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Letting people flourish
Background: The concept of “positive health” emerged from the need for a holistic and more dynamic perspective on health, emphasising the ability of individuals to adapt and self-manage. The positive health conversation tool helps understand how people score on six positive health dimensions. However, skills within these dimensions to maintain or improve health have not yet been described. This is important for enabling individuals to put health advice into practise. Therefore, this paper aims to define and suggest skills for maintaining and improving positive health.Subsections: Suggestions for definitions of skills within the positive health dimensions are described using the functional, interactive, and critical health literacy framework. Additionally, executive functions and life skills were incorporated. Moreover, the environment's role in these individual skills was noted, mentioning organisational health literacy that emphasises organisations' responsibility to provide comprehensible health information to all individuals. We propose that health promotion interventions can incorporate the proposed skills in practical exercises while aligning intervention materials and implementation tools with end-users and implementers.Discussion and conclusion: The suggested skills for maintaining and improving positive health are a first step towards a more comprehensive understanding and open to discussion. These skills may also be applied to other practical conversation tools for maintaining or improving health. Increasing positive health through the defined skills may be especially relevant to those with a lower socioeconomic position who also have limited health literacy and thereby may contribute to reducing health inequalities. Taken together, strengthening the defined skills may hopefully contribute to allowing people to flourish in life.
Leefstijl en Gezondheidsbevordering | 12-10-2023Factors associated with dietary behaviour change support in patients
Aim:To explore which factors, influencing dietary behaviour change support among patients by Dutch community nurses (CNs; nurses), are key focal points in training programmes.Background:Nurses have an important role in counselling patients towards healthier dietary behaviour to prevent or delay long-term complications from chronic lifestyle-related diseases. Most nurses do not incorporate dietary behaviour change support in their routines to the fullest potential.Design:A qualitative descriptive study.Methods:Data were collected in the Netherlands in 2018–2019 via semi-structured face-to-face interviews with 18 nurses. Interview guide themes were informed by the COM-B model, using validated descriptions in Dutch. Data were recorded, transcribed and analysed using inductive thematic analysis.Results:Factors that affected dietary behaviour change support were linked to (1) the nurse (role identity, dietary knowledge and competences such as methodical approach, behaviour change techniques and communication techniques), (2) nurse–patient encounter (building a relationship with a patient, supporting patient autonomy and tailoring the approach) and (3) cooperation and organizational context.Conclusion:It is of utmost importance to pay attention to nurses' role identity regarding dietary behaviour change support, as this underlies professional behaviour. This should be accompanied by improving competences on dietary behaviour change support. Focus on competences regarding the application of behaviour change technique is crucial. Furthermore, having a relationship of trust with a patient was important for discussing sensitive topics such as diet.Impact:The promotion of a healthy diet provides opportunities to contribute to patient autonomy and self-management. Well-fitted training offers for (senior) nurses will lead to improved professional practice of nurses, leading to healthier dietary behaviour of patients.
Leefstijl en Gezondheidsbevordering | 30-07-2023Preventie en leefstijl in de zorg
Welke barrières ervaren verpleegkundigen wanneer ze met patiënten werk willen maken van leefstijl? Wat zijn mogelijke oplossingsrichtingen? Om deze vragen draaide een rondetafelgesprek in september 2022.
Leefstijl en Gezondheidsbevordering | 06-04-2023Gezondheidsbevordering bij mensen met een psychische aandoening en/of licht verstandelijke beperking vraagt visie, scholing en samenwerking van sociaal werkers en verpleegkundigen
Het belang van gezondheidsbevordering bij mensen met een psychische aandoening en/of een licht verstandelijke beperking in de langdurige zorg is groot. De sociaal werker en verpleegkundige hebben beiden een rol in gezondheidsbevordering bij deze doelgroep. Uit praktijksignalen blijkt dat professionals hierin knelpunten ervaren. Literatuuronderzoek naar deze knelpunten leverde geen resultaten op. Om te onderzoeken welke knelpunten professionals tegenkomen in het werken aan gezondheidsbevordering in de ambulante setting, is aan de hand van zes interviews een verkennend kwalitatief onderzoek uitgevoerd. De resultaten geven inzicht in persoonlijke en omgevingsfactoren die een rol spelen, in het spanningsveld dat professionals ervaren tussen eigen regie en professionele verantwoordelijkheid, in de wisselende aandacht die gezondheidsbevordering krijgt vanuit de organisatie en in de begeleiding van de professionals. In het algemeen wordt gezondheidsbevordering gerelateerd aan fysieke gezondheid, wat vragen oproept over de kennis over gezondheidsbevordering en de (brede) visie op gezondheid. Ook geeft het onderzoek inzicht in de knelpunten die in de samenwerking worden ervaren, onder andere de uitdaging om als professional aan de juiste informatie te komen, het geringe contact met andere disciplines en het samenwerken binnen de versnipperde financieringsstructuren. Dit verkennende onderzoek geeft het signaal dat meer praktijkgericht onderzoek naar gezondheidsbevordering bij deze doelgroep nodig is.
Leefstijl en Gezondheidsbevordering, Duurzame zorg | 06-03-2023Stakeholders’ Perceptions Regarding Adaptation and Implementation of Existing Individual and Environmental Workplace Health Promotion Interventions in Blue-Collar Work Settings
Blue-collar workers often have disadvantageous health statuses and might therefore benefit from a combination of individual and environmental workplace health promotion interventions. Exploring stakeholders’ perceived facilitators and barriers regarding the combined implementation of these interventions in blue-collar work settings is important for effective implementation. A qualitative study consisting of 20 stakeholder interviews within six types of organisations in The Netherlands was conducted. The potential implementation of the evidence-based individual intervention SMARTsize and the environmental intervention company cafeteria 2.0 was discussed. Data were analysed using thematic analysis with a deductive approach. Five main themes emerged: (1) the availability of resources, (2) professional obligation, (3) expected employee cooperation, (4) the compatibility of the proposed health interventions, and (5) the content of implementation tools and procedures. Generally, stakeholders expressed a sense of professional obligation toward workplace health promotion, mentioning that the current societal focus on health and lifestyle provided the perfect opportunity to implement interventions to promote healthy eating and physical activity. However, they often perceived the high doses of employees’ occupational physical activity as a barrier. We recommend co-creating interventions, implementation tools, and processes by involving stakeholders with different professional backgrounds and by adapting communication strategies at diverse organisational levels.
Leefstijl en Gezondheidsbevordering | 19-10-2022Perceptions of employees with a low and medium level of education towards workplace health promotion programmes: a mixed-methods study
BackgroundUnderstanding the perceptions of lower socioeconomic groups towards workplace health promotion is important because they are underrepresented in workplace health promotion activities and generally engage in unhealthier lifestyle behaviour than high SEP groups. This study aims to explore interest in workplace health promotion programmes (WHPPs) among employees with a low and medium level of education regarding participation and desired programme characteristics (i.e. the employer’s role, the source, the channel, the involvement of the social environment and conditions of participation).MethodsA mixed-methods design was used, consisting of a questionnaire study (n = 475) and a sequential focus group study (n = 27) to enrich the questionnaire’s results. Multiple logistic regression analysis was performed to analyse the associations between subgroups (i.e. demographics, weight status) and interest in a WHPP. The focus group data were analysed deductively through thematic analysis, using MAXQDA 2018 for qualitative data analysis.ResultsThe questionnaire study showed that 36.8% of respondents were interested in an employer-provided WHPP, while 45.1% expressed no interest. Regarding subgroup differences, respondents with a low level of education were less likely to express interest in a WHPP than those with a medium level of education (OR = .54, 95%, CI = .35–.85). No significant differences were found concerning gender, age and weight status. The overall themes discussed in the focus groups were similar to the questionnaires (i.e. the employer’s role, the source, the channel, the involvement of the social environment and conditions of participation). The qualitative data showed that participants’ perceptions were often related to their jobs and working conditions.ConclusionsEmployees with a medium level of education were more inclined to be interested in a WHPP than those with a low level of education. Focus groups suggested preferences varied depending on job type and related tasks. Recommendations are to allow WHPP design to adapt to this variation and facilitate flexible participation. Future research investigating employers’ perceptions of WHPPs is needed to enable a mutual understanding of an effective programme design, possibly contributing to sustainable WHPP implementation.
Leefstijl en Gezondheidsbevordering | 25-08-2022Leefstijl in de zorg - managementsamenvatting
In het project ‘Leefstijl in de zorg’ van de Preventiecoalitie Foodvalley brengen we ervaringen van zorgprofessionals uit de eerste lijn en de tweede lijn met het bevorderen van gezonde leefstijl binnen het cardiovasculair risicomanagement (CVRM) zorg in kaart en de factoren die dit beïnvloeden vanuit het perspectief van zorgprofessionals uit eerste en tweede lijn. Daarnaast worden mogelijke oplossingen voor de knelpunten geïnventariseerd met de praktijkprofessionals. De resultaten van dit project resulteren in een advies met concrete verbeterpunten voorn het voeren van het leefstijlgesprek en voor de samenwerking tussen professionals.
Leefstijl en Gezondheidsbevordering | 01-04-2022Het gebruik van voorlichtingsmateriaal door wijkverpleegkundigen en praktijkondersteuners
Wijkverpleegkundigen en poh’s hebben een belangrijke rol in zorg voor voeding. Eén van de taken daarin is het bevorderen van gezond voedingsgedrag door middel van het geven van voorlichting. Bij het geven van voorlichting kunnen verschillende materialen gebruikt worden. Het doel van deze rapportage is het in kaart brengen van ervaringen met voorlichtingsmaterialen door wijkverpleegkundigen en poh’s. In deze rapportage is te lezen welke materialen gebruikt worden, hoe deze materialen ingezet worden en wat de ervaringen zijn met de verschillende materialen. Daarnaast zijn de behoeften naar tools bij de begeleiding van zorgvragers rondom het bevorderen van gezond eetgedrag in kaart gebracht. Deze punten worden apart weergegeven voor poh’s en vervolgens voor wijkverpleegkundigen.
Leefstijl en Gezondheidsbevordering | 17-12-2021
