@inproceedings{BusseKernebeckMeyeretal.2020, author = {Busse, Theresa Sophie and Kernebeck, Sven and Meyer, Dorothee and Dreier, Larissa and Goletz, Grazyna and Zenz, Daniel and Ehlers, Jan Peter and Wager, Julia and Zernikow, Boris}, title = {Verbesserung der Gesundheitsversorgung in der p{\"a}diatrischen Palliativversorgung durch Digitalisierung im partizipativen Entwicklungs- und Forschungsprojekt ELSA-PP zur Entwicklung eines elektronischen sektoren{\"u}bergreifenden Aktensystems}, series = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, 30.09. - 01.10.2020, digital}, booktitle = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, 30.09. - 01.10.2020, digital}, doi = {10.3205/20dkvf435}, year = {2020}, language = {de} } @inproceedings{BusseKernebeckNefetal.2020, author = {Busse, Theresa Sophie and Kernebeck, Sven and Nef, Larissa and Kickbusch, Ilona and Ehlers, Jan P.}, title = {Talk to me - Soziale Roboter im Gesundheitswesen.}, series = {Report Careum Dialog 2020}, booktitle = {Report Careum Dialog 2020}, year = {2020}, language = {de} } @article{BusseKernebeckNefetal.2021, author = {Busse, Theresa Sophie and Kernebeck, Sven and Nef, Larissa and Rebacz, Patrick and Kickbusch, Ilona and Ehlers, Jan Peter}, title = {Views on Using Social Robots in Professional Caregiving: Content Analysis of a Scenario Method Workshop (Preprint)}, series = {J Med Internet Res}, volume = {23}, journal = {J Med Internet Res}, number = {11}, doi = {10.25974/fhms-17307}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173072}, year = {2021}, abstract = {BACKGROUND Interest in digital technologies in the health care sector is growing and can be a way to reduce the burden on professional caregivers while helping people to become more independent. Social robots are regarded as a special form of technology that can be usefully applied in professional caregiving with the potential to focus on interpersonal contact. While implementation is progressing slowly, a debate on the concepts and applications of social robots in future care is necessary. OBJECTIVE In addition to existing studies with a focus on societal attitudes toward social robots, there is a need to understand the views of professional caregivers and patients. This study used desired future scenarios to collate the perspectives of experts and analyze the significance for developing the place of social robots in care. METHODS In February 2020, an expert workshop was held with 88 participants (health professionals and educators; [PhD] students of medicine, health care, professional care, and technology; patient advocates; software developers; government representatives; and research fellows) from Austria, Germany, and Switzerland. Using the scenario methodology, the possibilities of analog professional care (Analog Care), fully robotic professional care (Robotic Care), teams of robots and professional caregivers (Deep Care), and professional caregivers supported by robots (Smart Care) were discussed. The scenarios were used as a stimulus for the development of ideas about future professional caregiving. The discussion was evaluated using qualitative content analysis. RESULTS The majority of the experts were in favor of care in which people are supported by technology (Deep Care) and developed similar scenarios with a focus on dignity-centeredness. The discussions then focused on the steps necessary for its implementation, highlighting a strong need for the development of eHealth competence in society, a change in the training of professional caregivers, and cross-sectoral concepts. The experts also saw user acceptance as crucial to the use of robotics. This involves the acceptance of both professional caregivers and care recipients. CONCLUSIONS The literature review and subsequent workshop revealed how decision-making about the value of social robots depends on personal characteristics related to experience and values. There is therefore a strong need to recognize individual perspectives of care before social robots become an integrated part of care in the future.}, language = {de} } @article{BusseNitscheKernebecketal.2022, author = {Busse, Theresa Sophie and Nitsche, Julia and Kernebeck, Sven and Jux, Chantal and Weitz, J{\"u}rgen and Ehlers, Jan P. and Bork, Ulrich}, title = {Approaches to Improvement of Digital Health Literacy (eHL) in the Context of Person-Centered Care}, series = {International Journal of Environmental Research and Public Health}, volume = {19}, journal = {International Journal of Environmental Research and Public Health}, issn = {1661-7827}, doi = {10.25974/fhms-17311}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173115}, pages = {8309}, year = {2022}, abstract = {The skills, knowledge and resources to search for, find, understand, evaluate and apply health information is defined as health literacy (HL). If individuals want to use health information from the Internet, they need Digital Health Literacy (eHL), which in addition to HL also includes, for example, media literacy. If information cannot be found or understood by patients due to low (e)HL, patients will not have the opportunity to make informed decisions. In addition, many health apps for self-management or prevention also require (e)HL. Thus, it follows that active participation in healthcare, in terms of Person-Centered Care (PCC) is only possible through (e)HL. Currently, there is a great need to strengthen these competencies in society to achieve increased empowerment of patients and their health. However, at the same time, there is a need to train and improve competencies in the field of healthcare professionals so that they can counsel and guide patients. This article provides an overview with a focus on HL and eHL in healthcare, shows the opportunities to adapt services and describes the possible handling of patients with low (e)HL. In addition, the opportunities for patients and healthcare professionals to improve (e)HL are highlighted.}, language = {de} } @inproceedings{EhlersNitscheBusseetal.2021, author = {Ehlers, Jan Peter and Nitsche, Julia and Busse, Theresa Sophie and Kernebeck, Sven and Smetana, Jan and Taetz-Harrer, Angelika and Eulitz, Mona and Zupanic, Michaela}, title = {Digitale Lehre - Reine Informationsvermittlung oder auch Lebensraum Universit{\"a}t und Gemeinschaftsbildung?}, series = {digiGEBF, 18.06.2021, digital}, booktitle = {digiGEBF, 18.06.2021, digital}, year = {2021}, language = {de} } @inproceedings{JuxBusseKernebecketal.2021, author = {Jux, Chantal and Busse, Theresa Sophie and Kernebeck, Sven and Dreier, L.A. and Meyer, Dorothee and Zenz, Daniel and Wager, Julia and Zernikow, Boris and Ehlers, Jan Peter}, title = {Nutzung von User-Stories zur partizipativen Entwicklung einer elektronischen Patient*innenakte (EPA) f{\"u}r die spezialisierte ambulante p{\"a}diatrische Palliativversorgung (SAPPV) - ein Erfahrungsbericht aus Perspektive der Versorgungsforschung}, series = {20. Deutscher Kongress f{\"u}r Versorgungsforschung, 08.10.2021, digital}, booktitle = {20. Deutscher Kongress f{\"u}r Versorgungsforschung, 08.10.2021, digital}, doi = {10.3205/21dkvf254}, year = {2021}, language = {de} } @article{KernebeckBusseEhlersetal.2021, author = {Kernebeck, Sven and Busse, Theresa Sophie and Ehlers, Jan Peter and Vollmar, Horst Christian}, title = {Adh{\"a}renz digitaler Interventionen im Gesundheitswesen: Definitionen, Methoden und offene Fragen}, series = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, volume = {64}, journal = {Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz}, issn = {1436-9990}, doi = {10.25974/fhms-17318}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173188}, pages = {1278 -- 1284}, year = {2021}, abstract = {AbstractMany digital interventions rely on the participation of their users to have a positive impact. In various areas it can be observed that the use of digital interventions is often reduced or fully discontinued by the users after a short period of time. This is seen as one of the main factors that can limit the effectiveness of digital interventions. In this context, the concept of adherence to digital interventions is becoming increasingly important. Adherence to digital interventions is roughly defined as "the degree to which the user followed the program as it was designed," which can also be paraphrased as "intended use" or "use as it is designed." However, both the theoretical-conceptual and practical discussions regarding adherence to digital interventions still receive too little attention.The aim of this narrative review article is to shed more light on the concept of adherence to digital interventions and to distinguish it from related concepts. It also discusses the methods and metrics that can be used to operationalize adherence and the predictors that positively influence adherence. Finally, needs for action to better address adherence are considered critically.}, language = {en} } @article{KernebeckBusseFischeretal.2024, author = {Kernebeck, Sven and Busse, Theresa Sophie and Fischer, Florian and Ehlers, Jan P.}, title = {Partizipatives Design im Kontext gesundheitsbezogener Technologien - Herausforderungen und Handlungserfordernisse aus Perspektive der Versorgungsforschung}, series = {Das Gesundheitswesen}, journal = {Das Gesundheitswesen}, issn = {0941-3790}, doi = {10.1055/a-2184-5731}, pages = {1 -- 6}, year = {2024}, abstract = {Partizipatives Design (PD) erm{\"o}glicht den Einbezug von Nutzer:innen in den Entwicklungsprozess digitaler Technologien im Gesundheitswesen. Der Einsatz von PD birgt jedoch H{\"u}rden, da theoretische und methodische Entscheidungen zu treffen sind. Oftmals werden diese in Forschungsarbeiten in der Versorgungsforschung nicht hinreichend dargestellt oder begr{\"u}ndet. Dies kann zu einer eingeschr{\"a}nkten Bewertbarkeit und Nachvollziehbarkeit der Ergebnisse f{\"u}hren. Der vorliegende Beitrag thematisiert drei Schwerpunkte: Erstens wird ein {\"U}berblick {\"u}ber die wesentlichen theoretischen und methodischen Entscheidungen gegeben, die im Rahmen des PD aus Perspektive der Versorgungsforschung getroffen werden m{\"u}ssen. Zweitens werden die damit einhergehenden Herausforderungen aufgezeigt und drittens Erfordernisse f{\"u}r die zuk{\"u}nftige Anwendung und (Weiter-)Entwicklung des PD in der Versorgungsforschung beschrieben.}, language = {de} } @article{KernebeckBusseJuxetal.2021, author = {Kernebeck, Sven and Busse, Theresa Sophie and Jux, Chantal and Bork, Ulrich and Ehlers, Jan P.}, title = {Electronic Medical Records for (Visceral) Medicine: An Overview of the Current Status and Prospects}, series = {Visceral Medicine}, volume = {37}, journal = {Visceral Medicine}, issn = {2297-4725}, doi = {10.1159/000519254}, pages = {476 -- 481}, year = {2021}, abstract = {Background: Electronic medical records (EMRs) offer key advantages over analog documentation in healthcare. In addition to providing details about current and past treatments, EMRs enable clear and traceable documentation regardless of the location. This supports evidence-based, multi-professional treatment and leads to more efficient healthcare. However, there are still several challenges regarding the use of EMRs. Understanding these challenges is essential to improve healthcare. The aim of this article is to provide an overview of the current state of EMRs in the field of visceral medicine, to describe the future prospects in this field, and to highlight some of the challenges that need to be faced. Summary: The benefits of EMRs are manifold and particularly pronounced in the area of quality assurance and improvement of communication not only between different healthcare professionals but also between physicians and patients. Besides the danger of medical errors, the health consequences for the users (cognitive load) arise from poor usability or a system that does not fit into the real world. Involving users in the development of EMRs in the sense of participatory design can be helpful here. The use of EMRs in practice together with patients should be accompanied by training to ensure optimal outcomes in terms of shared decision-making. Key Message: EMRs offer a variety of benefits. However, it is critical to consider user involvement, setting specificity, and user training during development, implementation, and use in order to minimize unintended consequences.}, language = {en} } @article{KernebeckBusseJuxetal.2022, author = {Kernebeck, Sven and Busse, Theresa Sophie and Jux, Chantal and Dreier, Larissa Alice and Meyer, Dorothee and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach}, series = {International Journal of Environmental Research and Public Health}, volume = {19}, journal = {International Journal of Environmental Research and Public Health}, issn = {1661-7827}, doi = {10.25974/fhms-17313}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173137}, pages = {3637}, year = {2022}, abstract = {Background: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development. Aim: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC. Methods: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis. Results: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption. Conclusions: After adaptation of the modules based on the results, further evaluation with the participation of future users is required.}, language = {de} }