@article{GrillMuellerQuittanetal.2011, author = {Grill, E. and M{\"u}ller, Martin and Quittan, M. and Fialka-Moser, V. and Strobl, R. and Kostanjsek, N. and Stucki, G.}, title = {Brief ICF Core Sets for the acute hospital}, series = {Journal of Rehabilitation Medicine}, journal = {Journal of Rehabilitation Medicine}, editor = {Medical Journals Limited,}, year = {2011}, abstract = {Objective: To identify candidate categories for brief International Classification of Functioning, Disability and Health (ICF) Core Sets for the reporting and measurement of functioning in patients in the acute hospital. Design: Prospective multi-centre cohort study. Patients: Patients receiving rehabilitation interventions for musculoskeletal, neurological or cardiopulmonary injury or disease in acute hospitals. Methods: Functioning and contextual factors were coded using the ICF. The criterion for selecting candidate categories for the brief ICF Core Sets was based on their ability to discriminate between patients with high or low functioning status. Discrimination was assessed using multivariable regression models, the independent variables being all of the ICF categories of the respective comprehensive ICF Core Set. Analogue ratings of overall functioning as reported by patients and health professionals were used as dependent variables. Results: A total of 391 patients were included in the study (91 neurological, 109 cardiopulmonary, 191 musculoskeletal), mean age 63.4 years, 50.1\% female. Selection yielded 33 categories for neurological, 31 for cardiopulmonary, and 30 for musculoskeletal. Conclusion: The present selection of categories can be considered an initial proposal, serving to identify the ICF categories most relevant for the practical assessment and monitoring of functioning in patients with acute neurological, cardiopulmonary, and musculoskeletal conditions.}, language = {en} } @article{MuellerGrillStrobl2011, author = {M{\"u}ller, Martin and Grill, E. and Strobl, R.}, title = {Core Sets for early post-acute rehabilitation facilities}, series = {Journal Rehabilitation Medicine}, journal = {Journal Rehabilitation Medicine}, editor = {Medical Journals Limited,}, year = {2011}, abstract = {Objective: To identify candidate categories for International Classification of Functioning, Disability and Health (ICF) Core Sets for the reporting and measurement of functioning in patients in early post-acute rehabilitation facilities. Design: Prospective multi-centre cohort study. Patients: Patients receiving rehabilitation interventions for musculoskeletal, neurological or cardiopulmonary injury or disease in early post-acute rehabilitation facilities. Methods: Functioning was coded using the ICF. The criterion for selecting candidate categories for the ICF Core Sets was based on their ability to discriminate between patients with high or low functioning status. Discrimination was assessed using multivariable regression models, the independent variables being all of the ICF categories of the respective comprehensive ICF Core Set. Analogue ratings of overall functioning as reported by patients and health professionals were used as dependent variables. Results: A total of 165 patients were included in the study (67 neurological, 37 cardiopulmonary, 61 musculoskeletal), mean age 67.5 years, 46.1\% female. Selection yielded 38 categories for neurological, 32 for cardiopulmonary, and 31 for musculoskeletal. Conclusion: The present selection of categories can be considered an initial proposal, serving to identify the issues most relevant for the assessment and monitoring of functioning in patients undergoing early post-acute rehabilitation for neurological, cardiopulmonary, and musculoskeletal conditions.}, language = {en} } @article{MuellerGrillQuittanetal.2011, author = {M{\"u}ller, Martin and Grill, E. and Quittan, M. and Strobl, R. and Kostanjsek, N. and Stucki, G.}, title = {ICF Core Set for patients in geriatric post-acute rehabilitation facilities}, series = {Journal of Rehabilitation Medicine}, journal = {Journal of Rehabilitation Medicine}, editor = {Medical Journals Limited,}, year = {2011}, abstract = {Objective: To identify candidate categories for International Classification of Functioning, Disability and Health (ICF) Core Sets for the reporting and clinical measurement of functioning in older patients in early post-acute rehabilitation facilities. Design: Prospective multi-centre cohort study. Patients: Older patients receiving rehabilitation interventions in early post-acute rehabilitation facilities. Methods: Functioning was coded using the ICF. The criterion for selecting candidate categories for the brief ICF Core Sets was based on their ability to discriminate between patients with high or low functioning status. Discrimination was assessed using multivariable regression models, the independent variables being all of the ICF categories of the respective comprehensive ICF Core Set. Analogue ratings of overall functioning as reported by patients and health professionals were used as dependent variables. Results: A total of 209 patients were included in the study, mean age 80.4 years, 67.0\% female. Selection yielded a total of 29 categories for the functioning part and 9 categories for the contextual part of the ICF. Conclusion: The present selection of categories can be considered an initial proposal, serving to identify the issues most relevant for the clinical assessment and monitoring of functioning in older patients undergoing early post-acute rehabilitation.}, language = {en} } @article{MuellerGrillStrobl2011, author = {M{\"u}ller, Martin and Grill, E. and Strobl, R.}, title = {Goals of patients with rehabilitation needs in acute hospitals: goal achivement is an indicator for improved functioning}, series = {Journal of Rehabilitation Medicine}, journal = {Journal of Rehabilitation Medicine}, editor = {Medical Journals Limited,}, year = {2011}, abstract = {Objective: To identify goals of patients with rehabilitation needs in the acute hospital setting using the International Classification of Functioning, Disability and Health (ICF), to examine association of goal achievement with improvement in overall functioning, and to examine whether ICF Core Sets for the acute hospital cover patients goals. Design: Multi-centre cohort study. Patients: A total of 397 patients (50\% female, mean age 63 years) from 5 hospitals in Austria, Switzerland and Germany. Methods: A semi-structured questionnaire was used to assess patient goals and goal achievement. Overall functioning from the patients' and health professionals' perspective was assessed on a numerical rating scale. Improvement in functioning was calculated using a residualized gain score. Association between goal achievement and improvement in overall functioning was assessed with logistic regression. Results: A total of 397 patients reported achievement of at least 1 goal. Eighty-eight percent of the goals were translated into categories of the ICF. Logistic regression analyses revealed significant association between goal achievement and overall functioning. Conclusion: The ICF might be useful to identify and structure patient's goals in acute hospital care. The association between goal achievement and improved functioning underlines that it is essential to involve the patient in the process of planning rehabilitation interventions in acute hospitals.}, language = {en} } @article{PetersDoringLadwigetal.2011, author = {Peters, A. and Doring, A. and Ladwig, K.-H. and Meisinger, C. and Linkohr, B. and Autenrieth, C. and Baumeister, S.E. and Behr, J. and Bergner, A. and Bickel, H. and Bidlingmaier, M. and Dias, A. and Emeny, R.T. and Fischer, B. and Grill, E. and Gorzelniak, L. and Hansch, H. and Heidbreder, S. and Heier, M. and Horsch, A. and Huber, D. and R. M., Huber and Jorres, R.A. and Kaab, S. and Karrasch, S. and Kirchberger, I. and Klug, G. and Kranz, B. and Kuch, B. and Lacruz, M.E. and Lang, O. and Mielck, A. and Nowak, D. and Perz, S. and Schneider, A. and Schulz, H. and M{\"u}ller, Martin and Seidl, H. and Strobl, R. and Thorand, B. and Wende, R. and Weidenhammer, W. and Zimmermann, A.-K. and Wichmann, H.-E. and Holle, R.}, title = {Multimorbidity and successful aging: the population-based KORA-Age study}, series = {Health and quality of life outcomes}, journal = {Health and quality of life outcomes}, editor = {BioMed Central,}, year = {2011}, abstract = {Background Multimorbidity in the older population is well acknowledged to negatively affect health-related quality of life (HRQL). Several studies have examined the independent effects of single diseases; however, little research has focused on interaction between diseases. The purpose of this study was to assess the impact of six self-reported major conditions and their combinations on HRQL measured by the EQ-5D. Methods The EQ-5D was administered in the population-based KORA-Age study of 4,565 Germans aged 65 years or older. A generalised additive regression model was used to assess the effects of chronic conditions on HRQL and to account for the nonlinear associations with age and body mass index (BMI). Disease interactions were identified by a forward variable selection method. Results The conditions with the greatest negative impact on the EQ-5D index were the history of a stroke (regression coefficient -11.3, p < 0.0001) and chronic bronchitis (regression coefficient -8.1, p < 0.0001). Patients with both diabetes and coronary disorders showed more impaired HRQL than could be expected from their separate effects (coefficient of interaction term -8.1, p < 0.0001). A synergistic effect on HRQL was also found for the combination of coronary disorders and stroke. The effect of BMI on the mean EQ-5D index was inverse U-shaped with a maximum at around 24.8 kg/m2. Conclusions There are important interactions between coronary problems, diabetes mellitus, and the history of a stroke that negatively affect HRQL in the older German population. Not only high but also low BMI is associated with impairments in health status.}, language = {en} } @article{KirschBergmannKolleretal.2018, author = {Kirsch, R. and Bergmann, A. and Koller, D. and Leidl, R. and Mansmann, U. and M{\"u}ller, Martin and Sanftenberg, L. and Schelling, J. and Sundmacher, L. and Voigt, Karen and Grill, E.}, title = {Patient trajectories and their impact on mobility, social participation and quality of life in patients with vertigo/dizziness/balance disorders and osteoarthritis (MobilE-TRA): study protocol of an observational, practice-based cohort study}, series = {BMJ Open}, volume = {8}, journal = {BMJ Open}, number = {4}, pages = {e022970}, year = {2018}, abstract = {Introduction Mobility limitations have a multitude of different negative consequences on elderly patients including decreasing opportunities for social participation, increasing the risk for morbidity and mortality. However, current healthcare has several shortcomings regarding mobility sustainment of older adults, namely a narrow focus on the underlying pathology, fragmentation of care across services and health professions and deficiencies in personalising care based on patients' needs and experiences. A tailored healthcare strategy targeted at mobility of older adults is still missing. Objective The objective is to develop multiprofessional care pathways targeted at mobility sustainment and social participation in patients with vertigo/dizziness/balance disorders (VDB) and osteoarthritis (OA) . Methods Data regarding quality of life, mobility limitation, pain, stiffness and physical function is collected in a longitudinal observational study between 2017 and 2019. General practitioners (GPs) recruit their patients with VDB or OA. Patients who visited their GP in the last quarter will be identified in the practice software based on VDB and OA-related International Classification of Diseases 10th Revision. Study material will be sent from the practice to patients by mail. Six months and 12 months after baseline, all patients will receive a mail directly from the study team containing the follow-up questionnaire. GPs fill out questionnaires regarding patient diagnostics, therapy and referrals. Ethics and dissemination The study was approved by the ethical committee of the Ludwig-Maximilians-Universit{\"a}t M{\"u}nchen and of the Technische Universit{\"a}t Dresden. Results will be published in scientific, peer-reviewed journals and at national and international conferences. Results will be disseminated via newsletters, the project website and a regional conference for representatives of local and national authorities.}, language = {en} } @article{KlingshirnMittrachBraitmayeretal.2018, author = {Klingshirn, H. and Mittrach, R. and Braitmayer, K. and Strobl, R. and Bender, A. and Grill, E. and M{\"u}ller, Martin}, title = {RECAPDOC - a questionnaire for the documentation of rehabilitation care utilization in individuals with disorders of consciousness in long-term care in Germany: development and pretesting}, series = {BMC Health Services Research}, volume = {18}, journal = {BMC Health Services Research}, pages = {329}, year = {2018}, abstract = {Background A multitude of different rehabilitation interventions and other specific health care services are offered for individuals with disorders of consciousness in long-term care settings. To investigate the association of those services and patient-relevant outcomes, a specific instrument to document the utilization of those services is needed. The purpose of this study was to develop such a questionnaire administered to caregivers in epidemiological studies or patient registries in Germany. Methods The development process of the RECAPDOC questionnaire was carried out in three steps. Step 1 consisted of a systematic literature review and an online-based expert survey to define the general content. Step 2 was an expert interview to evaluate the preliminary content of the questionnaire. Step 3 was a pretest including cognitive interviews with caregivers. After each step, the results were combined into a new version of the questionnaire. Results The first version of the questionnaire included items on utilization of medical care, medical aids, nursing and therapeutic care. The results of the expert interview led to the integration of five new items and the modification of six other items. The pretest led to some minor modifications of the questionnaire since it was rated as feasible and acceptable. The final questionnaire consisted of 29 items covering the domains "living situation", "social insurance status", "utilisation of home health care", "domestic services", "outpatient health care", "specific diagnostic measures", "adaptive technologies", "medical aids" and "utilization of therapies". Also the experience of family support and multidisciplinary collaboration of health professionals is covered. Conclusions The developed questionnaire is a first step to make the situation of patients with disorders of consciousness in the long-term care setting accessible for evaluation in epidemiological studies and in the context of patient registries. However, further reliability and validity studies are needed.}, language = {en} } @article{KovacsStroblPhillipsetal.2018, author = {Kovacs, E. and Strobl, R. and Phillips, A. and Stephan, A.-J. and M{\"u}ller, Martin and Gensichen, J. and Grill, E.}, title = {Systematic Review and Meta-analysis of the Effectiveness of Implementation Strategies for Non-communicable Disease Guidelines in Primary Health Care}, series = {Journal of General Internal Medicine}, volume = {33}, journal = {Journal of General Internal Medicine}, pages = {1142 -- 1154}, year = {2018}, abstract = {Background As clinical practice guidelines represent the most important evidence-based decision support tool, several strategies have been applied to improve their implementation into the primary health care system. This study aimed to evaluate the effect of intervention methods on the guideline adherence of primary care providers (PCPs). Methods The studies selected through a systematic search in Medline and Embase were categorised according to intervention schemes and outcome indicator categories. Harvest plots and forest plots were applied to integrate results. Results The 36 studies covered six intervention schemes, with single interventions being the most effective and distribution of materials the least. The harvest plot displayed 27 groups having no effect, 14 a moderate and 21 a strong effect on the outcome indicators in the categories of knowledge transfer, diagnostic behaviour, prescription, counselling and patient-level results. The forest plot revealed a moderate overall effect size of 0.22 [0.15, 0.29] where single interventions were more effective (0.27 [0.17, 0.38]) than multifaceted interventions (0.13 [0.06, 0.19]). Discussion Guideline implementation strategies are heterogeneous. Reducing the complexity of strategies and tailoring to the local conditions and PCPs' needs may improve implementation and clinical practice.}, language = {en} } @article{KlingshirnMuellerBeutneretal.2020, author = {Klingshirn, Hanna and M{\"u}ller, Martin and Beutner, Katrin and Hirt, Julian and Strobl, Ralf and Grill, Eva and Meyer, Gabriele and Saal, Susanne}, title = {Implementation of a complex intervention to improve participation in older people with joint contractures living in nursing homes: a process evaluation of a cluster-randomised pilot trial}, series = {BMC Geriatrics}, volume = {20}, journal = {BMC Geriatrics}, pages = {270}, year = {2020}, abstract = {Background Joint contractures in frail older people are associated with serious restrictions in participation. We developed the Participation Enabling CAre in Nursing (PECAN) intervention, a complex intervention to enable nurses to promote participation in nursing home residents with joint contractures. The aim of this study was to examine the feasibility of the implementation strategy and to identify enablers and barriers for a successful implementation. Methods The implementation of PECAN was investigated in a 6-month pilot cluster-randomised controlled trial (c-RCT). As a key component of the implementation strategy, nominated nurses were trained as facilitators in a one-day workshop and supported by peer-mentoring (visit, telephone counselling). A mixed-methods approach was conducted in conjunction with the pilot trial and guided by a framework for process evaluations of c-RCTs. Data were collected using standardised questionnaires (nursing staff), documentation forms, problem-centred qualitative interviews (facilitators, therapists, social workers, relatives, peer-mentors), and a group discussion (facilitators). A set of predefined criteria on the nursing home level was examined. Quantitative data were analysed using descriptive statistics. Qualitative data were analysed using directed content analysis. Results Seven nursing homes (n = 4 intervention groups, n = 3 control groups) in two regions of Germany took part in the study. Facilitators responded well to the qualification measures (workshop participation: 14/14; workshop rating: "good"; peer-mentor visit participation: 10/14). The usage of peer-mentoring via telephone varied (one to seven contacts per nursing home). Our implementation strategy was not successful in connection with supplying the intervention to all the nurses. The clear commitment of the entire nursing home and the respect for the expertise of different healthcare professionals were emphasised as enablers, whereas a lack of impact on organisational conditions and routines and a lack of time and staff competence were mentioned as barriers. Conclusion The PECAN intervention was delivered as planned to the facilitators but was unable to produce comprehensive changes in the nursing homes and subsequently for the residents. Strategies to systematically include the management and the nursing team from the beginning are needed to support the facilitators during implementation in the main trial. Trial registration German clinical trials register, DRKS00010037. Registered 12 February 2016.}, language = {en} } @article{WeitereAltenburgerAnlangeretal.2021, author = {Weitere, Markus and Altenburger, Rolf and Anlanger, Christine and Baborowski, Martina and B{\"a}rlund, Ilona and Beckers, Liza-Marie and Borchardt, Dietrich and Brack, Werner and Brase, Lisa and Busch, Wibke and Chatzinotas, Antonis and Deutschmann, Bj{\"o}rn and Eligehausen, Jens and Frank, Karin and Graeber, Daniel and Griebler, Christian and Hagemann, Jeske and Herzsprung, Peter and Hollert, Henner and Inostroza, Pedro A. and J{\"a}ger, Christoph G. and Kallies, Ren{\´e} and Kamjunke, Norbert and Karrasch, Bernhard and Kaschuba, Sigrid and Kaus, Andrew and Klauer, Bernd and Kn{\"o}ller, Kay and Koschorreck, Matthias and Krauss, Martin and Kunz, Julia V. and Kurz, Marie J. and Liess, Matthias and Mages, Margarete and M{\"u}ller, Christin and Muschket, Matthias and Musolff, Andreas and Norf, Helge and P{\"o}hlein, Florian and Reiber, Lena and Risse-Buhl, Ute and Schramm, Karl-Werner and Schmitt-Jansen, Mechthild and Schmitz, Markus and Strachauer, Ulrike and von T{\"u}mpling, Wolf and Weber, Nina and Wild, Romy and Wolf, Christine and Brauns, Mario}, title = {Disentangling multiple chemical and non-chemical stressors in a lotic ecosystem using a longitudinal approach}, series = {Science of the Total Environment}, volume = {769}, journal = {Science of the Total Environment}, pages = {144324}, year = {2021}, abstract = {Meeting ecological and water quality standards in lotic ecosystems is often failed due to multiple stressors. However, disentangling stressor effects and identifying relevant stressor-effect-relationships in complex environmental settings remain major challenges. By combining state-of-the-art methods from ecotoxicology and aquatic ecosystem analysis, we aimed here to disentangle the effects of multiple chemical and non-chemical stressors along a longitudinal land use gradient in a third-order river in Germany. We distinguished and evaluated four dominant stressor categories along this gradient: (1) Hydromorphological alterations: Flow diversity and substrate diversity correlated with the EU-Water Framework Directive based indicators for the quality element macroinvertebrates, which deteriorated at the transition from near-natural reference sites to urban sites. (2) Elevated nutrient levels and eutrophication: Low to moderate nutrient concentrations together with complete canopy cover at the reference sites correlated with low densities of benthic algae (biofilms). We found no more systematic relation of algal density with nutrient concentrations at the downstream sites, suggesting that limiting concentrations are exceeded already at moderate nutrient concentrations and reduced shading by riparian vegetation. (3) Elevated organic matter levels: Wastewater treatment plants (WWTP) and stormwater drainage systems were the primary sources of bioavailable dissolved organic carbon. Consequently, planktonic bacterial production and especially extracellular enzyme activity increased downstream of those effluents showing local peaks. (4) Micropollutants and toxicity-related stress: WWTPs were the predominant source of toxic stress, resulting in a rapid increase of the toxicity for invertebrates and algae with only one order of magnitude below the acute toxic levels. This toxicity correlates negatively with the contribution of invertebrate species being sensitive towards pesticides (SPEARpesticides index), probably contributing to the loss of biodiversity recorded in response to WWTP effluents. Our longitudinal approach highlights the potential of coordinated community efforts in supplementing established monitoring methods to tackle the complex phenomenon of multiple stress.}, language = {en} } @article{KischBergmannKolleretal.2018, author = {Kisch, Rebecca and Bergmann, Antje and Koller, Daniela and Leidl, Reiner and Mansmann, Ulrich and M{\"u}ller, Martin and Sanftenberg, Linda and Schelling, Joerg and Sundmacher, Leonie and Voigt, Karen and Grill, Eva}, title = {Patient trajectories and their impact on mobility, social participation and quality of life in patients with vertigo/dizziness/balance disorders and osteoarthritis (MobilE-TRA): study protocol of an observational, practice-based cohort study}, series = {BMJ OPEN}, volume = {8}, journal = {BMJ OPEN}, number = {4}, year = {2018}, abstract = {Introduction Mobility limitations have a multitude of different negative consequences on elderly patients including decreasing opportunities for social participation, increasing the risk for morbidity and mortality. However, current healthcare has several shortcomings regarding mobility sustainment of older adults, namely a narrow focus on the underlying pathology, fragmentation of care across services and health professions and deficiencies in personalising care based on patients' needs and experiences. A tailored healthcare strategy targeted at mobility of older adults is still missing. Objective The objective is to develop multiprofessional care pathways targeted at mobility sustainment and social participation in patients with vertigo/dizziness/balance disorders (VDB) and osteoarthritis (OA) . Methods Data regarding quality of life, mobility limitation, pain, stiffness and physical function is collected in a longitudinal observational study between 2017 and 2019. General practitioners (GPs) recruit their patients with VDB or OA. Patients who visited their GP in the last quarter will be identified in the practice software based on VDB and OA-related International Classification of Diseases 10th Revision. Study material will be sent from the practice to patients by mail. Six months and 12 months after baseline, all patients will receive a mail directly from the study team containing the follow-up questionnaire. GPs fill out questionnaires regarding patient diagnostics, therapy and referrals. Ethics and dissemination The study was approved by the ethical committee of the Ludwig-Maximilians-Universit{\"a}t M{\"u}nchen and of the Technische Universit{\"a}t Dresden. Results will be published in scientific, peer-reviewed journals and at national and international conferences. Results will be disseminated via newsletters, the project website and a regional conference for representatives of local and national authorities.}, language = {en} } @article{ServatyKerstenBrukampetal.2020, author = {Servaty, Ricarda and Kersten, Annalena and Brukamp, Kirsten and M{\"o}hler, Ralph and M{\"u}ller, Martin}, title = {Implementation of robotic devices in nursing care. Barriers and facilitators: an integrative review}, series = {BMJ Open}, volume = {10}, journal = {BMJ Open}, number = {9}, pages = {e038650}, year = {2020}, abstract = {Background: Robots in healthcare are gaining increasing attention; however, their implementation is challenging due to the complexity of both interventions themselves and the contexts in which they are implemented. The objective of this integrative review is to identify barriers to and facilitators of the implementation of robotic systems in nursing. Methods: Articles published from 2002 to 2019 reporting on projects to implement robotic devices in nursing care were searched on Medline (via PubMed), CINAHL and databases on funded research projects (Community Research and Development Information Services and Technische Informationsbibliothek) and in journals for robotic research in November 2017 and July 2019 for an update. No restrictions regarding study designs were imposed. All included articles underwent quality assessments with design-specific critical appraisal tools. Barriers to and facilitators of implementation were classified using the Context and Implementation of Complex Interventions framework. Results: After removing all duplicates, the search revealed 11 204 studies, of which 17 met the inclusion criteria and were included in the synthesis. The majority of the studies dealt with the implementation of robots designed to support individuals, either living at home or in nursing homes (n=11). The studies were conducted in Europe, the USA and New Zealand and were carried out in nursing homes, individual living environments, hospital units and laboratories. The quality of reporting and quality of evidence were low in most studies. The most frequently reported barriers were in socioeconomic and ethical domains and were within the implementation outcomes domain. The most frequently reported facilitators were related to the sociocultural context, implementation process and implementation strategies. Discussion: This review identified barriers to and facilitators of the implementation of robotic devices in nursing within different dimensions. The results serve as a basis for the development of suitable implementation strategies to reduce potential barriers and promote the integration of elements to facilitate implementation. PROSPERO registration number: CRD42018073486.}, language = {en} } @article{SiliesSchleySilletal.2020, author = {Silies, Katharina and Schley, Angelika and Sill, Janna and Fleischer, Steffen and M{\"u}ller, Martin and Balzer, Katrin}, title = {Die COVID-19-Pandemie im akutstation{\"a}ren Setting aus Sicht von F{\"u}hrungspersonen und Hygienefachkr{\"a}ften in der Pflege}, series = {Pflege}, volume = {33}, journal = {Pflege}, number = {5}, pages = {289 -- 298}, year = {2020}, abstract = {Hintergrund: Die COVID-19-Pandemie ist eine Ausnahmesituation ohne Pr{\"a}zedenz und erforderte zahlreiche Ad-hoc-Anpassungen in den Strukturen und Prozessen der akutstation{\"a}ren Versorgung. Ziel: Ziel war es zu untersuchen, wie aus Sicht von F{\"u}hrungspersonen und Hygienefachkr{\"a}ften in der Pflege die station{\"a}re Akutversorgung durch die Pandemiesituation beeinflusst wurde und welche Implikationen sich daraus f{\"u}r die Zukunft ergeben. Methoden: Qualitative Studie bestehend aus semistrukturierten Interviews mit f{\"u}nf Verantwortlichen des leitenden Pflegemanagements und drei Hygienefachkr{\"a}ften in vier Krankenh{\"a}usern in Deutschland. Die Interviews wurden mittels qualitativer Inhaltsanalyse ausgewertet. Ergebnisse: Die Befragten beschrieben den auf die priorit{\"a}re Versorgung von COVID-19-F{\"a}llen hin umstrukturierten Klinikalltag. Herausforderungen waren Unsicherheit und Angst bei den Mitarbeiter_innen, relative Ressourcenknappheit von Material und Personal und die schnelle Umsetzung neuer Anforderungen an die Versorgungleistung. Dem wurde durch gezielte Kommunikation und Information, massive Anstrengungen zur Sicherung der Ressourcen und koordinierte Steuerung aller Prozesse durch bereichs{\"u}bergreifende, interprofessionelle Task Forces begegnet. Schlussfolgerungen: Die in der COVID-19-Pandemie vorgenommenen Anpassungen zeigen Entwicklungspotenziale f{\"u}r die zuk{\"u}nftige Routineversorgung auf, z. B. k{\"o}nnten neue Arbeits- und Skill Mix-Modelle aufgegriffen werden. F{\"u}r die Konkretisierung praktischer Implikationen sind vertiefende Analysen der Daten mit zeitlichem Abstand erforderlich.}, language = {de} } @misc{LinkHorstmannshoffMuelleretal.2020, author = {Link, Friederike and Horstmannshoff, Caren and M{\"u}ller, Martin and L{\"u}ftl, Katharina}, title = {Zwischenergebnisse aus dem Projekt HiPo Health - High Potentials for Healthcare Studies. Vortrag beim Workshop „Partnerschaften zur F{\"o}rderung von wissenschaftlichem Nachwuchs in der Pflege"". TH Rosenheim am 18.9.2020}, editor = {L{\"u}ftl, Katharina}, year = {2020}, language = {de} } @article{LinkHostmannshoffMuelleretal.2021, author = {Link, Friederike and Hostmannshoff, Caren and M{\"u}ller, Martin and L{\"u}ftl, Katharina}, title = {Wissenschaftliche Karriere bis zur HAW-Professur in pflegebezogenen Studieng{\"a}ngen - Ziel oder Kompromiss? Ergebnisse einer Befragung wissenschaftlicher Nachwuchskr{\"a}fte an unterschiedlichen Etappen des Karriereweges}, series = {Lehren \& Lernen im Gesundheitswesen}, volume = {2021}, journal = {Lehren \& Lernen im Gesundheitswesen}, number = {6}, pages = {73 -- 86}, year = {2021}, abstract = {Die Pflegewissenschaft in Deutschland steht vor der Herausforderung, wissenschaftliche Strukturen und Karrierewege auszubilden. Erschwert wird dies durch einen Mangel an wissenschaftlichem Nachwuchs, der das Potential hat, pflegewissenschaftliche Professuren mit wissenschaftlicher Exzellenz und praktischer Erfahrung zu f{\"u}llen. Ziel dieses Beitrags ist es, darzustellen, was ausl{\"o}sende Momente f{\"u}r wissenschaftliche Karrieren sind, die in Professuren pflegebezogener Studieng{\"a}nge m{\"u}nden, und welche Kontextbedingungen diese Karrieren beeinflussen. Es soll auch aufgezeigt werden, wie wissenschaftliche Nachwuchskr{\"a}fte vorgehen, um ihre Ziele zu erreichen und welche Konsequenzen sich daraus f{\"u}r sie und f{\"u}r die Pflegewissenschaft ergeben. Auf dieser Grundlage sollen Empfehlungen f{\"u}r die Nachwuchsf{\"o}rderung entwickelt werden, um mehr geeignete Personen f{\"u}r Professuren in pflegebezogenen Studieng{\"a}ngen zu gewinnen. Vorhandene Daten teilnarrativer Interviews mit ProfessorInnen (n=11) und Masterstudierenden (n=11) sowie Promovierenden (n=10) pflegebezogener Studieng{\"a}nge wurden im Rahmen einer retrospektiven Datenanalyse mit dem dreistufigen Codierverfahren der Grounded Theory Methodologie ausgewertet. Die Ergebnisse zeigen, dass in der Pflegepraxis gewonnene Erfahrungen ausl{\"o}sende Momente wissenschaftlicher Karrieren sind. Diese l{\"o}sen den Drang aus, die dort herrschende Situation zu ver{\"a}ndern, wobei sich vier Karrieretypen unterscheiden lassen: Typ A forscht, weil er erlebt hat, dass es f{\"u}r pflegerische Ph{\"a}nomene keine geeigneten Pflegeinterventionen gab. Typ B lehrt, um dazu beizutragen, dass Pflegende zuk{\"u}nftig besser ausgebildet werden. Typ C ist als Pflegeperson von {\"A}rztInnen nicht ausreichend anerkannt worden und absolviert eine wissenschaftliche Qualifikation, um mit ihnen auf Augenh{\"o}he zu gelangen. Typ D wollte in der Praxis bleiben, ist aber bei Weiterentwicklungsprozessen blockiert worden und nimmt als Kompromiss eine Professur an. Identifizierte Kontextfaktoren sind u.a. mangelnde Wertsch{\"a}tzung f{\"u}r wissenschaftliches Handeln in der Pflege und das Fehlen von Stellen f{\"u}r hochschulisch qualifizierte Pflegepersonen in der Praxis. Angesichts der bestehenden Bedingungen k{\"o}nnen hochschulisch qualifizierte Pflegende in der Praxis nicht Fuß fassen. Als Konsequenz f{\"u}r die Pflegewissenschaft als Disziplin zeigt sich, dass in der Pflegepraxis Vorbilder fehlen, die zuk{\"u}nftige Generationen Pflegender dazu anregen k{\"o}nnten, selbst eine wissenschaftliche Karriere in der Pflege einzuschlagen. Dadurch besteht die Gefahr einer Verk{\"u}mmerung der Pflegewissenschaft. Auf Grundlage der Ergebnisse wird die durchg{\"a}ngige Implementierung geeigneter Stellen f{\"u}r hochschulisch qualifizierte Pflegepersonen in der Pflegepraxis als Ausgangsbasis wissenschaftlicher Nachwuchsf{\"o}rderung betrachtet. Als Konzept werden Hochschul-Praxis-Partnerschaften skizziert, die beginnend auf Bachelorniveau bis zur Post-doc-Phase Strukturen zu einem systematischen praxisbezogenen wissenschaftlichen Kompetenzauf- und -ausbau f{\"u}r akademisch qualifizierte Pflegende etablieren.}, language = {de} } @inproceedings{HorstmannshoffSollfrankJahnetal.2022, author = {Horstmannshoff, Caren and Sollfrank, Tobias and Jahn, Eva Theresa and M{\"u}ller, Martin}, title = {Interaktion potentieller Nutzer:innengruppen mit einem kooperativen Assistenzroboter f{\"u}r das 3. und 4. Lebensalter (KoBo34) im Rahmen von Testszenarien im Laborkontext}, series = {23. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin}, booktitle = {23. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin}, year = {2022}, language = {de} } @misc{SkudlikHirtDoeringeretal.2022, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Challenges and care strategies during the transition to nursing home in Germany: A scoping review. European Nursing Kongress am 5. Oktober 2022, online}, year = {2022}, language = {de} } @misc{SkudlikHirtDoeringeretal.2023, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Herausforderungen und Versorgungsstrategien im Kontext von Pflegeheimeinz{\"u}gen in Deutschland: Ein Scoping Review. Poster f{\"u}r den EbM-Kongress vom 22.-24. M{\"a}rz 2023 in Potsdam}, year = {2023}, language = {de} } @article{SkudlikHirtDoeringeretal.2023, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Challenges and care strategies associated with the admission to nursing homes in Germany: a scoping review}, series = {BMC Nursing}, volume = {22}, journal = {BMC Nursing}, doi = {10.1186/s12912-022-01139-y}, year = {2023}, abstract = {Background The admission to a nursing home is a critical life-event for affected persons as well as their families. Admission related processes are lacking adequate participation of older people and their families. To improve transitions to nursing homes, context- and country-specific knowledge about the current practice is needed. Hence, our aim was to summarize available evidence on challenges and care strategies associated with the admission to nursing homes in Germany. Methods We conducted a scoping review and searched eight major international and German-specific electronic databases for journal articles and grey literature published in German or English language since 1995. Further inclusion criteria were focus on challenges or care strategies in the context of nursing home admissions of older persons and comprehensive and replicable information on methods and results. Posters, only-abstract publications and articles dealing with mixed populations including younger adults were excluded. Challenges and care strategies were identified and analysed by structured content analysis using the TRANSCIT model. Results Twelve studies of 1,384 records were finally included. Among those, seven were qualitative studies, three quantitative observational studies and two mixed methods studies. As major challenges neglected participation of older people, psychosocial burden among family caregivers, inadequate professional cooperation and a lack of shared decision-making and evidence-based practice were identified. Identified care strategies included strengthening shared decision-making and evidence-based practice, improvement in professional cooperation, introduction of specialized transitional care staff and enabling participation for older people. Conclusion Although the process of nursing home admission is considered challenging and tends to neglect the needs of older people, little research is available for the German health care system. The perspective of the older people seems to be underrepresented, as most of the studies focused on caregivers and health professionals. Reported care strategies addressed important challenges, however, these were not developed and evaluated in a comprehensive and systematic way. Future research is needed to examine perspectives of all the involved groups to gain a comprehensive picture of the needs and challenges. Interventions based on existing care strategies should be systematically developed and evaluated to provide the basis of adequate support for older persons and their informal caregivers.}, language = {en} } @misc{SkudlikLueftlZaglacheretal.2024, author = {Skudlik, Stefanie and L{\"u}ftl, Katharina and Zaglacher, Regina and Zaglacher, Melina and M{\"u}ller, Martin}, title = {Der {\"U}bergang von Zuhause ins Pflegeheim aus der Perspektive der Versorgungstriade. Interviewergebnisse als Grundlage f{\"u}r eine Interventionsentwicklung. Vortrag f{\"u}r den EbM-Kongress in Berlin am 14. M{\"a}rz 2024}, year = {2024}, language = {de} } @techreport{RaboldWohlmuthHorgeretal.2018, author = {Rabold, Andreas and Wohlmuth, Barbara and Horger, Thomas and Rank, Ernst and Kollmannsberger, Stefan and Frischmann, Felix and Paolini, Alexander and Schanda, Ulrich and Mecking, Simon and Kruse, Tobias and Ch{\^a}teauvieux-Hellwig, Camille and Schramm, Markus and M{\"u}ller, Gerhard and Buchschmid, Martin and Winter, Christoph}, title = {Vibroakustik im Planungsprozess f{\"u}r Holzbauten: Modellierung, numerische Simulation, Validierung: Dachbericht zum Forschungsvorhaben}, year = {2018}, language = {de} } @article{SchleyHirtHorstmannshoffetal.2021, author = {Schley, Angelika and Hirt, Julian and Horstmannshoff, Caren and Sch{\"u}ssler, Sandra and Lutze, Maxie and Jagoda, Franziska and H{\"a}ussl, Alfred and M{\"u}ller, Martin and Balzer, Katrin}, title = {Evaluation von digitalen Assistenzsystemen f{\"u}r die Pflege in {\"o}ffentlich gef{\"o}rderten Forschungsprojekten in Deutschland, {\"O}sterreich und der deutschsprachigen Schweiz (EvaDigiAssSys): ein Survey}, series = {Pflege \& Gesellschaft}, volume = {2021}, journal = {Pflege \& Gesellschaft}, number = {2}, publisher = {Juventa Verlag ein Imprint der Julius Beltz GmbH \& Co. KG}, issn = {1430-9653}, doi = {10.3262/PUG2102131}, pages = {131 -- 155}, year = {2021}, abstract = {F{\"u}r den sicheren Einsatz von Digitalen Assistenzsystemen f{\"u}r die Pflege (DiAP) ist eine Evaluation von Nutzen und Schaden er forderlich. Im deutschsprachigen Raum (DACH-Raum) sind mehrere F{\"o}rderprogramme zur Entwicklung und Evaluation von DiAP mit {\"o}ffentlichen Mitteln etabliert worden. Ziel dieser Studie ist es, eine {\"U}bersicht {\"u}ber Evaluationsmethoden zu gewinnen, die in diesen gef{\"o}rderten Projekten angewendet werden. Es wurde eine multizentrische Querschnittstudie mit schriftlicher und telefonischer Befragung evaluationsverantwortlicher Wissenschaftler_innen durchgef{\"u}hrt. Die Identifikation relevanter Projekte erfolgte {\"u}ber die Suche in zehn F{\"o}rderdatenbanken. Die Daten wurden mittels deskriptiver Statistik sowie deskriptiver strukturierender Inhaltsanalyse mit deduktiv-induktiver Kategorienbildung analysiert. Von 124 identifizierten Projekten nahmen 47 an der Studie teil. Alle Projekte sind multidisziplin{\"a}r, am h{\"a}ufigsten vertreten sind Pflege(-wissenschaft) und MINT-Disziplinen. Akzeptanz und Machbarkeit sind vorrangige Evaluationsziele, als methodologisches Rahmenmodell wurde am h{\"a}ufigsten User-centered design genannt. Die berichteten Evaluationsziele und -methoden haben begrenztes Potenzial, valide Daten zu Nutzen, Schaden und Kosten zu erbringen. Die Entwicklung transdisziplin{\"a}r g{\"u}ltiger methodologischer Empfehlungen f{\"u}r die Entwicklung und Evaluation von DiAP ist notwendig.}, language = {de} }