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| 2. |
- De Glopper, Kees, et al.
(författare)
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Kunnen gesloten toetsen bijdragen aan de toetsing van schrijfvaardigheid?
- 2014
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Ingår i: Levende Talen Tijdschrift. - Utrecht, Netherlands : Vereniging van Leraren in Levende Talen. - 1566-2713. ; 15:1, s. 31-38
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Levende Talen Tijdschrift 2014-2 bevat een artikel van Theo Pullens, Hanny den Ouden, Wolfgang Herrlitz en Huub van den Bergh waarin zij de vraag stellen of een meerkeuzetoets kan bijdragen aan het meten van schriftelijke taalvaardigheid. Op basis van hun onderzoek concluderen zij dat er vraagtekens moeten worden gezet bij het gebruik van meerkeuzetoetsen als meetinstrument van schriftelijke taalvaardigheid. Zij formuleren als advies om deze toetsvorm niet langer op te nemen in de eindtoets basisonderwijs en geen plaats te geven in de te ontwikkelen diagnostische tussentijdse toets voor het voortgezet onderwijs. Het advies om meerkeuzetoetsen voor schrijfvaardigheid in de ban te doen is in onze ogen overhaast, zeker omdat het advies enkel op de eigen bevindingen van Pullens en collega’s lijkt te berusten.
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| 3. |
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| 4. |
- Jaarsma, Tiny, et al.
(författare)
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Actiever worden met een spelcomputer
- 2011
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Ingår i: Ledenmagazine, de Hart & Vaatgroep. ; 28:3, s. 15-15
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 5. |
- Jaarsma, Tiny, et al.
(författare)
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[Education and guidance of a patient with chronic heart failure. A case study]
- 1997
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Ingår i: Verpleegkunde. - 0920-3273. ; 12:4, s. 205-216
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Tidskriftsartikel (refereegranskat)abstract
- The number of patients with heart failure is growing. To optimize care for these patients in hospital and at home, a supportive-educative intervention is developed. The intervention is guided by a standard nursing care plan which is developed from literature, existing standard nursing care plans, and interviews with nurses. A case study is used to explain and illustrate the intervention and to review the importance of the standard nursing care plan.
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| 6. |
- Jaarsma, Tiny, et al.
(författare)
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[Information needs and problems of patients with myocardial infarct and coronary bypass. A study of information needs and problems from the viewpoint of Orem's theory]
- 1994
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Ingår i: Verpleegkunde. - 0920-3273. ; 8:4, s. 233-242
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Tidskriftsartikel (refereegranskat)abstract
- Problems and information needs of patients six months after myocardial infarction or after coronary artery bypass surgery were assessed in this study. The theoretical framework was provided by the theory of Orem (1991). Data on problems experienced and need for more or other information were collected by semi-structured interviews. Results show that almost all (81) of the 82 patiënts did experience problems the first six months after discharge. Most (60) of the 82 patients stated they had needed more or other information concerning one or more topics. Most information was needed concerning: knowledge of the disease, convalescence, tiredness, risk factors, medication, emotional reactions en deleterious effects of treatment. The relationship between problems, information needs, health condition and character of the topic (affective or cognitive) was also examined.
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| 7. |
- Jaarsma, Tiny, et al.
(författare)
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[Research set-up concerning the effectiveness of heart failure clinics in the Netherlands]
- 2003
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Ingår i: Nederlandsch tijdschrift voor geneeskunde. - 0028-2162 .- 1876-8784. ; 147:11, s. 513-4
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Tidskriftsartikel (refereegranskat)abstract
- In the Netherlands, the number of patients with heart failure is increasing. Several heart failure management programs have been initiated to reduce the number of readmissions and to improve the quality of care for these patients. However, conclusive data have yet to be provided. In the 'Coordinating study evaluating outcomes of advising and counselling in heart failure', started in 16 Dutch hospitals, 1050 heart failure patients have been randomised into 3 arms: (a) care as usual, (b) care as usual + basic education and support, and (c) care as usual + intensive education and support. Patients will be recruited in 18 months with an 18 month follow-up. This study has three outcomes, namely, time to first major event (heart failure hospitalizations and death), quality of life, and costs.
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| 8. |
- Jaarsma, T, et al.
(författare)
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[Value of basic and intensive management of patients with heart failure; results of a randomised controlled clinical trial]
- 2008
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Ingår i: Nederlandsch tijdschrift voor geneeskunde. - 0028-2162 .- 1876-8784. ; 152:37, s. 2016-21
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine the efficacy of 2 nurse-directed programmes of different intensity for the counselling and follow-up of patients hospitalised for heart failure, compared with standard care by a cardiologist. DESIGN: Multicentre randomised clinical trial (www.trialregister.nl: NCT 98675639). METHOD: A total of 1023 patients were randomized after hospitalisation for heart failure to 1 of 3 treatment strategies: standard care provided by a cardiologist, follow-up care from a cardiologist with basic counselling and support by a nurse specialising in heart failure, or follow-up care from a cardiologist with intensive counselling and support by a nurse specialising in heart failure. Primary end points were the time to rehospitalisation due to heart failure or death and the number of days lost to rehospitalisation or death during the 18-month study period. Data were analysed on an intent-to-treat basis. RESULTS: Mean patient age was 71 years, 38% were women, 50% had mild heart failure and 50% had severe heart failure. During the study, 411 patients (40%) were rehospitalised due to heart failure or died from any cause: 42% in the control group, and 41% and 38% in the basic and intensive support groups, respectively (differences not significant). The time to rehospitalisation or death was similar in the 3 groups: hazard ratios for the basic and intensive support groups versus the control group were 0.96 (95% CI: 0.76-1.21; p = 0.73) and 0.93 (95% CI: 0.73-1.17; p = 0.53), respectively. The number of days lost to rehospitalisation or death was 39,960 in the control group; this number was 15% less in the intervention groups, but the difference was not significant. However, there was a trend toward lower mortality in the intervention groups. In all 3 groups, more visits occurred than planned, which may have had a considerable effect on care, notably in the control group. CONCLUSION: The results of this study indicated that the provision of additional counselling and support by a nurse specialising in heart failure as an adjuvant to intensive follow-up care provided by a cardiologist does not always lead to a reduction in rehospitalisation frequency.
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| 9. |
- Laninga, Lydia, et al.
(författare)
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Populaire jongeren zetten een norm voor vriendschappen en agressie inde klas
- 2017
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Ingår i: Kind en Adolescent. - : Springer. - 0167-2436 .- 1876-5998. ; 38, s. 212-232
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Tidskriftsartikel (refereegranskat)abstract
- In deze studie onderzoeken wij of agressieve peer-normen, meer specifiek populariteitsnormen en descriptieve normen, een versterkende rol spelen in de mate waarin jongeren hun vrienden uitkiezen op basis van agressief gedrag en in de mate waarin jongeren door hun vrienden worden beïnvloed in agressie (N=1.134 eerstejaars leerlingen van middelbare school; leeftijd M=12,66 jaar). Zoals verwacht kwam uit longitudinale sociale-netwerkanalyses met peer-nominatie data naar voren dat vooral populaire jongeren in de klas een norm kunnen zetten voor de ontwikkeling van vriendschappen en agressie. In klassen met agressieve populaire jongeren blijken jongeren hun vrienden te selecteren op basis van gelijkheid in agressie, terwijl dit niet gebeurt in klassen met niet agressieve populaire jongeren. Daarnaast is de vriendschapsinvloed op agressie significant groter in klassen met agressieve populaire jongeren. Descriptieve normen spelen geen rol in vriendschapsprocessen omtrent agressie. Blijkbaar wordt agressie enkel en alleen als een belangrijk, waardevol kenmerk voor vriendschapsprocessen gezien als zij geassocieerd is met populariteit in de klas.
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| 10. |
- Leusink, Peter, et al.
(författare)
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Vragen naar de onbekende weg. De seksuele anamnese in de medische praktijk [Sexual history-taking in medical practice: the elephant in the room?].
- 2016
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Ingår i: Nederlandsch tijdschrift voor geneeskunde. - : Bohn Stafleu van Loghum. - 0028-2162 .- 1876-8784. ; 160:A9896
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Tidskriftsartikel (refereegranskat)abstract
- Recently, the Dutch College of General Practitioners released a Practice Guideline on Sexual Problems which provides clear directives for the diagnosis and management of various sexual disorders in men and women. Patients who are managed in general practice and in outpatient clinics might experience distress related to sexual problems due to their age, medical condition or treatment, or distress related to problems in establishing and maintaining intimate relationships. We present two clinical cases. The first case is a woman aged 44 years with breast cancer treated by mastectomy and adjuvant tamoxifen. The second case is a man aged 54 years with heart failure due to myocardial infarction and resultant loss of physical strength. Both cases illustrate that taking a short sexual history could result in the right treatment and patient satisfaction, without having to go into detail about very intimate and private matters.Case description The first case presents a woman, 44 years of age, with breast cancer treated by mastectomy and adjuvant tamoxifen. During follow up at the oncology clinic, she addressed complaints such as fatigue, mood swings, and sleep problems. The oncologist suspected a depressive disorder and referred the patient to the general practitioner (GP) in order to get support or treatment. The GP diagnosed a mild depressive disorder due to mild problems in her relationship caused by minimal emotional support from her partner. Treatment by a psychologist was advised but because its reimbursement was lacking, the patient decided to refrain. During consultation a year later, the oncology nurse practitioner asked her for her mood problems and asked whether sexual problems might cause her some burden. The patient was relieved to address her problems of decreased sexual desire and dyspareunia. The nurse gave education about the negative but reversible effect of tamoxifen. However, feelings of guilt towards her husband made her persist in having intercourse without satisfaction and therefore the patient was referred to a sexologist, who provided adequate treatment. The second case presents a man, 54 years of age, with heart failure due to a myocardial infarction, leading to loss of physical strength. He is prescribed cardiac medication that might have negative influence on his sexual response, his BMI has been increased, and his alcohol consumption has increased. In addition he had to give up his job and his sports activities. He visited his GP asking for medication to treat his erectile dysfunction. The GP suspected a predominantly somatic cause of his erectile dysfunction and started medication. The result was disappointing, even after increasing the dosage. About a year later, while consulting his cardiologist, the man addressed his sexual problem. After asking only a few questions, it became clear that he still had reasonable erections in some situations. The cardiologist explained that there was apparently still some residual erectile function and advised him to improve his lifestyle in preventing further deterioration of his erectile function. Ultimately this proved to be a good treatment option. Consideration Health care workers can address the importance of sexuality and intimate relationship in the quality of life for the chronically ill, cancer patients, and the elderly, in a basic but effective way. The Dutch Guideline Sexual Complaints provides a basis for diagnosis and management for sexual dysfunctions.
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