- Health and Medical Studies
- Clinical practice guidelines implementation
- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Workplace Health and Well-being
- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Healthcare Quality and Management
- Health Literacy and Information Accessibility
- Health, psychology, and well-being
- Healthcare cost, quality, practices
- Medical and Health Sciences Research
- Geriatric Care and Nursing Homes
- Social and Demographic Issues in Germany
- Medical Malpractice and Liability Issues
- Health Policy Implementation Science
- School Health and Nursing Education
- Occupational Health and Safety Research
- Childhood Cancer Survivors' Quality of Life
- Family Support in Illness
- Medical Practices and Rehabilitation
- Job Satisfaction and Organizational Behavior
- Healthcare professionals’ stress and burnout
- Patient Dignity and Privacy
University of Cologne
2016-2025
University Hospital Cologne
2013-2025
University Hospital Bonn
2010-2025
Denver School of Nursing
2022
Triangle
2022
Indianapolis Zoo
2022
Gainesville Obstetrics & Gynecology
2022
Committee on Publication Ethics
2022
National Center on Birth Defects and Developmental Disabilities
2022
Clinical Research Consortium
2021
Due to increasing digitalisation, today's working world is changing rapidly and provides managers with new challenges. Digital leadership an important factor in managing these challenges has become a key concept the discussion about what kinds of skills need for digital transformation. The main research question our study explored was if associated psychological well-being upper-level managers. Based on qualitative pilot relevant literature, we developed scale We conducted online survey...
There is a significant number of long-term breast cancer survivors in Germany. However, research on the psychological challenges limited. This analysis describes prevalence, development and determinants depression anxiety 5 to 6 years after diagnosis identifies predictors for an increase over time.Data from 164 women was collected by survey tumour documentation during post-operative hospital stay, 40 weeks diagnosis. Anxiety were measured Hospital Depression Scale. Sankey-diagrams created...
The aim of this study is to examine the relationship between a hospital's social capital, individual decision latitude, workload and emotional exhaustion in nurses, controlling for age, sex, years professional experience job tenure.In western countries 15-45% nurses working hospitals suffer from burnout, characterised by exhaustion, depersonalisation decreased personal performance. prevention burnout constitutes great challenge those responsible health care system, not least because may...
To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. A mixed method multi-level cross-sectional design seven countries. External teams assessed clinical services on use of systems, illustrated by four pathways. Seventy-three acute care hospitals with a total 291 managing myocardial infarction (AMI), hip fracture, stroke obstetric deliveries, Czech Republic, France, Germany, Poland, Portugal, Spain Turkey. Four...
While research on individual health literacy is steadily increasing, less attention has been paid to the context of care that may help increase patient's ability navigate or compensate for their limited literacy. In 2012, Brach et al. introduced concept literate organizations (HLHOs) describe organizational care. This paper presents our effort in developing and validating an HLHO instrument. Ten items were developed represent ten attributes (HLHO-10) based a literature review, expert...
Job satisfaction in the hospital is an important predictor for many significant management ratios. Acceptance professional life or high workload are known as predictors job satisfaction. The influence of social capital hospitals on within health care system, however, remains to be determined. Thus, this article aimed at analysing relationship between overall physicians and hospitals.The results study based upon questionnaires sent by mail 454 working field patient 4 different German 2002....
This paper provides an overview of the DUQuE (Deepening our Understanding Quality Improvement in Europe) project, first study across multiple countries European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The describes conceptual framework methods applied, highlighting novel features this study.DUQuE was designed as a multi-level cross-sectional with data collection hospital, pathway, professional level eight countries.We aimed collect for...
The needs of patients feeling severely affected by multiple sclerosis (MS) have rarely been investigated. However this is essential information to know before care can be improved, including adding palliative (PC) services where helpful. Since it remains unclear at what point specialized should begin for patient group, study focuses on in general.The objective was explore the subjectively unmet MS.The used a qualitative cross-sectional approach assessment. Fifteen self-reporting MS were...
Objectives Health and social care systems, organisations providers are under pressure to organise around patients’ needs with constrained resources. To implement patient-centred (PCC) successfully, barriers must be addressed. Up now, there has been a lack of comprehensive investigations on possible determinants PCC across various health (HSCOs). Our qualitative study examines implementation from decision makers’ perspectives diverse HSCOs. Design Qualitative n=24 participants in n=20...
Stroke is costly, although little known about the long-term costs of survivors stroke. In previous cost-of-illness studies, lifetime have been modeled based on estimates to 5 years after Building work from North East Melbourne Incidence Study (NEMESIS), we aimed describe resource use at 10 and recalculate societal ischemic hemorrhagic (intracerebral hemorrhage) stroke.Ten-year patient-level data were obtained updated prices population demographic statistics for 2010 applied our models. We...
Internet hospitals show great potential for adequately fulfilling people's demands high-quality outpatient services, and with the normalization of epidemic prevention control COVID-19, internet play an increasingly important role in delivering health services to public. However, factors that influence patients' intention use online inquiry provided by remain unclear. Understanding behavioral is necessary support development China promote during COVID-19 epidemic.The purpose this study...
No data exist on the size of population potentially in need palliative care Germany. The aim this study is to estimate German that may benefit from care. Based existing population-based methods (Rosenwax and Murtagh), death registration were analyzed contrasted with international results. include all cases 2013 According method Rosenwax defined, between 40.7 % (minimal estimate) 96.1 (maximal could estimation, based Murtagh's refined method, results 78.0 being eligible for percentage...
Due to the current digital transition, companies are under pressure pursue digitalization and often initiate far-reaching transformation processes. As a result, managers must drive change within company involved in important decision-making In present study, we focused on two cognitive job demands related due transformation: perceived choice overload from digitalization. We assumed that extent of challenging at work is rising negatively influencing managers’ psychological well-being....
German hospitals are legally obliged to implement digital patient portals within the next years. Systematic reviews show that use of may be associated with improved patient-centeredness and workflows. However, mandatory healthcare innovations sometimes not used by target group as planned or even completely rejected. Based on Roger's theory innovation diffusion, it can assumed time factor is particular importance for adoption portal. The aim project assess determinants portal examine whether...
Objective The initial step of an optimal therapeutic strategy for patients with arterial hypertension is the recognition and acceptance new recommendations by physicians themselves. This guideline awareness has never been evaluated in detail. Design content current diagnosis, treatment control was therefore assessed primary care using a questionnaire. guidelines German Hypertension Society were used as reference standard. Participants A total 24 899 physicians, including all internists,...