{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T14:39:39Z","timestamp":1768747179353,"version":"3.49.0"},"reference-count":56,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["50015246"],"award-info":[{"award-number":["50015246"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The World Health Organization defines quality of care as providing effective, evidence\u2010based care, and avoiding harm. Low\u2010value care provides little or no benefit to the patient, causes harm, and wastes limited resources. In 2017, shortly after the start of the International Choosing Wisely campaign, the first Dutch nursing \u201cDo\u2010not\u2010do\u201d list was published and has become a widely used practical tool for nurses working in daily practice. However, over the last years new guidelines are published. Therefore, an update of the list is necessary with an addition of high\u2010value care recommendations as alternative care practices for low\u2010value care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design\/methods<\/jats:title><jats:p>In this study, a combination of designs was used. First, we searched Dutch clinical practice guidelines for low\u2010value or high\u2010value care recommendations. All nursing care recommendations were assessed and specified to several healthcare sectors, including hospital care, district care, nursing home care, disability care, and mental health care. Second, a prioritization among nurses regarding low\u2010value care recommendations was done by a cross\u2010sectional survey for each healthcare sector.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 66 low\u2010value care recommendations were found, for example, \u201cavoid unnecessary layers under the patient at risk of pressure ulcers\u201d and \u201cnever flush the bladder to prevent urinary tract infection.\u201d Furthermore, 414 high\u2010value care recommendations were selected, such as \u201cuse the Barthel Index to assess and to evaluate the degree of ADL independence\u201d and \u201capplication of cold therapy may be considered for oncological patients with pain.\u201d In total, 539 nurses from all healthcare sectors prioritized the low\u2010value care recommendations, resulting in a top five low\u2010value care practices per healthcare sector. The top five low\u2010value care recommendations differed per healthcare sector, although \u201cdo not use physical restraints in case of a delirium\u201d was prioritized by four out of five sectors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Assessing low\u2010value and high\u2010value care recommendations for nurses will help and inspire nurses to deliver fundamental care for their patients. These initiatives regarding low\u2010value and high\u2010value care are essential to generate a culture of continuous quality improvement based on evidence. This is also essential to meeting the current challenges of the healthcare delivery system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical relevance<\/jats:title><jats:p>This paper provides an update of low\u2010value care recommendations for nurses based on Dutch guidelines from 2017 to 2023, specified to five healthcare sectors, including hospital care, district care, nursing home care, disability care and mental health care, with an accompanying prioritization of these low\u2010value care recommendations to facilitate de\u2010implementation. This paper provides a first overview of high\u2010value care recommendations to reflect on and create alternative care practices for low\u2010value care. The recommendations regarding low\u2010value and high\u2010value care are essential to generate a culture of continuous improvement of appropriateness based on evidence, finally leading to better quality of care and improving patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.13029","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T03:23:26Z","timestamp":1732159406000},"page":"486-499","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Low\u2010value and high\u2010value care recommendations in nursing: A\u00a0systematic assessment of clinical practice guidelines"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9251-4874","authenticated-orcid":false,"given":"Wilmieke","family":"Bahlman\u2010van Ooijen","sequence":"first","affiliation":[{"name":"Department of Surgery Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeltje","family":"Giesen","sequence":"additional","affiliation":[{"name":"Scientific Center for Quality of Health (IQ Health) Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annick","family":"Bakker\u2010Jacobs","sequence":"additional","affiliation":[{"name":"Scientific Center for Quality of Health (IQ Health) Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hester","family":"Vermeulen","sequence":"additional","affiliation":[{"name":"Scientific Center for Quality of Health (IQ Health) Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen The Netherlands"},{"name":"HAN University of Applied Science School of Health Studies  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Getty","family":"Huisman\u2010de Waal","sequence":"additional","affiliation":[{"name":"Department of Surgery Radboud University Medical Center  Nijmegen The Netherlands"},{"name":"Scientific Center for Quality of Health (IQ Health) Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104780"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12638"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010020\u201001563\u20104"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000549692.18209.f6"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(16)32585\u20105"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/kjm2.12308"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/jnr.0000000000000185"},{"key":"e_1_2_10_9_1","unstructured":"CNA. (2020).Nine tests and treatments to question in nursing."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558716656970"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.Nnr.0000280629.63654.95"},{"key":"e_1_2_10_12_1","unstructured":"deVisser M. Boot A. W. A. Werner G. D. A. vanRiel A. &Gijsberts M. I. L.(2021).Sustainable healthcare a matter of choice."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(16)32586\u20107"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.103420"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14247"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000125.pub3"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.12.020"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2024.2369660"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2022.09.005"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101497.2006.00357.x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192114422"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43058\u2010022\u201000379\u2010y"},{"key":"e_1_2_10_23_1","unstructured":"IBM. (2021).IBM SPSS Statistics 27.https:\/\/www.ibm.com\/support\/pages\/downloading\u2010ibm\u2010spss\u2010statistics\u201027"},{"key":"e_1_2_10_24_1","unstructured":"ICN. (2021).The ICN Code of Ethics for Nurses.https:\/\/www.icn.ch\/sites\/default\/files\/2023\u201006\/ICN_Code\u2010of\u2010Ethics_EN_Web.pdf"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010022\u201001247\u2010y"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15701"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102019\u2010033077"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u2010172X.2010.01861.x"},{"key":"e_1_2_10_29_1","volume-title":"How to reduce overuse in healthcare","author":"Kool T.","year":"2024"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473\u20103099(19)30709\u20101"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102014\u2010003821"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031733"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010016\u20100506\u20103"},{"key":"e_1_2_10_34_1","volume-title":"Implementing the evidence\u2010based practice (EBP) competencies in healthcare: A practical guide for improving quality, safety, and outcomes","author":"Melnyk B. M.","year":"2019"},{"key":"e_1_2_10_35_1","unstructured":"Nictiz. (n.d.).Verpleegkundigen en verzorgenden.https:\/\/nictiz.nl\/sectoren\/verpleegkundigen\u2010verzorgenden\/"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14989"},{"key":"e_1_2_10_37_1","unstructured":"RCH. (2020).Getting Started: Revising a Nursing Clinical Guideline."},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12320"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14150"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(21)00351\u20102"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010020\u201000995\u2010z"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2020.06.018"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.12927\/cjnl.2016.24989"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010147\u20104\u2010200708210\u201000179"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.13978"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12044"},{"key":"e_1_2_10_47_1","unstructured":"V&VN. (2019).Plan van aanpak landelijke invoering en evaluatie kwaliteitsstandaarden verpleegkundigen en verzorgenden.https:\/\/www.venvn.nl\/media\/vozbcmwc\/plan\u2010van\u2010aanpak\u2010implementatie\u2010ks\u2010vv\u2010def\u20102019.pdf"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15024"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.07.002"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13170"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15970"},{"key":"e_1_2_10_52_1","unstructured":"WHO. (2017).Environmentally sustainable health systems: a strategic document.https:\/\/www.who.int\/publications\/i\/item\/WHO\u2010EURO\u20102017\u20102241\u201041996\u201057723"},{"key":"e_1_2_10_53_1","unstructured":"WHO. (2020).State of the world's nursing. Investing in education jobs and leadership."},{"key":"e_1_2_10_54_1","unstructured":"WHO. (2023).Quality of care.https:\/\/www.who.int\/health\u2010topics\/quality\u2010of\u2010care#tab=tab_1"},{"key":"e_1_2_10_55_1","unstructured":"ZE&GG. (2023).Implementatieagenda Verpleegkunde."},{"key":"e_1_2_10_56_1","unstructured":"Zorginzicht. (2007).Actueel houden van Richtlijnen."},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14296"}],"container-title":["Journal of Nursing Scholarship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jnu.13029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T13:35:33Z","timestamp":1748352933000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/jnu.13029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,20]]},"references-count":56,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/jnu.13029"],"URL":"https:\/\/doi.org\/10.1111\/jnu.13029","archive":["Portico"],"relation":{},"ISSN":["1527-6546","1547-5069"],"issn-type":[{"value":"1527-6546","type":"print"},{"value":"1547-5069","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,20]]},"assertion":[{"value":"2024-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}