TY - JOUR A1 - Meyer, Klaus A1 - Dormann, Harald T1 - Fürther Gespräche: Expertenforum für den Rettungsdienst mit Forderungen an Politik und Gesellschaft JF - Notfall + Rettungsmedizin N2 - Die rettungsdienstliche Versorgung, die Rettungsfachkräfteausbildung und die rechtlichen Vorraussetzungen in Deutschland bieten aktuell keine guten Rahmenbedingungen für die Zukunft. Ein Expertenforum mit deutschlandweiten Akteuren aus Wissenschaft, Bildung und Rettungsdienst diskutierten im Rahmen der Fürther Gespräche die Herausforderungen der Professionalisierung und der Kompetenzentwicklung des Rettungsdienstes und der präklinischen Versorgung in Deutschland. Die zentralen Ergebnisse und Schwerpunktthemen wurden in 7 Thesen zusammengefasst und konkrete Lösungsansätze entwickelt. Das Spannungsfeld umfasst hierbei die Anforderungen und Versorgungsbedarfe, die Prävention und erweiterte Versorgungskomponenten, die Digitalisierungsstrategie, integrierte Leitstellen und vernetzte Gesundheitsdienstleistungen, Personalentwicklung und -bindung sowie Qualifikationsniveaus und Notarztqualifikation. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-164551 SP - 1 EP - 8 ER - TY - JOUR A1 - Kohmäscher, Anke A1 - Primaßin, Annika A1 - Heiler, Sabrina A1 - da Costa Avelar, Patricia A1 - Franken, Marie-Christine A1 - Heim, Stefan T1 - Effectiveness of Stuttering Modification Treatment in School-Age Children Who Stutter: A Randomized Clinical Trial JF - Journal of Speech, Language, and Hearing Research N2 - Purpose: This study investigated the effectiveness of the stuttering modification intervention Kinder Dürfen 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. KW - stuttering Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-171722 VL - 66 IS - 10 SP - 1 EP - 15 ER - TY - JOUR A1 - Ristau, Patrick A1 - Oetting-Roß, Claudia A1 - Büscher, Andreas T1 - From Surviving to Living (on): A Grounded Theory Study on Coping in People with Pancreatic Cancer JF - Journal of Patient Experience KW - Palliative Care Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-174579 VL - 10 SP - 1 EP - 8 ER - TY - JOUR A1 - Koskinen, Iina A1 - Stolt, Minna A1 - Tram Widmer, Christine A1 - Pernica, Katrin A1 - Dütthorn, Nadin A1 - Groddeck, Luisa A1 - Lunddahl Bager, Ida A1 - Finn, Yvonne A1 - Smyth, Siobhan A1 - Virtanen, Heli T1 - Methodological approaches and competence areas of nursing students in virtual reality simulation research – A scoping review JF - Nurse Education Today Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-174771 VL - 133 SP - 106033 ER - TY - JOUR A1 - Manietta, Christina A1 - Purwins, Daniel A1 - Reinhard, Anneke A1 - Feige, Melanie A1 - Knecht, Christiane A1 - Alpers, Birgit A1 - Roes, Martina T1 - Contextualizing the results of an integrative review on the characteristics of dementia‑friendly hospitals: a workshop with professional dementia experts JF - BMC Geriatrics Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-172088 VL - 23:678 SP - 1 EP - 17 ER - TY - JOUR A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Laser, Johannes A1 - Rasche, Peter A1 - Vollmar, Horst Christian A1 - Ehlers, Jan P A1 - Kernebeck, Sven T1 - Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review JF - JMIR Human Factors N2 - 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. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173050 VL - 10 SP - e45598 ER - TY - JOUR A1 - Englert, Nathalie A1 - Peters, Lara A1 - Przysucha, Mareike A1 - Noelle, Marco A1 - Hülsken-Giesler, Manfred A1 - Büscher, Andreas T1 - Häusliche Pflegearrangements: Untersuchung der Inanspruchnahme von Unterstützungsleistungen im Zusammenhang mit dem sozioökonomischen Status JF - Bundesgesundheitsblatt Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-179336 VL - 66 / 2023 IS - 2023 / 66 SP - 540 EP - 548 ER - TY - JOUR A1 - Korn, Sandra A1 - Böttcher, Maximilian David A1 - Busse, Theresa Sophie A1 - Kernebeck, Sven A1 - Breucha, Michael A1 - Ehlers, Jan A1 - Kahlert, Christoph A1 - Weitz, Jürgen A1 - Bork, Ulrich T1 - Use and Perception of Digital Health Technologies by Surgical Patients in Germany in the Pre–COVID-19 Era: Survey Study JF - JMIR Formative Research N2 - 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. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173046 VL - 6 SP - e33985 ER - TY - JOUR A1 - Nitsche, Julia A1 - Busse, Theresa Sophie A1 - Kernebeck, Sven A1 - Ehlers, Jan P. T1 - Virtual Classrooms and Their Challenge of Interaction—An Evaluation of Chat Activities and Logs in an Online Course about Digital Medicine with Heterogeneous Participants JF - International Journal of Environmental Research and Public Health N2 - 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. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173083 SN - 1661-7827 VL - 19 SP - 10184 ER - TY - JOUR A1 - Busse, Theresa Sophie A1 - Nitsche, Julia A1 - Kernebeck, Sven A1 - Jux, Chantal A1 - Weitz, Jürgen A1 - Ehlers, Jan P. A1 - Bork, Ulrich T1 - Approaches to Improvement of Digital Health Literacy (eHL) in the Context of Person-Centered Care JF - International Journal of Environmental Research and Public Health N2 - 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. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173115 SN - 1661-7827 VL - 19 SP - 8309 ER -