Background: A pragmatic, stepped wedge trial design can be an appealing design to evaluate complex interventions in real-life settings. However, there are certain pitfalls that need to be considered. This paper reports on the experiences and lessons learned from the conduct of a cluster randomized, …

Background and aim Self-management support is an integral part of current chronic care guidelines. The success of self-management interventions varies between individual patients, suggesting a need for tailored self-management support. Understanding the role of patient factors in the current decision …

Background: Self-management interventions are considered effective in patients with chronic disease, but trials have shown inconsistent results, and it is unknown which patients benefit most. Adequate self-management requires behaviour change in both patients and health care providers. Therefore, the …

Background: To improve the effectiveness of community-based care programs, especially those targeting the oldest-old population (80+), data are needed that elucidate those factors associated with a successful response to the intervention. Two comparable nurse-led care programs have been evaluated …

Introductie van de meest voorkomende leiderschapstheorieën en -modellen. Een korte geschiedenis van het denken over leiderschap en management, en een uitnodiging aan de lezer om hetzelfde te doen. Wat betekent verpleegkundig leiderschap voor de patiënt en zijn familie, voor collega-verpleegkundigen en …

In clinical practice, identifying positive and negative attitudes toward older patients is very important to improve quality of care provided to them. The Older People in Acute Care Survey – United States (OPACS-US) is an instrument measuring hospital nurses attitudes regarding older patients. However, …

The purpose of this study was to explore the experiences and impact of peer-to-peer shadowing as a technique to develop nurse middle managers’ clinical leadership practices. A qualitative descriptive study was conducted to gain insight into the experiences of nurse middle managers using semi-structured …

De uitkomsten van het in 2008 gestarte onderzoek PREvention Decline in Older Cardiac Surgery patients (PREDOCS) waren positief. Daarom is in 2016 een implementatiestudie van start gegaan in twaalf hartoperatiecentra in Nederland. In dit artikel zetten de auteurs eerst uiteen wat dit programma ter voorbereiding …

Objectives Meta-analyses using individual patient data (IPD) rather than aggregated data are increasingly applied to analyze sources of heterogeneity between trials and have only recently been applied to unravel multicomponent, complex interventions. This study reflects on methodological challenges …