in outpatient clinics and home care. Evidence on effective SMS interventions in elderly care and clinical wards is poor. The SMILE program contributes to a deeper understanding of enabling processes to empower nurses in becoming role models for nurse students in clinical practice. More insight is gained about to what extent clinical leaders act upon their beliefs and whether this could be improved with thorough guidance. By following and coaching these nurse leaders and nurse students for a period of 24 months in a learning community (LC) with a powerful learning environment, SMS interventions will be implemented and the gap between theory and practice narrowed. The overall aim of this research programme is 1) to explore how nurse leaders can contribute to improvement of SMS in everyday practice and, while doing so, become a role model for nurse students and 2) to develop guidance for improving nurse (assistant) students’ education to support patients’ self-management during their internships. In the SMILE program, a Participatory Action Research (PAR) approach is used, because it provides the opportunity to engage both the students, the nurses and nurse assistants on the wards together with the lecturers and the researchers in the process of learning to enhance person-centred care and to grow as role models. Moreover, a patient representative takes part in the research group in order to learn from his perspective as well. In addition, using this design facilitates the teams of the LCs to adapt the research program to their own structures. Four LC from the Nursing Delta area with a diversity of settings (regional hospital, university hospital, elderly care, home care) are participating in the program. The students and the nurses are guided and followed for a period of 2 years, in which they set their own goals and reflect upon them through the cyclic phases of PAR, leading to improved SMS, better patient experiences, and more role models for SMS on the LC. Furthermore, the experiences of the project on the LC are used for the development of a guidance for educators to enable nurse students (Bachelor of Nursing, vocational education, and nurse assistants) and nurse leaders to support patient self-management and to pilot test this in other LCs. In this guidance, the various contexts, educational degrees and accompanying barriers and facilitators of the settings will be taken into account. The feasibility will be evaluated with a questionnaire for nurse educators and students.

Kenmerken

Projectnummer:
10040022110002
Looptijd: 88%
Looptijd: 88 %
2021
2024
Onderdeel van programma:
Gerelateerde subsidieronde:
Projectleider en penvoerder:
dr. S.M. van Hooft
Verantwoordelijke organisatie:
Hogeschool Rotterdam
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Susanne van Hooft

Lees meer over Susanne van Hooft
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Talentontwikkeling

Met leertrajecten en persoonsgebonden subsidies ondersteunen we talentvolle verpleegkundigen, verpleegkundig specialisten en verzorgenden in de ontwikkeling van hun persoonlijke leiderschapskwaliteiten. Zodat zij hun zeggenschap kunnen vergroten en zelf invloed kunnen uitoefenen op het beleid en de financiering in de zorg. Lees wat we nog meer doen.