Gesundheit (MDH)
Refine
Year
Publication Type
- Article (636)
- Lecture (337)
- Part of a Book (239)
- Book (101)
- Conference Proceeding (101)
- Contribution to a Periodical (38)
- Report (14)
- Review (12)
- Master's Thesis (7)
- Bachelor Thesis (6)
Language
- German (1282)
- English (169)
- Multiple languages (41)
- ger (5)
Keywords
- Kultursensibel pflegen (7)
- Pflegeberufegesetz (5)
- Palliative Care (4)
- Pflege (3)
- Rehabilitation (3)
- Gesundheitsrecht (2)
- ICF-Modell (2)
- Kommunikation (2)
- Learning Analytics (2)
- Leichte Sprache (2)
- Praxisanleitung (2)
- Rehabilitationsforschung (2)
- Serious Game (2)
- Skills Lab (2)
- Skin Picking (2)
- Stationäre Altenpflege (2)
- Vorbehaltsaufgaben (2)
- 2. Auflage (1)
- Acetic Acid (1)
- Addiction (1)
- Allgemeine Ambulante Palliativversorgung (1)
- Altenpflege (1)
- Altenpflegeheim (1)
- Ambulante Pflege (1)
- Ambulante und stationäre Palliativversorgung (1)
- An- und Zugehörige (1)
- Anwenderschulung (1)
- Appearance-concerns (1)
- Assistierter Suizid (1)
- Atemnot (1)
- Auswirkungen (1)
- BFRB (1)
- BFRBDs (1)
- Basal stimulierende Mundpflege (1)
- Beratung (1)
- Betreutes Wohnen (1)
- Betriebswirtschaftliche Statistik (1)
- Bildung (1)
- Biofeedback (1)
- Biografieorientierte Anamnese (1)
- Biographiearbeit (1)
- Bürokratie vermeiden (1)
- CO2-Konzentration (1)
- COVID-19 (1)
- Caffeine (1)
- Chronisch tumorbedingter Schmerz (1)
- Community Health Nursing (1)
- Controlling (1)
- DRG-System (1)
- Datenverarbeitung (1)
- Decontamination (1)
- Defensives Lernen (1)
- Demenz (1)
- Dermatillomanie (1)
- Deutschland / Medizinproduktegesetz (1)
- Die Methode des Lauten Denkens (1)
- Dienstleistung (1)
- Digitales Lernen (1)
- Digitalisierung (1)
- Diskrepanzerfahrung (1)
- Einfache Sprache (1)
- Einrichtungsleitung, Altenpflege, Qualifizierung (1)
- Einzelfall (1)
- Entwicklung (1)
- Ernährung (1)
- Euregio (1)
- European Nursing Informatics (1)
- Expansives Lernen (1)
- Exulzerierende Wunden (1)
- FFP (1)
- Fallarbeit (1)
- Fenster (1)
- Fensterlüftung (1)
- Funktionsfähigkeit (1)
- Fürsorge in der Begleitung (1)
- Gebrauchstauglichkeit (1)
- Gemeinsamer Bundesausschuss G-BA (1)
- Gesellschaftlich abhängige Kontrollüberzeugungen (1)
- Gesundheit (1)
- Gesundheitliche Versorgungsplanung (1)
- Gesundheits- und Krankenpflegeausbildung (1)
- Gesundheitswissenschaften (1)
- Graphik (1)
- Grenzüberschreitende Kooperation (1)
- Habit (1)
- Hausgemeinschaften (1)
- Haushaltsführung (1)
- Heimrecht (1)
- Hydrogen peroxide (1)
- ICD-11 (1)
- IT, Bett (1)
- Individuelle Mundpflege in der letzten Lebensphase (1)
- Internationale kommunale Zusammenarbeit (1)
- Interne und externe Netzwerke (1)
- Juckreiz (1)
- Kennzahlensystem (1)
- Kompetenzen der Beraterinnen (1)
- Kompetenzmessung (1)
- Kontextfaktoren (1)
- Krankenhaus (1)
- Krankenhausfinanzierung (1)
- Kriterien Pflegeleitlinie (1)
- Kulturelle Dimensionen des Schmerzerlebens (1)
- Kultursensibles Schmerzmanagement (1)
- Künstliche Intelligenz, Pflege, Pflegeinformatik (1)
- Lagerung (1)
- Lehrer (1)
- Leitbild der Palliativpflege (1)
- Lerngründe (1)
- Lernwiderstände (1)
- Luft (1)
- Luftreinhaltung (1)
- Lüftung (1)
- Lüftungsmanagement (1)
- MPBetreibV (1)
- Marketing (1)
- Mehrdimensionalität des Schmerzerlebens (1)
- Methodenweiterentwicklung (1)
- Mitarbeiterorientierung (1)
- Mixed-Method-Design (1)
- Mobile Learning (1)
- Netzwerkkoordinator*in (1)
- Netzwerkkoordinator*innen nach § 39d SGB V (1)
- Neurofeedback (1)
- Oberflächen-Elektromyographie (1)
- Palliativpflege (1)
- Patienten-Therapeuten-Interaktion (1)
- Personenzentrierte Beratung (1)
- PflBG (1)
- Pflege jüdischer Menschen (1)
- Pflegeausbildung (1)
- Pflegebildung (1)
- Pflegedidaktik, Fachqualifikationsrahmen (1)
- Pflegekennzahlen (1)
- Psychiatrie (1)
- Psychoonkologie (1)
- Public Relations (1)
- Pädagogische Diagnostik (1)
- Qualitative Forschung (1)
- Qualitätsmanagement (1)
- Raum (1)
- Raumluft (1)
- Schluckmanöver (1)
- Schmerzerfassung (1)
- Schule (1)
- Schüler (1)
- Selbstschutz, Pflegeheim (1)
- Selbstwirksamkeit (1)
- Self Report Habit Index (1)
- Simulationsbasierte Lernmedien (1)
- Smartphone (1)
- Sozialisation (1)
- Spezialisierte Ambulante Palliativversorgung (1)
- Steuerungskreislauf (1)
- Take Care (1)
- Teilhabe (1)
- Teilhabeforschung (1)
- Total Care (1)
- Total Pain (1)
- Total-Pain-Modell (1)
- Trichotillomanie (1)
- Trichotillomanie, Haareausreißen, körperbezogenes repetitives Verhalten, Zwangsspektrum, Kognitive Verhaltenstherapie (1)
- Unerfüllter Kinderwunsch (1)
- Unterricht im Bereich Ethik (1)
- Unterrichtsstörungen (1)
- Würdevolle Begleitung (1)
- Ziele der Förderrichtlinie (1)
- air hygiene (1)
- akademisierte Pflegefachkräfte (1)
- body image (1)
- bordercrossing care (1)
- care (1)
- co2-concentration (1)
- communication (1)
- cooperation (1)
- deutsch-niederländische Zusammenarbeit (1)
- effect (1)
- hospital (1)
- marketing (1)
- niederländische Altenpflege (1)
- postoperatives Schmerzmanagement (1)
- qualitativ (1)
- retirement home (1)
- school (1)
- service (1)
- staff orientation (1)
- student (1)
- stuttering (1)
- teacher (1)
- therapeutische Gespräche (1)
- Öffentlichkeitsarbeit (1)
Faculty
- Gesundheit (MDH) (1497)
- Sozialwesen (SW) (2)
- Physikingenieurwesen (PHY) (1)
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.
BACKGROUND Despite the enormous number of assistive technologies (ATs) in dementia care, the management of challenging behavior (CB) of persons with dementia (PwD) by informal caregivers in home care is widely disregarded. The first-line strategy to manage CB is to support the understanding of the underlying causes of CB to formulate individualized nonpharmacological interventions. App- and sensor-based approaches combining multimodal sensors (actimetry and other modalities) and caregiver information are innovative ways to support the understanding of CB for family caregivers. OBJECTIVE The main aim of this study is to describe the design of a feasibility study consisting of an outcome and a process evaluation of a newly developed app- and sensor-based intervention to manage CB of PwD for family caregivers at home. METHODS In this feasibility study, we perform an outcome and a process evaluation with a pre-post descriptive design over an 8-week intervention period. The Medical Research Council framework guides the design of this feasibility study. The data on 20 dyads (primary caregiver and PwD) are gathered through standardized questionnaires, protocols, and log files as well as semistructured qualitative interviews. The outcome measures (neuropsychiatric inventory and Cohen-Mansfield agitation inventory) are analyzed by using descriptive statistics and statistical tests relevant to the individual assessments (eg, chi-square test and Wilcoxon signed-rank test). For the analysis of the process data, the Unified Theory of Acceptance and Use of Technology is used. Log files are analyzed by using descriptive statistics, protocols are analyzed by using documentary analysis, and semistructured interviews are analyzed deductively using content analysis. RESULTS The newly developed app- and sensor-based AT has been developed and was evaluated until July in 2018. The recruitment of dyads started in September 2017 and was concluded in March 2018. The data collection was completed at the end of July 2018. CONCLUSIONS This study presents the protocol of the first feasibility study to encompass an outcome and process evaluation to assess a complex app- and sensor-based AT combining multimodal actimetry sensors for informal caregivers to manage CB. The feasibility study will provide in-depth information about the study procedure and on how to optimize the design of the intervention and its delivery. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11630
Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review
(2023)
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.
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.
Steigerung der Versorgungsqualität in der Palliativversorgung durch elektronische Gesundheitsakten
(2021)
Mundtrockenheit lindern
(2023)
Die Palliativpflege ist eine elementare Säule im Rahmen von Palliative Care und Hospizarbeit. Als Teil des multiprofessionellen Teams setzt sie sich für eine personenzentrierte und leitlinienorientierte würdevolle Versorgung von Menschen in der letzten Lebensphase und ihrer An- und Zugehörigen auf der Grundlage des Total-Pain-Modells ein. Das Pflegeleitbild der Sektion Pflege der Deutschen Gesellschaft für Palliativmedizin bietet hier eine werteorientierte Grundlage.
Pflegen:Palliativ
(2023)
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.
Entwurzelt sein
(2023)
Der rettende Hausbesuch
(2023)
Auf sich gestellt sein
(2023)
Herausforderungen der pädagogisch-didaktischen Konzeption von Lehr- Lernszenarien in Serious Games
(2023)
Beobachtung als Methode qualitativer Forschung: Eine flexible, kontextbezogene Forschungsstrategie
(2021)
ie Einbindung akademisch qualifizierter Pflegefachkräfte in die Pflegepraxis stellt eine Herausforderung dar. Um eine Übersicht über die derzeit umgesetzten Praxiskonzepte zu generieren, wird eine Literaturstudie durchgeführt. Die übergeordnete
Fragestellung lautet: Welche Konzepte zur Einbindung von Bachelorabsolvent*innen in der Pflege werden in Pflege- und Gesundheitseinrichtungen entwickelt, eingesetzt und evaluiert? Die einbezogenen Veröffentlichungen unterschiedlicher Reichweite zeigen diverse Möglichkeiten für Aufgaben- und Verantwortungsbereiche. Vereinzelte Evaluationsergebnisse sind bisher
wenig aussagekräftig. Für eine erfolgreiche Einbindung erscheint die Klärung erweiterter Aufgabenprofile und der Zielstellung
sinnvoll, um Praxiskonzepte vorteilhaft einzusetzen.
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.
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.