@book{OPUS4-17845, title = {Einzelfallorientierte Forschung in Logop{\"a}die/Sprachtherapie}, editor = {Kohler, J{\"u}rgen and Kohm{\"a}scher, Anke and Starke, Anja and Leinweber, Juliane}, publisher = {Schulz-Kirchner}, address = {Idstein}, isbn = {978-3-8248-1330-8}, doi = {10.25974/fhms-17845}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-178452}, publisher = {FH M{\"u}nster - University of Applied Sciences}, pages = {241}, year = {2024}, abstract = {Pr{\"a}ambel Ausgangslage Seit Einf{\"u}hrung der Modellklausel im Jahr 2009 befindet sich die Logop{\"a}die als Gesundheitsfachberuf im Prozess der Akademisierung und Professionalisierung (Klotz, 2018). Dabei wird ein Wandel der einstigen Heilhilfsberufe zu Professionen angestrebt, „die in einem gesellschaftlich relevanten Problemfeld wissenschaftlich begr{\"u}ndbare Leistungen erbringen" (Klotz, 2018, S. 4). Wesentlicher Bestandteil einer solchen Professionalisierung ist eine akademische Ausbildung sowie wissenschaftlich fundiertes Spezialwissen. Neben Aspekten der Weiterentwicklung der Ausbildung wurde schon 2012 der Auf- und Ausbau von Forschung als bedeutsame Herausforderung benannt (Gesundheitsforschungsrat, 2012). Dabei hob der Wissenschaftsrat (2012) die Sonderrolle der Logop{\"a}dieforschung innerhalb der Therapiewissenschaft heraus, da enge Bez{\"u}ge zu den traditionell universit{\"a}ren Disziplinen wie den Sprachwissenschaften oder der Neurolinguistik best{\"u}nden und damit bereits eine breite Forschungsbasis vorhanden sei. Auf der anderen Seite besteht f{\"u}r die Disziplinentwicklung der Logop{\"a}die/ Sprachtherapie die Herausforderung, dass dieser unterschiedliche Berufsgruppen wie Logop{\"a}dInnen, Sprachheilp{\"a}dagogInnen, klinische LinguistInnen, PatholinguistInnen und weitere Berufsgruppen angeh{\"o}ren. Obwohl in der Praxis die gleichen St{\"o}rungsbilder behandelt werden, ist das Selbstverst{\"a}ndnis nicht identisch: w{\"a}hrend in der Sprachheilp{\"a}dagogik die (sonder)p{\"a}dagogische Ausrichtung wesentlich ist, ist die Logop{\"a}die eher medizinisch orientiert und die klinische Linguistik sprachwissenschaftlich ausgerichtet. Grohnfeldt (2018) fordert dementsprechend eine weiterf{\"u}hrende Diskussion zur Wissenschaftlichkeit in der Logop{\"a}die/ Sprachtherapie mit der Betonung einer eigenen, gemeinsamen Identit{\"a}tsentwicklung. Die HerausgerInnen dieses Tagungsbandes widmen sich seit 2019 dieser Thematik und haben einen Diskurs zum forschungsmethodischen Grundverst{\"a}ndnis in der Logop{\"a}die/Sprachtherapie angestoßen (Kohler, 2019 und 2021; Kohler et al. 2020a\&b, 2021, 2022). Hintergrund ist die seit Jahren zunehmende Forderung nach evidenzbasiertem Arbeiten in der Logop{\"a}die/ Sprachtherapie. Dabei wird eine unreflektierte {\"U}bertragung der Anspr{\"u}che an Wirksamkeitsnachweise, wie sie im medizinischen Bereich vorzufinden sind, f{\"u}r die Logop{\"a}die/Sprachtherapie kritisch gesehen. Der sprachtherapeutische Alltag zeichnet sich n{\"a}mlich durch stark individualisierte, komplexe Interventionen {\"u}ber einen l{\"a}ngeren Zeitraum aus. Zahlreiche Einflussfaktoren innerhalb und außerhalb der Therapie spielen f{\"u}r den Therapieerfolg eine bedeutsame Rolle und sollten somit in Wirksamkeitsstudien mit einfließen k{\"o}nnen. Stark kontrollierte Studien, wie sie in der Medizin als Goldstandard gelten, k{\"o}nnen nur bedingt Aussagen dar{\"u}ber bieten, wie wirksam eine Intervention im klinischen Alltag tats{\"a}chlich ist. F{\"u}r einen breiten Diskurs {\"u}ber die forschungsmethodische Ausrichtung der Logop{\"a}die/Sprachtherapie initiierten die HerausgeberInnen 2022 ein von der VW-Stiftung gef{\"o}rdertes, dreit{\"a}giges Symposium zum Thema „Einzelfallorientierte Forschung in Sprachtherapie/Logop{\"a}die". Ziel war es einerseits die bereits bestehende Expertise der 30 Teilnehmenden in diesem Forschungsfeld zusammenzuf{\"u}hren, methodische Bedarfe aufzudecken und ein gemeinsames Methodenverst{\"a}ndnis f{\"u}r eine Evidenzbasierung in Logop{\"a}die/Sprachtherapie zu entwickeln. Das vorliegende Herausgabewerk spiegelt das Geschehen dieses Symposiums wider und versteht sich als Auftakt zu einem kontinuierlichen Diskurs. Der Wissenschaftsrat betonte 2023 erneut die Relevanz der Weiterentwicklung der Gesundheitsfachberufe als wissenschaftliche Disziplin (WR, S. 5-6) und konstatierte: «Wichtig f{\"u}r die Disziplinbildung sind insbesondere gemeinsame Forschungs- und Lehrgegenst{\"a}nde, Erkenntnisperspektiven sowie Methoden und Qualit{\"a}tsstandards. In sozialer Hinsicht besteht eine Disziplin aus einer Gemeinschaft von Expertinnen und Experten, die ihre Forschung auf das Gebiet der Disziplin konzentrieren und deren disziplinspezifische Kommunikation {\"u}ber Publikationen, Fachtagungen und Fachzeitschriften erfolgt.» (WR, S. 49). Damit sollte das Ziel verfolgt werden, eine eigenst{\"a}ndige Disziplin der „Gesundheitsfachberufe" und damit inbegriffen der Logop{\"a}die/Sprachtherapie neben der Medizin und anderen F{\"a}chern zu etablieren, um derer zu st{\"a}rken. Zudem wurde die Logop{\"a}die im Mai 2023 in das Portal «Kleine F{\"a}cher» des Bundesministeriums f{\"u}r Bildung und Forschung (BMBF) aufgenommen. Auch damit wird das Ziel verfolgt, die Logop{\"a}die/Sprachtherapie in der Hochschullandschaft sichtbarer zu machen.}, language = {de} } @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{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{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{BusseJuxLaseretal.2023, author = {Busse, Theresa Sophie and Jux, Chantal and Laser, Johannes and Rasche, Peter and Vollmar, Horst Christian and Ehlers, Jan P and Kernebeck, Sven}, title = {Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review}, series = {JMIR Human Factors}, volume = {10}, journal = {JMIR Human Factors}, doi = {10.25974/fhms-17305}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173050}, pages = {e45598}, year = {2023}, abstract = {Electronic health records (EHRs) are a promising approach to document and map (complex) health information gathered in health care worldwide. However, possible unintended consequences during use, which can occur owing to low usability or the lack of adaption to existing workflows (eg, high cognitive load), may pose a challenge. To prevent this, the involvement of users in the development of EHRs is crucial and growing. Overall, involvement is designed to be very multifaceted, for example, in terms of the timing, frequency, or even methods used to capture user preferences. Setting, users and their needs, and the context and practice of health care must be considered in the design and subsequent implementation of EHRs. Many different approaches to user involvement exist, each requiring a variety of methodological choices. The aim of the study was to provide an overview of the existing forms of user involvement and the circumstances they need and to provide support for the planning of new involvement processes. We conducted a scoping review to provide a database for future projects on which design of inclusion is worthwhile and to show the diversity of reporting. Using a very broad search string, we searched the PubMed, CINAHL, and Scopus databases. In addition, we searched Google Scholar. Hits were screened according to scoping review methodology and then examined, focusing on methods and materials, participants, frequency and design of the development, and competencies of the researchers involved. In total, 70 articles were included in the final analysis. There was a wide range of methods of involvement. Physicians and nurses were the most frequently included groups and, in most cases, were involved only once in the process. The approach of involvement (eg, co-design) was not specified in most of the studies (44/70, 63\%). Further qualitative deficiencies in the reporting were evident in the presentation of the competences of members of the research and development teams. Think-aloud sessions, interviews, and prototypes were frequently used. This review provides insights into the diversity of health care professionals' involvement in the development of EHRs. It provides an overview of the different approaches in various fields of health care. However, it also shows the necessity of considering quality standards in the development of EHRs together with future users and the need for reporting this in future studies.}, 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} } @article{ClaassenJeilerMartensetal.2021, author = {Claaßen, Ailina and Jeiler, Katharina and Martens, Dorothee and Oetting-Roß, Claudia}, title = {Handlungsfelder und Arbeitsbereiche nach dem dualen Pflegestudium - Eine Verbleibstudie der FH M{\"u}nster.}, series = {Heilberufe Science}, journal = {Heilberufe Science}, publisher = {Springer}, doi = {10.25974/fhms-17012}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-170128}, pages = {30 -- 38}, year = {2021}, language = {de} } @misc{Denker2005, type = {Master Thesis}, author = {Denker, Yvonne}, title = {Vergleich von Schulungsmethoden zur Einweisung in neue Medizinprodukte}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-55}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-555}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2005}, abstract = {Diese Arbeit besch{\"a}ftigt sich mit dem Vergleich unterschiedlicher Schulungsmethoden zur Einweisung in neue Medizinprodukte. Hintergrund dieser Arbeit ist die zunehmende Technisierung im Gesundheitswesen, und die daraus resultierenden gesteigerten Anforderungen an das Pflegepersonal. Unterschiedliche Studien aus England, Amerika und Australien zeigen einen {\"u}bereinstimmenden Trend der behandlungsbedingten Gesundheitsst{\"o}rungen. Laut dieser Studien werden 60 Prozent der Zwischenf{\"a}lle in der Medizin durch die fehlerhafte Bedienung medizinisch- technischer Ger{\"a}te verursacht. Hieraus ergibt sich ein Riskmanagement, dass sich vor allem mit der Frage der Qualifikation und Schulung der Anwender auseinander setzen muss. Diese Arbeit befasst sich mit der Fragestellung, ob es einen messbaren Unterschied in der Effektivit{\"a}t, Effizienz und Zufriedenheit von Schulungsmethoden gibt. Ziel ist es, bestehende Unterschiede deutlich zu machen und Wertigkeiten festzulegen. Zur Erhebung der Daten wurde eine experimentelle Untersuchung mit einer anschließenden Befragung einer Stichprobe durchgef{\"u}hrt. Untersucht wurden die vier Schulungsmethoden: Einweisung durch den Medizinproduktberater, Einweisung durch die Nutzung einer Lernsoftware (E-Learning), Einweisung durch das Lesen der Gebrauchsanweisung und keine Einweisung. Die gewonnenen Daten wurden anhand eines zuvor festgelegten Bewertungsschema ausgewertet und statistisch aufbereitet. Das Bewertungsschema orientiert sich an der DIN EN ISO 9241-11:1998. Hier wird Gebrauchstauglichkeit durch die Kriterien Effektivit{\"a}t, Effizienz und Zufriedenheit operationalisiert. Besonders im Bereich der Effektivit{\"a}t konnte ein signifikantes Ergebnis nachgewiesen werden. Die Einweisung durch den Medizinproduktberater erzielte sowohl im Test, als auch in der Befragung die besten Ergebnisse. Trotz der kleinen Stichprobe kann mit dieser Arbeit auf die Notwendigkeit zur Anwenderschulung geschlossen werden.}, subject = {Deutschland / Medizinproduktegesetz}, language = {de} } @incollection{Duetthorn2023, author = {D{\"u}tthorn, Nadin}, title = {Serious Games im Schlaglicht pflegedidaktischer Anspr{\"u}che}, series = {Pflegedidaktik im {\"U}berblick - Zwischen Transformation und Diffussion}, booktitle = {Pflegedidaktik im {\"U}berblick - Zwischen Transformation und Diffussion}, editor = {Von Gahlen-Hoops, Wolfgang and Grenz, Katharina}, publisher = {Transcript}, isbn = {78-3-8376-6455-3}, doi = {10.25974/fhms-16457}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-164573}, publisher = {FH M{\"u}nster - University of Applied Sciences}, pages = {49 -- 68}, year = {2023}, language = {de} }