TY - JOUR A1 - Mukaino, M. A1 - Prodinger, Birgit A1 - Okouchi, Y. A1 - Mizutani, K. A1 - Senju, Y. A1 - Suzuki, M. A1 - Saitoh, E. T1 - Development and assessment of a home environment checklist to evaluate mismatch between patients' ability and home environment JF - Annals of Physical and Rehabilitation Medicine N2 - Background Modification of the home environment, together with rehabilitative interventions, is important for maximizing the level of functioning after an individual with disability undergoes rehabilitation in the hospital. Objectives We developed a simple screening scale – the home environment checklist (HEC) – to identify any mismatch between an individual's abilities and their home environment to help clinicians monitor the appropriateness of the home environment to which individuals with disability will be discharged. We also examined the psychometric properties of the HEC. Methods The HEC was developed by a multidisciplinary panel of rehabilitation experts using information routinely collected in rehabilitation clinics before discharge. The reliability of the checklist was assessed in 60 individuals undergoing rehabilitation. The inter-rater agreement and internal consistency of the scale were assessed by weighted kappa statistics and Cronbach's alpha, respectively. Rasch analysis was performed with 244 rehabilitation individuals to evaluate the internal construct validity, and the known-groups validity was confirmed by a comparison of the daily activity levels of 30 individuals with disabilities under rehabilitation to the HEC score. Results The HEC was developed as a simple, 10-item checklist. The weighted kappa statistics ranged from 0.73 to 0.93, indicating excellent inter-rater reliability. Cronbach's alpha was 0.92, indicating high internal consistency. Rasch analysis with a testlet approach on 3 subscales demonstrated a good fit with the Rasch model (χ2 = 13.2, P = 0.153), and the demonstrated unidimensionality and absence of differential item functioning supported the internal construct validity of the HEC. HEC scores were significantly different (P < .01) among individuals with disability and 3 levels of restrictions in their activities (no limitation, home-bound, and bed-bound), which demonstrates the known-groups validity of the HEC. Conclusions The HEC has good reliability and validity, which supports its utility in rehabilitation clinics. KW - ICF KW - Environmental factors KW - Activities of daily living Y1 - 2020 UR - https://doi.org/10.1016/j.rehab.2019.09.004 VL - 63 IS - 4 SP - 288 EP - 295 ER - TY - JOUR A1 - Maritz, R. A1 - Pongpipatpaiboon, K. A1 - Melvin, J.L. A1 - Graves, D.E. A1 - Prodinger, Birgit T1 - Content comparison of the Spinal Cord Injury Model System Database to the ICF Generic Sets and Core Sets for spinal cord injury JF - Spinal Cord N2 - Study design Mapping of the National Spinal Cord Injury Model System (SCIMS) Database (NSCID) to the International Classification of Functioning, Disability and Health (ICF). Objectives To link the content of the latest two versions of the NSCID to the ICF; more specifically (1) to compare the content of the current NSCID 2016–2021 version to its predecessor (NSCID 2011–2016) using the ICF as a neutral reference framework, and (2) to compare the content contained in the NSCID 2016–2021 version with relevant ICF Sets. Setting The forms of the NSCID 2016–2021 and 2011–2016 versions were linked to the ICF and contrasted. Comparability of the current version of the NSCID with the ICF Core Set for Spinal Cord Injury (SCI) in the post-acute and long-term context and the two generic ICF sets— ICF Generic-7 and ICF Generic-30 was then examined. Methods ICF Linking Rules and descriptive statistics. Results The current NSCID 2016–2021 version covers functioning as classified in the ICF with 8 ICF categories more comprehensively than its predecessor does. More than 50% of ICF categories contained in the two ICF Generic Sets were covered. The coverage of the brief ICF Core Sets for SCI by the NSCID 2016–2021 was more than 50%, but the coverage of the comprehensive core sets was low. Results showed the best coverage in the ICF component Activities and Participation. Conclusions This study emphasizes how the ICF and its Sets can serve as a reference framework to foster comparability of existing data sets from both clinical practice and research. KW - Rehabilitation KW - Spinal cord injury Y1 - 2019 UR - https://doi.org/10.1038/s41393-019-0326-9 VL - 57 IS - 12 SP - 1023 EP - 1030 ER - TY - JOUR A1 - Maritz, R. A1 - Tennant, A. A1 - Fellinghauer, C. A1 - Stucki, G. A1 - Prodinger, Birgit T1 - The Extended Barthel Index (EBI) can Be Reported as a Unidimensional Interval-Scaled Metric – A Psychometric Study JF - Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin N2 - Background: The Extended Barthel Index (EBI), consisting of the original Barthel Index plus 6 cognitive items, provides a tool to monitor patients’ outcomes in rehabilitation. Whether the EBI provides a unidimensional metric, thus can be reported as a valid sum-score, remains to be examined. Objective: To examine whether the EBI can be reported as unidimensional interval-scaled metric for neurological and musculoskeletal rehabilitation. Methods: Rasch analysis of a calibration sample of 800 cases from neurological or musculoskeletal rehabilitation in 2016 in Switzerland. Results: In the baseline analysis no fit to the Rasch Model was achieved. When accommodating local dependencies with a testlet approach satisfactory fit to the Rasch Model was achieved, and an interval scale transformation table was created. Conclusion: The results support the reporting of adapted EBI total scores for both rehabilitation groups by applying the interval scaled transformation table presented in this study. N2 - Hintergrund: Der Erweiterte Barthel Index (EBI), der den Barthel Index um 6 kognitive Items ergänzt, ist ein Assessmentinstrument für die Rehabilitation. Ob der EBI eine eindimensionale Metrik liefert und somit als valider Gesamtscore berichtet werden kann, ist unklar. Ziel: Untersuchung ob der EBI für die neurologische und muskuloskelettale Rehabilitation als eindimensionale intervallskalierte Metrik berichtet werden kann. Methode: Rasch-Analyse einer Stichprobe von 800 neurologischen und muskuloskelettalen Rehapatienten aus der Schweiz. Ergebnisse: In der Basisanalyse wurde keine Übereinstimmung mit den Annahmen des Rasch-Modells erreicht. Nachdem lokale Item-Abhängigkeiten mit 2 Testlets angepasst wurden, wurde die Übereinstimmung erreicht und eine intervallskalierte Transformationstabelle erstellt. Konklusion: Die Ergebnisse unterstützen die Verwendung eines angepassten EBI Gesamtscores für beide Rehabilitationsgruppen unter Anwendung der intervallskalierten Transformationstabelle. KW - activities of daily living KW - assessment instruments KW - outcome assessment KW - rehabilitation KW - Rasch model KW - quality management Y1 - 2019 UR - https://doi.org/10.1055/a-0820-4642 VL - 29 IS - 04 SP - 224 EP - 232 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Hammond, A. A1 - Tennant, A. A1 - Prior, Y. A1 - Tyson, S. T1 - Revisiting the disabilities of the arm, shoulder and hand (DASH) and QuickDASH in rheumatoid arthritis JF - BMC Musculoskeletal Disorder N2 - Background Limitations in upper limb functioning are common in Musculoskeletal disorders and the Disabilities of the Arm, Shoulder and Hand scale (DASH) has gained widespread use in this context. However, various concerns have been raised about its construct validity and so this study seeks to examine this and other psychometric aspects of both the DASH and QuickDASH from a modern test theory perspective. Methods Participants in the study were eligible if they had a confirmed diagnosis of Rheumatoid Arthritis (RA). They were mailed a questionnaire booklet which included the DASH. Construct validity was examined by fit to the Rasch measurement model. The degree of precision of both the DASH and QuickDASH were considered through their Standard Error of Measurement (SEM). Results Three hundred and thirty-seven subjects with confirmed RA took part, with a mean age of 62.0 years (SD12.1); 73.6% (n = 252) were female. The median standardized score on the DASH was 33 (IQR 17.5–55.0). Significant misfit of the DASH and QuickDASH was observed but, after accommodating local dependency among items in a two-testlet solution, satisfactory fit was obtained, supporting the unidimensionality of the total sets and the sufficiency of the raw (ordinal or standardized) scores. Conclusion Having accommodated local response dependency in the DASH and QuickDASH item sets, their total scores are shown to be valid, given they satisfy the Rasch model assumptions. The Rasch transformation should be used whenever all items are used to calculate a change score, or to apply parametric statistics within an RA population. Significance and innovations Most previous modern psychometric analyses of both the DASH and QuickDASH have failed to fully address the effect of a breach of the local independence assumption upon construct validity. Accommodating this problem by creating ‘super items’ or testlets, removes this effect and shows that both versions of the scale are valid and unidimensional, as applied with a bi-factor equivalent solution to an RA population. The Standard Error of Measurement of a scale can be biased by failing to take into account the local dependency in the data which inflates reliability and thus making the SEM appear better (i.e. smaller) than the true value without bias. KW - disabilities of the arm, shoulder and hand Y1 - 2019 UR - https://doi.org/10.1186/s12891-019-2414-6 VL - 20 IS - 1 SP - 41 ER - TY - JOUR A1 - Maritz, R. A1 - Tennant, A. A1 - Fellinghauer, C. A1 - Stucki, G. A1 - Prodinger, Birgit T1 - The Functional Independence Measure 18-item version can be reported as a unidimensional interval-scaled metric: Internal construct validity revisited JF - Journal of Rehabilitation Medicine N2 - Abstract Objective: Since the 1990s the Functional Independence Measure (FIM™) was believed to measure 2 different constructs, represented by its motor and cognitive subscales. The practice of reporting FIM™ total scores, together with recent developments in the understanding of the influence of locally dependent items on fit to the Rasch model, raises the question of whether the FIM™ 18-item version can be reported as a unidimensional interval-scaled metric. Design: Rasch analysis of the FIM™ using testlet approaches to accommodate local response dependency. Patients: A calibration sample containing 946 cases of data from 11,103 patients undergoing neurological or musculoskeletal rehabilitation in Switzerland in 2016. Results: Baseline analysis and the traditional testlet approach showed no fit with the Rasch model. When items were grouped into 2 testlets, fit to the Rasch model was achieved, indicating unidimensionality across all 18 items. A transformation table to convert FIM™ raw ordinal scores to the corresponding Rasch interval scaled values was created. Conclusion: This study provides evidence that FIM™ total scores represent a unidimensional set of items, supporting their use in clinical practice and outcome reporting when applying the respective transformation table. This provides a basis for standardized reporting of functioning. Lay Abstract The aim of this study was to look in detail at the FIM™, an assessment tool often used for patients undergoing rehabilitation. Some users report the FIM™ as 2 scores: one related to motor tasks, the other to cognitive tasks; others recommend reporting it as a single score including both motor and cognitive tasks. This study explored whether it is statistically meaningful to sum all the points into a single FIM™ total score. The results support the current practice of summing the points into a single total score for patients undergoing musculo-skeletal and neurological rehabilitation. The results also allowed an interval scale to be derived from the FIM™, enabling a broad range of calculations to be made using the FIM™ score, such as calculating the change in FIM™ outcomes from the time a patient is admitted to a rehabilitation clinic until their discharge. KW - Functional Independence Measure Y1 - 2019 UR - https://doi.org/10.2340/16501977-2525 VL - 51 IS - 3 SP - 193 EP - 200 ER - TY - JOUR A1 - Dorjbal, D. A1 - Prodinger, Birgit A1 - Zanini, C. A1 - Avirmed, B. A1 - Stucki, G. A1 - Rubinelli, S. T1 - Living with spinal cord injury in Mongolia: A qualitative study on perceived environmental barriers JF - Journal of Spinal Cord Medicine N2 - Context: Environmental factors play a key role in the lives of individuals with a spinal cord injury (SCI). This study identifies environmental barriers and their impacts on daily lives as perceived by individuals living with SCI in Mongolia. Design: A qualitative study with semi-structured interviews was conducted. A topic guide for the interviews was structured around the components of the International Classification of Functioning, Disability, and Health. Setting: Urban and rural areas of Mongolia. Participants: A purposive sample of 16 persons with traumatic SCI. Interventions: Not applicable. Outcome Measures: Not applicable. Results: Seven categories of environmental barriers were mentioned, such as poor access to the physical environment, absence of wheelchair-friendly transportation, negative societal attitudes, inadequate health and rehabilitation services, lack of access to assistive devices and medicines, limited financial resources for healthcare, and inaccurate categorization of disabilities in laws. These barriers were claimed to have an impact on physical and psychological health, limit activities, and restrict participation in almost all areas of life. Conclusion: This study contributes to the identification of targets for interventions aimed at improving the lived experience of persons with SCI in a low-resource context. The findings reveal that while the Mongolian government already has laws and policies in place to improve access to the physical environment, transportation, assistive devices and employment, much more has to be done in terms of enforcement. Specialized SCI care and rehabilitation services are highly demanded in Mongolia. KW - Lived experience KW - Developing country KW - International Classification of Functioning, Disability, and Health KW - Semi-structured interviews KW - Person-centeredness KW - Rehabilitation services Y1 - 2020 UR - https://doi.org/10.1080/10790268.2019.1565707 VL - 43 IS - 4 SP - 518 EP - 531 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Stucki, G. A1 - Coenen, M. A1 - Tennant, A. T1 - The measurement of functioning using the International Classification of Functioning, Disability and Health: comparing qualifier ratings with existing health status instruments JF - Disability and Rehabilitation N2 - Background: The International Classification of Functioning, Disability and Health is the international standard for describing and monitoring functioning. While the categories, the units of the classification, were not designed with measurement in mind, the hierarchical structure of the classification lends itself to the possibility of summating categories into some higher order domain. Focusing on the chapters of d4 Mobility, d5 Self-Care and d6 Domestic Life, this study seeks to ascertain if qualifiers rating of categories (0-No problem to 4-Complete problem) within those chapters can be summated, and whether such derived measurement is consistent with estimates obtained from well-known instruments which purport to measure the same constructs. Methods: The current study applies secondary analysis to data previously collected in the context of validating Core Sets for stroke, rheumatoid arthritis, and osteoarthritis. Data included qualifier-based ratings of the categories in the Core Sets, and the physical functioning sub-scale of the Short-Form 36, and the World Health Organization Disability Assessment Schedule 2.0. To examine qualifier-comparator scale item agreement Kappa statistics were used. To identify whether appropriate gradients of the comparator scales were observed across qualifier levels, an Independent Sample Median Test of the ordinal scores was deployed. To investigate the internal validity of the summated ICF categories, the Rasch model was applied. Results: Data from 2,927 subjects from Europe, Australasia, Middle East and South America were available for analysis; 36.3% had experienced a stroke, 35.8% osteoarthritis, and 27.9% had rheumatoid arthritis. The items from the Short-Form 36 could not match directly the qualifier categories as the former had only 3 response options. The Kappa between World Health Organization Disability Assessment Schedule 2.0 items and categories was low. For all qualifiers, a significant (<0.001) overall gradient was observed across the comparator scales. Only in few of the World Health Organization Disability Assessment Schedule 2.0 items could no discrete level be detected. The aggregation of the qualifiers at the Chapter and higher order levels mostly revealed fit to the Rasch model. Almost all ICF qualifiers showed ordered thresholds suggesting that the current structure and response options of the qualifiers worked as intended. Conclusions: The findings of this study provide supporting evidence for the use of the professionally rated categories and associated qualifiers to measure functioning. Implication for Rehabilitation - This study provides evidence that functioning data can be collected directly with the International Classification of Functioning, Disability and Health (ICF) by using the ICF categories as items and the ICF qualifiers as rating scale. - The findings of this study show the aggregated ratings of ICF categories from the chapters d4 Mobility, d5 Self-care, and d6 Domestic life capture a broader spectrum of the construct than the corresponding summated items from the SF36-Physical Function sub-scale and the corresponding items of the World Health Organization Disability Assessment Schedule 2.0. - This study illustrates the potential of building quantitative measurement by aggregating ICF categories and their qualifier ratings into meaningful domains. KW - ICF KW - health status KW - Rasch model KW - outcome measure KW - WHODAS 2.0 KW - SF-36 Y1 - 2019 UR - https://doi.org/10.1080/09638288.2017.1381186 VL - 41 IS - 5 SP - 541 EP - 548 ER - TY - JOUR A1 - Ehrmann, C. A1 - Prodinger, Birgit A1 - Stucki, G. A1 - Cai, W. A1 - Zhang, X. A1 - Liu, S. A1 - Liu, S. A1 - Li, J. A1 - Reinhardt, J. D. T1 - ICF Generic Set as new standard for the system wide assessment of functioning in China: a multicentre prospective study on metric properties and responsiveness applying item response theory JF - BMJ Open N2 - Objectives: To examine metric properties and responsiveness of the International Classification of Functioning, Disability and Health (ICF) Generic Set when used in routine clinical practice to assess functioning. Design: Prospective multicentre study. Setting: 50 hospitals from 20 provinces of Mainland China. Participants: 4510 adult inpatients admitted to the departments of Pulmonology, Cardiology, Neurology, Orthopaedics, Cerebral Surgery or Rehabilitation Medicine. Main outcome measures: The ICF Generic Set (ICF Generic 6 Set) applied with an 11-point numeric rating scale (0-no problem to 10-complete problem) was fit to the Partial Credit Model (PCM) to create an interval score of functioning. Results: PCM assumptions were found to be fulfilled after accounting for Differential Item Functioning. With an average improvement by 7.86 points of the metric ICF Generic 6 score (95% CI 7.53 to 8.19), the ICF Generic 6 Set proved sensitive to change (Cohen’s f2=0.41). Ceiling and floor effects on detecting change in functioning were cancelled or reduced by using the metric score. Conclusion: The ICF Generic 6 Set can be used for the assessment of functioning in routine clinical practice and an interval score can be derived which is sensitive to change. KW - International Classification of Functioning, Disability and Health (ICF) Y1 - 2018 UR - https://doi.org/10.1136/bmjopen-2018-021696 VL - 8 IS - 12 SP - e021696 ER - TY - JOUR A1 - Liu, S. A1 - Reinhardt, J. D. A1 - Zhang, X. A1 - Ehrmann, C. A1 - Cai, W. A1 - Prodinger, Birgit A1 - Liu, S. A1 - Li, J. T1 - System-wide Clinical Assessment of Functioning Based on the International Classification of Functioning, Disability and Health in China: Interrater Reliability, Convergent, Known Group, and Predictive Validity of the ICF Generic-6 JF - Archives of Physical Medicine and Rehabilitation N2 - Objective To validate the International Classification of Functioning, Disability and Health (ICF) Generic-6 in daily routine clinical practice in Mainland China. Specific objectives were to analyze (1) interrater reliability, (2) convergent validity, (3) known group validity, and (4) predictive validity of the ICF Generic-6. Design Multicenter prospective cohort study. Setting Fifty hospitals from 20 provinces of Mainland China. Participants A total of 4510 patients from departments of rehabilitation, orthopedics, neurology, cardiology, pneumology, and cerebral surgery of the participating hospitals with different health conditions were included in this study. Intervention Not applicable. Main Outcome Measures The assessment was undertaken by nurses with ICF Generic-6 in combination with a numeric rating scale. Interrater reliability was evaluated with intraclass correlation coefficients (ICC). Convergent validity was evaluated with Spearman correlation coefficients between ICF Generic-6 and Medical Outcomes Short Form (SF)-12 items. Known group validity was examined by comparing discharge scores between different discharge destinations. Predictive validity was determined by using ICF Generic-6 baseline scores for estimating length of hospital stay with a loglogistic survival model with gamma shared frailty and cost of in-hospital treatment with a mixed effects generalized linear regression model of the gamma family. Results The interrater reliability of items and score of ICF Generic-6 was good with ICCs ranging from 0.67-0.87. ICF Generic-6 items were further correlated with respective SF-12 items. Discharge scores of patients differed significantly by discharge destination. The ICF Generic-6 admission score was a significant predictor of length of stay and treatment cost. Conclusions The ICF Generic-6 administered in combination with a 0-10 numeric rating scale is a reliable and valid tool for the collection of minimal information on functioning across various clinical settings. KW - International Classification of Functioning KW - Disability and Health KW - Rehabilitation KW - Reproducibility of results Y1 - 2019 UR - https://doi.org/10.1016/j.apmr.2018.11.014 VL - 100 IS - 8 SP - 1450 EP - 1457 ER - TY - JOUR A1 - Hopfe, M. A1 - Prodinger, Birgit A1 - Bickenbach, J. E. A1 - Stucki, G. T1 - Optimizing health systems response to patient’s needs: An argument for the importance of functioning information JF - Disability and Rehabilitation N2 - Background: Current health systems are increasingly challenged to meet the needs of a growing number of patients living with chronic and often multiple health conditions. The primary outcome of care, it is argued, is not merely curing disease but also optimizing functioning over a person’s life span. According to the World Health Organization, functioning can serve as foundation for a comprehensive picture of health and augment the biomedical perspective with a broader and more comprehensive picture of health as it plays out in people’s lives. The crucial importance of information about patient’s functioning for a well-performing health system, however, has yet to be sufficiently appreciated. Methods: This paper argues that functioning information is fundamental in all components of health systems and enhances the capacity of health systems to optimize patients’ health and health-related needs. Results and conclusion: Beyond making sense of biomedical disease patterns, health systems can profit from using functioning information to improve interprofessional collaboration and achieve cross-cutting disease treatment outcomes. - Implications for rehabilitation - Functioning is a key health outcome for rehabilitation within health systems. - Information on restoring, maintaining, and optimizing human functioning can strengthen health system response to patients’ health and rehabilitative needs. - Functioning information guides health systems to achieve cross-cutting health outcomes that respond to the needs of the growing number of individuals living with chronic and multiple health conditions. - Accounting for individuals functioning helps to overcome fragmentation of care and to improve interprofessional collaboration across settings KW - Health systems KW - health service delivery KW - rehabilitation services KW - functioning information KW - patient’s needs KW - fragmentation of care Y1 - 2018 UR - https://doi.org/10.1080/09638288.2017.1334234 VL - 40 IS - 19 SP - 2325 EP - 2330 ER - TY - JOUR A1 - Maritz, R. A1 - Baptiste, S. A1 - Darzins, S. W. A1 - Magasi, S. A1 - Weleschuk, C. A1 - Prodinger, Birgit T1 - Linking occupational therapy models and assessments to the ICF to enable standardized documentation of functioning JF - Canadian Journal of Occupational Therapy N2 - Background The International Classification of Functioning, Disability and Health (ICF) can serve as reference for standardized documentation of health in clinical practice. Purpose This study aims to bridge the gap between the ICF and occupational therapy specific concepts, represented by occupational therapy models and their derived assessments. Method Occupational therapy assessments in relation to their models were systematically linked to the ICF, and a compatibility analysis was conducted. To strengthen reliability of the linkings, feedback from the respective assessment hosts was obtained. Findings Linking tables were developed for the Assessment of Motor and Process Skills, the Canadian Occupational Performance Measure, and the Model of Human Occupation Screening Tool. Similarities and differences between the ICF and the three assessments and their associated models show how they differ from and complement each other. Implications The findings of this study lay the foundation for standardized documentation in occupational therapy and enhance the practicability of the ICF. KW - Assessment KW - Documentation KW - International Classification of Functioning, Disability and Health KW - Standardization KW - Theory Classification internationale du fonctionnement, handicap et santé KW - Documentation KW - Évaluation KW - Standardisation KW - Théorie Y1 - 2018 UR - https://doi.org/10.1177/0008417418797146 VL - 85 IS - 4 SP - 330 EP - 341 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Tennant, A. A1 - Stucki, G. T1 - Standardized reporting of functioning information on ICF-based common metrics JF - European Journal of Physical and Rehabilitation Medicine N2 - BACKGROUND: In clinical practice and research a variety of clinical data collection tools are used to collect information on people’s functioning for clinical practice and research and national health information systems. Reporting on ICF-based common metrics enables standardized documentation of functioning information in national health information systems. The objective of this methodological note on applying the ICF in rehabilitation is to demonstrate how to report functioning information collected with a data collection tool on ICF-based common metrics. We first specify the requirements for the standardized reporting of functioning information. Secondly, we introduce the methods needed for transforming functioning data to ICF-based common metrics. Finally, we provide an example. METHODS: The requirements for standardized reporting are as follows: 1) having a common conceptual framework to enable content comparability between any health information; and 2) a measurement framework so that scores between two or more clinical data collection tools can be directly compared. The methods needed to achieve these requirements are the ICF Linking Rules and the Rasch measurement model. Using data collected incorporating the 36-item Short Form Health Survey (SF-36), the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and the Stroke Impact Scale 3.0 (SIS 3.0), the application of the standardized reporting based on common metrics is demonstrated. RESULTS: A subset of items from the three tools linked to common chapters of the ICF (d4 Mobility, d5 Self-care and d6 Domestic life), were entered as “super items” into the Rasch model. Good fit was achieved with no residual local dependency and a unidimensional metric. A transformation table allows for comparison between scales, and between a scale and the reporting common metric. CONCLUSIONS: Being able to report functioning information collected with commonly used clinical data collection tools with ICF-based common metrics enables clinicians and researchers to continue using their tools while still being able to compare and aggregate the information within and across tools. KW - International Classification of Functioning, Disability and Health KW - Rehabilitation KW - Delivery of health care Y1 - 2018 UR - https://doi.org/10.23736/S1973-9087.17.04784-0 VL - 54 IS - 1 SP - 110 EP - 117 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Shaw, L. A1 - Stamm, T. A1 - Rudman, D. L. T1 - Enacting occupation-based practice: Exploring the disjuncture between everyday life of mothers with rheumatoid arthritis (RA) and institutional processes JF - British Journal of Occupational Therapy N2 - Introduction: Occupation-based approaches are a hallmark of excellence in occupational therapy practice. This article focuses on the disjuncture between how women with rheumatoid arthritis go about their daily lives, that is to say their occupations, and what is addressed during routine visits at a specialized rheumatology outpatient clinic. Method: Institutional ethnography was employed as a method of inquiry to identify the occupations and related issues that were or were not accounted for in health records and addressed within institutional processes. Interviews and participant observations were conducted with seven women with rheumatoid arthritis who were mothers. Hospital records were analysed as texts mediating between the women's daily lives and the rheumatology outpatient clinic. Findings: The analysis revealed that despite the diversity in the ways that the women managed their daily lives, the things that they did were viewed, understood, and addressed only within the boundaries of the standardizing relations that ruled practice in this clinical setting. Institutional processes grounded in biomedical concepts such as functional status or disease activity, as well as clinical assessments that depict these concepts, both shape and limit opportunities for occupational therapists to advance and enact occupation-based practice. Conclusion: In this setting, the complexity of the participants' daily lives and the occupations they engage in remain unaddressed. KW - Rheumatoid arthritis KW - assessment KW - occupation Y1 - 2014 UR - https://doi.org/10.4276/030802214X14122630932359 VL - 77 IS - 10 SP - 491 EP - 498 ER - TY - JOUR A1 - Carrier, A. A1 - Prodinger, Birgit T1 - Visions of possibility: Using institutional ethnography as a theory and method for understanding contexts and their ruling relations JF - Occupational Therapy Now KW - Occupational Therapy KW - institutional ethnography Y1 - 2014 VL - 16 IS - 2 SP - 18 EP - 21 ER - TY - JOUR A1 - Dür, M. A1 - Binder, A. A1 - Sadloňová, M. A1 - Haider, S. A1 - Stoffer, M. A1 - Smolen, J. A1 - Dejaco, C. A1 - Kautzky-Willer, A. A1 - Prodinger, Birgit A1 - Fialka-Moser, V. A1 - Lovelock, L. A1 - Stamm, T.A. T1 - UPDATE: Life stories and laboratory parameters - the FWF funded GOBI study JF - Wiener Medizinische Wochenschrift KW - GOBI study Y1 - 2012 IS - 12 SP - 10 EP - 13 ER - TY - JOUR A1 - Krieger, B. A1 - Kinébanian, A. A1 - Prodinger, Birgit A1 - Heigl, F. T1 - Becoming a member of the work force - Perceptions of adults with Asperger Syndrome JF - WORK N2 - Objective: Research has shown that comparatively few adults with Asperger Syndrome (AS) participate in the competitive work force. The purpose of this study was to gain in-depth knowledge about contextual factors, which contribute to successful labor market participation in some adults with AS. Participants: This study was conducted by indepth-interviewing six adults with AS working in the competitive job market in Switzerland. Methods: A developmental and hermeneutic narrative approach was used for data collection and analysis. Two in-depth narrative interviews were conducted with each participant. A narrative analysis according to the theories of Paul Ricoeur was performed. Results: Results showed that participants received pre-vocational requisites during their childhood through parents and friends that provided a feeling of security in social contexts. For participants, a supportive school setting resulted in academic achievements. The narratives reveal participants' capacities for understanding and adapting to social norms. Participants' understanding of their own needs was essential to the successful labor market participation. However, disclosure is rare and social stigma is still present. Conclusions: This study showed that successful labor participation of adults with AS can be enhanced through adequate social support already in the early stages of an individual's lifetime. KW - Pervasive developmental disorder KW - competitive work KW - biographic narrative KW - pre-vocational requisites KW - occupational therapy Y1 - 2012 UR - https://doi.org/10.3233/WOR-2012-1392 VL - 43 IS - 2 SP - 141 EP - 157 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Cieza, A. A1 - Williams, D.A. A1 - Mease, P. A1 - Boonen, A. A1 - Kerschan-Schindl, K. A1 - Fialka-Moser, V. A1 - Smolen, J. A1 - Stucki, G. A1 - Machold, K. A1 - Stamm, T. T1 - Measuring health in patients with fibromyalgia: Content comparison of questionnaires based on the International Classification of Functioning, Disability and Health (ICF) JF - Arthritis Care & Research N2 - Objective To analyze the content of outcome measures commonly used to assess health in patients with fibromyalgia (FM) by linking the items of the instruments with the International Classification of Functioning, Disability and Health (ICF) in order to evaluate the adequacy of currently used measures. Methods Questionnaires used in FM were identified in a structured literature search. All concepts included in the items of the questionnaires were linked to ICF categories, according to previously published linking rules, by 2 independent health professionals. The percentages of linked ICF categories addressing the different ICF components were calculated. Results Generic and symptom‐specific instruments were included. From the 296 items contained in all 16 instruments, 447 concepts were extracted and then linked to 52 ICF categories of the component body functions, 1 category of the component body structure, 40 categories of the component activities and participation, and 9 categories of the component environmental factors. More than half of the concepts identified were linked to body function, fewer were linked to activities and participation, and only concepts of 4 instruments were linked to the ICF component environmental factors. Conclusion Many concepts were linked to the categories in the ICF component body functions. While linking to the broad category, purportedly similar instruments often covered widely varying areas of function at more fine‐grained levels of detail. Some categories, such as environmental factors, were barely covered by any of the instruments and might constitute an important aspect of health deserving better coverage and future development. KW - fibromyalgia Y1 - 2008 UR - https://doi.org/10.1002/art.23559 VL - 59 IS - 5 SP - 650 EP - 658 ER - TY - JOUR A1 - Bayerstadler, Andreas A1 - Benstetter, Franz A1 - Heumann, Christian A1 - Winter, Fabian T1 - A predictive modeling approach to increasing the economic effectiveness of disease management programs JF - Health Care Management Science N2 - Predictive Modeling (PM) techniques are gaining importance in the worldwide health insurance business. Modern PM methods are used for customer relationship management, risk evaluation or medical management. This article illustrates a PM approach that enables the economic potential of (cost-)effective disease management programs (DMPs) to be fully exploited by optimized candidate selection as an example of successful data-driven business management. The approach is based on a Generalized Linear Model (GLM) that is easy to apply for health insurance companies. By means of a small portfolio from an emerging country, we show that our GLM approach is stable compared to more sophisticated regression techniques in spite of the difficult data environment. Additionally, we demonstrate for this example of a setting that our model can compete with the expensive solutions offered by professional PM vendors and outperforms non-predictive standard approaches for DMP selection commonly used in the market. KW - Health insurance KW - Selection for disease management programs KW - Predictive modeling KW - Generalized linear model KW - Comparison of methods Y1 - 2014 UR - https://doi.org/10.1007/s10729-013-9246-y VL - 17 SP - 284 EP - 301 ER - TY - JOUR A1 - Peter, C. A1 - Schulenberg, S. E. A1 - Buchanan, E. M. A1 - Prodinger, Birgit A1 - Geyh, S. T1 - Rasch analysis of measurement instruments capturing psychological personal factors in persons with spinal cord injury JF - Journal of Rehabilitation Medicine N2 - Objective: To evaluate the metric properties of distinct measures of psychological personal factors comprising feelings, beliefs, motives, and patterns of experience and behaviour assessed in the Swiss Spinal Cord Injury Cohort Study (SwiSCI), using Rasch methodology. Methods: SwiSCI Pathway 2 is a community-based, nationwide, cross-sectional survey for persons with spinal cord injury (SCI) (n = 511). The Rasch partial credit model was used for each subscale of the Positive Affect Negative Affect Scale (PANAS), Appraisal of Life Events Scale (ALE), Purpose in Life test – Short Form (PIL-SF), and the Big Five Inventory-K (BFI-K). Results: The measures were unidimensional, with the exception of the positive affect items of the PANAS, where pairwise t-tests resulted in 10% significant cases, indicating multidimensionality. The BFI-K subscale agreeableness revealed low reliability (0.53). Other reliability estimates ranged between 0.61 and 0.89. Ceiling and floor effects were found for most measures. SCI-related differential item functioning (DIF) was rarely found. Language DIF was identified for several items of the BFI-K, PANAS and the ALE, but not for the PIL-SF. Conclusion: A majority of the measures satisfy the assumptions of the Rasch model, including unidimensionality. Invariance across language versions still represents a major challenge. KW - psychological factors KW - personality KW - affect KW - spinal cord injury KW - validity KW - reliability KW - psychometrics Y1 - 2016 UR - http://dx.doi.org/10.2340/16501977-2028 VL - 48 IS - 2 SP - 175 EP - 188 ER - TY - JOUR A1 - Benstetter, Franz A1 - Wambach, Achim T1 - The treadmill effect in a fixed budget system JF - Journal of Health Economics N2 - We examine the interaction in the market for physician services when the total budget for reimbursement is fixed. Physicians obtain points for the services they render. At the end of the period the budget is divided by the sum of all points submitted, which determines the price per point. We show that this retrospective payment system involves – compared to a fee-for-service remuneration system – a severe coordination problem, which potentially leads to the “treadmill effect”. We argue that when market entry is possible, a budget can be efficiency enhancing, if in addition a price floor is used. KW - Health economics KW - Supplier-induced demand KW - Remuneration systems KW - Coordination device Y1 - 2006 UR - https://doi.org/10.1016/j.jhealeco.2005.04.004 VL - 25 IS - 1 SP - 146 EP - 169 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Coenen, M A1 - Hammond, A A1 - Küçükdeveci, AA A1 - Tennant, A T1 - Scale-Banking for Patient Reported Outcome Measures (PROMs) Measuring Functioning in Rheumatoid Arthritis: A Daily Activities Metric JF - Arthritis Care & Research N2 - Objective: Functioning is an important outcome for rheumatoid arthritis (RA) management. Heterogeneity of respective patient-reported outcome measures (PROMs) challenges direct comparisons between their results. This study aimed to standardize reporting of such PROMs measuring functioning in RA to facilitate comparability. Methods: Common Item Non-Equivalent Groups Design (NEAT) with the Health Assessment Questionnaire (HAQ) as a common scale across data sets from various countries (incl. UK, Turkey and Germany) to establish a common metric. Other PROMs included are the Physical Function items of the Multidimensional Health Assessment Questionnaire (MDHAQ), Disabilities of Arm, Shoulder and Hand (DASH), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), World Health Organization Disability Assessment Schedule Version 2.0 (WHODAS 2.0), and four short forms (20, 10, 6, and 4 physical function items) from the Patient-Reported Outcomes Measurement Information System (PROMIS). As the HAQ includes mobility, self-care and domestic life items, this study focuses on these three domains. PROMs were described using Standard Error of Measurement (SEM) and Smallest Detectable Difference (SDD). Rasch Measurement model was used to create the common metric. Results: Range of SEM is 0.2 (MDHAQ) to 7.4 (SF36-PF). SDD revealed a range from 9.7 % (WOMAC-RAT) to 33.5 % (WHODAS-PF). PROMs co-calibration revealed fit to the Rasch measurement model. A transformation table was developed to allow exchange between PROMs scores. Discussion: Scores between the Daily Activity PROMs commonly used in RA can now be compared. Factors such as SEM and SDD help determine choice of PROM in clinical practice and research. Keywords: Common metric; DASH; Disability and Health; HAQ; International Classification of Functioning; Multidimensional HAQ; PROMIS-SF; Rasch measurement model; Scale banking; WHODAS 2.0; WOMAC. KW - Common metric; DASH; Disability and Health; HAQ; International Classification of Functioning; Multidimensional HAQ; PROMIS-SF; Rasch measurement model; Scale banking; WHODAS 2.0; WOMAC. Y1 - 2020 UR - https://doi.org/10.1002/acr.24503 VL - Online ahead of print ER - TY - JOUR A1 - Kisch, Rebecca A1 - Bergmann, Antje A1 - Koller, Daniela A1 - Leidl, Reiner A1 - Mansmann, Ulrich A1 - Müller, Martin A1 - Sanftenberg, Linda A1 - Schelling, Joerg A1 - Sundmacher, Leonie A1 - Voigt, Karen A1 - Grill, Eva T1 - 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 JF - BMJ OPEN N2 - 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-Universität München and of the Technische Universität 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. KW - vertigo KW - dizziness Y1 - 2018 UR - http://dx.doi.org/10.1136/bmjopen-2018-022970 VL - 8 IS - 4 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Küçükdeveci, AA A1 - Kutlay, S A1 - Elhan, AH A1 - Kreiner, S A1 - Tennant, A T1 - Cross-diagnostic scale-banking using Rasch analysis: Developing a common reference metric for generic and health condition-specific scales in people with rheumatoid arthritis and stroke. JF - Journal of Rehabilitation Medicine N2 - Abstract Objectives: To develop a common reference metric of functioning, incorporating generic and health condition-specific disability instruments, and to test whether this reference metric is invariant across 2 health conditions. Design: Psychometric study using secondary data analysis. Firstly, the International Classification of Functioning, Disability and Health (ICF) Linking Rules were used to examine the concept equivalence between the World Health Organization Disability Assessment Schedule (WHODAS 2.0), Health Assessment Questionnaire (HAQ), and Functional Independence Measure (FIMTM). Secondly, a scale-bank was developed using a reference metric approach to test-equating, based on the Rasch measurement model. Participants: Secondary analysis was performed on data from 487 people; 61.4% with rheumatoid arthritis and 38.6% with stroke. Results: Three sub-domains of the WHODAS 2.0 and all items of the HAQ and FIMTM motor mapped on to the ICF chapters d4 Mobility, d5 Self-care and d6 Domestic life. Test-equating of these scales resulted in good model fit, indicating that a scale bank and associated reference metric across these 3 instruments could be created. Conclusion: This study provides a transformation table to enable direct comparisons among instruments measuring physical functioning commonly used in rheumatoid arthritis (HAQ) and stroke (FIMTM motor scale), as well as in people with disability in general (WHODAS 2.0). Keywords: FIM; Functional Independence Measure; HAQ; Health Assessment Questionnaire; WHODAS 2.0; World Health Organization Disability Assessment Schedule; outcome assessment; rheumatoid arthritis; stroke; psychometrics. KW - FIM; Functional Independence Measure; HAQ; Health Assessment Questionnaire; WHODAS 2.0; World Health Organization Disability Assessment Schedule; outcome assessment; rheumatoid arthritis; stroke; psychometrics. Y1 - 2020 UR - https://doi.org/10.2340/16501977-2736 ER - TY - JOUR A1 - Servaty, Ricarda A1 - Kersten, Annalena A1 - Brukamp, Kirsten A1 - Möhler, Ralph A1 - Müller, Martin T1 - Implementation of robotic devices in nursing care. Barriers and facilitators: an integrative review JF - BMJ Open N2 - 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. KW - nursing KW - robotic device Y1 - 2020 UR - https://dx.doi.org/10.1136/bmjopen-2020-038650 VL - 10 IS - 9 SP - e038650 ER - TY - JOUR A1 - Maritz, Roxanne A1 - Tennant, Alan A1 - Fellinghauer, Carolina A1 - Stucki, Gerold A1 - Prodinger, Birgit T1 - Creating a common metric based on existing activities of daily living tools to enable standardized reporting of functioning outcomes achieved during rehabilitation JF - Journal of Rehabilitation Medicine N2 - Objective: Many different assessment tools are used to assess functioning in rehabilitation; this limits the comparability and aggregation of respective data. The aim of this study was to outline the development of an International Classification of Functioning, Disability and Health (ICF)-based interval-scaled common metric for 2 assessment tools assessing activities of daily living: the Functional Independence Measure (FIMTM) and the Extended Barthel Index (EBI), used in Swiss national rehabilitation quality reports. Methods: The conceptual equivalence of the 2 tools was assessed through their linking to the ICF. The Rasch measurement model was then applied to create a common metric including FIMTM and EBI. Subjects: Secondary analysis of a sample of 265 neurological patients from 5 Swiss clinics. Results: ICF linking found conceptual coherency of the tools. An interval-scaled common metric, including FIMTM and EBI, could be established, given fit to the Rasch model in the related analyses. Conclusion: The ICF-based and interval-scaled common metric enables comparison of patients and clinics functioning outcomes when different activities of daily living tools are used. The common metric can be included in a Standardized Assessment and Reporting System for functioning information in order to enable data aggregation and comparability. Keywords: Barthel Index; Functional Independence Measure; Rasch Measurement Model; activities of daily living; outcome assessment (healthcare); psychometrics; quality in healthcare; rehabilitation. KW - Barthel Index; Functional Independence Measure; Rasch Measurement Model; activities of daily living; outcome assessment (healthcare); psychometrics; quality in healthcare; rehabilitation. Y1 - 2020 UR - https://doi.org/10.2340/16501977-2711 VL - 52 IS - 7 ER - TY - JOUR A1 - Stanley, Mandy A1 - Rogers, Sandra A1 - Forwell, Sue A1 - Hocking, Clare A1 - Nayar, Shoba A1 - Laliberte Rudman, Debbie A1 - Prodinger, Birgit A1 - Farias Vera, Lisette A1 - Townsend, Elizabeth A1 - Magalhães, Lilian A1 - Simaan, Juman A1 - Reid, Heleen A1 - Pols, Vee T1 - A Pledge to Mobilize Against Racism JF - Journal of Occupational Science KW - against racism Y1 - 2020 N1 - Position statement VL - 27 IS - s1 SP - 294 EP - 295 ER - TY - JOUR A1 - Silies, Katharina A1 - Schley, Angelika A1 - Sill, Janna A1 - Fleischer, Steffen A1 - Müller, Martin A1 - Balzer, Katrin T1 - Die COVID-19-Pandemie im akutstationären Setting aus Sicht von Führungspersonen und Hygienefachkräften in der Pflege BT - Eine qualitative Studie JF - Pflege N2 - Hintergrund: Die COVID-19-Pandemie ist eine Ausnahmesituation ohne Präzedenz und erforderte zahlreiche Ad-hoc-Anpassungen in den Strukturen und Prozessen der akutstationären Versorgung. Ziel: Ziel war es zu untersuchen, wie aus Sicht von Führungspersonen und Hygienefachkräften in der Pflege die stationäre Akutversorgung durch die Pandemiesituation beeinflusst wurde und welche Implikationen sich daraus für die Zukunft ergeben. Methoden: Qualitative Studie bestehend aus semistrukturierten Interviews mit fünf Verantwortlichen des leitenden Pflegemanagements und drei Hygienefachkräften in vier Krankenhäusern in Deutschland. Die Interviews wurden mittels qualitativer Inhaltsanalyse ausgewertet. Ergebnisse: Die Befragten beschrieben den auf die prioritäre Versorgung von COVID-19-Fällen 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 bereichsübergreifende, interprofessionelle Task Forces begegnet. Schlussfolgerungen: Die in der COVID-19-Pandemie vorgenommenen Anpassungen zeigen Entwicklungspotenziale für die zukünftige Routineversorgung auf, z. B. könnten neue Arbeits- und Skill Mix-Modelle aufgegriffen werden. Für die Konkretisierung praktischer Implikationen sind vertiefende Analysen der Daten mit zeitlichem Abstand erforderlich. N2 - Background: The COVID-19-pandemic is an unprecedented, exceptional situation and necessitates numerous adaptations of structures and processes in the acute inpatient setting. Aim: The aim of this study was to explore how acute inpatient care was influenced by the pandemic and which implications may result for the future from nursing managers’ and hygiene specialists’ point of view. Methods: Qualitative study based on semi-structured interviews with five nursing managers and three hygiene specialists in four German acute care hospitals. Interviews were interpreted by using content analysis. Results: Interviewees described how everyday routines in their hospitals were adapted to the prioritized care for COVID-19 patients. Main challenges were uncertainty and anxiety among staff, relative scarcity of equipment and workforce resources and rapid implementation of new requirements for treatment capacities. This was addressed by targeted communication and information, large efforts to ensure resources and coordinated control of all processes by cross-department, interprofessional task forces. Conclusions: Adaptations made to the structures and procedures of care delivery during the pandemic hold potential for future improvements of routine care, e. g. new workplace and skill mix models. To identify detailed practical implications, a renewed and deepened data analysis is needed at a later point of time, with a larger distance to the period of the pandemic. KW - Krankenhäuser KW - Pflegemanagement KW - COVID-19-Pandemie KW - Rationierung KW - qualitative Studie Y1 - 2020 UR - https://doi.org/10.1024/1012-5302/a000756 VL - 33 IS - 5 SP - 289 EP - 298 ER - TY - GEN A1 - Link, Friederike A1 - Horstmannshoff, Caren A1 - Müller, Martin A1 - Lüftl, Katharina ED - Lüftl, Katharina T1 - Zwischenergebnisse aus dem Projekt HiPo Health – High Potentials for Healthcare Studies. Vortrag beim Workshop „Partnerschaften zur Förderung von wissenschaftlichem Nachwuchs in der Pflege““. TH Rosenheim am 18.9.2020 KW - wissenschaftliche Karrieren in der Pflege Y1 - 2020 ER - TY - CHAP A1 - Lüftl, Katharina A1 - Schmidt, Erika ED - Kerres, Andrea ED - Wissing, Christiane ED - Wershofen, Birgit T1 - Physiotherapie und Pflege: Schlüsselprobleme interprofessioneller Kooperation bewältigen T2 - Skillslab in Pflege- und Gesundheitsfachberufen KW - Interprofessionelle Kooperation Y1 - 2020 UR - https://doi.org/10.1007/978-3-662-61928-5_10 SP - 127 EP - 141 PB - Springer CY - Berlin ER - TY - JOUR A1 - Nicol, R A1 - Yu, H A1 - Selb, M A1 - Prodinger, Birgit A1 - Hartvigsen, J A1 - Côté, P T1 - How does the measurement of disability in low back pain map unto the International Classification of Functioning, Disability and Health (ICF)? A scoping review of the manual medicine literature JF - American Journal of Physical Medicine and Rehabilitation N2 - The objective of this study was to catalogue items from instruments used to measure functioning, disability, and contextual factors in patients with low back pain (LBP) treated with manual medicine (manipulation and mobilization) according to the International Classification of Functioning, Disability and Health (ICF). This catalogue will be used to inform the development of an ICF-based assessment schedule for LBP patients treated with manual medicine. In this scoping review we systematically searched MEDLINE, Embase, PsycINFO and CINAHL. We identified instruments (questionnaires, clinical tests, single questions) used to measure functioning, disability and contextual factors, extracted the relevant items and then linked these items to the ICF. We included 95 articles and identified 1510 meaningful concepts. All but 70 items were linked to the ICF. Of the concepts linked to the ICF, body functions accounted for 34.7%, body structures accounted for 0%, activities and participation accounted for 41%, environmental factors accounted for 3.6%, and personal factors accounted for 16%. Most items used to measure functioning and disability in LBP patient treated with manual medicine focus on body functions, and activities and participation. The lack of measures that address environmental factors warrants further investigation. KW - Low back pain , International Classification of Functioning , Disability and Health , Musculoskeletal Manipulations , Disability Evaluation Y1 - 2020 UR - https://doi.org/10.1097/PHM.0000000000001636 VL - Online ahead of print. ER - TY - JOUR A1 - Feller, Melanie A1 - Roßrucker, Anna A1 - Lüftl, Katharina T1 - Praxisanleitung: Die Leittextmethode JF - Pflegezeitschrift N2 - Leittexte eignen sich zur Förderung von Handlungskompetenz und zur Entlastung der Praxisanleitenden. Exemplarisch wird das Ergebnis eines Studierendenprojekts aus dem Bachelorstudiengang Pflege der TH Rosenheim vorgestellt. Ziel war es, einen Leittext für ein Anleitungsthema aus dem eigenen pflegerischen Arbeitsfeld zu erarbeiten. Leittexte bestehen aus aufeinander aufbauenden Leitfragen, die Praxisanleitende formulieren und die Lernende selbstständig bearbeiten. Dadurch lernen sie ein neues Einsatzfeld systematisch kennen oder bereiten sich auf pflegespezifische Aufgaben vor. Leittexte verweisen auf unterschiedlichste Medien, anhand derer die Leitfragen zu beantworten sind. Deshalb war es Teil der Projektaufgabe, den Medienpool zum Leittext zu entwickeln. Neben Ressourcen des Praxisfeldes, Literatur- oder anderen Verweisen, sollte ein Erklärvideo erstellt werden. Vorgestellt wird ein Erkundungsleittext zum Anleitungsthema „Überwachung von Patienten einer Stroke Unit“. Schlüsselwörter: Praxisanleitung, Leittextmethode, leitfragenorientiertes Lernen, Praktische Ausbildung, Bachelorstudiengang Pflege, Stroke Unit KW - Praxisanleitung Y1 - 2021 UR - https://doi.org/10.1007/s41906-021-1031-9 VL - 74 IS - 5 SP - 46 EP - 49 PB - Springer Verlag CY - Heidelberg ER - TY - JOUR A1 - Lüftl, Katharina A1 - Kerres, Andrea A1 - Wissing, Christiane T1 - Wer braucht welche Praxisanleitung? Umgang mit Heterogenität in der praktischen Ausbildung (Teil 1) JF - Pflegezeitschrift N2 - Die Frage „Wer braucht welche Anleitung?“ lässt sich nicht im Sinne einer Rezeptempfehlung beantworten. Praxisanleitende haben verschiedene Optionen, um heterogene Lernvoraussetzungen aufzugreifen. Dabei zeigt sich als Basis, das Erstgespräch für eine fundierte Bedingungsanalyse zu nutzen und Lernenden dabei Mitverantwortung zu geben. Anleitungsziele können partizipativ formuliert werden und Praxisanleitende sollten mit den Curricula der verschiedenen Ausbildungsgänge vertraut sein. Patientenfälle lassen sich hinsichtlich unterschiedlich komplexer Pflegebedarfe und Anleitungsmethoden beispielsweise nach der Art der Arbeitsweisen auswählen. Schlüsselwörter: Praxisanleitung, Heterogenität, Lernvoraussetzungen KW - Praxisanleitung Y1 - 2021 UR - https://doi.org/10.1007/s41906-021-1089-4 VL - 74 IS - 8 SP - 42 EP - 45 PB - Springer Verlag CY - Heidelberg ER - TY - JOUR A1 - Lüftl, Katharina A1 - Kerres, Andrea A1 - Wissing, Christiane T1 - Welche Praxisanleitung eignet sich für wen? Heterogene Lernvoraussetzungen berücksichtigen (Teil 2) JF - Pflegezeitschrift N2 - Um einen adaptiven Stil der Praxisanleitung umzusetzen, benötigen Praxisanleitende Unterstützung. Im vorliegenden Beitrag wird deshalb exemplarisch aufgezeigt, welchen Beitrag Hochschulen im Rahmen der Lernortkooperation leisten können, damit Praxisanleitende aus dem Curriculum der hochschulischen Pflegeausbildung Schlussfolgerungen für die Gestaltung von Anleitungssituationen ziehen können. Auch Rahmenbedingungen für einen konstruktiven Umgang mit Heterogenität werden aufgezeigt. Schlüsselwörter: Adaptive Praxisanleitung, Heterogenität, Lernvoraussetzungen KW - Praxisanleitung Y1 - 2021 UR - https://doi.org/10.1007/s41906-021-1109-4 VL - 74 IS - 9 SP - 38 EP - 41 PB - Springer Verlag CY - Heidelberg ER - TY - CHAP A1 - Prodinger, Birgit ED - Hayre, Christopher M. ED - Muller, Dave J. ED - Hackett, Paul M. W. T1 - Institutional Ethnography T2 - Rehabilitation in Practice N2 - Rehabilitation aims to enable people with disabilities or who are likely to experience disability to participate fully in their daily lives through a set of interprofessional and multimodal measures. Yet, rehabilitation services are embedded within social and healthcare systems that shape what individuals, who are active within these systems, can and may have to do. This chapter introduces Institutional Ethnography, a critical method of inquiry, which aims to explicate what people actually do and experience and how their doings and experiences become organized within textually mediated social relations. For rehabilitation practice and research, Institutional Ethnography is a powerful method to delineate which concepts are dominating institutional practices and to explicate whether these concepts are comprehensive enough to serve not only institutional purposes but account for and respond to the realities of people’s daily lives. KW - Institutional Ethnography KW - Ruling relations KW - Standpoint KW - Social organization KW - Work KW - Ontology of the social Y1 - 2022 UR - https://doi.org/10.1007/978-981-16-8317-6_5 SP - 55 EP - 66 PB - Springer CY - Singapore ER - TY - JOUR A1 - Prodinger, Birgit A1 - Coenen, Michaela A1 - Hammond, Alison A1 - Küçükdeveci, Ayşe A. A1 - Tennant, Alan T1 - Scale Banking for Patient-Reported Outcome Measures That Measure Functioning in Rheumatoid Arthritis: A Daily Activities Metric JF - Arthritis Care & Research N2 - Objective Functioning is an important outcome for the management of rheumatoid arthritis (RA). Heterogeneity of respective patient-reported outcome measures (PROMs) challenges direct comparisons between their results. This study aimed to standardize reporting of such PROMs measuring functioning in RA to facilitate comparability. Methods Common-item nonequivalent group design with the Health Assessment Questionnaire (HAQ) as a common scale across data sets from various countries (including the UK, Turkey, and Germany) to establish a common metric was used. Other PROMs included are the physical function items of the Multidimensional HAQ (MDHAQ), the Disabilities of the Arm, Shoulder, and Hand questionnaire, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the World Health Organization Disability Assessment Schedule II (WHODAS II), the Medical Outcomes Study Short Form 36 (SF-36) health survey, and 4 short forms (20, 10, 6, and 4 physical function items) from the Patient-Reported Outcomes Measurement Information System. As the HAQ includes mobility, self-care, and domestic life items, this study focuses on these 3 domains. PROMs were described using standard error of measurement (SEM) and smallest detectable difference (SDD). A Rasch measurement model was used to create the common metric. Results The range of the SEM was 0.2 (MDHAQ) to 7.4 (SF-36 health survey physical functioning domain). The SDD revealed a range from 9.7% (WOMAC rating scale) to 33.5% (WHODAS physical functioning domain). PROMs co-calibration revealed fit to the Rasch measurement model. A transformation table was developed to allow exchange between PROM scores. Conclusion Scores between the daily activity PROMs commonly used in RA can now be compared. Factors such as SEM and SDD help to determine the choice of a PROM in clinical practice and research. KW - rheumatoid arthritis KW - patient-reported outcome measures Y1 - 2022 UR - https://doi.org/10.1002/acr.24503 VL - 74 IS - 4 SP - 579 EP - 587 ER - TY - JOUR A1 - Nicol, R A1 - Yu, H A1 - Selb, M A1 - Prodinger, Birgit A1 - Hartvigsen, J A1 - Côté, P T1 - How Does the Measurement of Disability in Low Back Pain Map Unto the International Classification of Functioning, Disability and Health?: A Scoping Review of the Manual Medicine Literature JF - American Journal of Physical Medicine & Rehabilitation N2 - The objective of this study was to catalog items from instruments used to measure functioning, disability, and contextual factors in patients with low back pain treated with manual medicine (manipulation and mobilization) according to the International Classification of Functioning, Disability and Health. This catalog will be used to inform the development of an International Classification of Functioning, Disability and Health-based assessment schedule for low back pain patients treated with manual medicine. In this scoping review, we systematically searched MEDLINE, Embase, PsycINFO, and CINAHL. We identified instruments (questionnaires, clinical tests, single questions) used to measure functioning, disability, and contextual factors, extracted the relevant items, and then linked these items to the International Classification of Functioning, Disability and Health. We included 95 articles and identified 1510 meaningful concepts. All but 70 items were linked to the International Classification of Functioning, Disability and Health. Of the concepts linked to the International Classification of Functioning, Disability and Health, body functions accounted for 34.7%, body structures accounted for 0%, activities and participation accounted for 41%, environmental factors accounted for 3.6%, and personal factors accounted for 16%. Most items used to measure functioning and disability in low back pain patient treated with manual medicine focus on body functions, as well as activities and participation. The lack of measures that address environmental factors warrants further investigation. KW - Low Back Pain KW - International Classification of Functioning, Disability, and Health KW - Musculoskeletal Manipulations KW - Disability Evaluation Y1 - 2021 UR - https://doi.org/10.1097/PHM.0000000000001636 VL - 100 IS - 4 SP - 367 EP - 395 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Coenen, Michaela A1 - Hammond, Alison A1 - Küçükdeveci, Ayse A. A1 - Tennant, Alan T1 - Scale-Banking for Patient Reported Outcome Measures (PROMs) Measuring Functioning in Rheumatoid Arthritis: A Daily Activities Metric JF - Arthritis Care & Research N2 - Objective: Functioning is an important outcome for rheumatoid arthritis (RA) management. Heterogeneity of respective patient-reported outcome measures (PROMs) challenges direct comparisons between their results. This study aimed to standardize reporting of such PROMs measuring functioning in RA to facilitate comparability. Methods: Common Item Non-Equivalent Groups Design (NEAT) with the Health Assessment Questionnaire (HAQ) as a common scale across data sets from various countries (incl. UK, Turkey and Germany) to establish a common metric. Other PROMs included are the Physical Function items of the Multidimensional Health Assessment Questionnaire (MDHAQ), Disabilities of Arm, Shoulder and Hand (DASH), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), World Health Organization Disability Assessment Schedule Version 2.0 (WHODAS 2.0), and four short forms (20, 10, 6, and 4 physical function items) from the Patient-Reported Outcomes Measurement Information System (PROMIS). As the HAQ includes mobility, self-care and domestic life items, this study focuses on these three domains. PROMs were described using Standard Error of Measurement (SEM) and Smallest Detectable Difference (SDD). Rasch Measurement model was used to create the common metric. Results: Range of SEM is 0.2 (MDHAQ) to 7.4 (SF36-PF). SDD revealed a range from 9.7 % (WOMAC-RAT) to 33.5 % (WHODAS-PF). PROMs co-calibration revealed fit to the Rasch measurement model. A transformation table was developed to allow exchange between PROMs scores. Discussion: Scores between the Daily Activity PROMs commonly used in RA can now be compared. Factors such as SEM and SDD help determine choice of PROM in clinical practice and research. KW - Common metric KW - DASH KW - HAQ KW - International Classification of Functioning KW - Multidimensional HAQ KW - PROMIS-SF KW - Rasch measurement model KW - Scale banking KW - WHODAS 2.0 KW - WOMAC Y1 - 2020 UR - https://doi.org/10.1002/acr.24503 ER - TY - JOUR A1 - Senju, Y A1 - Mukaino, M A1 - Prodinger, Birgit A1 - Selb, M A1 - Okouchi, Y A1 - Mizutani, K A1 - Suzuki, M A1 - Yamada, S A1 - Izumi, SI A1 - Sonoda, S A1 - Otaka, Y A1 - Saitoh, E A1 - Stucki, G T1 - Development of a clinical tool for rating the body function categories of the ICF generic-30/rehabilitation set in Japanese rehabilitation practice and examination of its interrater reliability JF - BMC Medical Research Methodology N2 - Background: The International Classification of Functioning, Disability, and Health (ICF) Generic-30 (Rehabilitation) Set is a tool used to assess the functioning of a clinical population in rehabilitation. The ICF Generic-30 consists of nine ICF categories from the component "body functions" and 21 from the component "activities and participation". This study aimed to develop a rating reference guide for the nine body function categories of the ICF Generic-30 Set using a predefined, structured process and to examine the interrater reliability of the ratings using the rating reference guide. Methods: The development of the first version of the rating reference guide involved the following steps: (1) a trial of rating patients by several raters; (2) cognitive interviews with each rater to analyze the thought process involved in each rating; (3) the drafting of the rating reference guide by a multidisciplinary panel; and (4) a review by ICF specialists to confirm consistency with the ICF. Subsequently, we conducted a first field test to gain insight into the use of the guide in practice. The reference guide was modified based on the raters' feedback in the field test, and an inter-rater reliability test was conducted thereafter. Interrater agreement was evaluated using weighted kappa statistics with linear weights. Results: The first version of the rating reference guide was successfully developed and tested. The weighted kappa coefficient in the field testing ranged from 0.25 to 0.92. The interrater reliability testing of the rating reference guide modified based on the field test results yielded an improved weighted kappa coefficient ranging from 0.53 to 0.78. Relative improvements in the weighted kappa coefficients were observed in seven out of the nine categories. Consequently, seven out of nine categories were found to have a weighted kappa coefficient of 0.61 or higher. Conclusions: In this study, we developed and modified a rating reference guide for the body function categories of the ICF Generic-30 Set. The interrater reliability test using the final version of the rating reference guide showed moderate to substantial interrater agreement, which encouraged the use of the ICF in rehabilitation practice. KW - Clinical tool KW - International Classification of Functioning, Disability, and Health KW - Interrater reliability KW - Rehabilitation Y1 - 2021 UR - https://doi.org/10.1186/s12874-021-01302-0 VL - 21 IS - 1 SP - 121 ER - TY - JOUR A1 - Hodel, Jsabel A1 - Ehrmann, Cristina A1 - Scheel-Sailer, Anke A1 - Stucki, Gerold A1 - Bickenbach, Jerome E. A1 - Prodinger, Birgit T1 - Identification of Classes of Functioning Trajectories and Their Predictors in Individuals With Spinal Cord Injury Attending Initial Rehabilitation in Switzerland JF - Archives of Rehabilitation Research and Clinical Translation N2 - Objectives: To identify classes of functioning trajectories in individuals with spinal cord injury (SCI) undergoing initial rehabilitation after injury and to examine potential predictors of class membership to inform clinical planning of the rehabilitation process. Design: Longitudinal analysis of the individual's rehabilitation stay using data from the Inception Cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI). Setting: Initial rehabilitation in specialized centers in Switzerland. Participants: Individuals with newly acquired SCI (N=748; mean age, 54.66±18.38y) who completed initial rehabilitation between May 2013 and September 2019. The cohort was primarily composed of men (67.51%), persons with paraplegia (56.15%), incomplete injuries (67.51%), and traumatic etiologies (55.48%). Interventions: Not applicable. Main Outcome Measures: Functioning was operationalized with the interval-based sum score of the Spinal Cord Independence Measure version III (SCIM III). For each individual, the SCIM III sum score was assessed at up to 4 time points during rehabilitation stay. The corresponding time of assessment was recorded by the difference in days between the SCIM III assessment and admission to the rehabilitation program. Results: Latent process mixed model analysis revealed 4 classes of functioning trajectories within the present sample. Class-specific predicted mean functioning trajectories describe stable high functioning (n=307; 41.04%), early functioning improvement (n=39; 5.21%), moderate functioning improvement (n=287; 38.37%), and slow functioning improvement (n=115; 15.37%), respectively. Out of 12 tested factors, multinomial logistic regression showed that age, injury level, injury severity, and ventilator assistance were robust predictors that could distinguish between identified classes of functioning trajectories in the present sample. Conclusions: The current study establishes a foundation for future research on the course of functioning of individuals with SCI in initial rehabilitation by identifying classes of functioning trajectories. This supports the development of specifically tailored rehabilitation programs and prediction models, which can be integrated into clinical rehabilitation planning. KW - Latent class analysis KW - Logistic models KW - Longitudinal studies KW - Observational study KW - Rehabilitation KW - Spinal cord injuries Y1 - 2021 UR - https://doi.org/10.1016/j.arrct.2021.100121 VL - 3 IS - 2 SP - 100121 ER - TY - JOUR A1 - Hodel, Jsabel A1 - Stucki, Gerold A1 - Prodinger, Birgit T1 - The potential of prediction models of functioning remains to be fully exploited: A scoping review in the field of spinal cord injury rehabilitation JF - Journal of Clinical Epidemiology N2 - Objective: The study aimed to explore existing prediction models of functioning in spinal cord injury (SCI). Study design and setting: The databases PubMed, EBSCOhost CINAHL Complete, and IEEE Xplore were searched for relevant literature. The search strategy included published search filters for prediction model and impact studies, index terms and keywords for SCI, and relevant outcome measures able to assess functioning as reflected in the International Classification of Functioning, Disability and Health (ICF). The search was completed in October 2020. Results: We identified seven prediction model studies reporting twelve prediction models of functioning. The identified prediction models were mainly envisioned to be used for rehabilitation planning, however, also other possible applications were stated. The method predominantly used was regression analysis and the investigated predictors covered mainly the ICF components of body functions and activities and participation, next to characteristics of the health condition and health interventions. Conclusion: Findings suggest that the development of prediction models of functioning for use in clinical practice remains to be fully exploited. By providing a comprehensive overview of what has been done, this review informs future research on prediction models of functioning in SCI and contributes to an efficient use of research evidence. KW - Spinal Cord Injuries KW - Rehabilitation KW - Prognosis KW - Diagnosis KW - Clinical Decision Rules KW - Forecasting Y1 - 2021 UR - https://doi.org/10.1016/j.jclinepi.2021.07.015 VL - 139 SP - 177 EP - 190 ER - TY - JOUR A1 - Link, Friederike A1 - Horstmannshoff, Caren A1 - Müller, Martin A1 - Lüftl, Katharina T1 - Wissenschaftliche Karriere bis zur Professur in pflegebezogenen Studiengängen – Ziel oder Kompromiss? BT - Ergebnisse einer Befragung wissenschaftlicher Nachwuchskräfte an unterschiedlichen Etappen des Karriereweges JF - Lehren & Lernen im Gesundheitswesen LLiG N2 - 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 füllen. Ziel dieses Beitrags ist es, darzustellen, was auslösende Momente für wissenschaftliche Karrieren sind, die in Professuren pflegebezogener Studiengänge münden, und welche Kontextbedingungen diese Karrieren beeinflussen. Es soll auch aufgezeigt werden, wie wissenschaftliche Nachwuchskräfte vorgehen, um ihre Ziele zu erreichen und welche Konsequenzen sich daraus für sie und für die Pflegewissenschaft ergeben. Auf dieser Grundlage sollen Empfehlungen für die Nachwuchsförderung entwickelt werden, um mehr geeignete Personen für Professuren in pflegebezogenen Studiengängen zu gewinnen. Vorhandene Daten teilnarrativer Interviews mit ProfessorInnen (n=11) und Masterstudierenden (n=11) sowie Promovierenden (n=10) pflegebezogener Studiengänge wurden im Rahmen einer retrospektiven Datenanalyse mit dem dreistufigen Codierverfahren der Grounded Theory Methodologie ausgewertet. Die Ergebnisse zeigen, dass in der Pflegepraxis gewonnene Erfahrungen auslösende Momente wissenschaftlicher Karrieren sind. Diese lösen den Drang aus, die dort herrschende Situation zu verändern, wobei sich vier Karrieretypen unterscheiden lassen: Typ A forscht, weil er erlebt hat, dass es für pflegerische Phänomene keine geeigneten Pflegeinterventionen gab. Typ B lehrt, um dazu beizutragen, dass Pflegende zukünftig besser ausgebildet werden. Typ C ist als Pflegeperson von ÄrztInnen nicht ausreichend anerkannt worden und absolviert eine wissenschaftliche Qualifikation, um mit ihnen auf Augenhöhe 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 Wertschätzung für wissenschaftliches Handeln in der Pflege und das Fehlen von Stellen für hochschulisch qualifizierte Pflegepersonen in der Praxis. Angesichts der bestehenden Bedingungen können hochschulisch qualifizierte Pflegende in der Praxis nicht Fuß fassen. Als Konsequenz für die Pflegewissenschaft als Disziplin zeigt sich, dass in der Pflegepraxis Vorbilder fehlen, die zukünftige Generationen Pflegender dazu anregen könnten, selbst eine wissenschaftliche Karriere in der Pflege einzuschlagen. Dadurch besteht die Gefahr einer Verkümmerung der Pflegewissenschaft. Auf Grundlage der Ergebnisse wird die durchgängige Implementierung geeigneter Stellen für hochschulisch qualifizierte Pflegepersonen in der Pflegepraxis als Ausgangsbasis wissenschaftlicher Nachwuchsförderung 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 für akademisch qualifizierte Pflegende etablieren. N2 - Nursing science in Germany faces the challenge of developing scientific structures and career paths. This is made more difficult by a lack of young scientists who have the potential to fill nursing science professorships with scientific excellence and practical experience. The aim of this article is to present triggering moments for academic careers leading to professorships in nursing-related programmes and what contextual conditions influence these careers. Furthermore, the aim is to show how young academics proceed in order to achieve their goals and what consequences arise. Based on these findings, recommendations for the support of young academics will be presented in order to attract more suitable persons for professorships in nursing-related study programmes. Existing data from semi-narrative interviews with professors (n=11) and master‘s students (n=11) as well as doctoral students (n=10) in nursing-related degree programmes were analysed in a retrospective data analysis using the three-stage coding procedure of grounded theory methodology. Triggering moments of academic careers are experiences made in nursing practice, which evoke an urge for change. Four scientific career types can be distinguished, each choosing different strategies for the changes they see as necessary. Consequences are long, non-straight paths to a professorship and a lack of university-qualified nurses in nursing practice. The basis for the support of young academics in nursing science should be the implementation of vacancies for highly qualified nurnurses in nursing practice and support beginning as early as the bachelor‘s degree. KW - Wissenschaftlicher Nachwuchs KW - Pflegewissenschaft KW - Karrierewege KW - Karrieretypen KW - Professuren KW - Grounded Theory Methodologie Y1 - 2021 VL - 2021 IS - 6 SP - 73 EP - 85 ER - TY - JOUR A1 - Hempel, Louisa A1 - Veloso de Oliveira, Julia A1 - Gaumann, Andreas A1 - Milani, Valeria A1 - Schweneker, Katrin A1 - Schenck, Kristina A1 - Fleischmann, Bastian A1 - Philipp, Patrick A1 - Mederle, Stefanie A1 - Garg, Arun A1 - Piehler, Armin A1 - Gandorfer, Beate A1 - Schick, Cordula A1 - Kleespies, Axel A1 - Sellmann, Ludger A1 - Bartels, Marius A1 - Goetze, Thorsten O. A1 - Stein, Alexander A1 - Goekkurt, Eray A1 - Pfitzner, Lucia A1 - Robert, Sebastian A1 - Hempel, Dirk T1 - Landscape of Biomarkers and Actionable Gene Alterations in Adenocarcinoma of GEJ and Stomach - A Real World Data Analysis JF - Cancers N2 - After several years of negative phase III trials in gastric and esophageal cancer, a significant breakthrough in the treatment of metastatic adenocarcinomas of the gastroesophageal junction (GEJ) and stomach (GC) is now becoming evident with the emerging of precision oncology and implementation of molecular targets in tumor treatment. In addition, new generation studies such as umbrella and basket trials are focused on these molecular targets, which makes an early molecular diagnosis based on IHC/ISH and NGS necessary. The required companion diagnostics of Her2neu overamplification or PD-L1 expression is based on immunohistochemistry (IHC) or additionally in situ hybridization (ISH) in case of an IHC Her2neu score of 2+. However, there are investigator-dependent differences in the assessment of Her2neu amplification and different PD-L1 scoring systems obtained by IHC/ISH. The use of high-throughput technologies such as next-generation sequencing (NGS) holds the potential to standardize the analysis and thus make them more comparable. In the presented study, real-world multigene sequencing data of 72 Caucasian patients diagnosed with metastatic adenocarcinomas of GEJ and stomach were analyzed. In the clinical companion diagnostics, we found ESCAT level I molecular targets in one-third of our patients, which directly determined the therapy. In addition, we found potential targets in 14/72 patients (19.4%) who potentially qualify for precision therapies in corresponding molecular studies. The study highlights the importance of comprehensive molecular profiling for precision treatment of GEJ/GC and indicates that a biomarker evaluation should be performed for all patients with metastatic adenocarcinomas before the initiation of first-line treatment and during second-line or subsequent treatment. KW - GEJ KW - GC KW - next-generation sequencing KW - Her2neu KW - PD-L1 KW - personalized medicine KW - molecular target KW - checkpoint inhibitors KW - actionable gene variants Y1 - 2021 UR - https://doi.org/10.3390/cancers13174453 VL - 13 IS - 17 SP - 4453 ER - TY - JOUR A1 - Hempel, Louisa A1 - Molnar, Jakob A1 - Gaumann, Andreas A1 - Robert, Sebastian A1 - Scheiber, Josef A1 - Kleespies, Axel A1 - Riedmann, Kristina A1 - Schreiber, Susanne A1 - Gandorfer, Beate A1 - Piehler, Armin A1 - Hempel, Dirk T1 - Detection of acquired resistance mutation ALK G1202R after treatment with alectinib and response of lorlatinib BT - A case report JF - memo - Magazine of European Medical Oncology N2 - In the era of personalized medicine, the identification of driver mutations has paved the way towards targeted therapy. With the identification of anaplastic lymphoma kinase (ALK) as an oncogenic driver mutation, ALK rearrangements became druggable by tyrosine kinase inhibitors and, thus, have improved the prognosis for patients. Nevertheless, these approaches are limited by resistances occurring within the first or second year of administering ALK inhibitors. Among the different ALK resistant mutations, G1202R is the most common mutation, located in the kinase domain of the ALK protein resulting in resistance to treatment with the first- and second-generation kinase inhibitors (e.g., crizotinib, ceritinib, brigatenib and alectinib). Conflicting reports exist regarding the efficacy of lorlatinib, a next generation ALK inhibitor. The aim of this study is to access the potential impact of lorlatinib as a second-line treatment for a metastatic progressive NSCLC disease harboring genomic alteration of ALK G1202R, an AKLi-resistant mutation. The case of a patient with advanced lung cancer and the mentioned mutation is described. KW - NSCLC KW - Next-generation ALK inhibitor KW - Resistance mechanisms KW - Next-generation sequencing KW - Molecular diagnostics Y1 - 2021 UR - https://doi.org/10.1007/s12254-021-00724-2 ER - TY - CHAP A1 - Appenzeller, Arno A1 - Bartholomäus, Sebastian A1 - Breitschwerdt, Rüdiger A1 - Claussen, Carsten A1 - Geisler, Sandra A1 - Hartz, Tobias A1 - Kachel, Philipp A1 - Krempel, Erik A1 - Robert, Sebastian A1 - Ruth Zeissig, Sylke T1 - Towards Distributed Healthcare Systems – Virtual Data Pooling Between Cancer Registries as Backbone of Care and Research T2 - 2021 IEEE/ACS 18th International Conference on Computer Systems and Applications (AICCSA) N2 - German cancer registries offer a systematic approach for the collection, storage, and management of data on patients with cancer and related diseases. Much hope in research and healthcare in general is depending on such register-based analyses in order to comprehensively consider the features of a highly diverse population. Next to the data collection the cancer registries are responsible for data protection. To fulfill legal regulations, access to data has to be controlled in a strict way leading to sometimes bureaucratic and slow processes. The situation is especially complicated in Germany, since cancer data is distributed over numerous federal cancer registries. If a nationwide data evaluation is conducted a research team has to negotiate a separate contract with each cancer registry.In a joint work in progress effort of cancer registries, technical, medical, and economical experts we propose a different solution for cooperative data processing. Our approach aims for combining data in a virtual pool based on the selection criteria of individual requests from researchers. To achieve our goal, we adapt the Fraunhofer Medical Data Space as enabling technology. The architecture we propose will allow us to pool data of multiple partners regulated by data access policies. In doing so, each of the data sources can introduce its own rules and specifications on how data is used. Additionally, we add a digital consent management that will allow individual patients to decide how their data is used. Finally, we show the high potential of the cooperative analysis of distributed cancer data supported by the proposed solution in our approach. KW - Systematics KW - Space technology KW - Soft sensors KW - Sociology KW - Distributed databases KW - Process control KW - Medical services Y1 - 2021 UR - https://doi.org/10.1109/AICCSA53542.2021.9686918 SP - 1 EP - 8 ER - TY - JOUR A1 - Link, Friederike A1 - Hostmannshoff, Caren A1 - Müller, Martin A1 - Lüftl, Katharina T1 - Wissenschaftliche Karriere bis zur HAW-Professur in pflegebezogenen Studiengängen - Ziel oder Kompromiss? Ergebnisse einer Befragung wissenschaftlicher Nachwuchskräfte an unterschiedlichen Etappen des Karriereweges JF - Lehren & Lernen im Gesundheitswesen N2 - 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 füllen. Ziel dieses Beitrags ist es, darzustellen, was auslösende Momente für wissenschaftliche Karrieren sind, die in Professuren pflegebezogener Studiengänge münden, und welche Kontextbedingungen diese Karrieren beeinflussen. Es soll auch aufgezeigt werden, wie wissenschaftliche Nachwuchskräfte vorgehen, um ihre Ziele zu erreichen und welche Konsequenzen sich daraus für sie und für die Pflegewissenschaft ergeben. Auf dieser Grundlage sollen Empfehlungen für die Nachwuchsförderung entwickelt werden, um mehr geeignete Personen für Professuren in pflegebezogenen Studiengängen zu gewinnen. Vorhandene Daten teilnarrativer Interviews mit ProfessorInnen (n=11) und Masterstudierenden (n=11) sowie Promovierenden (n=10) pflegebezogener Studiengänge wurden im Rahmen einer retrospektiven Datenanalyse mit dem dreistufigen Codierverfahren der Grounded Theory Methodologie ausgewertet. Die Ergebnisse zeigen, dass in der Pflegepraxis gewonnene Erfahrungen auslösende Momente wissenschaftlicher Karrieren sind. Diese lösen den Drang aus, die dort herrschende Situation zu verändern, wobei sich vier Karrieretypen unterscheiden lassen: Typ A forscht, weil er erlebt hat, dass es für pflegerische Phänomene keine geeigneten Pflegeinterventionen gab. Typ B lehrt, um dazu beizutragen, dass Pflegende zukünftig besser ausgebildet werden. Typ C ist als Pflegeperson von ÄrztInnen nicht ausreichend anerkannt worden und absolviert eine wissenschaftliche Qualifikation, um mit ihnen auf Augenhöhe 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 Wertschätzung für wissenschaftliches Handeln in der Pflege und das Fehlen von Stellen für hochschulisch qualifizierte Pflegepersonen in der Praxis. Angesichts der bestehenden Bedingungen können hochschulisch qualifizierte Pflegende in der Praxis nicht Fuß fassen. Als Konsequenz für die Pflegewissenschaft als Disziplin zeigt sich, dass in der Pflegepraxis Vorbilder fehlen, die zukünftige Generationen Pflegender dazu anregen könnten, selbst eine wissenschaftliche Karriere in der Pflege einzuschlagen. Dadurch besteht die Gefahr einer Verkümmerung der Pflegewissenschaft. Auf Grundlage der Ergebnisse wird die durchgängige Implementierung geeigneter Stellen für hochschulisch qualifizierte Pflegepersonen in der Pflegepraxis als Ausgangsbasis wissenschaftlicher Nachwuchsförderung 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 für akademisch qualifizierte Pflegende etablieren. KW - Wissenschaftlicher Nachwuchs, Pflegewissenschaft, Karrierewege, Karrieretypen, Professuren, Grounded Theory Methodologie Y1 - 2021 VL - 2021 IS - 6 SP - 73 EP - 86 ER - TY - CHAP A1 - Lüftl, Katharina T1 - Case Management als Instrument interprofessioneller Vernetzungsarbeit in der Pflegeberatung nach SGB XI § 7a: Konzept einer Lerneinheit aus dem Studiengang Pflegewissenschaft (B. Sc.) der TH Rosenheim T2 - Interprofessionelles Lernen im Gesundheitswesen: Unterricht entwickeln und gestalten KW - Interprofessionell, Lehren, Lernen Y1 - 2022 SP - 173 EP - 187 PB - Kohlhammer CY - Stuttgart ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Lüftl, Katharina T1 - Interprofessionelle Patientinnenedukation zur Erhaltung und Förderung der Mobilität: Konzept einer Lerneinheit problemorientierten Lernens für Studierende der hochschulischen Pflege- und Physiotherapieausbildung T2 - Interprofessionelles Lernen im Gesundheitswesen: Unterricht entwickeln und gestalten KW - Interprofessionell, Lehren, Lernen Y1 - 2022 SP - 188 EP - 210 PB - Kohlhammer CY - Stuttgart ER - TY - CHAP A1 - Nick, Carola A1 - Lüftl, Katharina T1 - Beratung für ältere Menschen zu technischen Assistenzsystemen für ein selbstbestimmtes Leben zuhause: Lerneinheit für Studierende der Pflege und der Sozialen Arbeit T2 - Interprofessionelles Lernen im Gesundheitswesen: Unterricht entwickeln und gestalten KW - Interprofessionell, Lehren, Lernen Y1 - 2022 SP - 241 EP - 258 PB - Kohlhammer CY - Stuttgart ER - TY - CHAP A1 - Kerres, Andrea A1 - Wissing, Christiane A1 - Lüftl, Katharina T1 - Zukunftsvisionen zur Förderung interprofessioneller Kompetenzen T2 - Interprofessionelles Lernen im Gesundheitswesen: Unterricht entwickeln und gestalten KW - Interprofessionell, Lehren, Lernen Y1 - 2022 SP - 292 EP - 299 PB - Kohlhammer CY - Stuttgart ER - TY - JOUR A1 - Lüftl, Katharina A1 - Nick, Carola T1 - Lernortkooperation in der hochschulischen Pflegeausbildung der TH Rosenheim JF - Pflege Professionell KW - Pflege, Lernortkooperation Y1 - 2022 VL - 2022 IS - 29 SP - 31 EP - 39 ER - TY - JOUR A1 - Mucha, Henrik A1 - Robert, Sebastian A1 - Breitschwerdt, Rüdiger A1 - Fellmann, Michael T1 - Usability of clinical decision support systems JF - Zeitschrift für Arbeitswissenschaft N2 - Usability is considered a major success factor for current and future decision support systems. Such systems are increasingly used to assist human decision-makers in high-stakes tasks in complex domains such as health care, jurisdiction or finance. Yet, many if not most expert systems—especially in health care—fail to deliver the degree of quality in terms of usability that its expert users are used to from their personal digital consumer products. In this article, we focus on clinical decision support systems (CDSS) as an example for how important a human-centered design approach is when designing complex software in complex contexts. We provide an overview of CDSS classes, discuss the importance of systematically exploring mental models of users, and formulate challenges and opportunities of future design work on CDSS. We further provide a case study from a current research project to illustrate how we used codesign as a practical approach to produce usable software in a real-world context. Practical Relevance: We make a point for usability to be considered a major success factor and non-negotiable characteristic of expert software. With software evolving into virtual coworkers in terms of supporting human decision-making in complex, high-risk domains, the necessity of and demand for systems that are unambiguously understandable and interpretable for their expert users have never been higher. We show that this is a real-world problem with high practical relevance by describing our work in the domain of clinical decision support systems (CDSS) as an example. We introduce the topic and a classification of CDSS. Thus, we highlight a conceptual framework of how to approach complex domains from a technology designer’s point of view. We continue by explaining why usability must be regarded as a major goal in software development. We derive challenges and opportunities that may well be transferred to other domains. Finally, be including a real-world example from our own professional work we propose a practical approach towards taking the challenges and exploiting the associated opportunities. N2 - Die Benutzerfreundlichkeit gilt als ein wichtiger Erfolgsfaktor für aktuelle und zukünftige Entscheidungsunterstützungssysteme. Solche Systeme werden zunehmend eingesetzt, um menschliche Entscheidungsträger bei anspruchsvollen Aufgaben in komplexen Bereichen wie dem Gesundheitswesen, der Rechtsprechung oder dem Finanzwesen zu unterstützen. Viele, wenn nicht sogar die meisten Expertensysteme – insbesondere im Gesundheitswesen – bieten jedoch nicht die Qualität in Bezug auf die Benutzerfreundlichkeit, die die Experten von ihren persönlichen digitalen Konsumgütern gewohnt sind. In diesem Artikel konzentrieren wir uns auf klinische Entscheidungsunterstützungssysteme (CDSS) als Beispiel dafür, wie wichtig ein menschenzentrierter Designansatz bei der Entwicklung komplexer Software in komplexen Kontexten ist. Wir geben einen Überblick über CDSS-Klassen, erörtern die Bedeutung der systematischen Erforschung mentaler Modelle von Nutzern und formulieren Herausforderungen und Chancen für die zukünftige Designarbeit an CDSS. Darüber hinaus stellen wir eine Fallstudie aus einem aktuellen Forschungsprojekt vor, um zu veranschaulichen, wie wir Codesign als praktischen Ansatz eingesetzt haben, um brauchbare Software in einem realen Kontext zu entwickeln. Praktische Relevanz: Wir setzen uns dafür ein, dass die Benutzerfreundlichkeit als ein wichtiger Erfolgsfaktor und nicht verhandelbares Merkmal von Expertensoftware angesehen wird. Mit der Entwicklung von Software zu virtuellen Mitarbeitern, die den Menschen bei der Entscheidungsfindung in komplexen, risikoreichen Bereichen unterstützen, sind die Notwendigkeit und die Nachfrage nach Systemen, die für ihre Expertenanwender eindeutig verständlich und interpretierbar sind, so hoch wie nie zuvor. Wir zeigen, dass dies ein reales Problem mit hoher praktischer Relevanz ist, indem wir unsere Arbeit im Bereich der klinischen Entscheidungsunterstützungssysteme (CDSS) als Beispiel beschreiben. Wir stellen das Thema und eine Klassifizierung von CDSS vor. So zeigen wir einen konzeptionellen Rahmen auf, wie man sich komplexen Domänen aus der Sicht eines Technologieentwicklers nähert. Wir fahren fort, indem wir erklären, warum die Benutzerfreundlichkeit als ein Hauptziel bei der Softwareentwicklung angesehen werden muss. Daraus leiten wir Herausforderungen und Möglichkeiten ab, die sich durchaus auf andere Bereiche übertragen lassen. Schließlich schlagen wir anhand eines praktischen Beispiels aus unserer eigenen beruflichen Tätigkeit einen praktischen Ansatz vor, um die Herausforderungen anzunehmen und die damit verbundenen Chancen zu nutzen. KW - Usability KW - Human-centered Design KW - Participatory Design KW - Software Engineering in Expert Domains KW - (Clinical) Decision Support Systems Y1 - 2022 U6 - https://doi.org/10.1007/s41449-022-00324-8 ER - TY - CHAP A1 - Robert, Sebastian A1 - Mucha, H. A1 - Hempel, D. ED - Glocke, P. ED - Elsner, C. ED - Schneider, H. T1 - Clinical Decision Support Systems T2 - Toolbook Digitale Transformation Krankenhaus KW - Clinical Decision Support Systems Y1 - 2022 PB - MWV Medizinisch Wissenschaftlicher Verlagsgesellschaft CY - Berlin ER - TY - THES A1 - Seckler, Eva T1 - Voraussetzungen für die erfolgreiche Implementierung eines Versorgungspfads für ältere Menschen mit Schwindel und Gleichgewichtsstörungen in der Primärversorgung N2 - Mit der Implementierung von Versorgungspfaden kann evidenzbasiertes Wissen unter Berücksichtigung spezifischer kontextualer Anforderungen in lokale Versorgungsstrukturen umgesetzt werden. Das übergeordnete Forschungsprojekt bedient sich diesem Ansatz, um mobilitäts- und teilhabeförderliche physiotherapeutische Interventionen für ältere Menschen mit Schwindel und Gleichgewichtsstörungen in die Primärversorgung zu integrieren. Ziel vorliegenden Promotionsprojektes ist es, die Voraussetzungen für die erfolgreiche Implementierung eines Versorgungspfads für diese Personengruppe im genannten Setting zu untersuchen. Konform mit der new MRC guidance for developing and evaluating complex interventions liegt ein essentieller Schritt in der Aufarbeitung vorhandener wissenschaftlicher Evidenz. Trotz der Relevanz von Versorgungspfaden in der Primärversorgung stellt das durchgeführte systematische Review (Publikation I) gemäß unserem Kenntnisstand die erste publizierte Forschungsarbeit zu dieser Thematik dar. Methodisch wurde hierfür eine Literaturrecherche über CINAHL, Cochrane Library und MEDLINE über PubMed durchgeführt; neben der Publikation der Hauptstudien (RCT, NRCT, CBA, ITS) wurden die dazugehörigen Prozessevaluationen mittels narrativer Synthese analysiert. Es konnten in allen Domänen des CICI frameworks beeinflussende Faktoren identifiziert werden. So sind Personal- und Zeitmangel, unzureichende Qualifikation und Motivation der Gesundheitsprofessionen, zeitintensive und komplexe Interventionskomponenten sowie fehlende finanzielle Anreize Barrieren. Schulungsmaßnahmen sowie Kenntnisse und Fähigkeiten der Interventionsanwender*innen und eine gute multidisziplinäre Kommunikation sind für eine erfolgreiche Implementierung förderlich. Die Literaturanalyse zeigte eine verbesserungswürdige Praxis der Berichterstattung, was erhebliche Wissenslücken bedingt. Die Übertragbarkeit der Ergebnisse auf Regionen mit anderen Gesundheitssystemen ist beschränkt, da die eingeschlossenen Projekte lediglich in drei unterschiedlichen Ländern durchgeführt wurden. Die entwickelte Intervention und die geplanten Studienabläufe wurden in einer Machbarkeitsstudie auf Akzeptanz und Durchführbarkeit untersucht (Publikation II). Teilnehmende waren fünf Hausärzt*innenpraxen, 10 Physiotherapiepraxen und 22 Patient*innen. Als Endpunkte dieser prospektiven Kohortenstudie wurden Daten mittels Fragebögen (DHI, EQ-5D-5L, IPAQ), Performancetest (mini-BEST), Aktivitätssensoren (Move4, StepWatch4) und einem Bewegungstagebuch erhoben; für die Prozessevaluation kontinuierliche Feldnotizen, standardisierte Fragebögen und semistrukturierte Interviews. Eine positive Einstellung gegenüber der Intervention, Anwendungsroutine und die Unterstützung durch Angehörige wirkten förderlich, Zeitmangel hingegen hinderlich. Trotz der guten Bewertung der Schulungen hatten Hausärzt*innen Schwierigkeiten bei der Einhaltung des Studien- und Interventionsprotokolls. Hinsichtlich der physiotherapeutischen Maßnahmen erwies sich die Behandlungstreue der Patient*innen als gut. Trotz der sorgfältig entwickelten Intervention und Implementierungsstrategie, konnte ein Optimierungsbedarf identifiziert werden. Dennoch sahen alle Teilnehmenden einen Mehrwert in der Intervention. Zusammenfassend lässt sich konstatieren, dass für eine erfolgreiche Implementierung von Versorgungspfaden in der Primärversorgung frühestmöglich unterschiedlichste Voraussetzungen zu berücksichtigen sind. Um von den vielversprechenden Vorteilen in der Praxis zu profitieren, ist ein sorgfältiger Interventionsaufbau und ein gezieltes Implementierungsvorgehen essentiell. Die Forschung ist in diesem Bereich weiter voranzutreiben, vorwiegend in bisher unzureichend erforschten Settings und Regionen. Zudem bedarf es einer Verbesserung der Forschungsqualität und Berichterstattung. KW - Versorgungspfad KW - Schwindel KW - Gleichgewichtsstörungen Y1 - 2022 UR - https://doi.org/10.5282/edoc.30361 ER - TY - BOOK A1 - Gruber, Thomas A1 - Ott, Robert T1 - Rechnungswesen im Krankenhaus KW - Rechnungswesen KW - Krankenhaus Y1 - 2022 PB - Medizinisch Wissenschaftliche Verlagsgesellschaft (MWV) CY - Berlin ET - 2 ER - TY - JOUR A1 - Hempel, Louisa A1 - Lapa, Constantin A1 - Dierks, Alexander A1 - Gaumann, Andreas A1 - Scheiber, Josef A1 - Veloso de Oliveira, Julia A1 - Philipp, Patrick A1 - Oyarzun Laura, Cristina A1 - Wesarg, Stefan A1 - Robert, Sebastian A1 - Hempel, Dirk T1 - A new promising oncogenic target (p.C382R) for treatment with pemigatinib in patients with cholangiocarcinoma JF - Therapeutic Advances in Medical Oncology N2 - Point mutations of the fibroblast growth factor receptor (FGFR)2 receptor in intrahepatic cholangiocarcinoma (iCC) are mainly of unknown functional significance compared to FGFR2 fusions. Pemigatinib, a tyrosine kinase inhibitor, is approved for the treatment of cholangiocarcinoma with FGFR2 fusion/rearrangement. Although it is hypothesized that FGFR2 mutations may cause uncontrolled activation of the signaling pathway, the data for targeted therapies for FGFR2 mutations remain unclear. In vitro analyses demonstrated the importance of the p.C382R mutation for ligand-independent constitutive activation of FGFR2 with transforming potential. The following report describes the clinical case of a patient diagnosed with an iCC carrying a FGFR2 p.C382R point mutation which was detected in liquid, as well as in tissue-based biopsies. The patient was treated with pemigatinib, resulting in a sustained complete functional remission in fluorodeoxyglucose-positron emission tomography/computed tomography over 10 months to date. The reported case is the first description of a complete functional remission under the treatment with pemigatinib in a patient with p.C383R mutation. Y1 - 2022 U6 - https://doi.org/10.1177/17588359221125096 VL - 14 ER - TY - JOUR A1 - Hempel, Louisa A1 - Piehler, Armin A1 - Gandorfer, Beate A1 - De Oliveira, Julia Veloso A1 - Philipp, Patrick A1 - Robert, Sebastian A1 - Axel, Kleespies A1 - Schick, Cordula A1 - Fleischmann, Bastian A1 - Schweneker, Katrin A1 - Milani, Valeria A1 - Schenk, Kristina A1 - Ebner, Florian A1 - Donhauser, Lara A1 - Zehn, Dietmar A1 - Hempel, Dirk T1 - Clinical impact of SARS-CoV-2 delta variant infection in tumor patients and the impact of vaccination on different cancer treatment regimens. JF - Journal of Clinical Oncology N2 - Background: Data on SARS-CoV-2 infections in oncological patients in the outpatient settings are scarce. Methods: During the spread of the delta variant between April 2021 and September 2021, a total of 10.677 patients were tested for SARS-CoV-2 infection by RT-qPCR in seven outpatient clinics in Bavaria, Germany. Results: Within the tested patient cohort, 4.960 patients (46.5%) suffered from a malignant disease (74% solid tumors and 26% malignant hematological diseases). This group was compared with 5.717 patients (53.5%) without a malignant disease (33.1% with other hematological diseases and 66.9% patients without a hematological or oncological disease). During the observation period, 119 (2.4%) patients with malignancies were tested positive (88 patients with solid tumors; 31 patients with malignant hematological diseases) compared to 115 positive patients (2.0%) in the control group. 32 of 119 positively tested patients (26.9%) suffering from malignant disease required hospitalization and 9/32 patients (28.1%) died during the clinical course. Conclusions: These observations are in clear contrast to data from patients we evaluated during the pre-delta variants period between 15 and 26 April 2020 in the same seven outpatient clinics. In this period, a total of 1.227 patients were tested for SARS-CoV-2 by RT-qPCR. 78/1227 patients (6.3%) were tested positive in RT-qPCR and most showed mild symptoms of infection. None of the SARS-CoV-2 infected patients died. These data were analyzed when no vaccination was available. These data were evaluated during a period where no vaccine was available. Vaccination of patients with malignancies with BiontechPfizer's mRNA vaccines was started in April 2021. The response to the vaccine was tested by an antibody assay (Elecsys Anti-SARS-CoV-2 S-immunoassay, Roche) at the earliest four weeks after the second vaccination. To assess the response, we compared five patient cohorts: Patients who received (i) B cell depleting antibodies, (ii) checkpoint inhibitors (ICI), (iii) chemotherapy, or (iv) tyrosin kinase inhibitors (TKIs), and (v) healthy controls. The patients treated with ICI or TKI showed a comparable vaccination response to the healthy patients, while patients receiving Rituximab/Obinutuzumab showed no significant humoral vaccination response at all. The more severe disease course of patients infected by the SARS-CoV-2 delta variant compared to the initial waves of infections strongly underline the importance of vaccination in cancer patients. Y1 - 2022 U6 - https://doi.org/10.1200/JCO.2022.40.16_suppl.e18750 VL - 40 IS - 16_suppl SP - E18750 EP - E18750 ER - TY - JOUR A1 - Hempel, L.C. A1 - Lapa, C. A1 - Gaumann, A. A1 - Veloso de Oliveira, J. A1 - Scheiber, J. A1 - Philipp, P. A1 - Oyarzun, C. A1 - Wesarg, S. A1 - Robert, Sebastian A1 - Hempel, D. T1 - 36P A point mutation replacing cysteine with arginine at position 382 (C382R) in the transmembrane domain of FGFR2 leads to response to FGF2-inhibitor pemigatinib in chemo-refractory intrahepatic cholangiocarcinoma JF - Annals of Oncology N2 - Background To date, targeted tyrosine kinase inhibitors have been approved for FGFR2 and FGFR3 fusions (pemigatinib and erdafitinib, respectively), but the importance of FGFR2 mutations for transformation activity and as a druggable gene variant with response to different FGFR inhibitors is poorly understood. FGFR2 inhibitors present a mainstay of treatment for locally advanced or metastatic intrahepatic cholangiocellular carcinoma (iCCA). Methods A 74-year-old male was diagnosed with iCCA in liver segments seven and eight with infiltration of the hepatic veins and inferior vena cava revealed a C382R mutation of the intramembrane domain of FGRR2 receptor. We performed an in-silico study to understand the potential mode-of-action of the mutant FGFR2 targets. Based on experimentally determined structures we then used a structure generated by AlphaFold2 as the variation in question is located at a position not determined well in the experiments. This revealed that the C382R mutation is located in the trans-membranal domain at a position crucial for signal transduction, both for activation and inhibition of downstream-signaling. The Molecular Tumor Board decided to start the treatment with 13.5 mg pemigatinib once daily for 14 days, followed by 7 days of free therapy interval resulting in a sustained partial response. The patient continues to be treated of 13.5 mg as described above. Results In our case report, we were able to show that the patient in whom an C382R mutation was detected responded to the therapy with pemigatinib. This shows that real-world scenarios differ from the data of the approval studies, thereby illustrating how complex data on patients with FGFR mutations is. One of the main problems of large approval studies is that the functionality of the respective alterations is often disregarded. Conclusions Our results suggest that respective mutation may be successfully targeted by FGFR-selective tyrosine-kinase inhibitors, demonstrating the importance of the functional characterization of mutations. no conflicts of interest. Y1 - 2022 U6 - https://doi.org/https://doi.org/10.1016/j.annonc.2022.01.045 VL - 33 SP - S17 EP - S17 ER - TY - GEN A1 - Lüftl, Katharina A1 - Link, Friederike ED - Lüftl, Katharina T1 - Was können wir von pflegenden Angehörige in den Gemeinden Flintsbach und Brannenburg lernen? Ergebnisse des Forschungsvorhabens PAsst – Pflegende Angehörige der oberbayerischen Gemeinden Flintsbach und Brannenburg gezielt stärken und unterstützen. Virtueller Workshop mit pflegenden Angehörigen am 10. März 2022 KW - Pflegende Zugehörige, Pflegende Angehörige Y1 - 2022 ER - TY - GEN A1 - Lüftl, Katharina A1 - Link, Friederike ED - Lüftl, Katharina T1 - Was belastet, was unterstützt pflegende Angehörige in den Gemeinden Flintsbach und Brannenburg? Ergebnisse des Forschungsvorhabens PAsst – Pflegende Angehörige der oberbayerischen Gemeinden Flintsbach und Brannenburg gezielt stärken und unterstützen. Virtueller Workshop mit Expert*innen für die Begleitung pflegender Angehöriger am 9. März 2022 KW - Pflegende Angehörige, Pflegende Zugehörige Y1 - 2022 ER - TY - GEN A1 - Kardas, Leopold ED - Lüftl, Katharina T1 - Schlüsselprobleme der Patientenedukation zu technischen Assistenzsystemen in den Sozial- und Gesundheitsberufen. Zwischenergebnisse eines Teilprojektes von DeinHaus4.0 Oberbayern. Poster für die Tagung ‚Digitalisierung im Gesundheitswesen‘ vom 6.-7.07.2022 an der OTH Regensburg KW - Technikberatung, Anwendung technischer Assistenzsysteme, Pflege Y1 - 2022 ER - TY - GEN A1 - Nick, Carola A1 - Lüftl, Katharina ED - Lüftl, Katharina T1 - Entwicklung eines Edukationskonzeptes zu Wohnungsanpassung für ein selbstbestimmtes Leben im Alter daheim. EdWArd. Poster für die Tagung ‚Digitalisierung im Gesundheitswesen‘ vom 6.-7.07.2022 an der OTH Regensburg KW - Wohnberatung, Pflege Y1 - 2022 ER - TY - GEN A1 - Nick, Carola A1 - Lüftl, Katharina ED - Lüftl, Katharina T1 - Patienten- und Familienedukation zur Förderung eines selbstbestimmten Lebens älterer Menschen daheim. Entwicklung von Demonstrationskoffern für die Wohnberatung im Rahmen eines Lehr-/Lernprojektes. Poster für den 13. DGP-Hochschultag ‚Pflegewissenschaft im Dialog‘ am 18.11.2022 an der HAW Frankfurt a. Main KW - Wohnberatung, Pflege Y1 - 2022 ER - TY - GEN A1 - Kardas, Leopold ED - Lüftl, Katharina T1 - Gratwanderung zwischen konfligierenden Prinzipien als Schlüsselproblem der Technikberatung. Ergebnisse eines Teilprojektes von DeinHaus4.0 – Oberbayern. Poster für den 13. DGP-Hochschultag „Pflegewissenschaft im Dialog“ am 18.11.2022 an der HAW Frankfurt a. Main KW - Technikberatung, Anwendung technischer Assistenzsysteme, Pflege Y1 - 2022 ER - TY - JOUR A1 - Ott, Robert T1 - Medizincontrolling: Ein Berufsbild etabliert sich JF - Controller Magazin KW - Medizincontrolling Y1 - 2023 VL - 2023 IS - 2 SP - 90 EP - 91 ER - TY - JOUR A1 - Arens-Fischer, Wolfgang A1 - Boos, Franz-Xaver A1 - Ott, Robert T1 - Standortbestimmung von Studienformaten in der Weiterbildung JF - Duales Studium N2 - An Hochschulen wird ein zunehmender Bedarf adressiert, mit verschiedenen Studienformaten Angebote für die wissenschaftliche Weiterbildung Berufstätiger vorzuhalten. In diesem Beitrag soll deshalb der Versuch unternommen werden, drei Studienformate voneinander abzugrenzen und dabei die Rollen und Vernetzungsgrade der beiden Beschäftigungsorte Hochschule und Unternehmen der sich weiterbildenden Studierenden näher zu beleuchten: berufsintegrierende, berufsbegleitende und nebenberufliche Studiengänge. KW - Weiterbildung KW - Duales Studium Y1 - 2022 IS - 2 SP - 39 EP - 48 PB - DUZ Verlags- und Medienhaus GmbH CY - Berlin ER - TY - GEN A1 - Kardas, Leopold A1 - Lüftl, Katharina T1 - Schlüsselprobleme der Patientenedukation zu technischen Assistenzsystemen in den Sozial- und Gesundheitsberufen. Zwischenergebnisse eines Teilprojektes von DeinHaus4.0 Oberbayern. Poster für die Tagung ‚Digitalisierung im Gesundheitswesen‘ vom 6.-7.07.2022 an der OTH Regensburg KW - Patientenedukation Y1 - 2022 ER - TY - GEN A1 - Kardas, Leopold A1 - Lüftl, Katharina T1 - Gratwanderung zwischen konfligierenden Prinzipien als Schlüsselproblem der Technikberatung. Ergebnisse eines Teilprojektes von DeinHaus4.0 – Oberbayern. Poster für den 13. DGP-Hochschultag ‚Pflegewissenschaft im Dialog‘ am 18.11.2022 an der HAW Frankfurt a. Main KW - Patientenedukation Y1 - 2022 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 - 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 - Kardas, Leopold A1 - Nick, Carola A1 - Lüftl, Katharina T1 - Pflegeberufliche Handlungskompetenz in der Anwendung technischer Assistenzsysteme. Ein Scoping Review. Poster für das 7. Ambient Medicine Forum vom 23.-24. März in Kempten KW - Patientenedukation Y1 - 2023 ER - TY - GEN A1 - Nick, Carola A1 - Lüftl, Katharina T1 - Bedeutsame Arbeitssituationen und Handlungsstrategien von Wohnberatenden im Beratungsprozess. Poster für die Fachtagung DeinHaus4.0 am 28. April 2023 an der THRO KW - Patientenedukation Y1 - 2023 ER - TY - GEN A1 - Kardas, Leopold A1 - Lüftl, Katharina T1 - Gratwanderung in der Vereinbarung potentiell konfligierender Prinzipien - Schlüsselprobleme der Patientenedukation zu technischen Assistenzsystemen. Poster für die Fachtagung DeinHaus4.0 am 28. April 2023 an der THRO KW - Patientenedukation Y1 - 2023 ER - TY - GEN A1 - Lüftl, Katharina A1 - Nick, Carola A1 - Kardas, Leopold T1 - Fragen für den Transfer – Aktivitäten – Forschung – Bildungskonzepte. Vortrag bei der Fachtagung DeinHaus4.0 am 28. April 2023 an der THRO KW - Patientenedukation Y1 - 2023 ER - TY - GEN A1 - Lüftl, Katharina T1 - Leittexte als Methode in der Praxisanleitung. Vortrag beim Forum Praxisanleitung an der THRO am 21. April 2023 KW - Didaktik Y1 - 2023 ER - TY - GEN A1 - Nick, Carola A1 - Kardas, Leopold A1 - Lüftl, Katharina T1 - Wohn- und Technikberatung in der Pflege bzw. mit welchen Schlüsselproblemen sind Akteur*innen der Sozial- und Gesundheitsberufe bei der Technik- und Wohnberatung älterer Menschen konfrontiert und wie gehen sie damit um? 17. Bremer Pflegekongress am 10. Mai 2023 KW - Patientenedukation Y1 - 2023 ER - TY - CHAP A1 - Kardas, Leopold A1 - Lüftl, Katharina ED - Kerres, Andrea ED - Wissing, Christiane ED - Lüftl, Katharina T1 - Interprofessionelles Lernen auf der Grundlage phänomenologischer Ansätze weiterentwickeln T2 - Interprofessionelles Lernen im Gesundheitswesen: Unterricht entwickeln und gestalten KW - Interprofessionelles Lernen Y1 - 2022 SP - 259 EP - 275 PB - Kohlhammer CY - Stuttgart 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 - BOOK ED - Kerres, Andrea ED - Wissing, Christiane ED - Lüftl, Katharina T1 - Interprofessionelles Lernen im Gesundheitswesen: Unterricht entwickeln und gestalten N2 - Die Patientenversorgung ist eine interprofessionelle Aufgabe. Deshalb wird die Förderung interprofessioneller Kompetenzen zunehmend in den Ausbildungs- und Studiencurricula aller Gesundheitsberufe verankert, sodass Lehrende vor der Herausforderung stehen, Lernangebote zu konzipieren, die Kompetenzen interprofessioneller Kooperation fördern. Der Herausgeberband enthält vielfältige Beispiele für die Durchführung von Lerneinheiten, die Lernende auf typische interprofessionelle Handlungssituationen oder das interprofessionelle Handeln in unterschiedlichen Versorgungssettings vorbereiten. Auch Best-Practice-Beispiele der interprofessionellen praktischen Ausbildung werden vorgestellt. Zusätzlich können Online-Materialien für die eigene Lehre heruntergeladen und genutzt werden. Damit bietet das Werk Lehrenden eine Unterstützung, um interprofessionell orientierte Lerneinheiten praxisorientiert zu entwickeln. KW - Patientenversorgung Y1 - 2022 SN - 978-3-17-039684-5 PB - Kohlhammer CY - Stuttgart ER - TY - CHAP A1 - Hoepfl, Felix T1 - Service Robots as Co-workers in Elderly Care: Exploratory Re-search on Technology Acceptance in Healthcare T2 - 18th Academy of Innovation, Entrepreneurship, and Knowledge (ACIEK) Conference N2 - The pandemic has highlighted the fact that healthcare systems around the world are under pressure. Demographic change is leading to an increasing shortage of care workers in most countries, and the demographic challenge is only just beginning in most societies. While robots are widely used in industry, robotic support in healthcare is still limited to very specialised robots in the operating theatre. The question of what type of deployment is likely to be successful in a healthcare scenario is not only a technological or economical question, but also one of technology acceptance. In this paper we analyse the acceptance of robots in elderly care from the perspective of patients, patient families, and geriatric care professionals. To understand the various positions and to identify the suitability of existing acceptance models, we applied stakeholder mapping to conduct qualitative interviews with 14 people with different knowledge backgrounds and levels of involvement in care situations, based on 9 videos showing different robots and application scenarios. The results confirmed that existing technology acceptance models need to be extended by factors such as robot appear-ance. We found that the background knowledge of the respondents influences the results of the questions about e.g. safety concerns. In addition, we found that the contribution to patients' self-determination and independence is an im-portant factor that is not included in existing technology acceptance models. Finally, the discovery of a significant dis-crepancy between the self-perception and the external perception of the different stakeholders regarding the acceptance of a service robot can be explained by the stakeholder positions involved caring for the benefit of a specific patient. These findings encourage further research, especially with the underlying assumption that technology acceptance in healthcare is not just a patient issue, but a stakeholder issue. Stake holder mapping is a valid tool to analyze the inter-dependences for acceptance of robots. Therefore, we suggest using a tool such as stakeholder mapping to further ana-lyze these issues. KW - technology acceptance KW - stakeholder mapping KW - geriatrics Y1 - 2023 SN - 978-84-09-51414-4 SP - 1 EP - 3 PB - ACIEK Conference ER - TY - JOUR A1 - Classe, Franz A1 - Lenz, Thorsten A1 - Ott, Robert A1 - Boos, Franz-Xaver A1 - Reimer, Maike T1 - Duales Studium in Bayern: Ergebnisse einer Befragung von Praxispartnern JF - Social Science Open Access Repository KW - duales Studium Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0168-ssoar-88110-1 ER - TY - JOUR A1 - Höpfl, Felix A1 - Peisl, Thomas A1 - Greiner, Christian T1 - Exploring stakeholder perspectives: Enhancing robot acceptance for sustainable healthcare solutions JF - Sustainable Technology and Entrepreneurship N2 - The pandemic has highlighted the fact that healthcare systems around the world are under pressure. Demographic change is leading to an increasing shortage of care workers in most countries, and the demographic challenge is only just beginning in most societies. While robots are widely used in industry, robotic support in healthcare is still limited to very specialized robots in the operating theatre. The question of what type of deployment is likely to be successful in a healthcare scenario is not only a technological or economical question but also one of technology acceptance. The answer to this question supports entrepreneurial opportunities to develop sustainable healthcare solutions. In this paper, we analyze the acceptance of robots in elderly care from the perspective of patients, patient families, and geriatric care professionals. To understand the various positions and to identify the suitability of existing acceptance models, we applied stakeholder mapping to conduct qualitative interviews with 14 people with different knowledge backgrounds and levels of involvement in care situations, based on 9 videos showing different robots and application scenarios. The results confirmed that existing technology acceptance models need to be extended by factors such as robot appearance. We found that the background knowledge of the respondents influences the results of the questions about e.g. safety concerns. In addition, we found that the contribution to patients' self-determination and independence is an important factor that is not included in existing technology acceptance models. Finally, the discovery of a significant discrepancy between the self-perception and the external perception of the different stakeholders regarding the acceptance of a service robot can be explained by the stakeholder positions involved in caring for the benefit of a specific patient. These findings encourage further research, especially with the underlying assumption that technology acceptance in healthcare is not just a patient issue, but a stakeholder issue. Stakeholder mapping is a valid tool to analyze the interdependencies for the acceptance of robots. Therefore, we suggest using a tool such as stakeholder mapping to further analyze these issues. KW - Technology acceptance KW - Robot acceptance KW - Stakeholder mapping KW - Geriatrics Y1 - 2023 U6 - https://doi.org/10.1016/j.stae.2023.100045 VL - 2 IS - 3 SP - 100045 ER - TY - JOUR A1 - Greiner, Christian A1 - Peisl, Thomas A1 - Höpfl, Felix A1 - Beese, Olivia T1 - Acceptance of AI in SemiStructured Decision-Making Situations Applying the Four-Sides Model of Communication—An Empirical Analysis Focused on Higher Education JF - Education Sciences N2 - This study investigates the impact of generative AI systems like ChatGPT on semi-structured decision-making, specifically in evaluating undergraduate dissertations. We propose using Davis’ technology acceptance model (TAM) and Schulz von Thun’s four-sides communication model to understand human–AI interaction and necessary adaptations for acceptance in dissertation grading. Utilizing an inductive research design, we conducted ten interviews with respondents having varying levels of AI and management expertise, employing four escalating-consequence scenarios mirroring higher education dissertation grading. In all scenarios, the AI functioned as a sender, based on the four-sides model. Findings reveal that technology acceptance for human–AI interaction is adaptive but requires modifications, particularly regarding AI’s transparency. Testing the four-sides model showed support for three sides, with the appeal side receiving negative feedback for AI acceptance as a sender. Respondents struggled to accept the idea of AI, suggesting a grading decision through an appeal. Consequently, transparency about AI’s role emerged as vital. When AI supports instructors transparently, acceptance levels are higher. These results encourage further research on AI as a receiver and the impartiality of AI decision-making without instructor influence. This study emphasizes communication modes in learning-ecosystems, especially in semi-structured decision-making situations with AI as a sender, while highlighting the potential to enhance AI-based decision-making acceptance. KW - AI as a sender KW - higher education KW - semi-structured decisions KW - four-sides model; technology acceptance model Y1 - 2023 U6 - https://doi.org/10.3390/educsci13090865 VL - 13 IS - 9 SP - 1 EP - 11 PB - MDPI CY - Basel, Schweiz ER - TY - CHAP A1 - Lüftl, Katharina A1 - Kardas, Leopold A1 - Kerres, Andrea A1 - Wissing, Christiane ED - Brühe, Roland ED - von Gahlen-Hoops, Wolfgang T1 - Anleitungsmethodik für die praktische Pflegeausbildung. Ist-Stand und Bedarfe für eine pflegedidaktische Fundierung T2 - Handbuch Pflegedidaktik I N2 - Dieser Beitrag konzentriert sich auf Methoden der Praxisanleitung. Da im deutschsprachigen Raum eine Tendenz zur Methodeneinseitigkeit bzw. zur schwerpunktmäßigen Anwendung der Instruktion anzutreffen ist, wird zunächst pflegedidaktisch der Bedarf nach einem Methodenmix sowie der Bedarf nach Methoden zur Förderung selbständigen Problemlösens begründet. Dann wird der Frage nachgegangen, welche Methoden für die Praxisanleitung im deutschsprachigen Raum und international in der Literatur beschrieben werden. Diese werden jeweils in einem Mehrebenenmodell der Methodik systematisiert und verglichen. Vor diesem Hintergrund werden pflegedidaktische Forschungsdesiderate und weitere Empfehlungen formuliert, um die Praxisanleitung im deutschsprachigen Raum methodisch weiterzuentwickeln und dadurch Lernende bestmöglich für die professionelle Bewältigung der Anforderungen pflegerischer Praxis vorzubereiten. KW - Praxisanleitung KW - Pflegedidaktik Y1 - 2024 SP - 39 EP - 59 PB - UTB CY - Stuttgart ER - TY - CHAP A1 - Wissing, Christiane A1 - Kerres, Andrea A1 - Dorothea, Thurner A1 - Lüftl, Katharina ED - Brühe, Roland ED - von Gahlen-Hoops, Wolfgang T1 - Pflegedidaktische Überlegungen zur Implementierung von Fallbesprechungen im Rahmen der Lernortkooperation im Pflegebildungssystem T2 - Handbuch Pflegedidaktik II N2 - Eine Lernortkooperation (LOK) kann die Lehr-Lern-Prozesse in der Pflegebildung verbessern (vgl. Briese 2018: 7). Allerdings besteht eine LOK nicht nur aus dem theoretischen und den praktischen Lernorten, sondern auch aus übergreifenden Lernorten, wie beispielsweise der sogenannte dritte Lernort. Um die LOK zu stärken und ein gemeinsames Bildungsver-ständnis zu erlangen, möchten wir die Methode der Fallbesprechung nutzen. Anhand dieser Methode stellen wir pflegedidaktische Überlegungen an, wie eine zielgruppengerechte Umsetzung auf allen Ebenen der LOK - Information, Abstimmung und Kooperation (vgl. Dehnbostel 2022: 97) - gelingen könnte. KW - Pflegedidaktik KW - Lernortkooperation Y1 - 2024 SP - 93 EP - 117 PB - UTB CY - Stuttgart ER - TY - GEN A1 - Thalhammer, Regina A1 - Lüftl, Katharina T1 - „Da wird bis zur letzten Sekunde gewartet“. Das Erleben von Übergangsprozessen im Kontext von Pflegebedürftigkeit aus der Perspektive der Gesundheitsberufe. Eine Grounded Theory Studie. Poster für den EbM Kongress in Berlin am 13.März 2024 KW - Übergänge KW - Pflegebedürftigkeit Y1 - 2024 ER - TY - GEN A1 - Kardas, Leopold A1 - Lüftl, Katharina T1 - DaheimLeben4.0. Technisch unterstütztes Leben zuhause – Lernangebot für die generalistische Pflegeausbildung. Workshop beim Bremer Pflegekongress am 16.5.2024 KW - Patientenedukation Y1 - 2024 ER - TY - JOUR A1 - Kardas, Leopold A1 - Nick, Carola A1 - Lüftl, Katharina T1 - Pflegeberufliche Handlungskompetenz in der Anwendung technischer Assistenzsysteme. Ein Scoping Review JF - Pädagogik der Gesundheitsberufe N2 - Die Gesundheitswirtschaft ist im hohen Maße von Technisierung und Digitalisierung betroffen, welche neue Kompetenzen bei den verantwortlichen Akteur:innen erfordert. Die Fähigkeiten, die für den professionellen Umgang mit diesen Entwicklungspro zessen relevant sind, werden in der Literatur mit verschiedenen Begriffen umschrieben: Inhalte wie Technik, Digitalität, Medien, Informatik, Computer oder Informations- und Kommunikationstechnologien (IKT) werden mit Fähigkeiten und Fertigkeiten re präsentierenden Begriffen wie Kompetenzen, Literacy oder Skills verknüpft. Deutlich wird bisher jedoch nicht, welche spezifi schen Fähigkeiten die im Diskurs geforderten Konstrukte jeweils adressieren, worin sie sich unterscheiden und welchen Beitrag sie zum Ziel beruflicher Handlungskompetenz leisten. KW - Technische Assistenzsysteme Y1 - 2023 VL - 9 IS - 4 SP - 171 EP - 182 ER - TY - GEN A1 - Kardas, Leopold A1 - Nick, Carola A1 - Lüftl, Katharina ED - Lüftl, Katharina T1 - Technische Hilfsmittel und Assistenzsysteme für ein selbstbestimmtes Leben im Alter: „Demokoffer“ für die Wohn- und Technikberatung. Poster für die Fachtagung „Länger leben zuhause“ des Projektes „DeinHaus4.0 – Niederbayern“ der Technischen Hochschule Deggendorf, 26.10.-27.10.2023 KW - Wohn- und Technikberatung Y1 - 2023 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 - TY - BOOK ED - Kerres, Andrea ED - Lüftl, Katharina ED - Wissing, Christiane T1 - Beurteilen in der Pflegebildung. Entwicklung einer Beurteilungskultur an den verschiedenen Lernorten N2 - Die kontinuierliche Beurteilung gehört zu den Kernaufgaben von Lehrenden und Praxisanleitenden an den theoretischen und den praktischen Lernorten. Anhand von gezielten Anleitungssituationen, theoretischen und fachpraktischen Unterrichten sowie Reflexionen entwickeln die Lehrpersonen das pflegerische Handeln der Lernenden in der Pflegepraxis weiter. Die anschließende Beurteilung der schriftlichen, mündlichen oder praktischen Leistungsnachweise ist eine wichtige Aufgabe. Welche Methode bietet sich an und welche Kompetenzen werden damit geprüft? Welche Kriterien sind bei der Beurteilung zu beachten und welche Fähigkeiten brauchen Lehrende zur Umsetzung? Was versteht man unter Beurteilungskultur und welche Rolle spielt das eigene Bildungsverständnis? KW - Beurteilen Y1 - 2024 SN - 978-3-662-68928-8 SN - 978-3-662-68929-5 U6 - https://doi.org/10.1007/978-3-662-68929-5 PB - Springer CY - Berlin, Heidelberg ET - 1 ER - TY - CHAP A1 - Nick, Carola A1 - Lüftl, Katharina A1 - Ortmann, Maria T1 - Debriefing und Feedback T2 - Beurteilen in der Pflegeausbildung. Entwicklung einer Beurteilungskultur an den verschiedenen Lernorten N2 - Simulationsbasiertes Lehren und Lernen in Gesundheitsfachberufen findet am sogenannten Dritten Lernort (DBR 2017) statt. Ziel ist es, „eine realitätsnahe Praxissituation nachzustellen, um die Lernenden an pflegerisches Handeln heranzuführen" (DBR 2017: S. 10). Durch die Laborsituation können Lernende in einem geschützten Lernumfeld Handlungen erproben, reflektieren, revidieren und einüben, ohne die Sicherheit der Pflegebedürftigen zu gefährden. Die Lehrform eignet sich besonders, um „reflective practice“ (Sawyer et al. 2016: S. 209) anzubahnen. Im folgenden Artikel wird das Debriefing als Ansatz zur Beurteilung simulationsbasierten Lernens vorgestellt. Bei der Beschäftigung mit Publikationen zum Thema Debriefing fällt auf, dass Debriefing und Feedback häufig synonym verwendet werden. Debriefing und Feedback scheinen beide relevant für die Nachbesprechung von Simulationsszenarien (Paul, 2021; Engelhardt, 2021), doch inwiefern bestehen Unterschiede? KW - Debriefing KW - Beurteilen Y1 - 2024 U6 - https://doi.org/10.1007/978-3-662-68929-5_7 SP - 175 EP - 183 PB - Springer CY - Berlin, Heidelberg ER - TY - CHAP A1 - Lüftl, Katharina A1 - Nick, Carola A1 - Ortmann, Maria T1 - Peer-Debriefing durch Leitfragen T2 - Beurteilen in der Pflegeausbildung. Entwicklung einer Beurteilungskultur an den verschiedenen Lernorten N2 - In diesem Buch werden Möglichkeiten vorgestellt, um an den Lernorten der Pflegeausbildung Beurteilungen vorzunehmen und eine Beurteilungskultur aufzubauen. Der vorliegende Beitrag nimmt den Lernort Skills- und Simulationslabor in den Blick und stellt das Debriefing als Ansatz der fördernden Leistungsbeurteilung (Jürgens, Lissmann, 2015) für Simulationen vor. Debriefing findet im Rahmen von Simulationen direkt nach der Durchführung eines Szenarios statt. Es handelt sich um eine Nachbesprechung im Sinne eines strukturierten Prozesses, bei dem das Handeln der Lernenden während des Szenarios u.a. mithilfe moderierten Feedbacks intensiv reflektiert wird, um daraus Lernimpulse für zukünftige Handlungen zu ziehen (Dieckmann, 2018). Im Zentrum stehen konkrete Handlungsbeispiele aus dem Szenario, deren Bearbeitung mit Blick auf Wissen, Fertigkeiten und mentale Modelle zur Selbstreflexion beiträgt (Schröppel, 2021). In der Literatur werden verschiedene Debriefingverständnisse und -verfahren beschrieben. Im vorliegenden Beitrag wird ein Debriefingbeispiel von Simulationen zur Umsetzung der Anlei-tungsmethode Cognitive Apprenticeship (CA) an der TH Rosenheim vorgestellt, das sich an einem Modell nach Dieckmann (2018) orientiert. Dabei wird insbesondere aufgezeigt, wie die Beteiligung am Debriefing durch Mitstudierende bzw. Peers gestaltet wird. Die Peers erhalten hierfür Leitfragen mit Bezug zur Lehrveranstaltung, anhand derer sie die Szenarien beobachten und in der Beschreibungsphase des Debriefing ein differenziertes Feedback geben konn-ten. Die Leitfragen für Beobachtung und Feedback verfolgen eine pädagogische, eine pflegefachliche und eine überfachliche Richtung. Im Beitrag erfolgt zunächst die Einbettung des CA in den Kontext des Studiengangs Pflegewissenschaft (B.Sc.) an der TH Rosenheim, danach wird CA als Anleitungsmethode vorgestellt und es wird beschrieben, wie die Simulationen zum Praxistransfer von CA aufgebaut sind. Dann wird auf den Debriefingmodus und die Leitfragen für Beobachtung und Feedback der Peers eingegangen. Zuletzt erfolgt eine Reflexion der Erfahrungen aus der Durchführung des vorgestellten Debriefing- und Feedbackmodus. KW - Debriefing KW - Beurteilen Y1 - 2024 U6 - https://doi.org/10.1007/978-3-662-68929-5_7 SP - 184 EP - 190 PB - Springer CY - Berlin, Heidelberg ER - TY - JOUR A1 - Kardas, Leopold A1 - Nick, Carola A1 - Lüftl, Katharina T1 - „Das ist wirklich eine Gratwanderung“: Schlüsselprobleme der Patientinnen- und Familienedukation zu technischen Assistenzsystemen in Sozial- und Gesundheitsberufen – eine Grounded Theory JF - Heilberufe Science N2 - Hintergrund Zwischen technischen Assistenzsystemen für die häusliche Versorgung und ihren potenziellen Nutzer:innen bestehen häufig erhebliche Passungsprobleme. Patient:innen- und Familienedukation stellt eine multimethodische und subjektorientierte Vermittlungsstrategie, die Brücken zwischen Mensch und Technik bauen und somit das postulierte Potenzial technischer Assistenzsysteme nutzbar machen könnte, dar. Pflegefachpersonen scheinen durch ihr edukatives Selbstverständnis und ihre Nähe zu Betroffenen prädestiniert für diese Aufgabe zu sein, werden durch ihre Ausbildung bisher aber nur unzureichend darauf vorbereitet. Zielsetzung und Fragestellung Zur Fundierung eines curricularen Bausteins der Pflegeausbildung und des Pflegestudiums sollen berufliche Schlüsselprobleme der Patient:innenedukation zu technischen Assistenzsystemen in den Sozial- und Gesundheitsberufen erhoben werden. Diese stellen empirisch identifizierte Herausforderungen im Handlungsfeld der Technikberatung, die zugleich auch pflegedidaktische Verhältnisbestimmungen zwischen Technik und pflege- bzw. gesundheitsberuflichem Handeln ermöglichen sollen, dar. Methoden Es wurde eine qualitative Studie durchgeführt. Auf der Grundlage einer Methodentriangulation wurden 15 Interviews geführt und anschließend mithilfe der Grounded-Theory-Methodologie nach Strauss und Corbin ausgewertet. Ergebnisse Als zentrales Schlüsselphänomen konnte die Praxis der Gratwanderung, welche 4 Schlüsselprobleme umfasst, identifiziert werden. Die Gratwanderung der Akteur:innen im Umgang mit den Schlüsselproblemen mündet in einer heuristischen Technikfolgenabschätzung, in der potenzieller Nutzen und Schaden von technischen Assistenzsystemen gegeneinander abgewogen werden. Hierfür müssen technische Artefakte in einen Zusammenhang mit (1) den Alltagspraktiken, (2) den soziomaterialen Rahmenbedingungen sowie (3) den Technikdeutungen ihrer Nutzer:innen gestellt werden. Schlussfolgerung Die Patient:innenedukation stellt eine geeignete Strategie dar, um das Handlungsfeld der Technikberatung weiter zu professionalisieren und so die Potenziale von technischen Assistenzsystemen in der häuslichen Versorgung realistisch zu nutzen. KW - Assistenztechnologien · Technikberatung · Edukation · Pflegebildung · Pflegedidaktik Y1 - 2024 U6 - https://doi.org/10.1007/s16024-024-00419-8 ER - TY - BOOK A1 - Sailer, Marcel A1 - Mahr, Andreas A1 - Hänisch, Till A1 - Reichstein, Christopher A1 - Beyer-Wunsch, Pia A1 - Andelfinger, Volker P. A1 - Härting, Ralf-Christian A1 - Häfner, Felix A1 - Steiner, Barbara A1 - Zenker, Marc A1 - Stechow, Richard A1 - Blotenberg, Britta A1 - Seeling, Stefanie ED - Sailer, Marcel ED - Mahr, Andreas T1 - Active Assisted Living – Szenarien und Löösungsansäätze füür ein selbstbestimmtes Leben N2 - In dem vorliegenden Open-Access-Buch identifizieren Studierende und Lehrende interprofessionell Entwicklungen und Problemfelder der Assistiven Technologien. Diese halten zunehmend Einzug ins Leben versorgungsbedürftiger, häufig älterer Menschen. Nach einigen Jahren der Entwicklung kann konstatiert werden, dass der Transfer von Entwicklung zur Anwendung im Alltag infolge unterschiedlicher Perspektiven und Zielsetzungen nur unzureichend stattfindet. Die Beitragsautoren bieten kreative Lösungsansätze, die zu einer nachhaltigen Umsetzung führen sollen KW - active assisted living KW - selbstbestimmung KW - assistive technologie KW - AAL Y1 - 2021 SN - 978-3-658-34335-4 U6 - https://doi.org/10.1007/978-3-658-34335-4 PB - Springer VS CY - Wiesbaden ET - 1 ER - TY - JOUR A1 - Sailer, Marcel A1 - Kisielewski, Daniel A1 - Saathoff, Imke T1 - Erhebung der Patientenzufriedenheit und Lebensqualitäät stationäärer onkologischer Patienten durch Pflegende – Praktikabilitäätsprüüfung des Instruments „Ulmer QLONC“ JF - Onkologische Pflege N2 - Die Zufriedenheit mit der stationären Versorgung, Pflege und Therapie stellt für onkologische Patienten einen Schlüsselindikator für die erlebte Lebensqualität dar. Zahlreiche Studien untersuchten die Einflussfaktoren auf die Zufriedenheit bei onkologischen Patienten, Aspekte wie das Fatigue-Syndrom spielen dabei eine zentrale Rolle (Lis et al., 2009). Ferner ist die Zufriedenheit ein entscheidender Aspekt für die Beurteilung der pflegerischen Versorgungsqualität (Engel, Brinkmann-Stoppelenburg, Nieboer & van der Heide, 2018). Die Patientenzufriedenheit beschreibt das Ausmaß, inwiefern die Erfahrungen in der Gesundheitsversorgung mit den Erwartungen an die Qualität übereinstimmen (Brédart et al., 2005). Sie wird als multidimensionales Konstrukt beschrieben und beinhaltet technische, interpersonelle, soziale und moralische Aspekte der Pflegeversorgung (Al-Abri & Al-Balushi, 2014). Pflegekräfte spielen im multidisziplinären Team eine elementare Rolle in der Gesundheitsversorgung, der -edukation, der Unterstützung im Selbstmanagement und damit letztendlich auch der Förderung der Lebensqualität (Campbell et al., 2017; Jang, Kim & Kyungee, 2016; Kullberg et al., 2015; Galway et al., 2012)Zur Messung der Lebensqualität und Zufriedenheit über die Versorgung solcher Patienten steht eine Reihe von Instrumenten zur Verfügung. Die überwiegende Anzahl ist jedoch generisch angelegt und bildet die komplexen Bedarfe während einer stationären Versorgung nur bedingt ab (Saathoff et al., 2016). KW - Lebensqualität KW - Onkologie KW - Patientenzufriedenheit Y1 - 2018 VL - 2018 IS - 4 SP - 55 EP - 60 PB - Zuckschwerdt Verlag CY - München ER - TY - CHAP A1 - Kardas, Leopold A1 - Lüftl, Katharina T1 - DaheimLeben4 – ein zweitägiges Lernangebot für die generalistische Pflegeausbildung T2 - Marktplatz der Möglichkeiten - Lernwelten Kongress 2024, Innsbruck KW - Technikberatung Y1 - 2024 ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Sollfrank, Tobias A1 - Müller, Martin T1 - Intuitive interaction with cooperative assistance robots for the 3rd and 4th age: the KoBo34-project: How did we aim to actively involve all potential stakeholders? T2 - International Research Week, Technical University of Applied Sciences Rosenheim KW - patient involvement KW - participatory research KW - human-robot-interaction KW - intuitive interaction KW - cooperative assistance robot Y1 - 2024 ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Servaty, Ricarda A1 - Jahn, Eva A1 - Müller, Martin T1 - Evaluation des Nutzens eines humanoiden Serviceroboters als komplexe Intervention in Testszenarien im Seniorenheim T2 - 3. Clusterkonferenz „Zukunft der Pflege“, Nürnberg KW - Serviceroboter KW - Evaluation KW - komplexe Intervention KW - Partizipative Forschung KW - Pflege Y1 - 2024 ER - TY - JOUR A1 - Bergmann, Mona A1 - Ulrike, Fettke A1 - Wacker, Elisabeth T1 - Opening doors to affordable rental housing. Perspectives of private suburban owners with unused housing space JF - Urban Planning KW - homeownership KW - housing affordability KW - private landlords KW - rental prices KW - suburban housing KW - unused housing space Y1 - 2024 U6 - https://doi.org/10.17645/up.8595 VL - 9 ER - TY - JOUR A1 - Oestreich, Claudia A1 - Böhm, Janna A1 - Fettke, Ulrike A1 - Hodek, Claudia A1 - Ittlinger, Sabine T1 - Die Wohnung als Teil der Versorgungskette? Patient*innenzentrierte Gestaltung eines Tagesbesuchs in einem Wohnkompetenzzentrum aus physiotherapeutischer Perspektive JF - physioscience KW - ICF KW - ISO 9999 KW - (digitale) Assistenzsysteme KW - Ergonomie KW - Mobilität KW - Tagesbesuch KW - Wohnkompetenzzentrum Y1 - 2024 U6 - https://doi.org/10.1055/s-0043-1777911 IS - 20(S01) SP - 15 EP - 16 ER -