1. Most common nursing care problems: a national survey Renate Kieft, PhD student Tilburg University and advisor Dutch Nurses’ Association 31 januari 2016Dutch Nurses’ Association

2. Problem definition Nursing benefits regarding quality of care (health status, functioning or well-being) is not clear 31 januari 2016Dutch Nurses’ Association

3. Aim Identify the most frequently occurring patient problems within nursing practice Gain insight into the level of influence in preventing or minimising these patient problems Influence means the way nursing care affect health status, functioning or well- being 31 januari 2016Dutch Nurses’ Association

4. Method An online questionnaire among nurses (N = 838) Questionnaire based on the International Classification of Functioning, Disability and Health (ICF) Domains: seventeen categories Each category operationalises patient problems (total of 84) Dutch version of the ICF Face validity and content validity 31 januari 2016Dutch Nurses’ Association

5. 31 januari 2016Dutch Nurses’ Association Categories with patient problems

6. Patient problems The frequencies per problem were computed Sorted in descending order (from greatest to least frequency) Cut-off point: median 2 quadrants: frequently and less frequently occurring patient problems Dutch Nurses’ Association

7. 31 januari 2016Dutch Nurses’ Association The influence of nurses Mean experienced influence was calculated Sorted in descending order (from greatest to least mean experienced influence) Cut-off point: median Overview of high level and low level of experienced influence

8. Patient problems and the influence of nurses 31 januari 2016Dutch Nurses’ Association

9. Result 31 januari 2016Dutch Nurses’ Association Demographics n = 440 Gender, male/female63 (14%) / 377 (86%) Age, mean (range)49 (24-64) Education level Nurses with an associate degree156 (35%) Nurses with a bachelor degree233 (53%) Nurses with a master degree10 (2%) Unknown41 (9%) Health care organisation Hospital care155 (35%) Psychiatric health care73 (17%) General medical practice72 (16%) Primary care65 (15%) Mentally disabled health care48 (11%) Nursing home care27 (6%) Work experience in years, mean (range)24 (1-46) Working hours per week, mean (range)28 (5-40)

10. 31 januari 2016Dutch Nurses’ Association Categories with patient problems

11. Patient problems and level of influence

12. Conclusion With this knowledge: Create more coherence between nursing care and guidelines A national standardised set of patient problems (for research and accountability goals) Dutch Nurses’ Association