Publications by authors named "J M Giesen"
Aims: To explore how coaching can facilitate the development of an Evidence-Based Quality Improvement (EBQI) learning culture within nursing teams in hospital and community care settings. This study also explores the specific contextual factors that influence effective outcomes.
Design: Action research.
Article Synopsis
- The World Health Organization emphasizes that quality healthcare involves providing effective, evidence-based treatments while minimizing harm and resource waste, highlighting the need to address low-value care that fails to benefit patients.
- The study conducted a thorough review of Dutch clinical guidelines to identify both low-value and high-value nursing care practices across various healthcare sectors, utilizing surveys from over 500 nurses for prioritization.
- Findings revealed 66 low-value care recommendations, like avoiding unnecessary layers for pressure ulcer prevention, alongside 414 high-value recommendations; the results varied by sector, with certain practices consistently highlighted, such as avoiding physical restraints for patients experiencing delirium.
Background: Transformation of healthcare is necessary to ensure patients receive high-quality care. Working with the evidence-based practice (EBP) principles enables nurses to make this shift. Although working according to these principles is becoming more common, nurses base their actions too much on traditions and intuition.
View Article and Find Full Text PDFBackground: Patient participation is fundamental in nursing care and has yielded benefits for patient outcomes. However, despite their compassionate care approach, nurses do not always incorporate patients' needs and wish into evidence-based practice, quality improvement or learning activities. Therefore, a shift to continuous quality improvement based on evidence-based practice is necessary to enhance the quality of care.
View Article and Find Full Text PDFObjective: The effect marker club cell protein (CC16) is secreted by the epithelium of the small respiratory tract into its lumen and passes into the blood. Increased amounts of CC16 in serum are observed during acute epithelial lung injury due to air pollutants. CC16 in serum was determined as part of this cross-sectional study in underground potash miners on acute and chronic health effects from exposures to diesel exhaust and blasting fumes.
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