@article{NguyenThalhammerBeutneretal.2019, author = {Nguyen, Natalie and Thalhammer, Regina and Beutner, Katrin and Saal, Susanne and Servaty, Ricarda and Klingshirn, Hanna and Icks, Andrea and Freyberg, Kristina and Vomhof, Markus and Mansmann, Ulrich and Le, Lien and M{\"u}ller, Martin and Meyer, Gabriele}, title = {Effectiveness of a complex intervention to improve participation and activities in nursing home residents with joint contractures (JointConEval): study protocol of a multicentre cluster-randomised controlled trial [DRKS-ID:DRKS00015185]}, series = {Trials}, volume = {20}, journal = {Trials}, pages = {305}, year = {2019}, abstract = {Background: Nursing home residents are frequently affected by joint contractures, which impacts their participation and daily activities. A complex intervention, the Participation Enabling Care in Nursing (PECAN), was previously developed and pilot tested to address their needs. Its effectiveness and safety will be evaluated in the present study. Methods/design: This multicentre cluster-randomised controlled trial will be conducted in 32 nursing homes spread over two regions of Germany. A total of 578 residents over 65 years old with joint contractures will be included. To compare the effect of the PECAN intervention with optimised standard care (usual care and an information session), randomisation will take place at a cluster level. The individually tailored intervention was designed using the biopsychosocial model in the International Classification of Functioning, Disability and Health (ICF) to reduce activity limitations and participation restrictions resulting from existing joint contractures by addressing barriers and by strengthening supportive factors on an individual level and an organisational level. The implementation strategy comprises a facilitators' workshop, a peer mentoring approach including a peer mentor visit and telephone peer counselling, an in-house information event, an information session for the nursing team and a training session on collegial consultation for the facilitators. The in-house information event will also take place in the nursing homes of the control group. The primary outcome is the residents' participation and activities after 12 months of follow-up as assessed using the PaArticular Scales. The secondary outcome is the residents' quality of life. A cost-effectiveness analysis (costs per additional resident who experienced a decrease of ten points in the participation or activities subscale of the PaArticular Scales) and a cost-utility analysis (costs per additional quality adjusted life year) will be conducted. We will investigate barriers and facilitators in a comprehensive process evaluation. Discussion: We expect a clinically relevant improvement of participation and activities in residents with joint contractures. Our findings will provide important insights regarding participation in the situation of the affected individuals.}, language = {en} } @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{ThalhammerLueftl2024, author = {Thalhammer, Regina and L{\"u}ftl, Katharina}, title = {„Da wird bis zur letzten Sekunde gewartet". Das Erleben von {\"U}bergangsprozessen im Kontext von Pflegebed{\"u}rftigkeit aus der Perspektive der Gesundheitsberufe. Eine Grounded Theory Studie. Poster f{\"u}r den EbM Kongress in Berlin am 13.M{\"a}rz 2024}, year = {2024}, language = {de} } @article{SkudlikLueftlThalhammeretal.2025, author = {Skudlik, Steffi and L{\"u}ftl, Katharina and Thalhammer, Regina and Zaglacher, Melina and M{\"u}ller, Martin}, title = {Experiences of members of the care triad on transitioning from home to a nursing home: a qualitative study}, series = {BMC Geriatrics}, volume = {25}, journal = {BMC Geriatrics}, number = {1}, publisher = {Springer Nature}, doi = {10.1186/s12877-025-06586-1}, year = {2025}, language = {en} } @misc{SkudlikZaglacherLueftletal.2025, author = {Skudlik, Steffi and Zaglacher, Melina and L{\"u}ftl, Katharina and Thalhammer, Regina and M{\"u}ller, Martin}, title = {Supporting older adults in need of care and informal caregivers during transitions from home to nursing homes: a counselling intervention.}, year = {2025}, language = {de} } @misc{ThalhammerZaglacherSolfLeipoldetal., author = {Thalhammer, Regina and Zaglacher, Melina and Solf-Leipold, Barbara and L{\"u}ftl, Katharina}, title = {Development, piloting, and feasibility of a complex intervention to prevent insufficient home care of community-dwelling older adults (Prev-It)}, language = {en} }