@misc{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Die Selbstbestimmung Geb{\"a}render: F{\"o}rderliche und begrenzende Faktoren aus der Perspektive von Hebammen in Krankenh{\"a}usern, Geburtsh{\"a}usern und bei Hausgeburten}, series = {21. Deutscher Kongress f{\"u}r Versorgungsforschung : 05.10.-07.10.2022, Potsdam}, journal = {21. Deutscher Kongress f{\"u}r Versorgungsforschung : 05.10.-07.10.2022, Potsdam}, publisher = {Deutsches Netzwerk Versorgungsforschung e.V.}, address = {D{\"u}sseldorf}, doi = {10.3205/22dkvf321}, abstract = {Hintergrund und Stand (inter)nationaler Forschung: Die Forderung nach einer selbstbestimmten Geburt ist in Deutschland und weltweit in den fachlichen und {\"o}ffentlichen Fokus ger{\"u}ckt. Allerdings liegen bisher wenige Forschungsergebnisse zur Selbstbestimmung Geb{\"a}render und ihrer f{\"o}rderlichen und begrenzenden Bedingungen vor. Diese Erkenntnisse sind jedoch essentiell, um Selbstbestimmung gezielt unterst{\"u}tzen und ihre Verletzung vermeiden zu k{\"o}nnen. Fragestellung und Zielsetzung: Die Studie untersucht und vergleicht die Erfahrungen und Perspektiven von Hebammen in Bezug auf f{\"o}rderliche und begrenzende Faktoren einer selbstbestimmten Geburt in Krankenh{\"a}usern, Geburtsh{\"a}usern und bei Hausgeburten in Deutschland. Methode: Es wurde eine qualitative Fallstudie auf der Basis von zehn problemzentrierten Einzelinterviews mit Hebammen durchgef{\"u}hrt. Eingeschlossen wurden Hebammen mit laufender oder abgeschlossener Ausbildung, deren letzte begleitete Geburt nicht l{\"a}nger als sechs Monate zur{\"u}cklag. Die Sampling-Strategie erlaubte die Ber{\"u}cksichtigung unterschiedlicher Geburtshilfe-Settings und Regionen in Deutschland. Alle Interviews wurden aufgezeichnet, transkribiert, anonymisiert und mittels der Thematischen Analyse ausgewertet. Ein positives Ethik-Votum liegt vor. Ergebnisse: Die Ergebnisse legen acht zusammenh{\"a}ngende Kategorien nahe, die jeweils f{\"o}rdernde und begrenzende Faktoren implizieren: 1. Strukturelle/rechtliche Bedingungen auf Meso-/Makroebene; 2. Wahrnehmung von Geburt (z.B. als medizinischer/nat{\"u}rlicher Vorgang, notwendige Kompetenz und Kontrolle); 3. Vertrauen/Atmosph{\"a}re; 4. Kennenlernen/ Beziehungsaufbau mit Geb{\"a}renden; 5. Sozio{\"o}konomische Position (SEP) der Geb{\"a}renden; 6. Information der Geb{\"a}renden; 7. Entscheidungs- und Artikulationsf{\"a}higkeit der Geb{\"a}renden und 8. Verhalten der Begleitpersonen. Zudem wurden Strategien der Hebammen zur Erweiterung des Handlungsspielraums identifiziert. Mehrere Faktoren unterscheiden sich abh{\"a}ngig vom Geburtssetting. Diskussion: Die M{\"o}glichkeiten f{\"u}r eine selbstbestimmte Geburt k{\"o}nnen sich je nach Setting (z.B. institutionelle Routinen), zwischenmenschlichen Beziehungen (z.B. Vertrauen) und individuellen Faktoren (z.B. SEP) unterscheiden. Folglich k{\"o}nnen politische, institutionelle und individuelle Strategien eine selbstbestimmte Geburt - und damit eine personenzentrierte, situativ angemessene Versorgung - unter Ber{\"u}cksichtigung der oben genannten Faktoren unterst{\"u}tzen. Praktische Implikationen: Die Ergebnisse liefern konkrete Anhaltspunkte f{\"u}r Maßnahmen zur Unterst{\"u}tzung einer selbstbestimmten Geburt in verschiedenen Geburtssettings. Empfohlen werden u. a. die Verbesserung von Informationsprozessen vor und w{\"a}hrend der Geburt, die Verbesserung des Zugangs zu Versorgungsangeboten, der Abbau finanzieller H{\"u}rden in der Inanspruchnahme, die F{\"o}rderung von Beziehungsaufbau und eine St{\"a}rkung der hebammengeleiteten Geburt. Appell f{\"u}r die Praxis (Wissenschaft und/oder Versorgung) in einem Satz: Akteur*innen und Entscheidungstr{\"a}ger*innen der Geburtshilfe k{\"o}nnen die Selbstbestimmung Geb{\"a}render durch gezielte individuelle, institutionelle und politische Maßnahmen f{\"o}rdern.}, language = {de} } @misc{SchulzeMerzLinckeetal., author = {Schulze, Susanne and Merz, Sibille and Lincke, Hans-Joachim and N{\"u}bling, Matthias and Rapp, Michael A. and Spallek, Jacob and Tallarek, Marie and Thier, Anne Kathrin and Holmberg, Christine}, title = {Psychosocial burden in nurses working in nursing homes during the Covid-19 pandemic}, series = {21. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF) : 05.10.-07.10.2022, Potsdam}, journal = {21. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF) : 05.10.-07.10.2022, Potsdam}, publisher = {German Medical Science GMS Publishing House}, address = {D{\"u}sseldorf}, doi = {10.3205/22dkvf025}, abstract = {Background: Nurses' work-related strain and psychological burden increased during the Covid-19 pandemic, resulting in high prevalences of mental health problems among nurses worldwide. Nurses in long-term care facilities seem to be particularly prone to overall heightened burden and poor mental health. Research question: We investigated which work-related psychosocial burdens and potential positive aspects nurses working in nursing homes experience during the Covid-19 pandemic. Method: We conducted a mixed-methods study. Eligible for participation were nurses and nursing assistants working in nursing homes within the state of Brandenburg, Germany. Between August and October 2020, we distributed an anonymous survey containing the third German version of the Copenhagen Psychosocial Questionnaire (COPSOQ III). Using Welch's t-tests, we compared the COPSOQ results of our sample against a pre-pandemic reference group of geriatric nurses, drawn from the German COPSOQ databank and kindly shared by the Freiburg Research Centre for Occupational Science. In June 2021, we also conducted semi-structured interviews with geriatric nurses to reach a deeper understanding of their experiences on work-related changes and burdens during the first phases of the pandemic. Data were analysed using thematic coding (Braun and Clarke). Results: Our survey sample (n=177) differed significantly from the reference group in 14 out of 31 COPSOQ scales. Amongst others, our sample scored significantly worse regarding the scales 'support at work', 'recognition', 'quantitative demands', 'hiding emotions', 'role conflicts', 'intention to leave profession', 'burnout' and 'inability to relax'. The interviews (n=17) revealed five main themes related to nurses' psychosocial stress: 'overall working conditions under the hygiene measures', 'concern for isolated residents', 'management of relatives', 'inability to provide terminal care', 'tensions between being infected and infecting others' and 'technicisation of care'. 'Enhanced community cohesion' and 'meaning of work' were identified as positive effects of the pandemic. Discussion: Results indicate that nurses in nursing homes experience enhanced psychosocial and work-related strain. The comparisons with the pre-pandemic reference group suggest that the situation further aggravated during the pandemic. Nurses exhibited high psychosocial burden, e.g., due to strongly impeded possibilities to fulfill the emotional and social dimensions of care and the constant fear of infection or transmission. Deteriorated working conditions (e.g., higher workload through staff shortages and additional tasks) further exacerbated these burdens. Few positive aspects of the pandemic may be important sources of resilience. Practical implications: The reduction of nurses' strain through psychosocial support and the improvement of working conditions is crucial for the protection of nurses' health. Appeal for practice in one sentence: Political players as well as care facilities should take measures to improve nurses' situation in order to maintain a healthy workforce and high-quality care.}, language = {en} } @incollection{TallarekZeebSpallek, author = {Tallarek, Marie and Zeeb, Hajo and Spallek, Jacob}, title = {Psychiatrisch-psychotherapeutische Versorgung von zugewanderten Menschen in Deutschland. Bedarf, Inanspruchnahme und Verbesserungspotenziale}, series = {Handbuch Transkulturelle Psychiatrie}, booktitle = {Handbuch Transkulturelle Psychiatrie}, editor = {Klosinski, Matthias and Castro N{\´u}{\~n}ez, Sandra and Oestereich, Cornelia and Hegemann, Thomas}, edition = {1}, publisher = {Psychiatrie Verlag}, address = {K{\"o}ln}, isbn = {978-3-8252-5945-7}, doi = {10.36198/9783838559452}, pages = {77 -- 92}, abstract = {Dieser Beitrag gibt einen {\"U}berblick {\"u}ber theoretische Konzepte sowie epidemiologisch-empirische Erkenntnisse zu H{\"a}ufigkeit und Determinanten psychischer Erkrankungen bei zugewanderten Menschen sowie zur Inanspruchnahme und Versorgungspraxis. Auf der Basis dieser Erkenntnisse werden vielversprechende Ans{\"a}tze der Versorgungspraxis sowie der weiteren Forschung vorgestellt.}, language = {de} } @misc{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Factors promoting or limiting self-determined childbirth: midwives' perspectives in Germany}, series = {European Journal of Public Health}, volume = {32}, journal = {European Journal of Public Health}, number = {Supplement_3}, issn = {1101-1262}, doi = {10.1093/eurpub/ckac131.423}, pages = {1}, abstract = {Background Claims for self-determined childbirth (SDC) have gained increasing scientific, political and societal attention. However, research on SDC is limited. This study analyzes and compares midwives' experiences and perspectives on factors that promote or limit SDC in hospitals, birthing centers and during home births in Germany. We argue that these insights are essential in order to foster self-determination and to avoid its violation. Methods A qualitative case study was conducted based on semi-structured face-to-face interviews with midwives working in hospitals, birthing centers, and offering home births in Germany. In total, nine interviews were conducted in 2021 and have been audiotaped, transcribed, anonymized and analyzed by use of Thematic Analysis. Results The results indicate eight inter-related categories, each of which imply promoting and limiting factors: 1) Structural/ legal conditions; 2) Perception of birth (e. g. as natural or medical process; required competence and control); 3) Trust and atmosphere; 4) Getting acquainted/relationship building; 5) Birthing person's socioeconomic position; 6) Birthing person's preparation/ education; 7) Birthing person's capability of decision making and expression; and 8) Behavior of accompanying persons. Moreover, we identified midwives' strategies to extend possibilities of choice. Several factors clearly differ depending on the birth setting. Conclusions The opportunities for SDC seem to differ according to the setting (e.g. institutional routines), inter-personal relations (e.g. getting acquainted, trust), and individual factors (e.g. socioeconomic position, capabilities). Hence, political, institutional and individual strategies may support SDC in consideration of the above factors. Measures may, among others, include the improvement of information processes, the reduction of economic barriers, relationship building before and during birth as well as respective structural adjustments.}, language = {en} } @techreport{GoldfriedrichHoffmannMuelleretal., author = {Goldfriedrich, Martin and Hoffmann, Stephanie and M{\"u}ller, Yvonne and Schmidt, Andrea C. and Spallek, Jacob and Stroß, Annette M. and Tallarek, Marie}, title = {Konzeptpapier f{\"u}r einen Modellstudiengang „Gesundheitsp{\"a}dagogik und Gesundheitsdidaktik"}, editor = {Goldfriedrich, Martin and Hurrelmann, Klaus}, publisher = {Universit{\"a}t}, address = {Erfurt}, doi = {10.22032/dbt.52342}, url = {http://nbn-resolving.de/urn:nbn:de:gbv:547-202200367}, pages = {23}, abstract = {Angesichts der immer st{\"a}rker werdenden Diskussion um die Bedeutung von Gesundheit f{\"u}r den schulischen und außerschulischen Bildungs- und Lernprozess und der Risiken wachsender gesundheitlicher Ungleichheit bei Kindern und Jugendlichen (Hurrelmann/Richter 2013, Lampert et al. 2019) ist die Etablierung eines Studienganges „Gesundheitsp{\"a}dagogik und Gesundheitsdidaktik" l{\"a}ngst {\"u}berf{\"a}llig und von besonderer Bedeutung f{\"u}r gesundheitliche Chancengleichheit (Goldfriedrich \& Hurrelmann, 2021a; 2021b). Dieses Konzeptpapier stellt einen Modellstudiengang vor, bei dem insbesondere die Vermittlungsebenen - also die gesundheitsdidaktischen Gegenstandsbereiche - im Vordergrund stehen. Die Ausarbeitungen des Entwurfs basieren auf der Grundlage politischer Bestrebungen, der bisherigen Forschung zur Gesundheitsp{\"a}dagogik und Gesundheitsdidaktik, den Erkenntnissen der Erziehungs- und Gesundheitswissenschaften sowie wissenschaftlichen und interprofessionellen Beitr{\"a}gen des Netzwerks Gesundheitsdidaktik (bestehend aus 33 Expert*innen aus 24 Fachbereichen).}, language = {de} } @incollection{TallarekSpallek, author = {Tallarek, Marie and Spallek, Jacob}, title = {Migration and health. Theoretical foundations, empirical findings, and public health responses using the example of Germany}, series = {Contemporary challenges of social work in Poland and Germany: war migrants as a challenge}, booktitle = {Contemporary challenges of social work in Poland and Germany: war migrants as a challenge}, editor = {Orlowska, Beata and Paetzold, Ulrich}, edition = {1}, publisher = {Akademia im. Jakuba z Paradyża w Gorzowie Wielkopolskim}, address = {Gorz{\´o}w Wielkopolski}, isbn = {978-83-67705-24-0}, pages = {11 -- 31}, abstract = {Migrants and their offspring, referred to as people with a migration background in this article, are an utmost heterogeneous group whose health situation can be better, similar or worse compared to the health of the population without a migration background. A better understanding of the health of people with a migration background requires the consideration of their individual life course as well as several additional explanatory factors. The latter include, for instance, their social position, age, and gender, as well as the policies, health care system, social climate, living situation, and length of stay in the destination country. Particularly promising public health strategies for migrant health include a combination of migration sensitive and migration specific offers, setting approaches, and inclusionary public health approaches that critically reflect on mechanisms of othering, marginalization, and exclusion.}, language = {en} } @misc{KnautheFieberGlauschetal., author = {Knauthe, Nadja and Fieber, Vera and Glausch, Melanie and Geissler, Mark Enrik and Dallal, Anna and Doll, Konrad and Meister, Lisa and Tallarek, Marie and Weigmann-Faßbender, Sandra and Giesemann, Nadine and Hofbauer, Christine and Bornh{\"a}user, Martin and Letsch, Anne and Ratjen, Ilka and Spallek, Jacob and St{\"o}lzel, Friederike}, title = {„Aktiv leben mit Krebs": acceptance and effect of a lowthreshold information on health behavior for cancer patients}, series = {Oncology Research and Treatment 2024 : 36. Deutscher Krebskongress. Fortschritt gemeinsam gestalten, 21.-24. Februar 2024, Berlin: ABSTRACTS}, volume = {47}, journal = {Oncology Research and Treatment 2024 : 36. Deutscher Krebskongress. Fortschritt gemeinsam gestalten, 21.-24. Februar 2024, Berlin: ABSTRACTS}, number = {1}, editor = {B{\"u}ttner, Reinhard}, issn = {2296-5262}, doi = {10.1159/000535363}, pages = {216}, abstract = {Background: In Germany, more than 4.65 million people are currently living with a cancer diagnosis. Patients can benefit from a healthy lifestyle both during and after therapy. In order to provide patients with practical and scientifically based information on health behavior, the authors developed "Aktiv leben mit Krebs" (ALMIK) using participatory program planning. Methods: A non-blinded randomized controlled trial with intervention (IG) and wait list control group (WCG) was conducted at NCT/UCC Dresden and UCCSH in Kiel in 2022/2023 with a convenience sample of n=227 patients during and after therapy (65.7 years ± 11.7, 54.2\% male). IG and WCG received a questionnaire at baseline and after 1 month. IG received the ALMIK brochure and a link to the website with videos. Changes in health literacy (HLS-EU Q) and acceptance were assessed. Result: Acceptance of ALMIK in IG was high: 94.1\% of all n=109 patients in the IG reported having used the brochure. 40.4\% had visited the website. Videos were used by 36.7\%. Almost all patients rated the brochure as understandable (97.8\%), relevant (90.3\%) and clearly presented (98.9\%). Patients also rated the website as well-structured (95.6\%) and attractively designed (97.6\%), and the videos as understandable (93.0\%) and relevant (79.1\%). Overall, 97.8\% were satisfied with the program and 98.9\% would recommend it to others. Patients of IG did not achieve higher HLS-score in comparison to WCG (p=0.75). Discussion: The brochure was used by many patients and was very well accepted. The website and videos were used less frequently, but overall by more than one-third of patients, who were also satisfied with them. Health literacy was not increased by ALMIK, which may be due to the low intervention strength. Conclusion: The high number of participants who used ALMIK indicates a high need for health behavior information for cancer patients. Patient involvement has proven to be an important component in creating well accepted program materials}, language = {en} } @misc{UhlenbrockSchulzeSappletal., author = {Uhlenbrock, Greta and Schulze, Susanne and Sappl, Isabella and Rapp, Michael A. and Tallarek, Marie and Spallek, Jacob and Holmberg, Christine}, title = {Sorge vor Covid-19-Infektion und das Risiko f{\"u}r Burnout-Symptome: eine Studie zur Belastung von Pflegekr{\"a}ften in Brandenburger Pflegeheimen w{\"a}hrend der Covid-19-Pandemie}, series = {Psychiatrische Praxis}, volume = {50}, journal = {Psychiatrische Praxis}, number = {7}, issn = {1439-0876}, doi = {10.1055/a-2019-6495}, pages = {353 -- 360}, abstract = {Ziel der Studie Untersuchung der Assoziation von Sorge vor eigener Infektion oder der Infektion von Freunden, Familie und Pflegebed{\"u}rftigen mit Covid-19 und Burnout-Symptomen von Pflegekr{\"a}ften in Brandenburger vollstation{\"a}ren Altenpflegeeinrichtungen. Methodik Querschnittliche Befragung von Pflegekr{\"a}ften (n=195) in Brandenburger Pflegeheimen zwischen August und Dezember 2020 hinsichtlich ihrer psychosozialen Belastung am Arbeitsplatz. Ergebnisse Das Vorliegen der Sorge, sich selbst, Familie und/oder Freunde oder Pflegebed{\"u}rftige mit Covid-19 infiziert zu haben, ist mit einer erh{\"o}hten Auspr{\"a}gung von Burnout-Symptomen assoziiert (b=0,200, t(155)=2,777, p=0,006). Schlussfolgerung Ein erh{\"o}htes Erleben von Burnout-Symptomen durch die Sorge eines Infektionsrisikos mit Covid-19 am Arbeitsplatz spricht f{\"u}r den Bedarf umfassender Unterst{\"u}tzungsmaßnahmen sowie nachhaltiger Konzepte zum Umgang mit psychosozialer Belastung f{\"u}r Pflegekr{\"a}fte in der Altenpflege.}, language = {de} } @misc{TallarekJostSpallek, author = {Tallarek, Marie and Jost, Annemarie and Spallek, Jacob}, title = {Handlungsmodell: Der Umgang von Hebammen mit den Pr{\"a}ferenzen Geb{\"a}render}, series = {Deutsches Netzwerk Versorgungsforschung e. V.}, journal = {Deutsches Netzwerk Versorgungsforschung e. V.}, publisher = {German Medical Science GMS Publishing House}, address = {D{\"u}sseldorf}, doi = {10.3205/23dkvf405}, abstract = {Hintergrund und Stand der Forschung: Die F{\"o}rderung einer selbstbestimmten Geburt wird in {\"o}ffentlichen, fachlichen und politischen Diskursen zunehmend als ein Charakteristikum guter Geburtshilfe diskutiert. Der Grad der Selbstbestimmung h{\"a}ngt maßgeblich davon ab, inwieweit die Pr{\"a}ferenzen (W{\"u}nsche, Vorstellungen) Geb{\"a}render verhandelt und umgesetzt werden (k{\"o}nnen). Bislang liegt jedoch keine aktuelle, empirisch informierte Theorie zum Umgang von Hebammen mit den Pr{\"a}ferenzen Geb{\"a}render in Deutschland unter der Ber{\"u}cksichtigung verschiedener Geburtshilfe-Settings vor. Fragestellung und Zielsetzung, Hypothese: Im Rahmen des qualitativen Forschungsprojekts „Wie erleben Hebammen in Deutschland die Selbstbestimmung Geb{\"a}render?" (2021-2024) wurde die folgende Fragestellung aus der Perspektive der teilnehmenden Hebammen untersucht: „Wie gehen Hebammen in Deutschland mit den Pr{\"a}ferenzen Geb{\"a}render um?". Methode: Es wurden 11 problemzentrierte Einzelinterviews mit Hebammen durchgef{\"u}hrt. Eingeschlossen wurden Hebammen mit laufender oder abgeschlossener Ausbildung, deren letzte begleitete Geburt max. 6 Monate zur{\"u}cklag. Ziel des Samplings war eine gr{\"o}ßtm{\"o}gliche Varianz in Bezug auf repr{\"a}sentierte Settings (Kliniken, Geburtsh{\"a}user, Hausgeburten), geografische Regionen und individuelle Merkmale (u.a. Erfahrung, Alter) der Teilnehmenden. Die Interviews wurden aufgezeichnet, transkribiert, anonymisiert und mittels der Grounded Theory Methodologie nach Strauss/Corbin ausgewertet. Ein positives Ethik-Votum liegt vor. Ergebnisse: Das Modell umfasst 7 Handlungsschritte: 1. Situationsdeutung; 2. Abw{\"a}gen und Priorisieren relevanter Parameter; 3. Bestimmen des M{\"o}glichkeitsrahmens f{\"u}r die Gestaltung der Geburt; 4. Abgleich der Pr{\"a}ferenz(en) mit dem M{\"o}glichkeitsrahmen; 5. Verhandeln der Pr{\"a}ferenz(en); 6. Kontinuierliches {\"U}berwachen kontextueller/situativer {\"A}nderungen; 7. ggf. Anpassen/Neubestimmung des M{\"o}glichkeitsrahmens. Die Handlungen stehen in wechselseitiger Beziehung zu kontextuellen Bedingungen (strukturell; interpersonell; pers{\"o}nlich-individuell; gesundheitliche Situation; Geburtsverlauf; Geburtsverst{\"a}ndnis). Selbstbestimmung ist gem{\"a}ß des Modells auch dann m{\"o}glich, wenn vorherige Pr{\"a}ferenzen unter der Geburt verworfen, ge{\"a}ndert und/oder neu entwickelt werden. Diskussion: Das empirisch informierte Modell beschreibt, wie Hebammen mit den Pr{\"a}ferenzen Geb{\"a}render umgehen und dadurch Selbstbestimmung unter der Geburt beeinflussen. Es trifft keine Aussage dar{\"u}ber, inwieweit eine Geburt als „gut" erlebt wird oder gelten kann. Im weiteren Verlauf der Studie wird untersucht, inwieweit die Beziehungsgestaltung sich auf die Handlungsschritte auswirkt. Das induktiv entwickelte Modell sollte im Zuge weiterer Forschung hinsichtlich seiner Generalisierbarkeit {\"u}berpr{\"u}ft werden. Implikation f{\"u}r die Forschung: Das Modell leistet einen Beitrag zum Verst{\"a}ndnis dessen, wie Hebammen mit den Pr{\"a}ferenzen Geb{\"a}render umgehen, welche Einflussfaktoren und Abw{\"a}gungen dabei von Bedeutung sind und inwieweit Selbstbestimmung auch verworfene, ge{\"a}nderte oder neu entwickelte Pr{\"a}ferenzen unter der Geburt einschließt.}, language = {de} } @incollection{NowakTallarekHoffmannetal., author = {Nowak, Anna Christina and Tallarek, Marie and Hoffmann, Stephanie and H{\"o}vener, Claudia and Razum, Oliver and Spallek, Jacob}, title = {Nachhaltigkeit in der Gesundheit(sversorgung) von zugewanderten Menschen}, series = {Gesundheit und Nachhaltigkeit}, booktitle = {Gesundheit und Nachhaltigkeit}, editor = {Hartung, Susanne and Wihofszky, Petra}, publisher = {Springer}, address = {Berlin, Heidelberg}, isbn = {978-3-662-64954-1}, doi = {10.1007/978-3-662-64954-1_22-1}, pages = {11}, abstract = {In diesem Beitrag wird facettenartig eine Br{\"u}cke zwischen Zuwanderung und Gesundheit(-sversorgung) unter besonderer Ber{\"u}cksichtigung der globalen Ziele zur nachhaltigen Entwicklung geschlagen. Um Migrationserfahrungen als (potenziellen) Einflussfaktor auf gesundheitliche Chancengleichheit zu verstehen, wird die politisch-rechtliche Situation von Menschen mit Einwanderungsgeschichte im Zugang zur Gesundheitsversorgung und zu Pr{\"a}ventions- und Gesundheitsf{\"o}rderungsmaßnahmen beschrieben. Dabei zeigt sich, dass sich die gesundheitliche Versorgungssituation durch soziale, politische, institutionelle und strukturelle Ungleichheiten und Benachteiligungen auszeichnet, die weder in den globalen Zielen zur nachhaltigen Entwicklung noch in der deutschen Nachhaltigkeitsstrategie angemessene Ber{\"u}cksichtigung finden.}, language = {de} } @misc{TallarekJostSpallek, author = {Tallarek, Marie and Jost, Annemarie and Spallek, Jacob}, title = {How do midwives deal with women's preferences during childbirth in Germany? An action model}, series = {European Journal of Public Health}, volume = {33}, journal = {European Journal of Public Health}, number = {Supplement 2}, issn = {1788-7119}, doi = {10.1093/eurpub/ckad160.1512}, pages = {S. ii603}, abstract = {Background Midwifery care is increasingly discussed in terms of its ability to promote a self-determined childbirth. The degree of self-determination (SD) depends on the extent to which women's preferences are negotiated and implemented. From the perspective of midwives in different obstetric settings in Germany, this study answered the research question: "How do midwives deal with women's preferences during birth?". Methods 11 semi-structured face-to-face interviews were conducted with active midwives. The sample showed a high variance in terms of obstetric settings (clinics, birth centers, home births), regions, and participants' characteristics (e. g. experience, age). All interviews were recorded, transcribed, anonymized, and analyzed using the Grounded Theory Methodology (Strauss/Corbin, 1994). Results A model consisting of 7 steps was developed: 1) Interpret the situation; 2) Prioritize relevant parameters; 3) Determine a frame of possibilities; 4) Match the preference(s) to the frame of possibilities; 5) Negotiate preference(s); 6) Continuously monitor contextual/situational changes; 7) Adjust the frame of possibilities. The actions are related to contextual conditions (structural; interpersonal; personal; health situation; course of birth; understanding of birth). The model shows how midwives can promote SD even if prior preferences are discarded or modified at birth. Conclusions The model describes how midwives in Germany deal with women's preferences during birth, which factors they consider decisive in doing so, and how SD may be promoted despite of discarded or modified preferences. Further research should examine the role of relationship building, test the model with regard to its generalizability, and use it to analyze and support person-centered midwifery care. Key messages • The model describes how midwives in different obstetric settings in Germany deal with women's preferences during birth and, thereby, influence self-determination. • Midwives can promote self-determination also if prior preferences are discarded, modified, or redeveloped at birth.}, language = {en} } @misc{ObongoTallarekSpallek, author = {Obongo, Angela and Tallarek, Marie and Spallek, Jacob}, title = {Determinants of access to and use of gestational diabetes mellitus services in Kenya: a multimethod case study protocol}, series = {BMJ Open}, volume = {13}, journal = {BMJ Open}, number = {12}, issn = {2044-6055}, doi = {10.1136/bmjopen-2023-074916}, abstract = {Gestational diabetes mellitus (GDM) is a growing public health issue in many low and middle-income countries (LMICs), making up about 90\% of the global burden of GDM. Additionally, LMICs' healthcare systems are already overwhelmed by the prevalence of communicable diseases. It is crucial to understand the patterns of GDM in sub-Saharan African countries. Early detection, lifestyle and medication interventions, regular prenatal visits and effective postpartum management can help avert the future development of type 2 diabetes. GDM services present opportunities for preventive and treatment strategies for women with GDM. However, various factors contribute to challenges and obstacles in accessing GDM services, particularly suboptimal postpartum screening and follow-up. This study aims to investigate the societal and healthcare factors that facilitate or hinder access to and use of GDM services, as well as the factors that promote or obstruct the management and treatment of GDM, in Kenya, using a postcolonial theoretical approach.}, language = {en} } @phdthesis{Tallarek, author = {Tallarek, Marie}, title = {Wie erleben geburtsbegleitende Hebammen in Deutschland die Selbstbestimmung Geb{\"a}render? : eine Grounded Theory Studie}, publisher = {Kooperativer Bibliotheksverbund Berlin-Brandenburg}, doi = {10.26127/BTUOpen-6950}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:co1-opus4-69500}, pages = {394}, abstract = {Geb{\"a}rende haben ein Recht auf eine bestm{\"o}gliche Geburtshilfe. Vor dem Hintergrund der Frage, was eine gute Geburtshilfe ausmacht, hat das Schlagwort der „selbstbestimmten Geburt" Einzug in {\"o}ffentliche und fachliche Diskurse gehalten. Allerdings fehlen derzeit empirisch informierte Theorien dahingehend, was Selbstbestimmung f{\"u}r Hebammen in Deutschland konkret bedeutet, welchen Bedingungen sie unterliegt und wie sie unter der Geburt verhandelt wird. Entsprechend untersucht die Studie die Forschungsfrage: „Wie erleben geburtsbegleitende Hebammen in Deutschland die Selbstbestimmung Geb{\"a}render?"}, language = {de} } @misc{TallarekLeinweberJostetal., author = {Tallarek, Marie and Leinweber, Julia and Jost, Annemarie and Spallek, Jacob}, title = {Setting the frame : how midwives balance professional accountability with birth autonomy in Germany : a grounded theory study}, series = {Women and birth : journal of the Australian College of Midwives}, volume = {39}, journal = {Women and birth : journal of the Australian College of Midwives}, number = {1}, publisher = {Elsevier BV}, address = {Amsterdam}, issn = {1871-5192}, doi = {10.1016/j.wombi.2025.102143}, pages = {1 -- 8}, abstract = {Introduction: Promoting birthing persons' autonomy is essential to woman-centred maternity care and associated with birthing persons' positive birth experiences. Although midwives play a crucial role in promoting or hindering birth autonomy, little is known about how they navigate birth autonomy in Germany. This study aimed to identify midwives' experiences and strategies of engaging with birthing persons' autonomy in different German settings. Material and methodology: Semi-structured interviews were conducted with 12 midwives from hospitals, birth centres, and home birth environments in Germany. The interviews were recorded, transcribed verbatim, and analysed according to Grounded Theory Methodology (GTM) developed by Strauss \& Corbin. In total, 2944 codes were grouped into five categories ("Phenomenon", "Causal conditions", "Context", "Action strategies", and "Consequences") and integrated into one model. Elements of Reflexive GTM facilitated the reflection on researcher positionality. Results: Midwives continuously balance multiple, often competing, demands, among them the need to define a framework that gives them confidence to stand behind every aspect of the care they provide. The midwives achieve this by interpreting various contextual conditions, prioritising them, defining their professional boundaries and options, and matching maternal preferences with these. Throughout the birth process, they monitor changes and dynamically adjust established boundaries as needed. Discussion: The study results enhance our understanding of the evolving and context-sensitive process of decision-making during childbirth. Discourses around birth autonomy would benefit from adequate terminology that reflects this complexity. In sum, this study contributes to current discourses on midwifery practice, education, and policy.}, language = {en} } @misc{BittnerZaehrTallarek, author = {Bittner-Z{\"a}hr, Sophia and Tallarek, Marie}, title = {Organizational practices and emotion work : a conceptual framework using the example of the emotionally demanding field of clinical maternity care}, series = {Konferenzwebsite (nur f{\"u}r TN)}, journal = {Konferenzwebsite (nur f{\"u}r TN)}, pages = {1 -- 24}, abstract = {In Organization and Management literature, emotions have mostly been treated as an individualistic phenomenon. From a sociological viewpoint, however, scholars highlight the embeddedness of emotions into social and organizational contexts. In organizations with a high proportion of frontline service workers, emotions and emotion work are particularly vital for organizational productivity. In emotionally demanding areas, such as social work and healthcare, emotion work does not only influence service quality and consumer satisfaction, but also affects worker well-being and their future emotional availability. Up to date, the importance of organizational emotion-related practices has remained a scientific blind spot. Using clinical maternity care as an example, we discuss the relevance of emotion (work) and argue for the need to consider organizational practices in further research. Based on a theoretical synthesis and on empirical data from midwifery studies, we propose a conceptual framework that bridges psychological, practice research, and sociological perspectives. The framework considers both individual (e. g., searching for safe peer environments and rewards, following/resisting rules, lying/lying low) and organizational (e. g., definition of insiders, collegial support, solidarity, affirmation, discursive resistance, ignorance) emotion-related practices. It provides a foundation for an enhanced understanding of emotion-related practices within organizations and has the potential to encourage structured empirical research in this field. In sum, this paper contributes to recent discussions in organizational and management research, as well as midwifery research, with implications for organizations in general.}, language = {en} }