A5008607353- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Health and Medical Studies
- Environmental Conservation and Management
- Psychiatric care and mental health services
- Social and Demographic Issues in Germany
- Sleep and related disorders
- Family and Patient Care in Intensive Care Units
- Dementia and Cognitive Impairment Research
- Chronic Disease Management Strategies
- Energy, Environment, Agriculture Analysis
- Intensive Care Unit Cognitive Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Medical Practices and Rehabilitation
- Sleep and Work-Related Fatigue
- Urban Green Space and Health
- Clinical practice guidelines implementation
- Interprofessional Education and Collaboration
- Healthcare Education and Workforce Issues
- Forest Management and Policy
- Medical and Health Sciences Research
- Patient-Provider Communication in Healthcare
- German Social Sciences and History
- Wound Healing and Treatments
- Ethics and Legal Issues in Pediatric Healthcare
Martin Luther University Halle-Wittenberg
2015-2025
Luther University
2023-2025
Philipps University of Marburg
2005
University Medical Center Freiburg
1997
University of Freiburg
1997
To assess the quality of life people with dementia, measures are required for self-rating by person and proxy rating others. The Quality Life in Alzheimer's Disease scale (QoL-AD) is available two versions, QoL-AD-SR (self-rating) QoL-AD-PR (proxy rating). aim our study was to analyse inter-rater agreement between self- ratings, terms both total score items, including an analysis specific care setting, identify factors associated this agreement.
Zusammenfassung: Hintergrund: Durch verbesserte intensivmedizinische Behandlungsoptionen überleben immer mehr Menschen eine kritische Erkrankung. Rund 50% sind jedoch von Langzeitfolgen betroffen, die unter dem Post Intensive Care Syndrome (PICS) zusammengefasst werden und Notwendigkeit intensivstationärer Nachsorge verdeutlichen. Fragestellung: Wie nehmen Betroffene ihre Angehörigen das Leben nach einer intensivstationären kritischen Erkrankung wahr? Methoden: Es wurde Meta-Synthese...
People living with dementia often suffer from sleep disturbances. The MoNoPol-Sleep (multimodal, nonpharmacological intervention for disturbances in people nursing homes) study aimed to develop and evaluate a multimodal, prevent reduce homes. To investigate implementation fidelity, adoption, barriers facilitators of the intervention. Mixed-methods process evaluation alongside an exploratory cluster-randomised controlled trial. Twenty-two homes three regions Germany. Nursing staff, home...
Person-centred care (PCC) has been suggested as the preferred model of dementia in all settings. The EPCentCare study showed that an adapted PCC approach was difficult to implement and had no effect on prescription antipsychotics nursing home residents Germany. This paper reports qualitative process evaluation identify facilitators barriers implementation German homes from perspective participating practice development champions.Five individual 14 group interviews were conducted with 66...
antipsychotic drugs are regularly prescribed as first-line treatment for neuropsychiatric symptoms in persons with dementia although guidelines clearly prioritise non-pharmacological interventions.we investigated a person-centred care approach, which has been successfully evaluated nursing homes the UK, and adapted it to German conditions.a 2-armed 12-month cluster-randomised controlled trial.nursing East, North West Germany.all prescribing physicians from both study arms received medication...
The majority of nursing home residents with dementia experience behavioural and psychological symptoms like apathy, agitation, anxiety. According to analyses prescription prevalence in Germany, antipsychotic drugs are regularly prescribed as first-line treatment neuropsychiatric persons dementia, although guidelines clearly prioritise non-pharmacological interventions. Frequently, for inappropriate reasons too long without regular reviewing. use antipsychotics is associated adverse events...
To reduce sleep problems in people living with dementia using a multi-component intervention. Cluster-randomized controlled study two parallel groups and follow-up of 16 weeks. Using external concealed randomization, 24 nursing homes (NH) were allocated either to the intervention group (IG, 12 clusters, 126 participants) or control (12 116 participants). Participants eligible if they had severe cognitive impairment, at least problems, residence weeks NH. The 16-week consists six components:...
Abstract Background Sleep disturbances are common in nursing home residents and challenging for their nurses. Knowledge about sleep promoting factors is essential to provide adequate management, where nurses play a key role. Therefore, nurses’ knowledge attitudes towards interventions important as enabling or inhibiting factor successful management. Methods A multicenter cross-sectional study was conducted among working wholly partially at night homes Germany. Data were collected between...
People with dementia are often inapproachable due to symptoms of their illness. Therefore nurses should establish relationships patients via remaining resources and facilitate communication. In order achieve this, different targeted non-pharmacological interventions recommended practiced. However there is no sufficient evidence about the efficacy most these interventions. A number publications highlight urgent need for methodological sound studies so that more robust conclusions may be...
Communication and information in order to reduce anxiety the intensive care unit (ICU) has been described as area needing improvement. Therefore, aim of this trial was evaluate whether a structured program that intensifies given standard process reduces ICU patients. Multicenter, two-armed, non-blinded, parallel-group randomized controlled hospitals cities Marburg, Halle, Stuttgart (Germany). The performed cardiac surgery, general internal medicine ICUs. Two-hundred eleven elective...
Abstract Background The STADPLAN study is a cluster-randomised controlled trial including 27 home care services in Germany. It assesses the effect of an advance planning (ACP) intervention delivered by trained nurses to older care-dependent patients. Patients received two ACP conversations and information brochure. Nurses were educated through two-day programme topic guides structuring conversations. Objectives process evaluation determine: [1] whether was implemented as planned, [2] which...
Abstract Background Sleep problems are highly prevalent in people with dementia. Nevertheless, there is no “gold standard” intervention to prevent or reduce sleep Existing interventions characterized by a pronounced heterogeneity as well insufficient knowledge about the possibilities and challenges of implementation. The aim this study pilot evaluate effectiveness newly developed complex dementia living nursing homes. Methods This parallel group cluster-randomized controlled trial. consists...
Abstract Background Person-centredness is considered as best practice for people living with dementia. A frequently used instrument to assess person-centredness of a care environment the Person-centred Climate Questionnaire (PCQ). The questionnaire comprises 14 items three subscales climate safety, everydayness and community. Aim aim study describe translation process English language (Staff version, Patient Family version) into German (PCQ-G) evaluate first psychometric properties...
Zusammenfassung: Hintergrund: Pflegeheimbewohner_innen mit kognitiven Einschränkungen leiden häufig unter Schlafproblemen. Medikamentöse Maßnahmen werden hierbei nicht als Therapie der ersten Wahl empfohlen. Generell steht zwar ein breites Spektrum an nicht-pharmakologischen Interventionen zur Verfügung, derzeit kann jedoch keine eindeutig geeignete Intervention benannt werden. Fragestellung/Ziel: Der Fallbericht stellt das Vorgehen einer strukturierten Analyse dar, um die Auswahl...
Abstract Background In Germany, advance care planning (ACP) was first introduced by law in 2015. However, ACP is still uncommon Germany and only few people have directive forms. This study aims to evaluate an program dependent community-dwelling persons, compared optimised usual care. Methods A cluster-randomised controlled trial of 12 months duration will be conducted 3 German sites comparing the pretested ACP-counselling offered trained nurses with a control group receiving Using external...
Process evaluation addresses the implementation, mechanisms of impact, and context participants in complex interventions. The STADPLAN study assesses effects conversations on advance care planning (ACP) led by trained nurse facilitators. intervention consists several components that may lead to various changes attitude behavior regarding personal ACP activities. With process evaluation, we aim assess how were achieved intervention.The planned will be conducted alongside a cluster-randomized...
PURPOSE. To develop and validate search filters for MEDLINE via PubMed according to two categories of the NLINKS‐EBN matrix. METHODS. The results were compared a gold standard. FINDINGS. usage nursing classification terms literature in evidence‐based (EBN) is still limited because taxonomies are neither widely used nor applied indexing by MEDLINE. proposed achieved sensitivity 96% specificity 94% “secondary data” 87% 73% “diagnostic tests.” CONCLUSIONS. database‐specific reliable valid...