{"id":"https://openalex.org/W3168420331","doi":"https://doi.org/10.1016/j.ijnurstu.2021.103982","title":"Effects on staff outcomes and process evaluation of the educating nursing staff effectively (TENSE) program for managing challenging behavior in nursing home residents with dementia: A cluster-randomized controlled trial","display_name":"Effects on staff outcomes and process evaluation of the educating nursing staff effectively (TENSE) program for managing challenging behavior in nursing home residents with dementia: A cluster-randomized controlled trial","publication_year":2021,"publication_date":"2021-05-26","ids":{"openalex":"https://openalex.org/W3168420331","doi":"https://doi.org/10.1016/j.ijnurstu.2021.103982","mag":"3168420331","pmid":"https://pubmed.ncbi.nlm.nih.gov/34171518"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijnurstu.2021.103982","doi":"https://doi.org/10.1016/j.ijnurstu.2021.103982","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijnurstu.2021.103982","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0020748921001279/pdf","source":{"id":"https://openalex.org/S56493663","display_name":"International Journal of Nursing Studies","issn_l":"0020-7489","issn":["0020-7489","1873-491X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Nursing Studies","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.sciencedirect.com/science/article/pii/S0020748921001279/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045948344","display_name":"Annemiek Bielderman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2802934949"]},{"id":"https://openalex.org/I4405268322","display_name":"Radboud Institute for Health Sciences","ror":"https://ror.org/00k5r1z23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4405268322"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Annemiek Bielderman","raw_affiliation_strings":["Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands. Electronic address: annemiek.bielderman@radboudumc.nl","Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","Radboudumc Alzheimer Center, Nijmegen, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands. Electronic address: annemiek.bielderman@radboudumc.nl","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboudumc Alzheimer Center, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027568717","display_name":"Aniek Nieuwenhuis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2802934949"]},{"id":"https://openalex.org/I4405268322","display_name":"Radboud Institute for Health Sciences","ror":"https://ror.org/00k5r1z23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4405268322"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Aniek Nieuwenhuis","raw_affiliation_strings":["Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067964520","display_name":"Theo Hazelhof","orcid":"https://orcid.org/0000-0001-8225-8993","observed_orcids":["https://orcid.org/0000-0001-8225-8993"]},"institutions":[{"id":"https://openalex.org/I4210158211","display_name":"Vitalis WoonZorg Group","ror":"https://ror.org/04t2ed417","country_code":"NL","type":"nonprofit","lineage":["https://openalex.org/I4210158211"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Theo J.G.M. Hazelhof","raw_affiliation_strings":["Vitalis WoonZorg Groep, Eindhoven, the Netherlands. Electronic address: theo@hazelhof.nl","Vitalis WoonZorg Groep, Eindhoven, the Netherlands"],"raw_orcid":"https://orcid.org/0000-0001-8225-8993","affiliations":[{"raw_affiliation_string":"Vitalis WoonZorg Groep, Eindhoven, the Netherlands. Electronic address: theo@hazelhof.nl","institution_ids":["https://openalex.org/I4210158211"]},{"raw_affiliation_string":"Vitalis WoonZorg Groep, Eindhoven, the Netherlands","institution_ids":["https://openalex.org/I4210158211"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044850018","display_name":"Betsie G.I. van Gaal","orcid":"https://orcid.org/0000-0001-8884-6235","observed_orcids":["https://orcid.org/0000-0001-8884-6235"]},"institutions":[{"id":"https://openalex.org/I103855431","display_name":"HAN University of Applied Sciences","ror":"https://ror.org/0500gea42","country_code":"NL","type":"education","lineage":["https://openalex.org/I103855431"]},{"id":"https://openalex.org/I145872427","display_name":"Radboud University Nijmegen","ror":"https://ror.org/016xsfp80","country_code":"NL","type":"education","lineage":["https://openalex.org/I145872427"]},{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2802934949"]},{"id":"https://openalex.org/I4405268322","display_name":"Radboud Institute for Health Sciences","ror":"https://ror.org/00k5r1z23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4405268322"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Betsie G.I. van Gaal","raw_affiliation_strings":["Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands; HAN University of Applied Sciences, School of Health studies, Nijmegen, the Netherlands. Electronic address: betsie.vangaal@han.nl","HAN University of Applied Sciences, School of Health studies, Nijmegen, the Netherlands","Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands; HAN University of Applied Sciences, School of Health studies, Nijmegen, the Netherlands. Electronic address: betsie.vangaal@han.nl","institution_ids":["https://openalex.org/I103855431","https://openalex.org/I145872427","https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"HAN University of Applied Sciences, School of Health studies, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I103855431"]},{"raw_affiliation_string":"Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050212078","display_name":"Lisette Schoonhoven","orcid":"https://orcid.org/0000-0002-7129-3766","observed_orcids":["https://orcid.org/0000-0002-7129-3766"]},"institutions":[{"id":"https://openalex.org/I193662353","display_name":"Utrecht University","ror":"https://ror.org/04pp8hn57","country_code":"NL","type":"education","lineage":["https://openalex.org/I193662353"]},{"id":"https://openalex.org/I3018483916","display_name":"University Medical Center Utrecht","ror":"https://ror.org/0575yy874","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I3018483916"]},{"id":"https://openalex.org/I43439940","display_name":"University of Southampton","ror":"https://ror.org/01ryk1543","country_code":"GB","type":"education","lineage":["https://openalex.org/I43439940"]}],"countries":["GB","NL"],"is_corresponding":false,"raw_author_name":"Lisette Schoonhoven","raw_affiliation_strings":["University of Southampton, School of Health Sciences, Faculty of Environmental and Life Sciences, Southampton, United Kingdom; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. Electronic address: l.schoonhoven@umcutrecht.nl","Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands","University of Southampton, School of Health Sciences, Faculty of Environmental and Life Sciences, Southampton, United Kingdom"],"raw_orcid":"https://orcid.org/0000-0002-7129-3766","affiliations":[{"raw_affiliation_string":"University of Southampton, School of Health Sciences, Faculty of Environmental and Life Sciences, Southampton, United Kingdom; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. Electronic address: l.schoonhoven@umcutrecht.nl","institution_ids":["https://openalex.org/I193662353","https://openalex.org/I3018483916","https://openalex.org/I43439940"]},{"raw_affiliation_string":"Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands","institution_ids":["https://openalex.org/I193662353","https://openalex.org/I3018483916"]},{"raw_affiliation_string":"University of Southampton, School of Health Sciences, Faculty of Environmental and Life Sciences, Southampton, United Kingdom","institution_ids":["https://openalex.org/I43439940"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103570855","display_name":"Reinier P. Akkermans","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2802934949"]},{"id":"https://openalex.org/I4405268322","display_name":"Radboud Institute for Health Sciences","ror":"https://ror.org/00k5r1z23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4405268322"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Reinier P. Akkermans","raw_affiliation_strings":["Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands. Electronic address: reinier.akkermans@radboudumc.nl","Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands. Electronic address: reinier.akkermans@radboudumc.nl","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboud University Medical Center, Scientific Institute for Quality of Healthcare, Radboud Institute for Health Sciences, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113889937","display_name":"Anouk Spijker","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2802934949"]},{"id":"https://openalex.org/I4405268322","display_name":"Radboud Institute for Health Sciences","ror":"https://ror.org/00k5r1z23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4405268322"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Anouk Spijker","raw_affiliation_strings":["Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands. Electronic address: anouk.spijker@radboudumc.nl","Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","Radboudumc Alzheimer Center, Nijmegen, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands. Electronic address: anouk.spijker@radboudumc.nl","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboudumc Alzheimer Center, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110440930","display_name":"Raymond T.C.M. Koopmans","orcid":"https://orcid.org/0000-0003-0209-6942","observed_orcids":["https://orcid.org/0000-0003-0209-6942"]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2802934949"]},{"id":"https://openalex.org/I4405268322","display_name":"Radboud Institute for Health Sciences","ror":"https://ror.org/00k5r1z23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4405268322"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Raymond T.C.M. Koopmans","raw_affiliation_strings":["Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands; Joachim en Anna, Centre for Specialized Geriatric Care, Nijmegen, The Netherlands. Electronic address: raymond.koopmans@radboudumc.nl","Joachim en Anna, Centre for Specialized Geriatric Care, Nijmegen, The Netherlands","Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","Radboudumc Alzheimer Center, Nijmegen, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands; Joachim en Anna, Centre for Specialized Geriatric Care, Nijmegen, The Netherlands. Electronic address: raymond.koopmans@radboudumc.nl","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Joachim en Anna, Centre for Specialized Geriatric Care, Nijmegen, The Netherlands","institution_ids":[]},{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboudumc Alzheimer Center, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077321008","display_name":"Debby L. Gerritsen","orcid":"https://orcid.org/0000-0002-3356-0237","observed_orcids":["https://orcid.org/0000-0002-3356-0237"]},"institutions":[{"id":"https://openalex.org/I2802934949","display_name":"Radboud University Medical Center","ror":"https://ror.org/05wg1m734","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2802934949"]},{"id":"https://openalex.org/I4405268322","display_name":"Radboud Institute for Health Sciences","ror":"https://ror.org/00k5r1z23","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4405268322"]}],"countries":["NL"],"is_corresponding":true,"raw_author_name":"Debby L. Gerritsen","raw_affiliation_strings":["Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands. Electronic address: debby.gerritsen@radboudumc.nl","Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","Radboudumc Alzheimer Center, Nijmegen, the Netherlands"],"raw_orcid":"https://orcid.org/0000-0002-3356-0237","affiliations":[{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands; Radboudumc Alzheimer Center, Nijmegen, the Netherlands. Electronic address: debby.gerritsen@radboudumc.nl","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"]},{"raw_affiliation_string":"Radboudumc Alzheimer Center, Nijmegen, the Netherlands","institution_ids":["https://openalex.org/I2802934949"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5077321008"],"corresponding_institution_ids":["https://openalex.org/I2802934949","https://openalex.org/I4405268322"],"apc_list":{"value":4340,"currency":"USD","value_usd":4340},"apc_paid":{"value":4340,"currency":"USD","value_usd":4340},"fwci":2.0189,"has_fulltext":true,"cited_by_count":21,"citation_normalized_percentile":{"value":0.84652501,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":98},"biblio":{"volume":"120","issue":null,"first_page":"103982","last_page":"103982"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.7285000085830688,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.7285000085830688,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.06530000269412994,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12704","display_name":"Stress and Burnout Research","score":0.06289999932050705,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/behavioral-problems","display_name":"behavioral problems","score":0.8690000176429749},{"id":"https://openalex.org/keywords/dementia","display_name":"dementia","score":0.9610000252723694},{"id":"https://openalex.org/keywords/nursing-homes","display_name":"nursing homes","score":0.9070000052452087},{"id":"https://openalex.org/keywords/nurses","display_name":"nurses","score":0.746999979019165},{"id":"https://openalex.org/keywords/employee-training","display_name":"employee training","score":0.6549999713897705},{"id":"https://openalex.org/keywords/burnout","display_name":"burnout","score":0.7160000205039978},{"id":"https://openalex.org/keywords/emotional-exhaustion","display_name":"emotional exhaustion","score":0.7630000114440918},{"id":"https://openalex.org/keywords/depersonalization","display_name":"depersonalization","score":0.8519999980926514},{"id":"https://openalex.org/keywords/personal-accomplishment","display_name":"personal accomplishment","score":0.9049999713897705},{"id":"https://openalex.org/keywords/dementia-special-care-units","display_name":"dementia special care units","score":0.9380000233650208}],"concepts":[{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.6696699261665344},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6492036581039429},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.551552951335907},{"id":"https://openalex.org/C143916079","wikidata":"https://www.wikidata.org/wiki/Q2629248","display_name":"Burnout","level":2,"score":0.5143941044807434},{"id":"https://openalex.org/C88519622","wikidata":"https://www.wikidata.org/wiki/Q776232","display_name":"Emotional exhaustion","level":3,"score":0.5065559148788452},{"id":"https://openalex.org/C2776243918","wikidata":"https://www.wikidata.org/wiki/Q352126","display_name":"Contentment","level":2,"score":0.45734524726867676},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.4544437825679779},{"id":"https://openalex.org/C105913360","wikidata":"https://www.wikidata.org/wiki/Q7243152","display_name":"Primary nursing","level":3,"score":0.4191078245639801},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3745590150356293},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.33922070264816284},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.16169461607933044},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003704","descriptor_name":"Dementia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009426","descriptor_name":"Netherlands","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009740","descriptor_name":"Nursing Staff","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":6,"locations":[{"id":"doi:10.1016/j.ijnurstu.2021.103982","doi":"https://doi.org/10.1016/j.ijnurstu.2021.103982","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijnurstu.2021.103982","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0020748921001279/pdf","source":{"id":"https://openalex.org/S56493663","display_name":"International Journal of Nursing Studies","issn_l":"0020-7489","issn":["0020-7489","1873-491X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Nursing Studies","raw_type":"journal-article"},{"id":"pmid:34171518","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34171518","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of nursing studies","raw_type":"Journal Article"},{"id":"pmh:hbo:oai:hbokennisbank.nl:repository_han:oai:repository.han.nl:20.500.12470/2218","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/20.500.12470/2218","pdf_url":null,"source":{"id":"https://openalex.org/S4306401843","display_name":"Data Archiving and Networked Services (DANS)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1322597698","host_organization_name":"Royal Netherlands Academy of Arts and Sciences","host_organization_lineage":["https://openalex.org/I1322597698"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Nursing Studies, 120","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:dspace.library.uu.nl:1874/444611","doi":null,"is_oa":true,"landing_page_url":"https://dspace.library.uu.nl/handle/1874/444611","pdf_url":null,"source":{"id":"https://openalex.org/S4306401649","display_name":"Utrecht University Repository (Utrecht University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I193662353","host_organization_name":"Utrecht University","host_organization_lineage":["https://openalex.org/I193662353"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:repository.ubn.ru.nl:2066/235423","doi":null,"is_oa":false,"landing_page_url":"https://repository.ubn.ru.nl/handle/2066/235423","pdf_url":null,"source":{"id":"https://openalex.org/S4306401067","display_name":"Radboud Repository (Radboud University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I145872427","host_organization_name":"Radboud University Nijmegen","host_organization_lineage":["https://openalex.org/I145872427"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Article / Letter to editor"},{"id":"pmh:ru:oai:repository.ubn.ru.nl:2066/235423","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2066/235423","pdf_url":null,"source":{"id":"https://openalex.org/S4306401067","display_name":"Radboud Repository (Radboud University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I145872427","host_organization_name":"Radboud University Nijmegen","host_organization_lineage":["https://openalex.org/I145872427"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Nursing Studies, 120","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.1016/j.ijnurstu.2021.103982","doi":"https://doi.org/10.1016/j.ijnurstu.2021.103982","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijnurstu.2021.103982","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0020748921001279/pdf","source":{"id":"https://openalex.org/S56493663","display_name":"International Journal of Nursing Studies","issn_l":"0020-7489","issn":["0020-7489","1873-491X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Nursing Studies","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3168420331.pdf","grobid_xml":"https://content.openalex.org/works/W3168420331.grobid-xml"},"referenced_works_count":68,"referenced_works":["https://openalex.org/W1940337650","https://openalex.org/W1963852822","https://openalex.org/W1965016649","https://openalex.org/W1972390556","https://openalex.org/W1972790523","https://openalex.org/W1976565710","https://openalex.org/W1979728352","https://openalex.org/W1993520836","https://openalex.org/W2007953500","https://openalex.org/W2011666842","https://openalex.org/W2028241107","https://openalex.org/W2034977164","https://openalex.org/W2039722031","https://openalex.org/W2042586802","https://openalex.org/W2053272917","https://openalex.org/W2053968507","https://openalex.org/W2060347732","https://openalex.org/W2067566605","https://openalex.org/W2067723348","https://openalex.org/W2068185188","https://openalex.org/W2071918815","https://openalex.org/W2074005745","https://openalex.org/W2082391353","https://openalex.org/W2082395445","https://openalex.org/W2084206568","https://openalex.org/W2086704937","https://openalex.org/W2094363546","https://openalex.org/W2094879818","https://openalex.org/W2096737241","https://openalex.org/W2100236766","https://openalex.org/W2103043058","https://openalex.org/W2109429120","https://openalex.org/W2112242163","https://openalex.org/W2114981304","https://openalex.org/W2116155933","https://openalex.org/W2120858868","https://openalex.org/W2126502487","https://openalex.org/W2127024646","https://openalex.org/W2127639707","https://openalex.org/W2137557850","https://openalex.org/W2138880862","https://openalex.org/W2138939457","https://openalex.org/W2146608583","https://openalex.org/W2148108721","https://openalex.org/W2148414755","https://openalex.org/W2151194337","https://openalex.org/W2344283831","https://openalex.org/W2387043549","https://openalex.org/W2474623741","https://openalex.org/W2497046374","https://openalex.org/W2497357784","https://openalex.org/W2554149007","https://openalex.org/W2729404581","https://openalex.org/W2750845094","https://openalex.org/W2767542855","https://openalex.org/W2768587636","https://openalex.org/W2803254878","https://openalex.org/W2803996027","https://openalex.org/W2893942170","https://openalex.org/W2900871471","https://openalex.org/W2921801618","https://openalex.org/W2970180806","https://openalex.org/W2995722239","https://openalex.org/W3005062215","https://openalex.org/W3012717431","https://openalex.org/W3092368674","https://openalex.org/W3142492581","https://openalex.org/W4233451756"],"related_works":["https://openalex.org/W2071918815","https://openalex.org/W1965016649","https://openalex.org/W4285387193","https://openalex.org/W2081852840","https://openalex.org/W2895968858","https://openalex.org/W2082395445","https://openalex.org/W7048129419","https://openalex.org/W2122514425","https://openalex.org/W2055083909","https://openalex.org/W3120989382"],"abstract_inverted_index":{"BACKGROUND:":[0],"Challenging":[1],"behavior":[2],"is":[3],"prevalent":[4],"in":[5,10,98,102,312],"people":[6],"with":[7,172,199],"dementia":[8,23,103,117,313],"residing":[9],"nursing":[11,20,34,99,123,169,309],"homes":[12,124],"and":[13,56,58,78,93,152,158,184,197,202,206,216,227,233,264,281],"places":[14],"a":[15,148],"high":[16],"burden":[17],"on":[18,88,193,248,278,298,322],"the":[19,74,84,173,194,200,203,222,225,230,235,238,249,276],"staff":[21,35,100,113,170,310],"of":[22,66,83,115,147,196,229,237,251,275,308],"special":[24,104,118,314],"care":[25,53,105,119,315],"units.":[26,106,316],"This":[27,47],"study":[28],"evaluates":[29],"an":[30,132,296],"educational":[31],"program":[32,48,87,145,201,292],"for":[33,36],"managing":[37],"challenging":[38],"behavior:":[39],"The":[40,64,143,162,242,289],"Educating":[41],"Nursing":[42,112],"Staff":[43],"Effectively":[44],"(TENSE)":[45],"program.":[46],"can":[49],"be":[50],"tailored":[51],"to":[52,72],"organizations'":[54],"wishes":[55],"needs":[57],"combines":[59],"various":[60],"learning":[61],"styles.":[62],"OBJECTIVE:":[63],"aim":[65],"this":[67],"cluster-randomized":[68],"controlled":[69,109],"trial":[70],"was":[71,165],"examine":[73],"short-term":[75],"(3":[76],"months)":[77,81],"long-term":[79],"(9":[80],"effects":[82,274],"TENSE":[85,144,231,243,290],"training":[86,150,232,239,244,291],"experienced":[89,167,252,299],"stress,":[90,253,300],"work":[91,97,182,279,285,301,307],"contentment,":[92,302],"stress":[94,166,185,282,304],"reactions":[95,186,283,305],"at":[96,187,284,306],"working":[101,311],"DESIGN:":[107],"Cluster-randomized":[108],"trial.":[110],"METHODS:":[111],"members":[114],"18":[116],"units":[120],"within":[121],"nine":[122],"from":[125],"different":[126],"Netherlands":[127],"regions":[128],"were":[129,181,208,211,286],"randomized":[130],"into":[131],"intervention":[133,277],"(n":[134,139],"=":[135,140,258,262,268],"168)":[136],"or":[137],"control":[138],"129)":[141],"group.":[142],"consisted":[146],"three-day":[149],"course":[151],"two":[153],"follow-up":[154],"sessions":[155],"after":[156],"three":[157],"six":[159],"months,":[160],"respectively.":[161],"primary":[163],"outcome":[164],"by":[168],"measured":[171],"Utrecht":[174],"Burnout":[175],"Scale":[176],"-":[177],"C.":[178],"Secondary":[179],"outcomes":[180],"contentment":[183,280],"work.":[188],"Furthermore,":[189,270],"process":[190],"evaluation":[191],"data":[192],"reach":[195],"compliance":[198],"program's":[204],"feasibility":[205],"relevance":[207,228],"collected.":[209],"Data":[210],"collected":[212],"between":[213],"November":[214,217],"2012":[215],"2014.":[218],"RESULTS:":[219],"In":[220,317],"general,":[221],"participants":[223],"appreciated":[224],"quality":[226],"evaluated":[234],"content":[236],"as":[240],"beneficial.":[241],"had":[245],"no":[246,271],"effect":[247,297],"components":[250],"i.e.,":[254],"emotional":[255],"exhaustion":[256],"(p":[257,261,267],"0.751),":[259],"depersonalization":[260],"0.701),":[263],"personal":[265],"accomplishment":[266],"0.182).":[269],"statistically":[272],"significant":[273],"found.":[287],"CONCLUSIONS:":[288],"did":[293],"not":[294],"have":[295],"nor":[303],"future":[318],"studies,":[319],"more":[320],"focus":[321],"practicing":[323],"new":[324],"skills":[325],"seems":[326],"needed.":[327],"TRIAL":[328],"REGISTRATION:":[329],"NTR":[330],"(Dutch":[331],"Trial":[332],"Registration)":[333],"number":[334],"NTR3620.":[335]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":3}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2021-06-22T00:00:00"}