Background: The majority of patients diagnosed with early-stage breast cancer are in a position to choose between having a mastectomy or lumpectomy with radiation therapy (breast-conserving therapy). Since the long-term survival rates for mastectomy and for lumpectomy with radiation therapy are comparable, …

Purpose: The Patient-Generated Subjective Global Assessment (PG-SGA), including the PG-SGA Short Form (SF, aka ‘abridged’), was originally developed in the mid 1990’s as a scored, patient self-report, paperbased instrument and has been widely validated. The PG-SGA (SF) has been used for screening, assessment …

Instrument/Tool: Network Analysis. It was developed in a research project on process improvement in small and medium sized companies in the north of the Netherlands. The instrument takes so-called worker frustrations as its starting point. A worker gets frustrated when he is confronted with a problem, …

Paper for the WION - Werkgemeenschap Inkoop Onderzoek Nederland - 2015, 3rd version. Purchasing within Small and Medium-sized Enterprises (SMEs) is important for the overall SME firm performance. However, purchasing within SMEs is not the same as purchasing within larger organisations and there is limited …

BACKGROUND: Secondary prevention of coronary artery disease (CAD) is increasingly provided by nurse-coordinated prevention programs (NCPP). Little is known about nurses' perspectives on these programs. AIM: To investigate nurses' perspectives/experiences in NCPPs in acute coronary syndrome patients. …

THE PDCA-CYCLE MIGHT NOT BE APPLICABLE in situations where change is unplanned or emergent. In situations of planned change the Deming cycle is used worldwide and proven to be very effective. However in an emergent change process the PDCA might not be the applicable. These emergent changes increase. …

An effective option for companies to implement circular economy concepts is reuse and remanufacturing. It concerns the (re)use of modules and parts of used and discarded equipment in ‘as new’ or ‘first class’ reused equipment. It is not just an effective way to reuse materials; it is also economically …

In dit artikel in Teaching and Teacher Education beschrijven HvA-lector Marco Snoek en Monique Volman de uitkomsten van een onderzoek naar een masteropleiding die gericht is op het ontwikkelen van leiderschap van leraren en op de impact van dat leiderschap op scholen. ‘The transfer of learning outcomes …

Background: A quality improvement collaborative is an intensive project involving a combination of implementation strategies applied in a limited “breakthrough” time window. After an implementation project, it is generally difficult to sustain its success. In the current study, sustainability was described …