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Feasibility of the Wiser in Home Care Reflection Instrument to Promote the Use of Quality Standards: A Cross-Sectional Study in Dutch Home Care

Year: 2026

Type: article

Abstract: Objective: This study assessed the perceived feasibility of the Wiser in Home Care reflection instrument among Dutch home care professionals, as well as correlations between perceived feasibility and profession, work experience and prior exposure to the instrument. Design: Quantitative cross-sectional study. Setting: This study took place in the work setting of home care professionals. Participating partners came from in and around the metropolitan area of Rotterdam, the Netherlands. Methods: A cross-sectional survey using a 16-item questionnaire, based on the measurement instrument for Determinants of Innovation (MIDI), was completed by 63 home care professionals and students in the Netherlands. Data were analyzed using descriptive statistics and Fisher’s exact test. An open-ended question explored qualitative feedback on the tool. Results: Most participants evaluated wiser in home care positively. Over 90% agreed the instrument’s steps were clearly described and the language was understandable. Eighty-three percent reported improved ability to manage complex care situations better, while 78% believed it supported the appropriate use of quality standards. Compatibility with existing workflows received slightly lower agreement (69%). Significant differences were found by professional role and experience, with more experienced or higher-qualified staff expressing greater confidence in using the tool. Conclusion: Wiser in Home Care appears feasible as a reflection-based support tool for promoting reflective use of quality standards. Findings reflect perceived feasibility, not actual behavioral uptake. The integration of the instrument with quality standards in home care can be improved.

Source: Home Health Care Management & Practice

DOI: 10.1177/10848223261455581

Authors: Stephanie Dauphin, Suzanne Metselaar, Ada ter Maten-Speksnijder, Henk Rosendal, Marieke Groot

Institutions: Amsterdam University Medical Centers, Rotterdam University of Applied Sciences

Language: English

Topic: Health Policy Implementation Science

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,150