Evidence map›Paper›PMID 27856482›Full record

Trial reportBMJ open2016

Evaluation of nurses' changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care: a qualitative study.

Lieve M Roets-Merken, Myrra J F J Vernooij-Dassen, Sytse U Zuidema, Marianne K Dees, Pieter G J M Hermsen, Gertrudis I J M Kempen, Maud J L Graff

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01217502 (Self-management for Dual Sensory Impaired Older People and Their Caregivers), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01217502 nacompletednot on this map

Self-management for Dual Sensory Impaired Older People and Their Caregivers: an Effective Approach?

TypeinterventionalSponsorRadboud University Medical CenterRan2010 to 2014Enrolled89ConditionsHearing Loss, Low VisionArmsSelf management program, self management program
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Care Provider Perceptions of Person-Centeredness in Geriatric Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lieve M Roets-MerkenRadboud University Medical Center, Donders Center for Cognition, Brain & Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.
Myrra J F J Vernooij-DassenRadboud University Medical Center, Donders Center for Cognition, Brain & Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.
Sytse U ZuidemaUniversity of Groningen, University Medical Center Groningen, Department of General Practice and Elderly Care Medicine, Groningen, The Netherlands.
Marianne K DeesRadboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, The Netherlands.
Pieter G J M HermsenSeverinus Foundation, Veldhoven, The Netherlands.
Gertrudis I J M KempenMaastricht University, Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht, The Netherlands.
Maud J L GraffRadboud University Medical Center, Donders Center for Cognition, Brain & Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo gain insights into the process of nurses' changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care, and into the factors that contributed to these changes in their perceptions.

designQualitative study alongside a cluster randomised controlled trial.

setting17 long-term care homes spread across the Netherlands.

participants34 licensed practical nurses supporting 54 dual sensory impaired older adults.

interventionA 5-month training programme designed to enable nurses to support the self-management of dual sensory impaired older adults in long-term care. PRIMARY OUTCOMES: Nurses' perceptions on relevance and feasibility of the self-management programme collected from nurses' semistructured coaching diaries over the 5-month training and intervention period, as well as from trainers' reports.

resultsNurses' initial negative perceptions on relevance and feasibility of the intervention changed to positive as nurses better understood the concept of autonomy. Through interactions with older adults and by self-evaluations of the effect of their behaviour, nurses discovered that their usual care conflicted with client autonomy. From that moment, nurses felt encouraged to adapt their behaviour to the older adults' autonomy needs. However, nurses' initial unfamiliarity with conversation techniques required a longer exploration period than planned. Once client autonomy was understood, nurses recommended expanding the intervention as a generic approach to all their clients, whether dual sensory impaired or not.

conclusionsLongitudinal data collection enabled exploration of nurses' changes in perceptions when moving towards self-management support. The training programme stimulated nurses to go beyond 'protocol thinking', discovering client autonomy and exploring the need for their own behavioural adaptations. Educational programmes for practical nurses should offer more longitudinal coaching of autonomy supportive conversational skills. Intervention programming should acknowledge that change is a process rather than an event, and should include self-evaluations of professional behaviours over a period of time. TRIAL REGISTRATION NUMBER: NCT01217502, Post-results.

Indexed as

Adaptation, PsychologicalAttitude of Health PersonnelNursesAgedDiagnostic Self EvaluationEducation, NursingHearing LossHumansLongitudinal StudiesLong-Term CareNetherlandsQualitative ResearchSelf CareVision DisordersAUTONOMYDUAL SENSORY IMPAIRMENTOLDER PEOPLEQUALITATIVE RESEARCHSELF-MANAGEMENT

Identifiers

PMID27856482
PMCPMC5129041

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.