Samenvatting Complexe interventies bestaan uit meerdere componenten waarbij verschillende organisaties of zorgverleners betrokken zijn. In dit hoofdstuk worden complexe interventies toegelicht aan de hand van de Cardiologische Zorgbrug. In deze verpleegkundig gecoordineerde interventie voor kwetsbare, …

Leefstijlgerelateerde secundaire preventie wordt aanbevolen na een cardiologisch event. Het bewijs is bij ouderen echter minder sterk. De Response-2 studie was een verpleegkundig gecoördineerde studie, waarin is onderzocht of leefstijlprogramma’s risicofactoren konden verlagen na een acuut coronair syndroom. …

Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Dutch Research Council INTRODUCTION Cardiac rehabilitation (CR) is the cornerstone of secondary prevention. After hospital discharge, patients have to wait for participation in CR while often feeling overwhelmed …

Background Substance use disorders (SUDs) are prevalent in the general population, tend to follow a chronic course, are associated with many individual and social problems, and often have their onset in adolescence. However, the knowledge base from prospective population surveys and treatment-outcome …

AIM: To contribute to the knowledge and understanding of the active ingredients and mechanisms of change in Motivational Interviewing (MI), to enable MI-counsellors to optimise their MI-strategies in daily practice. METHOD: The body of this dissertation are two multiple case studies, one in 14 patients …

Background: Palliative needs in older patients are often not timely identified. The Surprise Question (SQ) ‘would I be surprised if this patient died in the next year?’ is a well-researched tool that could aid in this effort. Most studies thus far involved physicians or specialist nurses, however the …

Background:  A transitional care pathway (TCP) could improve care for older patients in the last months of life. However, barriers exist such as unidentified palliative care needs and suboptimal collaboration between care settings. The aim of this study was to determine the feasibility of a TCP, named …

Context: Inadequate handovers between hospital and home can lead to adverse health outcomes. A group particularly at risk is patients at the end of life because of complex health problems, frequent care transitions, and involvement of many professionals.  Objectives: To investigate health care providers' …