TY - GEN A1 - Skudlik, Stefanie A1 - Hirt, Julian A1 - Döringer, Tobias A1 - Thalhammer, Regina A1 - Lüftl, Katharina A1 - Prodinger, Birgit A1 - Müller, Martin T1 - Herausforderungen und Versorgungsstrategien im Kontext von Pflegeheimeinzügen in Deutschland: Ein Scoping Review. Poster für den EbM-Kongress vom 22.-24. März 2023 in Potsdam KW - Pflegeheimeinzug Y1 - 2023 ER - TY - GEN A1 - Skudlik, Stefanie A1 - Hirt, Julian A1 - Döringer, Tobias A1 - Thalhammer, Regina A1 - Lüftl, Katharina A1 - Prodinger, Birgit A1 - Müller, Martin T1 - Challenges and care strategies during the transition to nursing home in Germany: A scoping review. European Nursing Kongress am 5. Oktober 2022, online KW - transition to nursing home Y1 - 2022 ER - TY - JOUR A1 - Skudlik, Stefanie A1 - Hirt, Julian A1 - Döringer, Tobias A1 - Thalhammer, Regina A1 - Lüftl, Katharina A1 - Prodinger, Birgit A1 - Müller, Martin T1 - Challenges and care strategies associated with the admission to nursing homes in Germany: a scoping review JF - BMC Nursing N2 - 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. KW - transition to nursing home Y1 - 2023 U6 - https://doi.org/10.1186/s12912-022-01139-y VL - 22 ER - TY - JOUR A1 - Horstmannshoff, Caren A1 - Skudlik, Stefanie A1 - Petermann, Jenny A1 - Kiesel, Theresia A1 - Döringer, Tobias A1 - Crispin, Alexander A1 - Hermsdörfer, Joachim A1 - Köberlein‑Neu, Juliane A1 - Jahn, Klaus A1 - Schädler, Stefan A1 - Bauer, Petra A1 - Voigt, Karen A1 - Müller, Martin T1 - Effectiveness of an evidence-based care pathway to improve mobility and participation in older patients with vertigo and balance disorders in primary care (MobilE-PHY2): study protocol for a multicentre cluster-randomised controlled trial JF - BMC Trials N2 - Background Vertigo, dizziness or balance disorders (VDB) are common leading symptoms in older people, which can have a negative impact on their mobility and participation in daily live, yet, diagnosis is challenging and specific treatment is often insufficient. An evidence-based, multidisciplinary care pathway (CPW) in primary care was developed and pilot tested in a previous study. The aim of the present study is to evaluate the effectiveness and safety of the CPW in terms of improving mobility and participation in community-dwelling older people with VDB in primary care. Methods For this multicentre cluster randomised controlled clinic trial, general practitioners (GP) will be recruited in two regions of Germany. A total of 120 patients over 60 years old with VDB will be included. The intervention is an algorithmized CPW. GPs receive a checklist for standardise clinical decision making regarding diagnostic screening and treatment of VDB. Physiotherapists (PT) receive a decision tree for evidence-based physiotherapeutic clinical reasoning and treatment of VDB. Implementation strategies comprises educational trainings as well as a workshop to give a platform for exchange for the GPs and PTs, an information meeting and a pocket card for home care nurses and informal caregivers and telephone peer counselling to give all participants the capability, opportunity and the motivation to apply the intervention. In order to ensure an optimised usual care in the control group, GPs get an information meeting addressing the national guideline. The primary outcome is the impact of VDB on participation and mobility of patients after 6 month follow-up, assessed using the Dizziness Handicap Inventory (DHI) questionnaire. Secondary outcomes are physical activity, static and dynamic balance, falls and fear of falling as well as quality of life. We will also evaluate safety and health economic aspects of the intervention. Behavioural changes of the participants as well as barriers, facilitating factors and mechanisms of impact of the implementation will be investigated with a comprehensive process evaluation in a mixed-methods design. Discussion With our results, we aim to improve evidence-based health care of community-dwelling older people with VDB in primary care. KW - Dizziness KW - Vertigo KW - Balance disorder KW - Complex intervention KW - Primary care KW - Care pathway KW - Multicentre cluster randomised controlled trial KW - Mobility KW - Physiotherapy Y1 - 2023 UR - https://doi.org/10.1186/s13063-022-07017-x VL - 24 SP - 91 ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Borchers, Peggy A1 - Lechner, Theresia A1 - Petermann, Jenny A1 - Skudlik, Stefanie A1 - Döringer, Tobias A1 - Crispin, Alexander A1 - Hermsdörfer, Joachim A1 - Köberlein-Neu, Juliane A1 - Bauer, Petra A1 - Voigt, Karen A1 - Müller, Martin T1 - Wirksamkeit und Sicherheit eines evidenzbasierten Versorgungspfades zur Verbesserung von Mobilität und Teilhabe für ältere Patient*innen mit Schwindel- und/oder Gleichgewichtsstörungen in der Primärversorgung T2 - 21. Deutscher Kongress für Versorgungsforschung (DKVF) KW - Gleichgewichtsstörung KW - Versorgungspfad KW - Komplexe Intervention KW - Schwindel KW - Mobilität KW - Multizentrische randomisierte kontrollierte Studie KW - Physiotherapie KW - Primärversorgung Y1 - 2022 UR - https://dx.doi.org/10.3205/22dkvf413 ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Skudlik, Stefanie A1 - Petermann, Jenny A1 - Lechner, Theresia A1 - Bauer, Petra A1 - Voigt, Karen A1 - Müller, Martin T1 - Wirksamkeit und Sicherheit eines evidenzbasierten Versorgungspfades zur Verbesserung von Mobilität und Partizipation für ältere Patient*innen mit Schwindel und Gleichgewichtsstörungen in der Primärversorgung T2 - 23. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin KW - Gleichgewichtsstörung KW - Versorgungspfad KW - Komplexe Intervention KW - Schwindel KW - Mobilität KW - Multizentrische randomisierte kontrollierte Studie KW - Physiotherapie KW - Primärversorgung Y1 - 2022 UR - https://dx.doi.org/10.3205/22ebm070 ER - TY - GEN A1 - Skudlik, Stefanie A1 - Lüftl, Katharina A1 - Zaglacher, Regina A1 - Zaglacher, Melina A1 - Müller, Martin T1 - Der Übergang von Zuhause ins Pflegeheim aus der Perspektive der Versorgungstriade. Interviewergebnisse als Grundlage für eine Interventionsentwicklung. Vortrag für den EbM-Kongress in Berlin am 14. März 2024 KW - Übergänge KW - Pflegebedürftigkeit Y1 - 2024 ER -