@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{MeyerDormann2023, author = {Meyer, Klaus and Dormann, Harald}, title = {F{\"u}rther Gespr{\"a}che: Expertenforum f{\"u}r den Rettungsdienst mit Forderungen an Politik und Gesellschaft}, series = {Notfall + Rettungsmedizin}, journal = {Notfall + Rettungsmedizin}, doi = {10.25974/fhms-16455}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-164551}, pages = {1 -- 8}, year = {2023}, abstract = {Die rettungsdienstliche Versorgung, die Rettungsfachkr{\"a}fteausbildung und die rechtlichen Vorraussetzungen in Deutschland bieten aktuell keine guten Rahmenbedingungen f{\"u}r die Zukunft. Ein Expertenforum mit deutschlandweiten Akteuren aus Wissenschaft, Bildung und Rettungsdienst diskutierten im Rahmen der F{\"u}rther Gespr{\"a}che die Herausforderungen der Professionalisierung und der Kompetenzentwicklung des Rettungsdienstes und der pr{\"a}klinischen Versorgung in Deutschland. Die zentralen Ergebnisse und Schwerpunktthemen wurden in 7 Thesen zusammengefasst und konkrete L{\"o}sungsans{\"a}tze entwickelt. Das Spannungsfeld umfasst hierbei die Anforderungen und Versorgungsbedarfe, die Pr{\"a}vention und erweiterte Versorgungskomponenten, die Digitalisierungsstrategie, integrierte Leitstellen und vernetzte Gesundheitsdienstleistungen, Personalentwicklung und -bindung sowie Qualifikationsniveaus und Notarztqualifikation.}, 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} } @article{KohmaescherPrimassinHeileretal.2023, author = {Kohm{\"a}scher, Anke and Primaßin, Annika and Heiler, Sabrina and da Costa Avelar, Patricia and Franken, Marie-Christine and Heim, Stefan}, title = {Effectiveness of Stuttering Modification Treatment in School-Age Children Who Stutter: A Randomized Clinical Trial}, series = {Journal of Speech, Language, and Hearing Research}, volume = {66}, journal = {Journal of Speech, Language, and Hearing Research}, number = {10}, doi = {10.25974/fhms-17172}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-171722}, pages = {1 -- 15}, year = {2023}, abstract = {Purpose: This study investigated the effectiveness of the stuttering modification intervention Kinder D{\"u}rfen Stottern (KIDS) in school-age children who stutter. Method: Seventy-three children who stutter were included in this multicenter, two-group parallel, randomized, wait-list controlled trial with a follow-up of 12 months. Children aged 7-11 years were recruited from 34 centers for speech therapy and randomized to either the immediate-treatment group or the 3 months delayed-treatment group. KIDS was provided by 26 clinicians who followed a treatment manual. Although the primary outcome measure was the impact of stuttering (Overall Assessment of the Speaker's Experience of Stuttering-School-Age [OASES-S]), the secondary outcomes included objective and subjective data on stuttering severity. Results: At 3 months postrandomization, the mean score changes of the OASESS differed significantly between the experimental (n = 33) and control group (n = 29; p = .026). Furthermore, treatment outcomes up to 12 months were analyzed (n = 59), indicating large effects of time on the OASES-S score (p < .001, partial η2 = .324). This was paralleled by significant improvements in parental ratings and objective ratings (stuttering severity, frequency, and physical concomitants). Conclusions: The significant short-term treatment effects in the OASES-S are in line with the (initial) focus of KIDS on cognitive and affective aspects of stuttering. Over 12 months, these changes were maintained and accompanied by behavioral improvements. The results suggest that individual treatment with KIDS is an adequate treatment option for this age group.}, language = {en} } @article{RistauOettingRossBuescher2023, author = {Ristau, Patrick and Oetting-Roß, Claudia and B{\"u}scher, Andreas}, title = {From Surviving to Living (on): A Grounded Theory Study on Coping in People with Pancreatic Cancer}, series = {Journal of Patient Experience}, volume = {10}, journal = {Journal of Patient Experience}, doi = {10.25974/fhms-17457}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-174579}, pages = {1 -- 8}, year = {2023}, language = {en} } @article{KoskinenStoltTramWidmeretal.2023, author = {Koskinen, Iina and Stolt, Minna and Tram Widmer, Christine and Pernica, Katrin and D{\"u}tthorn, Nadin and Groddeck, Luisa and Lunddahl Bager, Ida and Finn, Yvonne and Smyth, Siobhan and Virtanen, Heli}, title = {Methodological approaches and competence areas of nursing students in virtual reality simulation research - A scoping review}, series = {Nurse Education Today}, volume = {133}, journal = {Nurse Education Today}, doi = {10.25974/fhms-17477}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-174771}, pages = {106033}, year = {2023}, language = {en} } @article{ManiettaPurwinsReinhardetal.2023, author = {Manietta, Christina and Purwins, Daniel and Reinhard, Anneke and Feige, Melanie and Knecht, Christiane and Alpers, Birgit and Roes, Martina}, title = {Contextualizing the results of an integrative review on the characteristics of dementia‑friendly hospitals: a workshop with professional dementia experts}, series = {BMC Geriatrics}, volume = {23:678}, journal = {BMC Geriatrics}, doi = {10.25974/fhms-17208}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-172088}, pages = {1 -- 17}, year = {2023}, language = {en} } @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{EnglertPetersPrzysuchaetal.2023, author = {Englert, Nathalie and Peters, Lara and Przysucha, Mareike and Noelle, Marco and H{\"u}lsken-Giesler, Manfred and B{\"u}scher, Andreas}, title = {H{\"a}usliche Pflegearrangements: Untersuchung der Inanspruchnahme von Unterst{\"u}tzungsleistungen im Zusammenhang mit dem sozio{\"o}konomischen Status}, series = {Bundesgesundheitsblatt}, volume = {66 / 2023}, journal = {Bundesgesundheitsblatt}, number = {2023 / 66}, doi = {10.25974/fhms-17933}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-179336}, pages = {540 -- 548}, year = {2023}, language = {de} } @masterthesis{Sandach2022, type = {Bachelor Thesis}, author = {Sandach, Julia}, title = {Der Einfluss von Social-Media-Vorbildern auf die Bildung stressreduzierender Gewohnheiten unter Ber{\"u}cksichtigung der individuellen Selbstwirksamkeit}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-15305}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-153054}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2022}, abstract = {Neben der bereits bekannten Relevanz der sozialen Medien f{\"u}r junge Erwachsene belegen aktuelle Studien, dass sie das Potenzial haben, das Gesundheitsverhalten ihrer Konsumenten positiv zu beeinflussen. Jedoch gibt es bis dato keine wissenschaftlichen Erkenntnisse dar{\"u}ber, wovon solch ein positiver Einfluss abh{\"a}ngt. Daher wurde in dieser ersten Studie empirisch untersucht, ob m{\"o}glicherweise die spezifische Selbstwirksamkeit f{\"u}r ein bestimmtes Gesundheitsverhalten (hier: gewohnheitsm{\"a}ßige Meditation und Achtsamkeit zur Stressreduktion) einen Moderator-Effekt auf den Einfluss von sozialen Medien hat und, ob dieser Effekt abh{\"a}ngig von der Qualit{\"a}t der Selbstwirksamkeit ist. Dazu wurden von 121 Probanden im Alter von 18 bis 29 Jahren die Nutzungsweise von sozialen Medien, die individuelle generelle und spezifische Selbstwirksamkeit f{\"u}r das ausgew{\"a}hlte Gesundheitsverhalten und dessen Gewohnheitsm{\"a}ßigkeit erfasst. Entgegen den Erwartungen konnte kein Moderator-Effekt und keine Korrelation nachgewiesen werden. Die Ergebnisse deuten jedoch darauf hin, dass zus{\"a}tzlich (oder eher) die spezifische Selbstwirksamkeit f{\"u}r die Nutzung von sozialen Medien von großer Relevanz f{\"u}r die Best{\"a}tigung der hier aufgestellten Hypothesen sein k{\"o}nnte. Deshalb sollten zuk{\"u}nftige Studien auf diesem Gebiet diese zwingend erfassen. Sollten sich die Hypothesen in der weiterf{\"u}hrenden Forschung best{\"a}tigen, w{\"u}rde dies die Gesundheitsf{\"o}rderung des Einzelnen und der Gesellschaft positiv beeinflussen.}, language = {de} } @article{KornBoettcherBusseetal.2022, author = {Korn, Sandra and B{\"o}ttcher, Maximilian David and Busse, Theresa Sophie and Kernebeck, Sven and Breucha, Michael and Ehlers, Jan and Kahlert, Christoph and Weitz, J{\"u}rgen and Bork, Ulrich}, title = {Use and Perception of Digital Health Technologies by Surgical Patients in Germany in the Pre-COVID-19 Era: Survey Study}, series = {JMIR Formative Research}, volume = {6}, journal = {JMIR Formative Research}, doi = {10.25974/fhms-17304}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173046}, pages = {e33985}, year = {2022}, abstract = {This survey study investigates surgical patients' use and perception of digital health technologies in Germany in the pre-COVID-19 era. The objective of this study was to relate surgical patients' characteristics to the use and perception of several digital health technologies. In this single-center, cross-sectional survey study in the outpatient department of a university hospital in Germany, 406 patients completed a questionnaire with the following three domains: general information and use of the internet, smartphones, and general digital health aspects. Analyses were stratified by age group and highest education level achieved. We found significant age-based differences in most of the evaluated aspects. Younger patients were more open to using new technologies in private and medical settings but had more security concerns. Although searching for information on illnesses on the web was common, the overall acceptance of and trust in web-based consultations were rather low, with <50\% of patients in each age group reporting acceptance and trust. More people with academic qualifications than without academic qualifications searched for information on the web before visiting physicians (73/121, 60.3\% and 100/240, 41.7\%, respectively). Patients with academic degrees were also more engaged in health-related information and communication technology use. These results support the need for eHealth literacy, health literacy, and available digital devices and internet access to support the active, meaningful use of information and communication technologies in health care. Uncertainties and a lack of knowledge exist, especially regarding telemedicine and the use of medical and health apps. This is especially pronounced among older patients and patients with a low education status.}, language = {de} } @article{NitscheBusseKernebecketal.2022, author = {Nitsche, Julia and Busse, Theresa Sophie and Kernebeck, Sven and Ehlers, Jan P.}, title = {Virtual Classrooms and Their Challenge of Interaction—An Evaluation of Chat Activities and Logs in an Online Course about Digital Medicine with Heterogeneous Participants}, 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-17308}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173083}, pages = {10184}, year = {2022}, abstract = {Learning digital competencies can be successful if the information is also tried out immediately using interactive elements. However, interactive teaching poses a particular challenge, especially in large group formats. Various strategies are used to promote interaction, but there is little known about the results. This article shows different strategies and evaluates their influence on the interaction rate in a large group course over two terms that teaches digital medicine. Log files and participation in surveys as well as participation in chat were quantitatively evaluated. In addition, the chat messages themselves were evaluated qualitatively. For the evaluation, relation to the total number of participants was particularly relevant in order to be able to determine an interaction rate in the individual course sessions. A maximum average interaction rate of 90.97\% could be determined over the entire term while the participants wrote an average of 3.96 comments during a session in the chat. In summary, this research could show that interactive elements should be well planned and used at regular intervals in order to reap the benefits.}, 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{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} } @article{KernebeckJuxBusseetal.2022, author = {Kernebeck, Sven and Jux, Chantal and Busse, Theresa Sophie and Meyer, Dorothee and Dreier, Larissa Alice and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians}, series = {Children}, volume = {9}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17314}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173146}, pages = {82}, year = {2022}, abstract = {Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user's perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories "performance expectancies" and "effort expectancies". Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.}, language = {de} } @article{KernebeckJuxBusseetal.2022, author = {Kernebeck, Sven and Jux, Chantal and Busse, Theresa Sophie and Meyer, Dorothee and Dreier, Larissa Alice and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter}, title = {Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians}, series = {Children}, volume = {9}, journal = {Children}, issn = {2227-9067}, doi = {10.25974/fhms-17315}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173158}, pages = {82}, year = {2022}, abstract = {Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user's perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories "performance expectancies" and "effort expectancies". Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.}, language = {de} } @masterthesis{Hawighorst2021, type = {Bachelor Thesis}, author = {Hawighorst, Maike}, title = {Der "Sonntagsschluck" - Eine empirische Untersuchung des Schluckman{\"o}vers mithilfe von Oberfl{\"a}chen-Elektromyographie}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-150537}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2021}, abstract = {Das Shaker-Man{\"o}ver, kr{\"a}ftige Schlucken, Chin-Tuck und Chin-Tuck against resistance sind bereits etablierte und h{\"a}ufig angewendete Schluck-Interventionen in der logop{\"a}dischen Dysphagie-Rehabilitation. Der Sonntagsschluck (SS) stellt eine Kombination aus diesen Schlucktechniken dar und findet bereits Anwendung im klinischen Kontext. Eine Evaluation dieser logop{\"a}dischen Intervention im Sinne der evidenzbasierten Praxis steht jedoch noch aus. Die folgende Bachelorarbeit evaluiert daher die Wirkweise des SS auf die schluckre-levante suprahyoidale Muskulatur. Zur {\"U}berpr{\"u}fung der Wirkweise wurde eine quantitativ-empirische Studie mit einem Within-Gruppen-Design durchgef{\"u}hrt. Insgesamt wurden 33 gesunde ProbandInnen (n = 33) zwi-schen 20 und 39 Jahren in die Datenauswertung aufgenommen. Da der SS mit der Oberfl{\"a}chen-Elektromyographie (SEMG) nicht evaluierbar war, wurde der L{\"o}ffelschluck (LS), welcher demselben Wirkprinzip folgt, als Alternative eingesetzt. Die suprahyoidale Muskelaktivit{\"a}t und Muskelaktivit{\"a}tszeit bei dem NS und dem LS wurden mithilfe von SEMG als Outcomes gemessen. F{\"u}r die Evaluation des SS wurde ein schriftlicher Fragebogen ausgef{\"u}llt, der den subjektiv wahrgenommenen Kraftaufwand des NS, LS und SS maß. Die Daten wurden mit SPSS ausgewertet. Der alternative LS zeigte in der SEMG-Messung eine signifikant h{\"o}here Muskelaktivit{\"a}t (p = ,009) und Muskelaktivit{\"a}tszeit (p = ,000) als der NS. Auch der subjektiv wahrgenommene Kraftaufwand wurde im Fragebogen beim LS und SS h{\"o}chstsignifikant (p = ,000) h{\"o}her eingesch{\"a}tzt als der NS. Dar{\"u}ber hinaus zeigte eine Korrelationsanalyse der LS- und der SS-Fragebogen-Werte eine signifikante positive Korrelation (Korrelation nach Pearson = ,560, p = ,001), sodass davon ausgegangen werden kann, dass diese Schlucktechniken miteinander vergleichbar sind. Eine Korrelationsanalyse der SEMG-Werte vom LS mit den Fragebogen-Werte des LS (Korrelation nach Pearson = ,122) und des SS (Korrelation nach Pearson = ,214) zeigte jedoch keine signifikante Korrelation. Zusammenfassend zeigen die Ergebnisse, dass durch einen gesetzten Widerstand beim Schlucken unter dem Kinn die suprahyoidale Muskulatur bei gesunden ProbandInnen akti-viert wird. Die Ergebnisse legen nahe, dass der LS und SS mit ihrem Wirkmechanismus die suprahyoidale Muskulatur langfristig als Strength-{\"U}bung st{\"a}rken k{\"o}nnten. Eine {\"U}bertra-gung der Ergebnisse auf Dysphagie-PatientInnen ist jedoch kritisch zu betrachten und bedarf weiterer Forschung.}, 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} } @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} }