@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} } @inproceedings{KernebeckBusseKrameretal.2020, author = {Kernebeck, Sven and Busse, Theresa Sophie and Kramer, Ursula and Redaelli, Marcus and Ehlers, Jan Peter and Vollmar, Horst Christian}, title = {Pandemie-Management und Digital Health - Merkmale und Qualit{\"a}t von Smartphone-Apps im Kontext der COVID-19 Pandemie}, series = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, September 2020, online}, booktitle = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, September 2020, online}, doi = {10.3205/20dkvf036}, year = {2020}, language = {de} } @article{BusseKernebeckDreieretal.2020, author = {Busse, Theresa Sophie and Kernebeck, Sven and Dreier, Larissa and Meyer, Dorothee and Goletz, Graznya and Zenz, D. and Wager, Julia and Zernikow, Boris and Ehlers, Jan Peter}, title = {Nutzung von Mock-ups im Co-Design-Prozess der partizipativen Entwicklung einer station{\"a}ren elektronischen Patient*innenakte f{\"u}r die p{\"a}diatrische Palliativversorgung - ein Erfahrungsbericht}, series = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk f{\"u}r Versorgungsforschung e.V, September 2020, online}, journal = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk f{\"u}r Versorgungsforschung e.V, September 2020, online}, doi = {10.3205/20dkvf117}, year = {2020}, language = {de} } @inproceedings{KernebeckBusseMeyeretal.2020, author = {Kernebeck, Sven and Busse, Theresa Sophie and Meyer, Dorothee and Dreier, Larissa and Wager, Julia and Zernikow, Boris and Ehlers, Jen Peter}, title = {User-Centered Design und User Co-Design aus Perspektive der Versorgungsforschung - Methodische Herausforderungen bei der Evaluation von Nutzer*innenbed{\"u}rfnissen an eine Elektronische Patient*innenakte in der station{\"a}ren p{\"a}diartrischen Palliativversorgung}, 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 = {10.3205/20dkvf351}, year = {2020}, language = {de} } @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} } @article{BusseKernebeckDreieretal.2020, author = {Busse, Theresa Sophie and Kernebeck, Sven and Dreier, Larissa Alicia and Meyer, Dorothee and Goletz, Grazyna and Zenz, Daniel and Zernikow, Boris and Wager, Julia}, title = {Nutzer*innenzentrierte Entwicklung einer digitalen Patient*innenakte in der p{\"a}diatrischen Palliativversorgung.}, year = {2020}, language = {de} } @article{BusseKernebeckDreieretal.2020, author = {Busse, Theresa Sophie and Kernebeck, Sven and Dreier, Larissa Alicia and Meyer, Dorothee and Goletz, Grazyna and Zenz, Daniel and Wager, Julia and Ehlers, Jan Peter and Zernikow, Boris}, title = {Nutzer*innenzentrierte Entwicklung einer elektronischen Patient*innenakte f{\"u}r die p{\"a}diatrische Palliativversorgung - Ergebnisse von Fokusgruppeninterviews mit Pflegenden im station{\"a}ren Setting.}, series = {Zeitschrift f{\"u}r Palliativmedizin}, volume = {21}, journal = {Zeitschrift f{\"u}r Palliativmedizin}, number = {5}, doi = {10.1055/s-0040-1714990}, year = {2020}, 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{BusseJuxKernebecketal.2021, author = {Busse, Theresa Sophie and Jux, Chantal and Kernebeck, Sven and Meyer, Dorothee and Dreier, Larissa and Zenz, Daniel and Wager, Julia and Zernikow, Boris and Ehlers, Jan Peter}, title = {"Manchmal gehen die Faxger{\"a}te gerade nicht so wie sie sollen. Dann kommt irgendwie nichts an und dann ruft man das f{\"u}nfte Mal an." - Nutzung von Design Thinking zur partizipativen Entwicklung einer elektronischen Fallakte in der p{\"a}diatrischen Palliativversorgung}, series = {20. Deutscher Kongress f{\"u}r Versorgungsforschung, 06. - 08.10.2021, digital}, booktitle = {20. Deutscher Kongress f{\"u}r Versorgungsforschung, 06. - 08.10.2021, digital}, doi = {10.3205/21dkvf220}, 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{BusseJuxKernebecketal.2021, author = {Busse, Theresa Sophie and Jux, Chantal and Kernebeck, Sven and Meister, Sven and Ehlers, Jan P.}, title = {Steigerung der Versorgungsqualit{\"a}t in der Palliativversorgung durch elektronische Gesundheitsakten}, series = {Monitor Versorgungsforschung}, volume = {14}, journal = {Monitor Versorgungsforschung}, issn = {1866-0533}, doi = {10.25974/fhms-17303}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173035}, pages = {45 -- 50}, year = {2021}, 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{NitscheSmetanaKochaneketal.2021, author = {Nitsche, Julia and Smetana, Jan and Kochanek, Tonja and Busse, Theresa Sophie and Kernebeck, Sven and Taetz-Harrer, Angelika and Zupanic, Michaela and Eulitz, Mona and Ehlers, Jan P.}, title = {Needs must when the devil drives - Migration of an entire university to digital teaching}, series = {Zeitschrift f{\"u}r Hochschulentwicklung}, volume = {16}, journal = {Zeitschrift f{\"u}r Hochschulentwicklung}, number = {3}, doi = {10.25974/fhms-17316}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173168}, year = {2021}, language = {en} } @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{BusseJuxKernebecketal.2021, author = {Busse, Theresa Sophie and Jux, Chantal and Kernebeck, Sven and Dreier, Larissa Alice and Meyer, Dorothee and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Participatory Design of an Electronic Cross-Facility Health Record (ECHR) System for Pediatric Palliative Care: A Think-Aloud Study}, series = {Children}, volume = {8}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17319}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173191}, pages = {839}, year = {2021}, abstract = {Background: Pediatric palliative care (PPC) patients experience years of multisectoral and professional care. An electronic cross-facility health record (ECHR) system can support the immediate exchange of information among PPC professionals. Based on a needs assessment, a prototype ECHR system was developed. Methods: To evaluate potential users' perspective regarding the system, a qualitative observational study was conducted consisting of a concurrent think-aloud session and a semi-structured qualitative interview. Results: Twenty PPC professionals (nurses, physicians) from specialized outpatient PPC teams, a PPC unit, and medical offices rated the ECHR system as a helpful tool to improve the exchange and collection of information, communication between PPC professionals, and treatment planning. From the user's point of view, the basic logic of the ECHR system should be further adapted to improve the interaction of data remirrored from patient records of outpatient and inpatient care with those entered via the system. The users wished for further functions (text search) and content (information on therapies). Some content, such as the treatment process, needs to be further adapted. Conclusion: The developed ECHR system needs to be more specific in some features by offering all available information; while for other features, be less specific to offer a quick overview. The ability to share information promptly and automatically was seen as a tremendous improvement to the quality of care for PPC patients.}, language = {en} } @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.2021, author = {Kernebeck, Sven and Busse, Theresa Sophie and Jux, Chantal and Meyer, Dorothee and Dreier, Larissa Alice and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians}, series = {Children}, volume = {8}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17321}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173219}, pages = {695}, year = {2021}, abstract = {Background: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One approach to preventing such harm is the involvement of users in the participatory design to ensure user acceptance and patient safety. Therefore, the aim of this study is to evaluate the acceptance of a novel patient chart module (PCM) as part of an EMR from the perspective of potential users in PPC and to involve these professionals in the design process. Methods: A qualitative observational study with N = 16 PPC professionals (n = 10 nurses, n = 6 physicians) was conducted, including concurrent think aloud (CTA) and semi-structured interviews. A structured content analysis based on the Unified Theory of Acceptance and Use of Technology was applied. Results: The results can be summarized in terms of general observations, performance expectancy, effort expectancy and facilitating conditions, all of which are likely to have a positive influence on acceptance of the PCM from the user perspective in the context of PPC. Conclusions: The involvement of users in the development of EMRs is important for meeting the requirements in PPC. Further software adaptations are necessary to implement these requirements.}, language = {en} } @article{BusseJuxKernebecketal.2021, author = {Busse, Theresa Sophie and Jux, Chantal and Kernebeck, Sven and Dreier, Larissa Alice and Meyer, Dorothee and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Needs Assessment for the Development of an Electronic Cross-Facility Health Record (ECHR) for Pediatric Palliative Care: A Design Thinking Approach}, series = {Children}, volume = {8}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17324}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173245}, pages = {602}, year = {2021}, abstract = {Background: Pediatric palliative care (PPC) is characterized by years of multisectoral and multi-professional care. Sharing information between PPC professionals is, therefore, essential for quality care. The evidence shows that electronic cross-facility health records (ECHRs) provide useful support in this context. To our knowledge, no ECHRs have been developed through a user-centered approach for this specific setting in Germany. Methods: Guided by design thinking, first, qualitative interviews were conducted to assess the needs of PPC professionals. Second, the elicited needs were specified in focus groups (FGs). Based on the needs stated in the interviews, prototypes of the ECHR were developed and discussed in the FGs. The indicated needs were supplemented and specified in an iterative process. The prototypes were further adapted according to these results. The unified theory of acceptance and use of technology was the basic model in the evaluation of needs. Results: Across seven main categories, past and current medication, emergency view, and messaging functions were identified as the participants' desired core components of an ECHR. Utilizing design thinking facilitated the explicit articulation of user needs. Conclusions: Developing an ECHR with the content identified would allow for real-time data during emergencies, tracking what other PPC professionals have done, and making the applied treatments visible to others. This would offer a broader picture of the complex conditions common to PPC.}, language = {en} } @article{MeyerKernebeckBusseetal.2021, author = {Meyer, Dorothee and Kernebeck, Sven and Busse, Theresa Sophie and Ehlers, Jan and Wager, Julia and Zernikow, Boris and Dreier, Larissa Alice}, title = {Electronic Health Records in Specialized Pediatric Palliative Care: A Qualitative Needs Assessment among Professionals Experienced and Inexperienced in Electronic Documentation}, series = {Children}, volume = {8}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17326}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173265}, pages = {249}, year = {2021}, abstract = {Background: Currently, to the best of our knowledge, no findings exist concerning the needs of professionals in specialized pediatric palliative care (PPC) regarding electronic health records (EHRs). Several studies have highlighted benefits concerning the use of EHRs in pediatrics. However, usability is strongly affected by the degree of adaptivity to the context of application. The aim of this study is to examine the needs of professionals concerning an EHR in the specialized PPC inpatient and outpatient settings. Methods: A qualitative research design was chosen to address the complex aspects of user demands. Focus group interviews and semi-structured one-on-one interviews were conducted with PPC professionals. N = 23 participants from inpatient and N = 11 participants from outpatient settings of specialized PPC representing various professions took part in the study. Results: The findings could be grouped into four categories: (1) attitude towards the current methods of documentation, (2) attitude towards electronic documentation in general, (3) general requirements for an EHR, and (4) content requirements for an EHR. Conclusions: Professionals in specialized PPC expect and experience many benefits of using electronic documentation. Their requirements for an EHR for inpatient and outpatient settings of PPC are largely consistent with EHRs for pediatrics. However, individual specifications and adaptations are necessary for this particular setting.}, language = {en} } @inproceedings{BusseKernebeckJuxetal.2022, author = {Busse, Theresa Sophie and Kernebeck, Sven and Jux, Chantal and Laser, Johannes and Ehlers, Jan Peter}, title = {Einbezug von Versorger:innen in die Entwicklung und Evaluation elektronischer Gesundheitsakten - ein Scoping Review}, series = {21. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e. V., 05.10. - 07.10.2022, Potsdam}, booktitle = {21. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e. V., 05.10. - 07.10.2022, Potsdam}, doi = {10.3205/22dkvf342}, year = {2022}, language = {de} }