Evidence map›Paper›PMID 34253206›Full record

ArticleBMC nursing2021

Process evaluation of a programme to empower community nurse leadership.

Ruth G M Vogel, Gerrie J J W Bours, Teuni H Rooijackers, Silke F Metzelthin, Petra M G Erkens, Erik van Rossum, Sandra M G Zwakhalen

Open access · goldAbstract read
In one paragraph

Article in BMC nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. The State of the Evidence about the Family and Community Nurse: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
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 at 2 institutions in 1 country.

Ruth G M VogelDepartment of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands. r.vogel@maastrichtuniversity.nl.
Gerrie J J W BoursDepartment of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.
Teuni H RooijackersDepartment of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.
Silke F MetzelthinDepartment of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.
Petra M G ErkensDepartment of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.
Erik van RossumDepartment of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.
Sandra M G ZwakhalenDepartment of Health Services Research, Maastricht University, Care and Public Health Research Institute, Maastricht, The Netherlands.
Maastricht University · NLZuyd University of Applied Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Nurses in the Lead (NitL) programme consists of a systematic approach and training to 1) empower community nurses in implementing evidence, targeted at encouraging functional activities of older adults, and 2) train community nurses in enabling team members to change their practice. This article aims to describe the process evaluation of NitL.

methodsA mixed-methods formative process evaluation with a predominantly qualitative approach was conducted. Qualitative data were collected by interviews with community nurses (n = 7), focus groups with team members (n = 31), and reviewing seven implementation plans and 28 patient records. Quantitative data were collected among community nurses and team members (N = 90) using a questionnaire to assess barriers in encouraging functional activities and attendance lists. Data analysis was carried out through descriptive statistics and content analysis.

resultsNitL was largely executed according to plan. Points of attention were the use and value of the background theory within the training, completion of implementation plans, and reporting in patient records by community nurses. Inhibiting factors for showing leadership and encouraging functional activities were a lack of time and a high complexity of care; facilitating factors were structure and clear communication within teams. Nurses considered the systematic approach useful and the training educational for their role. Most team members considered NitL practical and were satisfied with the coaching provided by community nurses. To optimise NitL, community nurses recommended providing the training first and extending the training. The team members recommended continuing clinical lessons, which were an implementation strategy from the community nurses.

conclusionsNitL was largely executed as planned, and appears worthy of further application in community care practice. However, adaptations are recommended to make NitL more promising in practice in empowering community nurse leadership in implementing evidence.

Indexed as

Community health nursesEvaluationImplementation scienceLeadership

Identifiers

PMID34253206
PMCPMC8273989
OpenAlexW3180006446

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.