A Tailored De‐Implementation Strategy to Reduce Low‐Value Home‐Based Nursing Care: A Mixed‐Methods Feasibility Study.
Aim: To facilitate the delivery of appropriate care, the aim was to test if a tailored, multifaceted de‐implementation strategy (RENEW) (1) would lead to less low‐value nursing care and (2) was acceptable, implementable, cost effective and scalable in the home‐based nursing care context. Design: A m...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 81; no. 11; pp. 7820 - 7835 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188757914&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188757914 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Nov2025 vid: 81 iid: 11 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 188757914 180845804 188757914 188757914 10.1111/jan.16615 188757914 ppf: 7820 ppct: 15 formats: tig: atl: A Tailored De‐Implementation Strategy to Reduce Low‐Value Home‐Based Nursing Care: A Mixed‐Methods Feasibility Study. aug: au: Wendt, Benjamin Nieuwboer, Minke S. Vermeulen, Hester Huisman‐de Waal, Getty van Dulmen, Simone A. affil: Radboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands sug: subj: Unnecessary Procedures Home Health Nursing Health Care Delivery Low-Value Care Nursing Care Time Program Evaluation Human Funding Source Netherlands Male Female Purposive Sample Convenience Sample Middle Age Multimethod Studies Multicenter Studies Semi-Structured Interview Videorecording Descriptive Statistics T-Tests Fisher's Exact Test Data Analysis Software Time Factors Self Report Guideline Adherence Behavioral Changes Communication Skills Cost Benefit Analysis Attitude of Health Personnel Implementation Science Pilot Studies Middle Aged: 45-64 years Male Female ab: Aim: To facilitate the delivery of appropriate care, the aim was to test if a tailored, multifaceted de‐implementation strategy (RENEW) (1) would lead to less low‐value nursing care and (2) was acceptable, implementable, cost effective and scalable in the home‐based nursing care context. Design: A mixed‐methods design. Methods: The RENEW strategy with components on education, persuasion, enablement, incentives and training was introduced in seven teams from two organisations in the Netherlands. To estimate the effect size, data were collected at baseline (T0) and follow‐up measurement (T1), on the volume of care in both frequency and time in minutes per week and independent samples t‐tests were performed. A qualitative evaluation was conducted to understand feasibility aspects, see how the strategy works and identify influencing factors and used document analyses and semi‐structured interviews. Deductive coding was used to analyse the results. Results: The time spent on low‐value nursing care (mean, minutes per week per client) in seven teams for 210 clients in T1 compared to 222 clients in T0 reduced statistically significant. The difference between T0 and T1 equals 17.94%. The frequency of delivered low‐value nursing care (mean per week) reduced but not statistically significant. From the transcripts of eight semi‐structured interviews and documents, a list of 79 influencing factors were identified. Practical implementation tools, workplace coaching and sharing experiences within and between teams were considered as the most contributing elements. Conclusion: The results showed that for the seven home‐healthcare teams in this study, the RENEW strategy (1) leads to a reduction in low‐value care and (2) is—conditional upon minor modifications—acceptable, implementable, cost effective and scalable. Reporting Method: Standards for Reporting Implementation Studies (StaRI) guidelines. Patient or Public Contribution: No Patient or Public Contribution. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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