Publications by authors named "Marleen Hermien Lovink"

Objective: Insights about what actions contributed to the development of an interprofessional learning and working culture were lacking for nursing homes. This study aimed to provide insight into the context and actions that trigger mechanisms for the development of an interprofessional learning and working culture in nursing homes.

Study Design: Realist evaluation action research was conducted from 2019 to 2023.

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Article Synopsis
  • The study aimed to explore the experiences and needs of certified nursing assistants (CNAs) regarding coaching by bachelor-educated registered nurses in nursing homes.
  • CNAs play a crucial role in daily nursing home care but often lack training for complex resident needs, highlighting the importance of effective coaching from registered nurses.
  • Key findings revealed that CNAs value coaching that respects their autonomy, enhances communication, and involves empowering and teaching them while also fostering better management relationships.
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Objectives: This study aimed to gain insight into how substitution of elderly care physicians (ECPs) by nurse practitioners (NPs), physician assistants (PAs) or registered nurses (RNs) in nursing homes is modelled in different contexts and what model in what context contributes to perceived quality of healthcare. Second, this study aimed to provide insight into elements that contribute to an optimal model of substitution of ECPs by NPs, PAs or RNs.

Design: A multiple-case study was conducted that draws on realist evaluation principles.

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Introduction: In developed countries, substituting physicians with nurse practitioners, physician assistants and nurses (physician substitution) occurs in nursing homes as an answer to the challenges related to the ageing population and the shortage of staff, as well as to guarantee the quality of nursing home care. However, there is great diversity in how physician substitution in nursing homes is modelled and it is unknown how it can best contribute to the quality of healthcare. This study aims to gain insight into how physician substitution is modelled and whether it contributes to perceived quality of healthcare.

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