Browsing Han Publications by Author "Persoon, A."

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Enabling visibility of the clinician-scientists' knowledge broker role: a participatory design research in the Dutch nursing-home sector
Barry, M. ; Kuijer, W. ; Persoon, A. ; Nieuwenhuis, A.F.M. ; Scherpbier, N.
2021, Article / Letter to editor (Health Research Policy and Systems, vol. 19, iss. 1, (2021))Background A group of clinician-scientists and managers working within a Dutch academic network, experienced difficulties in clearly defining the knowledge broker role of the clinician-scientists. They found no role clarity in literature, nor did they find tools or methods suitable for clinician-scientists. Clarifying role expectations and providing accountability for funding these knowledge broker positions was difficult. The aim of this research was to design a theory-informed tool that allowed clinician-scientists to make their knowledge broker role visible. Methods A participatory design research was conducted in three phases, over a 21-month period, with a design group consisting of an external independent researcher, clinician-scientists and their managers from within the academic network. Phase 1 constituted a literature review, a context analysis and a needs analysis. Phase 2 constituted the design and development of a suitable tool and phase 3 was an evaluation of the tool's perceived usefulness. Throughout the research process, the researcher logged the theoretic basis for all design decisions. Results The clinician-scientist's knowledge broker role is a knowledge-intensive role and work-tasks associated with this role are not automatically visible (phase 1). A tool (the SP-tool) was developed in Microsoft Excel. This allowed clinician-scientists to log their knowledge broker activities as distinct from their clinical work and research related activities (phase 2). The SP-tool contributed to the clinician-scientists' ability to make their knowledge broker role visible to themselves and their stakeholders (phase 3). The theoretic contribution of the design research is a conceptual model of professionalisation of the clinician-scientist's knowledge broker role. This model presents the relationship between work visibility and the clarification of functions of the knowledge broker role. In the professionalisation of knowledge-intensive work, visibility contributes to the definition of clinician-scientists broker functions, which is an element necessary for the professionalisation of an occupation. Conclusions The SP-tool that was developed in this research, contributes to creating work visibility of the clinician-scientists' knowledge broker role. Further research using the SP-tool could establish a clearer description of the knowledge broker role at the day-to-day professional level and improved ability to support this role within organisations.
Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study
Lovink, M.H. ; Vught, A.J.A.H. van ; Persoon, A. ; Koopmans, R.T.C.M. ; Laurant, M.G.H. ; Schoonhoven, Lisette
2019, Article / Letter to editor (Nursing & Health Sciences, vol. 2019, iss. september, (2019), pp. 282-290)
Physician Assistants (PA) en Verpleegkundig Specialisten (VS) in verpleeghuizen
Vught, A.J.A.H. van ; Lovink, M.H. ; Koopmans, R.T.C.M. ; Persoon, A. ; Laurant, M.G.H.
2019, Article / Letter to editor (Tijdschrift voor Ouderengeneeskunde, vol. 2019, iss. 3, (2019))
Substituting physicians with nurse practitioners, physician assistants or nurses in nursing homes: a realist evaluation case study
Lovink, M.H. ; Laurant, M.G.H. ; Vught, A.J.A.H. van ; Maassen, I.T.H.M ; Schoonhoven, Lisette ; Persoon, A. ; Koopmans, R.T.C.M.
2019, Article / Letter to editor (BMJ Open, vol. 9, iss. 5, (2019))
Development and Validation of the Dutch EBPAS-ve and EBPQ-ve for Nursing Assistants and Nurses with a Vocational Education
Maessen, K. ; Vught, A.J.A.H. van ; Gerritsen, D.L. ; Lovink, M.H. ; Vermeulen, H. ; Persoon, A.
2019, Article / Letter to editor (Worldviews on Evidence-Based Nursing, vol. 16, iss. 5, (2019), pp. 371-380)
Skill mix change between general practitioners, nurse practitioners, physician assistants and nurses in primary healthcare for older people: a qualitative study
Lovink, M.H. ; Vucht, A.J.A.H. van ; Persoon, A. ; Schoonhoven, Lisette ; Koopmans, R.T.C.M. ; Laurant, M.G.H.
2018, Article / Letter to editor (BMC Family Practice, vol. 19, iss. 1, (2018))
Effects of substituting nurse practitioners, physician assistants or nurses for physicians concerning healthcare for the ageing population: a systematic literature review
Lovink, M.H. ; Persoon, A. ; Koopmans, R.T.C.M. ; Vught, A.J.A.H. van ; Schoonhoven, Lisette ; Laurant, M.G.H.
2017, Article / Letter to editor (Journal of Advanced Nursing, (2017))
Physician substitution by NPs, PAs and/or nurses in healthcare for older people
Lovink, M.H. ; Persoon, A. ; Koopmans, R.T.C.M. ; Schoonhoven, Lisette ; Vught, A.J.A.H. van ; Laurant, M.G.H.
2016, Article / Letter to editor (Journal of Advanced Nursing, vol. 72, (2016), pp. 96)
Taakherschikking in de ouderenzorg
Lovink, M.H. ; Persoon, A. ; Laurant, M.G.H.
2015, Article / Letter to editor (Dé Verpleegkundig Specialist, iss. 9, (2015))
Physician substitution by mid-level providers in primary healthcare for older people and long-term care facilities: protocol for a systematic literature review
Lovink, M.H. ; Persoon, A. ; Vught, A.J.A.H. van ; Koopmans, R.T.C.M. ; Schoonhoven, Lisette ; Laurant, M.G.H.
2015, Article / Letter to editor (Journal of Advanced Nursing, vol. 71, iss. 12, (2015), pp. 2998-3005)Aim. This protocol describes a systematic review that evaluates the effects of physician substitution by mid-level providers (nurse practitioners, physician assistants or nurses) in primary healthcare for older people and long-term care facilities. The secondary aim is to describe facilitators and barriers to the implementation of physician substitution in these settings. Background. Healthcare for older people is undergoing major changes, due to population ageing and reforms that shift care to the community. Besides, relatively few medical students are pursuing careers in healthcare for older people. Innovative solutions are needed to guarantee the quality of healthcare and to contain costs. A solution might be shifting care from physicians to mid-level providers. To date, no systematic review on this topic exits to guide policymaking. Design. A quantitative systematic literature review using Cochrane methods. Methods. The following databases will be searched for original research studies that quantitatively compare care provided by a physician to the same care provided by a mid-level provider: PubMed, EMBASE, CINAHL, PsycINFO, CENTRAL and Web of Science. Study selection, data extraction and quality appraisal will be conducted independently by two reviewers. Data synthesis will consist of a qualitative analysis of the data. Funding of the review was confirmed in August 2013 by the Ministry of Health, Welfare and Sport of the Netherlands. Discussion. This review will contribute to the knowledge on effects of physician substitution in healthcare for older people and factors that influence the outcomes. This knowledge will guide professionals and policy administrators in their decisions to optimize healthcare for older people.

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