Nursing education for community care: Effect of curriculum-redesign on students´ perceptions and choices in caregiving

M. van Iersel

Research output: PhD thesisResearch HvA, graduation external


Community care is becoming increasingly important. In the Netherlands, the percentage of people over the age of 65 is expected to increase to 22% by 2025, leading to more elderly patients, often with long-term and complex health problems (multimorbidity). Because many of these patients continue to live at home until a very old age, nurses are increasingly working outside of institutions. The 17 Dutch Bachelor nursing programmes responded to this development with a new national education profile 'Bachelor Nursing 2020 (BN2020)’ with more elements of community care. However, despite the increase in extramural care, the Dutch labour market has a shortage of community nurses with higher professional education qualifications, partly because most nursing students focus on the general hospital setting as the environment for their future career. Whether this is based on a perception of community care that deters making this choice has never been systematically investigated. It is also unclear whether a more community-oriented curriculum will better equip students for working in community care. In response to these issues, the nursing programme at the Amsterdam University of Applied Sciences (AUAS) redesigned its curriculum to include more elements of community care. Three perspectives were chosen for the redesign: (1) the influence of lecturers as role models, (2) positive placement experiences, and (3) five new ‘community-based’ themes in education. These new themes are as follows: patient self-management, shared decision-making, collaboration with the patients’ social system, healthcare technology, and allocation of care. The redesign also includes a ‘paved way’ into community care in the form of a coherent and attractive programme for interested students.
This thesis describes whether and how the curriculum-redesign within higher professional education in nursing can be effective in terms of (1) stimulating a positive perception of community care and (2) realising a form of community care in line with the new themes in BN2020. In other words, that students will base choices in their actions/nursing interventions on these new themes in the education profile.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Universiteit van Amsterdam, Faculteit der Geneeskunde
  • Scholte op Reimer, W.J.M. , Supervisor
  • Kirschner, Paul, Supervisor, External person
  • Latour, Corine, Co-supervisor
  • de Vos, Rien, Co-supervisor, External person
Thesis sponsors
Award date5 Nov 2021
Print ISBNs9789463327329
Publication statusPublished - 5 Nov 2021


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