Fijgje De Boer - Academia.edu (original) (raw)

Papers by Fijgje De Boer

Verpleegkunde, Aug 7, 2009

ABSTRACT Strategieën van longverpleegkundigen om het zelfmanagement van COPD patiënten te bevorde... more ABSTRACT Strategieën van longverpleegkundigen om het zelfmanagement van COPD patiënten te bevorderen Samenvatting Achtergrond: Voor patiënten die lijden aan Chronic Obstructive Pulmonary Disease (COPD) is het noodzakelijk maatregelen te treffen om de levensstijl aan te passen aan de gevolgen van de ziekte. Voor de uitvoering hiervan is adequaat zelfmanagement van groot belang; verslechtering van de ziekte kan hiermee mogelijk worden beperkt. Ondersteuning en begeleiding van de longverpleegkundige kan noodzakelijk zijn bij het bereiken van adequaat zelfmanagement. Doel en onderzoeksvraag: Inzicht krijgen in zelfmanagementstrategieën van longverpleegkundigen tijdens het verpleegkundig spreekuur met COPD patiënten. De onderzoeksvraag luidt: Hoe ondersteunt en begeleidt de longverpleegkundige de COPD patiënt tijdens het verpleegkundig spreekuur in het bevorderen van het zelfmanagement? Methode: Er werd een kwalitatief onderzoek uitgevoerd bij 14 longverpleegkundigen, volgens de methodologie van de Grounded Theory. Gegevensverzameling vond plaats door middel van open interviews. De interviews werden geanalyseerd middels de techniek van constant vergelijken. Resultaten: Longverpleegkundigen passen een vijftal strategieën toe in de ondersteuning en begeleiding van COPD patiënten: kennis overdracht, vertrouwen geven, gesprekspartner worden, doorverwijzen naar andere disciplines, handvatten voor de patiënt in het dagelijkse functioneren. Deze vijf strategieën zijn gelijknamig aan de vijf ontdekte hoofdcategorieën. De kerncategorie die uit het onderzoek kwam, is ‘daadwerkelijke ondersteuning en begeleiding’. Conclusie: De daadwerkelijke ondersteuning en begeleiding komt niet geheel overeen met de zelfmanagementstrategieën zoals in zelfmanagementprogramma’s is beschreven. Stoppen met roken blijkt het belangrijkste aspect te zijn in de daadwerkelijke ondersteuning en begeleiding van COPD patiënten. Voor de verpleegkundige praktijk is het aan te bevelen aandacht te schenken aan de aspecten waaruit de daadwerkelijke ondersteuning en begeleiding bestaat. Wellicht dat een spreekuur effectiever kan zijn als niet de nadruk wordt gelegd op het stoppen met roken maar op andere ziektegerelateerde aspecten; omdat juist het rookgedrag moeilijk te sturen is. Trefwoorden: Zelfmanagement; longverpleegkundige; spreekuur; kwalitatief onderzoek; COPD.

BMC Family Practice, Dec 1, 2013

BMC Medical Ethics, Dec 27, 2022

The qualitative interview resembles a good conversation. What makes somebody a good discussion pa... more The qualitative interview resembles a good conversation. What makes somebody a good discussion partner? That he listens attentively, thinks along, empathizes with what has just been said and does not interrupt. In short, someone who is empathetic and is interested. Is such a person a good interviewer by nature? No, as these characteristics form only the basis for a part of the Art referred to by the title of this book. However, the interviewer also needs additional knowledge and Skills that are discussed extensively in this book. An interview should first of all have a well defined information goal. And only when the Skills of the good discussion partner mentioned above merge with the researcher's knowledge, do we observe the Art of interviewing referred to by the title of this book. This book was written for everybody who is professionally involved in doing qualitative interviews or is learning how to do these interviews.

Diabetic Medicine, Feb 1, 1996

A District Diabetes Register has been created using the Family Health Services Computer Unit syst... more A District Diabetes Register has been created using the Family Health Services Computer Unit system, DIALOG, linked to the Family Health Services Authority (FHSA) population register. Initial informal discussions between the Diabetes Centre, Public Health, and the FHSA led to a formal proposal being accepted by the Local Diabetes Services Advisory Group to pilot the DIALOG software. Following installation of DIALOG on a separate computer, electronically linked to the main FHSA system, the register was compiled. This was approached in three ways. The existing Diabetes Centre Register was downloaded into DIALOG and patients matched with the FHSA register. A 'diabetes roadshow' was mounted, with Postgraduate Education Allowance approval, to individually visit every general practice in the district to explain the aims and objectives of creating a diabetes register and to enlist the support of these practices. Where practices already held their own diabetes register this was similarly transferred, if not, assistance was provided to identify their patients with diabetes. All patients were notified in writing that their names were being placed upon a diabetes register and that clinical data would be held against their entry. This notification included an opportunity to opt out. Additionally, a self registrations scheme was introduced whereby all retail pharmacists dispensing any diabetes related product and all optometrists seeing a person with diabetes, gave the patient a leaflet, describing the register and its purposes and inviting them to register themselves. A 'Data Ownership Committee' was established to control the use and interpretation of all clinical data held upon the register. The process of diabetes annual review is now being prompted across both primary and secondary care and clinical data is being returned to the register.

BMJ, Oct 30, 2013

Charles de Boer was appointed consultant in Liverpool in 1955. He rapidly became much in demand a... more Charles de Boer was appointed consultant in Liverpool in 1955. He rapidly became much in demand as his reputation as an enthusiastic teacher of nurses, medical students, junior doctors and his beloved midwives and clinical excellence grew. He taught with stories, analogies and above all by example. His lectures were illustrated by his own drawings, his homemade slides, and using himself or trainees. The Fallopian tubes were the outstretched arms, the fimbriae the hands and fingers. Trainees were asked to jump up and down and then to answer the question “Why don’t your knickers fall down?” to illustrate prolapse. The bat that was found on a country lane in evening dress was drawn to illustrate the pelvic inlet. …

BMC Medical Ethics

Background In the Netherlands, patients have the legal right to make a request for euthanasia to ... more Background In the Netherlands, patients have the legal right to make a request for euthanasia to their physician. However, it is not clear what it means in a moral sense for a physician to receive a request for euthanasia. The aim of this study is to explore the moral values of physicians regarding requests for euthanasia. Methods Semi-structured interviews were conducted with nine primary healthcare physicians involved in decision-making about euthanasia. The data were inductively analyzed which lead to the emergence of themes, one of which was about values regarding end-of-life decisions. Results Four clusters of values related to euthanasia requests are described: values related to 1) the patient; 2) the family; 3) the physician; and 4) life and death. The data show that the participants value patient autonomy as a necessary but not sufficient condition for meeting a euthanasia request. A good relationship with the patient and the family are important. For the physician, the valu...

Introduction In order to prevent child abuse, the care for women and girls at risk of Female Geni... more Introduction In order to prevent child abuse, the care for women and girls at risk of Female Genital Mutilation/Cutting (FGM/C) in the Netherlands has been delegated to Youth Health Care Professionals (YHCPs). However, there is considerable evidence about sub-optimal care provided by YHCPs. This study aimed to explore the facilitators and barriers in providing FGM-related healthcare as perceived by YHCPs. Method A qualitative study was carried out in which 15 YHCPs were interviewed. Data analysis consisted of three steps and was oriented towards the development of themes. Results The results show insufficient knowledge and awareness of FGM/C and not sharing information about it among YHCPs. A facilitating factor is the existence of an instructor protocol together with a digital reminder of the contact moments to discuss FGM/C with a client; a main barrier was the difficulty to discuss the issue of FGM/C with the target group. Conclusion FGM/C is a complicated, culturally based tradition. There is a need for improvement of the conversation-related part of the protocol and for participative workshops to train Dutch YHCPs to work effectively across divides.

Verpleegkunde, Aug 7, 2009

ABSTRACT Strategieën van longverpleegkundigen om het zelfmanagement van COPD patiënten te bevorde... more ABSTRACT Strategieën van longverpleegkundigen om het zelfmanagement van COPD patiënten te bevorderen Samenvatting Achtergrond: Voor patiënten die lijden aan Chronic Obstructive Pulmonary Disease (COPD) is het noodzakelijk maatregelen te treffen om de levensstijl aan te passen aan de gevolgen van de ziekte. Voor de uitvoering hiervan is adequaat zelfmanagement van groot belang; verslechtering van de ziekte kan hiermee mogelijk worden beperkt. Ondersteuning en begeleiding van de longverpleegkundige kan noodzakelijk zijn bij het bereiken van adequaat zelfmanagement. Doel en onderzoeksvraag: Inzicht krijgen in zelfmanagementstrategieën van longverpleegkundigen tijdens het verpleegkundig spreekuur met COPD patiënten. De onderzoeksvraag luidt: Hoe ondersteunt en begeleidt de longverpleegkundige de COPD patiënt tijdens het verpleegkundig spreekuur in het bevorderen van het zelfmanagement? Methode: Er werd een kwalitatief onderzoek uitgevoerd bij 14 longverpleegkundigen, volgens de methodologie van de Grounded Theory. Gegevensverzameling vond plaats door middel van open interviews. De interviews werden geanalyseerd middels de techniek van constant vergelijken. Resultaten: Longverpleegkundigen passen een vijftal strategieën toe in de ondersteuning en begeleiding van COPD patiënten: kennis overdracht, vertrouwen geven, gesprekspartner worden, doorverwijzen naar andere disciplines, handvatten voor de patiënt in het dagelijkse functioneren. Deze vijf strategieën zijn gelijknamig aan de vijf ontdekte hoofdcategorieën. De kerncategorie die uit het onderzoek kwam, is ‘daadwerkelijke ondersteuning en begeleiding’. Conclusie: De daadwerkelijke ondersteuning en begeleiding komt niet geheel overeen met de zelfmanagementstrategieën zoals in zelfmanagementprogramma’s is beschreven. Stoppen met roken blijkt het belangrijkste aspect te zijn in de daadwerkelijke ondersteuning en begeleiding van COPD patiënten. Voor de verpleegkundige praktijk is het aan te bevelen aandacht te schenken aan de aspecten waaruit de daadwerkelijke ondersteuning en begeleiding bestaat. Wellicht dat een spreekuur effectiever kan zijn als niet de nadruk wordt gelegd op het stoppen met roken maar op andere ziektegerelateerde aspecten; omdat juist het rookgedrag moeilijk te sturen is. Trefwoorden: Zelfmanagement; longverpleegkundige; spreekuur; kwalitatief onderzoek; COPD.

BMC Family Practice, Dec 1, 2013

BMC Medical Ethics, Dec 27, 2022

The qualitative interview resembles a good conversation. What makes somebody a good discussion pa... more The qualitative interview resembles a good conversation. What makes somebody a good discussion partner? That he listens attentively, thinks along, empathizes with what has just been said and does not interrupt. In short, someone who is empathetic and is interested. Is such a person a good interviewer by nature? No, as these characteristics form only the basis for a part of the Art referred to by the title of this book. However, the interviewer also needs additional knowledge and Skills that are discussed extensively in this book. An interview should first of all have a well defined information goal. And only when the Skills of the good discussion partner mentioned above merge with the researcher's knowledge, do we observe the Art of interviewing referred to by the title of this book. This book was written for everybody who is professionally involved in doing qualitative interviews or is learning how to do these interviews.

Diabetic Medicine, Feb 1, 1996

A District Diabetes Register has been created using the Family Health Services Computer Unit syst... more A District Diabetes Register has been created using the Family Health Services Computer Unit system, DIALOG, linked to the Family Health Services Authority (FHSA) population register. Initial informal discussions between the Diabetes Centre, Public Health, and the FHSA led to a formal proposal being accepted by the Local Diabetes Services Advisory Group to pilot the DIALOG software. Following installation of DIALOG on a separate computer, electronically linked to the main FHSA system, the register was compiled. This was approached in three ways. The existing Diabetes Centre Register was downloaded into DIALOG and patients matched with the FHSA register. A 'diabetes roadshow' was mounted, with Postgraduate Education Allowance approval, to individually visit every general practice in the district to explain the aims and objectives of creating a diabetes register and to enlist the support of these practices. Where practices already held their own diabetes register this was similarly transferred, if not, assistance was provided to identify their patients with diabetes. All patients were notified in writing that their names were being placed upon a diabetes register and that clinical data would be held against their entry. This notification included an opportunity to opt out. Additionally, a self registrations scheme was introduced whereby all retail pharmacists dispensing any diabetes related product and all optometrists seeing a person with diabetes, gave the patient a leaflet, describing the register and its purposes and inviting them to register themselves. A 'Data Ownership Committee' was established to control the use and interpretation of all clinical data held upon the register. The process of diabetes annual review is now being prompted across both primary and secondary care and clinical data is being returned to the register.

BMJ, Oct 30, 2013

Charles de Boer was appointed consultant in Liverpool in 1955. He rapidly became much in demand a... more Charles de Boer was appointed consultant in Liverpool in 1955. He rapidly became much in demand as his reputation as an enthusiastic teacher of nurses, medical students, junior doctors and his beloved midwives and clinical excellence grew. He taught with stories, analogies and above all by example. His lectures were illustrated by his own drawings, his homemade slides, and using himself or trainees. The Fallopian tubes were the outstretched arms, the fimbriae the hands and fingers. Trainees were asked to jump up and down and then to answer the question “Why don’t your knickers fall down?” to illustrate prolapse. The bat that was found on a country lane in evening dress was drawn to illustrate the pelvic inlet. …

BMC Medical Ethics

Background In the Netherlands, patients have the legal right to make a request for euthanasia to ... more Background In the Netherlands, patients have the legal right to make a request for euthanasia to their physician. However, it is not clear what it means in a moral sense for a physician to receive a request for euthanasia. The aim of this study is to explore the moral values of physicians regarding requests for euthanasia. Methods Semi-structured interviews were conducted with nine primary healthcare physicians involved in decision-making about euthanasia. The data were inductively analyzed which lead to the emergence of themes, one of which was about values regarding end-of-life decisions. Results Four clusters of values related to euthanasia requests are described: values related to 1) the patient; 2) the family; 3) the physician; and 4) life and death. The data show that the participants value patient autonomy as a necessary but not sufficient condition for meeting a euthanasia request. A good relationship with the patient and the family are important. For the physician, the valu...

Introduction In order to prevent child abuse, the care for women and girls at risk of Female Geni... more Introduction In order to prevent child abuse, the care for women and girls at risk of Female Genital Mutilation/Cutting (FGM/C) in the Netherlands has been delegated to Youth Health Care Professionals (YHCPs). However, there is considerable evidence about sub-optimal care provided by YHCPs. This study aimed to explore the facilitators and barriers in providing FGM-related healthcare as perceived by YHCPs. Method A qualitative study was carried out in which 15 YHCPs were interviewed. Data analysis consisted of three steps and was oriented towards the development of themes. Results The results show insufficient knowledge and awareness of FGM/C and not sharing information about it among YHCPs. A facilitating factor is the existence of an instructor protocol together with a digital reminder of the contact moments to discuss FGM/C with a client; a main barrier was the difficulty to discuss the issue of FGM/C with the target group. Conclusion FGM/C is a complicated, culturally based tradition. There is a need for improvement of the conversation-related part of the protocol and for participative workshops to train Dutch YHCPs to work effectively across divides.