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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Developing and testing a reflection method for implementation of the informal care guideline in community nursing:
Nicole Vullings1, Marjo Maas2, Marian Adriaansen1
1Institute of Nursing Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.
A new reflection method was developed for community nurses and certified nursing assistants to implement the Dutch Informal Care guideline. This practice-based method incorporates elements like video feedback and pair work, aligning with user needs for improved care.
Area of Science:
- Nursing Practice
- Healthcare Implementation Science
- Professional Development
Background:
- Implementing guidelines in daily nursing care presents challenges.
- Community nurses and certified nursing assistants require tailored support tools.
Purpose of the Study:
- To develop a reflection method for community nurses and certified nursing assistants.
- To support the implementation of the Dutch Informal Care guideline in daily practice.
Main Methods:
- Design-based research involving a design group and four test groups.
- Iterative thematic analysis of video-recorded group meetings.
- Collaboration with end-users (nurses and assistants) throughout the development process.
Main Results:
- A final reflection method was developed, featuring nine key elements.
- Identified themes include group dynamics, reflective triggers, guideline knowledge, coaching, and preconditions.
- Key features include group size, diverse educational backgrounds, pair work, expressing thoughts, video feedback, a reflection game, guideline connection, coaching, and implementation conditions.
Conclusions:
- An evidence- and practice-based reflection method was successfully developed.
- The method aligns with the needs and preferences of community nurses and certified nursing assistants.
- Critical elements include a game, video feedback, and pair work; guidance is needed for theory-to-practice transfer.
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