The RN2Blend researchers each have their own line of research, but also take part in a collaborative section. This substudy focuses on historical developments in the field of differentiated practice. It looks at what preceded the current discussion on differentiated practice, who the main players were, and what their objectives were with regard to differentiated practice in nursing. These are the key questions dealt with in this subsection.
This subsection deals with the development of values within the nursing profession. Iris Wallenburg, Martijn Felder, Roland Bal and Sub Kuijper examine the way in which nurses position themselves the field of healthcare and healthcare policy, and they examine the consequences thereof with regard to professional development and practice in healthcare. The researchers also look at how differentiated practice is implemented in daily healthcare practice, and how nursing practice relates to that of other healthcare professionals.
This part of the study focuses on the learning history method. Pieterbas Lalleman and Lisette Schoonhoven, in collaboration with PhD candidate Dieke Martini and public historian Hugo Schalkwijk, examine the learning histories relating to the differentiated deployment, leadership and positioning of nurses. They demonstrate ‘the story’ of differentiated nursing practice from different perspectives and over a long period (over 30 years), as well as mapping out important moments. They then link these to the current development requirements in the Dutch nursing profession.
In this substudy, Catharina van Oostveen, Hester Vermeulen and PhD candidate Julia van Kraaij examine the effectiveness of differentiated practice on staff and patient outcomes. They also look at the role played by the nurses’ working environment in realising differentiated practice. This should provide knowledge about the optimal mix of functions and the circumstances under which nurses wish to work and are able to provide the best care. The FD Tool, an instrument with which hospitals gain insight into the effects of differentiated practice, is an important source of data.
As part of this line of research, Dewi Stalpers and Lisette Schoonhoven, together with a PhD candidate from the UMC Utrecht, examine questions about the effects of differentiated practice on nursing in Dutch hospitals. They focus in particular on the development of nursing roles and quality of care. How are nursing roles changing and how do nurses view this? How do nurses deal with changes in their work? And what are the effects on the quality of patient care, and on job satisfaction among nurses? The FD Tool, an instrument with which hospitals gain insight into the effects of differentiated practice, is also an important source of data in this substudy.
This substudy looks at the value and the cost of nursing care. The substudy is being conducted by Lucas Goossens, Maureen Rutten-van Molken and a PhD candidate from Ersamus University Rotterdam. They examine subjects such as how health outcomes and costs change as a result of deploying nurses in a different fashion. The researchers demonstrate the value that patients attach to various nurse-sensitive outcomes and other characteristics of their treatment. They also look at nurses’ preferences for various aspects of their work. In other words, how can their work be made as attractive as possible?