TY - JOUR A1 - Gitzen, Harald A1 - Schmidt, Jennifer A1 - Martin, Alexandra T1 - Subjective and physiological reactivity to emotional stressors in somatic symptom disorder JF - International Journal of Psychophysiology N2 - Objective: We examined whether autonomic flexibility to experimentally presented stressors is reduced in somatic symptom disorder (SSD) as this would point to reduced vagal control as a proposed indicator of emotion regulation deficits. Method: In this experimental study, the influence of health-related and social stressors on subjective and physiological reactivity was investigated in 29 subjects with SSD without any medical condition SSD(mc−), 33 subjects with SSD with medical condition SSD(mc+) and 32 healthy controls at the age from 18 to 70 years. Self-report and physiological variables were measured before and after/during stressor exposure, using state ratings of symptom intensity, disability, tension and mood, heart rate (HR), and heart rate variability (HRV). Results: Overall, the tension increased and the mood worsened after exposure to stressors compared to pre-exposure. Compared to HC, the two SSD groups showed higher symptom intensity, disability, tension and worse mood. The SSD(mc−) group revealed higher HR than HC (p = .012, d = −0.77). Compared to pre-exposure, symptom impairment increased after social stressor exposure in SSD(mc−) (p < .001, d = 1.36). HRV-root mean square of successive differences (RMSSD) only decreased in HC during exposure (p = .003, d = −1.09), not in the SSD groups. The two SSD groups did not differ in their reactivity to stressors. Conclusion: HRV in SSD, seems to respond less flexibly to stressors, potentially reflecting overall physiological disturbance through reduced parasympathetic influence on HR. Stress reactivity in SSD(mc−) and SSD(mc+) do not seem to differ. Y1 - 2024 U6 - http://dx.doi.org/10.1016/j.ijpsycho.2023.112273 VL - 2024 IS - 195 SP - 112273 EP - 112273 ER - TY - GEN A1 - Enaux, Jennifer A1 - Ortner, Manuela A1 - Kobleder, Andrea A1 - Knecht, Christiane T1 - Advanced practice nurses in the field of pelvic floor disorder – lessons learned five years after role implementation. 24th EAUN Meeting, Paris, 07.04.2024. (Poster) Y1 - 2024 ER - TY - JOUR A1 - Schmidt, Jennifer A1 - Gallinat, Christina A1 - Martin, Alexandra T1 - Appearance-related concerns in individuals with Pathological Skin Picking - A comparison with individuals with dermatological conditions and skin-healthy controls JF - Frontiers in Medicine N2 - Pathological Skin Picking (PSP) is an excessive behavior which characterizes Skin Picking Disorder. Individuals repeatedly pick their skin and cause skin lesions, but are unable to control the behavior, which can cause severe distress. Visible self-inflicted skin lesions can additionally affect individuals with PSP due to emerging appearance-related concerns. However, these concerns and their role in PSP have hardly been studied, especially not in comparison with individuals with dermatological conditions and skin-healthy controls. The present cross-sectional study (n=453, 83.9% female, 15.9% male, 0.2% diverse) aimed at analyzing appearance-related concerns and mental health outcomes between four groups: Individuals with PSP and dermatological conditions (SP/DC; n=83), PSP without dermatological conditions (SP; n=56), dermatological conditions without PSP (DC; n=176) and skin-healthy controls (SH, n=138). We compared questionnaire data on dysmorphic concerns, appearance-based rejection sensitivity, and body dysmorphic symptoms, as well as PSP-symptoms and mental health outcomes (depression, anxiety, and self-esteem) between groups. The analyses showed a significant multivariate group effect in the appearance-related variables, F(6, 896)=19.92, Wilks’ Λ=0.78, p<.001, and mental health outcomes, F(6, 896)=16.24, Wilks’ Λ=0.81, p<.001. The SP/DC group had the strongest appearance-related concerns and mental health impairments, followed by the SP group, the DC group and the SH group. The SP/DC group and SP group only differed significantly with regard to dysmorphic concerns, but not in other variables. The DC group was less affected but still showed higher dysmorphic concerns and mental health impairments than skin-healthy controls. In contrast to the PSP groups, the other two groups did not exceed clinically relevant cut-off scores. The present study shows that individuals with PSP exhibit strong appearance-related concerns, regardless of the presence or absence of underlying or comorbid dermatological conditions. These findings shed new light on the importance of appearance-related concerns in skin picking disorder and the role of PSP as a potentially overlooked risk factor in dermatological patients. Therefore, appearance-related concerns should be explicitly addressed in dermatological and psychotherapeutic settings. Future studies should also include longitudinal and experimental analyses to more clearly classify the role of appearance-related concerns in the etiology of PSP and skin picking disorder. KW - Skin Picking KW - Dermatillomanie KW - Appearance-concerns KW - body image Y1 - 2023 UR - https://www.frontiersin.org/articles/10.3389/fmed.2023.1075743 U6 - http://dx.doi.org/10.3389/fmed.2023.1075743 VL - 10 ER - TY - GEN A1 - Dütthorn, Nadin A1 - Finn, Yvonne A1 - Smyth, Siobhan A1 - Groddeck, Luisa T1 - Virtual Reality Training for Health Care Professioanals. Presentation at University of Limerick, Ireland, 2.03.2023 Y1 - 2023 ER - TY - JOUR A1 - Pernica, Katrin A1 - Virtanen, Heli A1 - Lunddahl Bager, Ida A1 - Jordan, Fionnuala A1 - Dütthorn, Nadin A1 - Stolt, Minna T1 - Virtual reality simulation enabling high level immersion in undergraduate nursing education: A systematic review JF - Journal of Nursing Education and Practice N2 - Background and objectives: Virtual reality simulation (VRS) can be used to complement experiential learning, as it enables nursing students to further learn and refine nursing skills outside of the clinical setting. However, gathering evidence for its effectiveness as a teaching method in achieving learning outcomes is still ongoing, and thus there is a lack of systematic synthesis. The objective of this systematic literature review is to analyze VRS scenarios with a high level of immersion and their impact on learning outcomes in nursing education. Methods: A literature search was performed in the MEDLINE, CINAHL, and ERIC databases in November 2022. As a result, fifteen studies were included and analyzed using deductive content analysis. Results: The studies reported twelve different scenarios for virtual reality simulations with high levels of immersion, the focus of which was on acute critical care, broader nursing processes, neonatal and pediatric care, single nursing interventions, and observation of patients’ symptoms. The associated learning objectives were mainly achieved in the domains of cognition and psychomotor skills. Conclusions: There are several VRS scenarios that show potential for use in nursing education. The VRS scenarios are effective in improving learning outcomes, particularly those related to knowledge and skills. Overall, the supportive body of evidence gained through this review may help nurse educators in integrating virtual simulations in their curricula. In the future, nursing and adult learning theories should be given greater consideration, and the aspect of affective learning could be included in design and implementation. Moreover, future research could benefit from exploring the long-term effects of learning after using VRS with a high level of immersion to provide valuable evidence for developing VRS teaching methods in nursing. Y1 - 2023 U6 - http://dx.doi.org/10.5430/jnep.v13n11p20 SN - 1925-4059 VL - Vol.13 IS - 11 SP - 17 EP - 27 ER - TY - GEN A1 - Fiedler, Manfred A1 - Tarner, Nikolas A1 - Kespohl, Hendrik A1 - Grosse, Gisela A1 - Beck, Felix A1 - Knecht, Christiane T1 - Working on the public image of nursing. A transdisciplinary approach about the essence of nursing. 29th ICN Congress, Montreal, 01.07.2023. (Poster) Y1 - 2023 ER - TY - GEN A1 - Dimitriadou Xanthopoulou, Nikoletta A1 - Große Westermann, Melanie A1 - Oetting-Roß, Claudia A1 - Knecht, Christiane T1 - Identifying the Scope of Practice and Competencies of Advanced Practice Nurses in Critical Care. A Scoping Review. 29th ICN Congress, Montreal, 01.07.2023. (Poster) Y1 - 2023 ER - TY - JOUR A1 - Opwis, Mareile A1 - Bartel, Eva Catrin A1 - Salewski, Christel A1 - Schmidt, Jennifer T1 - Sorry—Bad Habit! Validation of the German Self-Report Habit Index with a Test for Its Relation to Potentially Addictive Forms of Health-Risk Behaviors JF - International Journal of Mental Health and Addiction N2 - Habits are highly automated behaviors that have received renewed attention in addiction research. The Self-Report Habit Index (SRHI) is a widely used measure of habits. Two cross-sectional online studies aimed at validating a German version of the SRHI to assess two everyday health-risk behaviors: caffeine consumption and smartphone/tablet use. In both studies (N = 1310), the SRHI scales (one adapted for caffeine consumption, one for smartphone/tablet use), as well as corresponding addiction scales and health outcomes (study 1), or established validity measures (study 2), were assessed. Both SRHI scales showed satisfying item characteristics, high internal consistencies (αs > .90), adequate construct validity, and a three-factorial solution with a satisfying model fit (CFI/TLIs > .95, SRMRs ≤ 0.05). Highest correlations emerged between SRHI and addiction scales. The studies show that the German SRHI can be used to validly assess health-risk behaviors. The observed strong correlations of the SRHI scales with addiction scales suggest that (self-reported) habit is indeed an important aspect to consider in addiction research. KW - Habit KW - Addiction KW - Caffeine KW - Smartphone KW - Self Report Habit Index Y1 - 2023 UR - https://link.springer.com/article/10.1007/s11469-023-01057-3 U6 - http://dx.doi.org/https://doi.org/10.1007/s11469-023-01057-3 SN - 1557-1882 ER - TY - GEN A1 - Dimitriadou Xanthopoulou, Nikoletta A1 - Große Westermann, Melanie A1 - Oetting-Roß, Claudia A1 - Knecht, Christiane T1 - Identifying the Scope of Practice and Competencies of Advanced Practice Nurses in Critical Care. A Scoping Review. 29th ICN Congress, Montreal. Y1 - 2023 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 - GEN A1 - Büscher, Andreas A1 - Daugardt, Katja T1 - Nursing in Germany. 1st Unisinos International Meeting - Nursing Brazil-Germany: Perspectives in Higher Education. Unisinos University - Campus São Leopoldo/Brasilien. 08.05.2023. Y1 - 2023 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 - GEN A1 - Manietta, Christina A1 - Purwins, Daniel A1 - Reinhard, Anneke A1 - Knecht, Christiane A1 - Roes, Martina T1 - Involvement of stakeholders in the development of a guideline for interviews with people with dementia – An example from the DEMfriendlyHospital study. 33rd Alzheimer Europe Conference, Helsinki, 16.10.2023. Y1 - 2023 ER - TY - JOUR A1 - Kreutzer, Susanne A1 - Nolte, Karen T1 - Editorial - Suicide as a Challenge in Psychiatric Nursing JF - European Journal for Nursing History and Ethics Y1 - 2023 UR - https://www.enhe.eu/enhe/issue/view/6 U6 - http://dx.doi.org/10.25974/enhe2023-1en SN - 2628-4375 VL - 5 SP - 1 EP - 2 ER - TY - JOUR A1 - Kaufeld, Mara A1 - De Coninck, Katharina A1 - Schmidt, Jennifer A1 - Hecht, Heiko T1 - Chewing gum reduces visually induced motion sickness JF - Experimental Brain Research N2 - Visually induced motion sickness (VIMS) is a common side-effect of exposure to virtual reality (VR). Its unpleasant symptoms may limit the acceptance of VR technologies for training or clinical purposes. Mechanical stimulation of the mastoid and diverting attention to pleasant stimuli-like odors or music have been found to ameliorate VIMS. Chewing gum combines both in an easy-to-administer fashion and should thus be an effective countermeasure against VIMS. Our study investigated whether gustatory-motor stimulation by chewing gum leads to a reduction of VIMS symptoms. 77 subjects were assigned to three experimental groups (control, peppermint gum, and ginger gum) and completed a 15-min virtual helicopter flight, using a VR head-mounted display. Before and after VR exposure, we assessed VIMS with the Simulator Sickness Questionnaire (SSQ), and during the virtual flight once every minute with the Fast Motion Sickness Scale (FMS). Chewing gum (peppermint gum: M = 2.44, SD = 2.67; ginger gum: M = 2.57, SD = 3.30) reduced the peak FMS scores by 2.05 (SE = 0.76) points as compared with the control group (M = 4.56, SD = 3.52), p < 0.01, d = 0.65. Additionally, taste ratings correlated slightly negatively with both the SSQ and the peak FMS scores, suggesting that pleasant taste of the chewing gum is associated with less VIMS. Thus, chewing gum may be useful as an affordable, accepted, and easy-to-access way to mitigate VIMS in numerous applications like education or training. Possible mechanisms behind the effect are discussed. Y1 - 2022 UR - https://link.springer.com/article/10.1007%2Fs00221-021-06303-5 U6 - http://dx.doi.org/10.1007/s00221-021-06303-5 ER - TY - JOUR A1 - Manietta, Christina A1 - Purwins, Daniel A1 - Reinhard, Anneke A1 - Knecht, Christiane A1 - Roes, Martina T1 - Characteristics of dementia‑friendly hospitals: an integrative review JF - BMC Geriatrics Y1 - 2022 U6 - http://dx.doi.org/10.1186/s12877-022-03103-6 VL - 22 IS - 468 SP - 1 EP - 16 ER - TY - JOUR A1 - Kreutzer, Susanne A1 - Nolte, Karen T1 - Editorial - Nursing Care in Times of Epidemics and Pandemics. Historical and Ethical Issues JF - European Journal for Nursing History and Ethics Y1 - 2022 U6 - http://dx.doi.org/10.25974/enhe2022-1en VL - 4 ER - TY - JOUR A1 - Hegedüs, Anna A1 - Burr, Christian A1 - Pfluger, Viviane A1 - Sieg, Daniel A1 - Nienaber, André A1 - Schulz, Michael T1 - Peer support worker training: Results of the evaluation of the Experienced Involvement training programme in Switzerland and Germany JF - International Journal of Mental Health Nursing Y1 - 2021 U6 - http://dx.doi.org/10.1111/inm.12805 VL - 30 IS - 2 SP - 451 EP - 460 ER - TY - GEN A1 - Knecht, Christiane T1 - Strengthening the Family in the Management of Chronic Disease. 2nd International 3rd National Congress on Public Health Nursing, 08.01.2021 (digital) Y1 - 2021 ER - TY - GEN A1 - Knecht, Christiane T1 - Academic Education in Nursing in Germany From bachelor’s degree to PhD. Digitaler Vortrag im Rahmen der Conference “Nurses and midwives: A Voice to Lead. Organization of work in the team.” der Gesellschaft für internationale Zusammenarbeit in Tashkent, Uzbekistan Y1 - 2021 ER - TY - GEN A1 - Enaux, Jennifer A1 - Knecht, Christiane T1 - Advanced Practice Nurse’s Role and Scope of Practice in The Field of Pelvic Floor Disorder. 11th ICN NP/APN Network Conference, Halifax, 29.08.2021 -01.09.2021 (digital) Y1 - 2021 ER - TY - GEN A1 - Knecht, Christiane A1 - Sorber, Michaela A1 - Hirt, Julian A1 - Stadtmann, Manuel A1 - Saladin, Nadine A1 - Beer, Thomas T1 - Advanced Practice Nursing – Role Confusions in the German speaking Countries. 11th ICN NP/APN Network Conference, Halifax, 29.08.2021 -01.09.2021 (digital) Y1 - 2021 ER - TY - JOUR A1 - Vogel, Stefan A1 - Richter, Jendrik A1 - Wache, Stefanie A1 - Pischek-Koch, Kerstin A1 - Auchter, Simon A1 - Zebbities, Sebastian A1 - Güttler, Karen A1 - Hübner, Ursula A1 - Pryzsucha, Mareike A1 - Hüsers, Jens A1 - Sellemann, Björn T1 - Evaluation of a Clinical Decision Support System in the Domain of Chronic Wound Management JF - Studies in Health Technology and Informatics N2 - The PosiThera project focuses on the management of chronic wounds, which is multi-professional and multi-disciplinary. For this context, a software prototype was developed in the project, which is intended to support medical and nursing staff with the assistance of artificial intelligence. In accordance with the user-centred design, national workshops were held at the beginning of the project with the involvement of domain experts in wound care in order to identify requirements and use cases of IT systems in wound care, with a focus on AI. In this study, the focus was on involving nursing and nursing science staff in testing the software prototype to gain insights into its functionality and usability. The overarching goal of the iterative testing and adaptation process is to further develop the prototype in a way that is close to care. Y1 - 2021 U6 - http://dx.doi.org/10.3233/SHTI210228 VL - 281 SP - 535 EP - 539 ER - TY - JOUR A1 - Schlüter, Constanze A1 - Kraag, Gerda A1 - Schmidt, Jennifer T1 - Body Shaming: an Exploratory Study on its Definition and Classification. JF - International Journal of Bullying Prevention N2 - Body shaming (BS) is a popular term for a type of negative social interaction, which frequently occurs in social media. However, there is a lack of a clear scientific definition of BS and data on its relation to other concepts in social aggression research. The present study therefore aimed at providing a definition and classification of BS. In an exploratory online-study, 25 participants (60%) provided personal definitions of BS and rated the fit of a suggested definition. In addition, they reported similarities with and differences to related concepts (appearance teasing, cyberbullying, trolling). We conducted qualitative analyses of the verbal definitions guided by the Grounded Theory approach and quantified the fit to existing concepts in the field of social aggression. The results show that BS is perceived as an unrepeated act in which a person expresses unsolicited, mostly negative opinions/comments about a target’s body, without necessarily intending to harm him/her. Still, the target perceives the comments as negative. BS can range from well-meant advice to malevolent insults and it can occur online and offline. Participants saw similarities between BS and appearance teasing. BS can be a tool for trolling and can evolve to cyberbullying with repetition over time. Altogether, BS is a form of social aggression that has a negative impact on individuals. The definition and classification help to investigate BS and its effects on body image and mental health in future research. Y1 - 2021 U6 - http://dx.doi.org/10.1007/s42380-020-00073-4 VL - 2021 IS - 3 SP - 182 EP - 195 ER - TY - CHAP A1 - Prescher, Thomas A1 - König, Heiko A1 - Wiesner, Christian ED - James, WB ED - Cobanoglu, C ED - Cavusoglu, M T1 - Framework model of field transformation for a paradigm shift in emergency paramedic training: Rescue service schools between requirement conflicts and learning culture development. T2 - Advances in Global Education and Research, CLOCER 21 Y1 - 2021 UR - https://digitalcommons.usf.edu/m3publishing/vol3/iss2021/22/ SN - 978-1-955833-04-2 SP - 1 EP - 3 PB - USF M3 Publishing CY - Sarasota ER - TY - JOUR A1 - Blume, Marie A1 - Schmidt, Ricarda A1 - Schmidt, Jennifer A1 - Martin, Alexandra A1 - Hilbert, Anja T1 - EEG Neurofeedback in the Treatment of Adults with Binge-Eating Disorder: a Randomized Controlled Pilot Study JF - Neurotherapeutics N2 - Specific alterations in electroencephalography (EEG)-based brain activity have recently been linked to binge-eating disorder (BED), generating interest in treatment options targeting these neuronal processes. This randomized-controlled pilot study examined the effectiveness and feasibility of two EEG neurofeedback paradigms in the reduction of binge eating, eating disorder and general psychopathology, executive functioning, and EEG activity. Adults with BED and overweight (N = 39) were randomly assigned to either a food-specific EEG neurofeedback paradigm, aiming at reducing fronto-central beta activity and enhancing theta activity after viewing highly palatable food pictures, or a general EEG neurofeedback paradigm training the regulation of slow cortical potentials. In both conditions, the study design included a waiting period of 6 weeks, followed by 6 weeks EEG neurofeedback (10 sessions à 30 min) and a 3-month follow-up period. Both EEG neurofeedback paradigms significantly reduced objective binge-eating episodes, global eating disorder psychopathology, and food craving. Approximately one third of participants achieved abstinence from objective binge-eating episodes after treatment without any differences between treatments. These results were stable at 3-month follow-up. Among six measured executive functions, only decision making improved at posttreatment in both paradigms, and cognitive flexibility was significantly improved after food-specific neurofeedback only. Both EEG neurofeedback paradigms were equally successful in reducing relative beta and enhancing relative theta power over fronto-central regions. The results highlight EEG neurofeedback as a promising treatment option for individuals with BED. Future studies in larger samples are needed to determine efficacy and treatment mechanisms. Y1 - 2021 U6 - http://dx.doi.org/10.1007/s13311-021-01149-9 ER - TY - JOUR A1 - Boeing, Christian A1 - Sandten, Christian A1 - Hrincius, Eike R. A1 - Anhlan, Darisuren A1 - Dworog, Andreas A1 - Hanning, Stephanie A1 - Kuennemann, Thilo A1 - Niehues, Christopher A1 - Schupp, Thomas A1 - Stec, Edyta A1 - Thume, Julius A1 - Triphaus, Daniel A1 - Wilkens, Markus A1 - Uphoff, Holger A1 - Zuendorf, Josef A1 - Jacobshagen, Anja A1 - Kreyenschmidt, Martin A1 - Ludwig, Stephan A1 - Mertins, Hans-Christoph A1 - Mellmann, Alexander T1 - Decontamination of disposable respirators for reuse in a pandemic employing in-situ-generated peracetic acid JF - AJIC: American Journal of Infection Control N2 - Background During shortages of filtering face pieces (FFP) in a pandemic, it is necessary to implement a method for safe reuse or extended use. Our aim was to develop a simple, inexpensive and ecological method for decontamination of disposable FFPs that preserves filtration efficiency and material integrity. KW - Decontamination KW - FFP KW - Hydrogen peroxide KW - Acetic Acid KW - COVID-19 Y1 - 2021 UR - https://www.ajicjournal.org/article/S0196-6553(21)00620-9/fulltext#seccesectitle0002 U6 - http://dx.doi.org/10.1016/j.ajic.2021.09.017 SN - 0196-6553 VL - 2021 IS - September 22 ER - TY - JOUR A1 - Sorber, Michaela A1 - Knecht, Christiane A1 - Meng, Michael A1 - Büscher, Andreas A1 - Schnepp, Wilfried T1 - Alternative Constructions of Partner Relationships in Chronic Illness: A Qualitative Study Exploring Concurrent Relationships JF - Journal of Family Issues Y1 - 2021 U6 - http://dx.doi.org/10.1177/0192513X211030729 VL - 0 IS - 0 SP - 1 EP - 25 ER - TY - JOUR A1 - Kreutzer, Susanne A1 - Nolte, Karen T1 - Editorial: Nursing - Traditions, Ruptures and Specialisations JF - European Journal for Nursing History and Ethics Y1 - 2021 U6 - http://dx.doi.org/10.25974/enhe2021-1en VL - 3 IS - 2021 ER - TY - JOUR A1 - Nitsche, Julia A1 - Smetana, Jan A1 - Kochanek, Tonja A1 - Busse, Theresa Sophie A1 - Kernebeck, Sven A1 - Taetz-Harrer, Angelika A1 - Zupanic, Michaela A1 - Eulitz, Mona A1 - Ehlers, Jan P. T1 - Needs must when the devil drives - Migration of an entire university to digital teaching JF - Zeitschrift für Hochschulentwicklung Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173168 VL - 16 IS - 3 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Ehlers, Jan Peter A1 - Vollmar, Horst Christian T1 - Adhärenz digitaler Interventionen im Gesundheitswesen: Definitionen, Methoden und offene Fragen JF - Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz N2 - 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. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173188 SN - 1436-9990 VL - 64 SP - 1278 EP - 1284 ER - TY - JOUR A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Kernebeck, Sven A1 - Dreier, Larissa Alice A1 - Meyer, Dorothee A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Participatory Design of an Electronic Cross-Facility Health Record (ECHR) System for Pediatric Palliative Care: A Think-Aloud Study JF - Children N2 - 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. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173191 SN - 2227-9067 VL - 8 SP - 839 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Bork, Ulrich A1 - Ehlers, Jan P. T1 - Electronic Medical Records for (Visceral) Medicine: An Overview of the Current Status and Prospects JF - Visceral Medicine N2 - 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. Y1 - 2021 U6 - http://dx.doi.org/10.1159/000519254 SN - 2297-4725 VL - 37 SP - 476 EP - 481 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Meyer, Dorothee A1 - Dreier, Larissa Alice A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians JF - Children N2 - 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. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173219 SN - 2227-9067 VL - 8 SP - 695 ER - TY - JOUR A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Kernebeck, Sven A1 - Dreier, Larissa Alice A1 - Meyer, Dorothee A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Needs Assessment for the Development of an Electronic Cross-Facility Health Record (ECHR) for Pediatric Palliative Care: A Design Thinking Approach JF - Children N2 - 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. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173245 SN - 2227-9067 VL - 8 SP - 602 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Kramer, Ursula A1 - Redaelli, Marcus A1 - Vollmar, Horst Christian T1 - Bewerten, aber wie? – Kriterien für die Evaluation und das Reporting von Studien zu Gesundheits- und Medizin-Apps JF - Monitor Versorgungsforschung Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173256 VL - 14 IS - 2 ER - TY - JOUR A1 - Meyer, Dorothee A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Ehlers, Jan A1 - Wager, Julia A1 - Zernikow, Boris A1 - Dreier, Larissa Alice T1 - Electronic Health Records in Specialized Pediatric Palliative Care: A Qualitative Needs Assessment among Professionals Experienced and Inexperienced in Electronic Documentation JF - Children N2 - 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. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173265 SN - 2227-9067 VL - 8 SP - 249 ER - TY - JOUR A1 - Vogel, Stefan A1 - Richter, Jendrik A1 - Pischek-Koch, Kerstin A1 - Wache, Stefanie A1 - Auchter, Simon A1 - Zebbities, Sebastian A1 - Güttler, Karen A1 - Hübner, Ursula A1 - Przysucha, Mareike A1 - Hüsers, Jens A1 - Sellemann, Björn T1 - Implementation and Analysis of Two Knowledge Base Approaches for the Treatment of Chronic Wounds JF - Studies in Health Technology and Informatics Y1 - 2020 UR - http://ebooks.iospress.nl/publication/54234 U6 - http://dx.doi.org/https://doi.org/10.3233/SHTI200232 IS - 270 SP - 607 EP - 612 ER - TY - JOUR A1 - Schwinger, Meike A1 - Grafe, Marion T1 - Exploring barriers, advantages and potentials in realising clinical education in private physiotherapy practice settings in Germany JF - OpenPhysio Y1 - 2020 UR - https://www.openphysiojournal.com/article/exploring-barriers-advantages-and-potentials-in-realising-clinical-education-in-private-physiotherapy-practice-settings-in-germany/ SN - 2631-8369 SP - 1 EP - 12 ER - TY - JOUR A1 - Schmidt, Jennifer A1 - Martin, Alexandra T1 - The influence of physiological and psychological learning mechanisms in neurofeedback vs. mental imagery against binge eating JF - Applied Psychophysiology and Biofeedback Y1 - 2020 U6 - http://dx.doi.org/10.1007/s10484-020-09486-9 VL - 45 IS - 4 SP - 293 EP - 305 ER - TY - JOUR A1 - Jensen, Martin A1 - Hüttenrauch, Eva A1 - Schmidt, Jennifer A1 - Andersson, Gerhard A1 - Chavanon, Mira-Lynn A1 - Weise, Cornelia T1 - Neurofeedback for tinnitus: study protocol for a randomised controlled trial assessing the specificity of an alpha/delta neurofeedback training protocol in alleviating both sound perception and psychological distress in a cohort of chronic tinnitus sufferers JF - Trials Y1 - 2020 UR - https://pubmed.ncbi.nlm.nih.gov/32370767/ U6 - http://dx.doi.org/10.1186/s13063-020-04309-y VL - 21 IS - 1 SP - 382 EP - 382 ER - TY - JOUR A1 - Kreutzer, Susanne A1 - Nolte, Karen T1 - Editorial: Bads in Nursing Ethics, History and Historiography JF - European Journal for Nursing History and Ethics Y1 - 2020 U6 - http://dx.doi.org/10.25974/enhe2020-1en VL - 2 IS - 2020 ER - TY - JOUR A1 - Ristau, Patrick A1 - Oetting-Roß, Claudia A1 - Büscher, Andreas T1 - Mapping the knowledge on coping processes in patients with pancreatic cancer: a scoping review protocol. JF - Social Science Protocols Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-170113 VL - 3 IS - 1 SP - 1 EP - 15 PB - Edinburgh Diamond ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa S A1 - Böttcher, Maximilian D A1 - Weitz, Jürgen A1 - Ehlers, Jan A1 - Bork, Ulrich T1 - Impact of mobile health and medical applications on clinical practice in gastroenterology JF - World Journal of Gastroenterology N2 - Mobile health apps (MHAs) and medical apps (MAs) are becoming increasingly popular as digital interventions in a wide range of health-related applications in almost all sectors of healthcare. The surge in demand for digital medical solutions has been accelerated by the need for new diagnostic and therapeutic methods in the current coronavirus disease 2019 pandemic. This also applies to clinical practice in gastroenterology, which has, in many respects, undergone a recent digital transformation with numerous consequences that will impact patients and health care professionals in the near future. MHAs and MAs are considered to have great potential, especially for chronic diseases, as they can support the self-management of patients in many ways. Despite the great potential associated with the application of MHAs and MAs in gastroenterology and health care in general, there are numerous challenges to be met in the future, including both the ethical and legal aspects of applying this technology. The aim of this article is to provide an overview of the current status of MHA and MA use in the field of gastroenterology, describe the future perspectives in this field and point out some of the challenges that need to be addressed. Y1 - 2020 U6 - http://dx.doi.org/10.3748/wjg.v26.i29.4182 SN - 1007-9327 VL - 26 SP - 4182 EP - 4197 ER - TY - JOUR A1 - Kreutzer, Susanne A1 - Nolte, Karen T1 - Editorial JF - European Journal for Nursing History and Ethics Y1 - 2019 U6 - http://dx.doi.org/10.25974/enhe2019-1de SN - 2628-4375 ER - TY - JOUR A1 - Kreutzer, Susanne T1 - European Nursing Traditions and Global Experiences. An Entangled History JF - European Journal for Nursing History and Ethics Y1 - 2019 U6 - http://dx.doi.org/10.25974/enhe2019-9en SN - 2628-4375 VL - 2019 IS - 1 ER - TY - GEN A1 - Söhngen, Julia A1 - Knecht, Christiane A1 - zu Sayn-Wittgenstein, Friederike A1 - Schnepp, Wilfried T1 - Extreme Premature Infants in a neonatal Intensive Care Unit (NICU). International Conference of Family Nursing, Washington, 15.08.2019 Y1 - 2019 ER - TY - GEN A1 - Knecht, Christiane A1 - Fiedler, Manfred A1 - Hellmers, Claudia A1 - Metzing, Sabine T1 - Mothers’ And Fathers’ Roles In Families With A Chronically Ill Child – Disparities From Healthy Siblings’ Point Of View. International Conference of Family Nursing, Washington, 15.08.2019 (Posterpräsentation) Y1 - 2019 ER -