Vullings Nicole, Maas Marjo, Adriaansen Marian, Vermeulen Hester, van der Wees Philip, Heinen Maud
Institute of Nursing Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.
IQ Health Science Department, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
J Adv Nurs. 2025 Nov;81(11):7087-7102. doi: 10.1111/jan.16156. Epub 2024 Mar 21.
To develop a reflection method for community nurses and certified nursing assistants to support the implementation of the Dutch Informal Care guideline in daily care.
Design-based research.
A design group and four test groups of community nurses and nursing assistants were formed to develop a reflection method that aligns with the needs and preferences of its end-users. The design and test group meetings were video recorded. The video data were iteratively discussed and analysed thematically to adapt and refine the method and to identify its key features.
A final reflection method was developed. Five main themes were identified from the analysis: the group, reflective triggers, knowledge about the guidelines, the coach and preconditions. The themes are linked to nine key features representing the building blocks of the reflection method. The key features are group size, participants with different (educational) backgrounds, pairs of participants, expressing thoughts, video feedback, reflection game, making the connection with the guideline, coaching as a process facilitator and meeting organizational and contextual conditions for implementation.
An evidence- and practice-based reflection method for community nurses and certified nursing assistants is developed to support the implementation. By involving community nurses and certified nursing assistants, the method closely matches their needs and preferences. Critical elements of the reflection method are a game element, video feedback and working in pairs in a group of participants from different (educational) backgrounds. Guidance is needed to make the transfer from theory to practice.
A reflection method for community nurses and certified nursing assistants was developed to enhance care work according to guideline recommendations, aiming to improve the care provided by informal caregivers.
The COREQ guideline was used.
This reflection method was developed in close collaboration with all stakeholders during the entire study.
为社区护士和注册护理助理开发一种反思方法，以支持荷兰非正式护理指南在日常护理中的实施。
基于设计的研究。
组建了一个设计小组以及四个由社区护士和护理助理组成的测试小组，以开发一种符合最终用户需求和偏好的反思方法。设计小组会议和测试小组会议均进行了视频录制。对视频数据进行反复讨论并按主题进行分析，以调整和完善该方法，并确定其关键特征。
开发出了一种最终的反思方法。通过分析确定了五个主要主题：小组、反思触发因素、指南知识、指导者和前提条件。这些主题与代表反思方法构建要素的九个关键特征相关联。关键特征包括小组规模、具有不同（教育）背景的参与者、参与者配对、表达想法、视频反馈、反思游戏、与指南建立联系、作为过程促进者的指导以及满足实施的组织和背景条件。
开发了一种基于证据和实践的社区护士和注册护理助理反思方法，以支持实施工作。通过让社区护士和注册护理助理参与，该方法紧密匹配了他们的需求和偏好。反思方法的关键要素包括游戏元素、视频反馈以及在由不同（教育）背景的参与者组成的小组中进行配对工作。需要指导以实现从理论到实践的转化。
开发了一种社区护士和注册护理助理反思方法，以根据指南建议加强护理工作，旨在改善非正式护理人员提供的护理服务。
使用了COREQ指南。
在整个研究过程中，该反思方法是与所有利益相关者密切合作开发的。
