A5025162766- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Ethics in medical practice
- Healthcare Decision-Making and Restraints
- Patient-Provider Communication in Healthcare
- Psychiatric care and mental health services
- Social and Demographic Issues in Germany
- Intensive Care Unit Cognitive Disorders
- Mental Health and Psychiatry
- Geriatric Care and Nursing Homes
- Mental Health and Patient Involvement
- Ecology, Conservation, and Geographical Studies
- Nursing Roles and Practices
- Family and Patient Care in Intensive Care Units
- Mobile Health and mHealth Applications
- Medical and Health Sciences Research
- Ethics in Clinical Research
- Osteoarthritis Treatment and Mechanisms
- Interprofessional Education and Collaboration
- Grief, Bereavement, and Mental Health
- Adolescent and Pediatric Healthcare
- Telemedicine and Telehealth Implementation
- Health Sciences Research and Education
- Religion, Theology, and Education
- Health and Medical Studies
University Hospitals of the Ruhr-University of Bochum
2020-2025
Ruhr University Bochum
2015-2025
University of Basel
2013-2018
Identifying essential competencies in end-of-life care, as well general practitioners' (GPs) confidence these competencies, is to guide training and quality improvement efforts this domain.To determine which care are considered important by GPs, assess GPs' a European context their reasons refer terminally ill patients specialist.Cross-sectional postal survey involving stratified random sample of 2000 GPs Switzerland 2014.Survey development was informed previous qualitative exploration...
Being aware of the challenges that may occur during implementation peer support work in psychiatry is important to facilitate integration workers (PSWs) into multidisciplinary mental health-care teams.The purpose this study explore faced by PSWs their hospital-based teams.Qualitative content analysis nine open-ended, semi-structured interviews with undertaken five adult psychiatric hospitals North Rhine-Westphalia, Germany.The data revealed three themes: (1) 'Pioneers and pressure succeed';...
Background: The implementation of peer support work in psychiatric hospitals is a relatively recent development. Consequently, the effects on mental health professionals, patients and workers (PSWs) are mostly unknown.Aims: To explore beneficial detail to reflect critically potential sources misunderstanding.Method: (1) Nine open-ended, semi-structured interviews with PSWs (2) five focus groups professionals plus one group PSWs. data were analyzed using qualitative content analysis.Results:...
Background: Open-door policies in psychiatry are discussed as a means to improve the treatment of involuntarily committed patients various aspects. Current research on open-door focuses mainly objective effects, such number coercive interventions or serious incidents. The aim present study was investigate more subjective perceptions different psychiatric inpatient settings with door by analyzing ward atmosphere and patient satisfaction. Methods: Quantitative data using Essen Climate...
Abstract Introduction Hip and knee osteoarthritis are associated with functional limitations, pain restrictions in quality of life the ability to work. Furthermore, growing prevalence, is increasingly causing (in)direct costs. Guidelines recommend exercise therapy education as primary treatment strategies. Available options for based on physical activity promotion lifestyle change often insufficiently provided used. In addition, current programmes does not meet changing care needs older...
Introduction The prevalence of mental health problems is increasing worldwide, particularly in the vulnerable group older people. limited availability therapists, long wait periods and shortage healthcare resources limit adequate care. As a result, digital applications are becoming more commonplace as an alternative to human therapists. However, these tend be used by younger people with higher education, literacy experience. In Germany, that approved authorities, so-called (DiGAs), can...
Introduction Delirium is a neuropathological syndrome that associated with several negative outcomes. Nursing home residents are vulnerable to developing delirium. Valid prevalence data and factors not yet available for Germany. Therefore, the aim of study DeliA project (Delirium in Homes) assess delirium its 750 nursing residents. Methods analysis Trained registered nurses from each participating will collect multicentre cross-sectional study. The inclusion criteria valid informed consent,...
Abstract Background In the face of extensive waiting times for outpatient psychotherapy, prescriptible digital health applications (DiGA) are a useful and effective addition to range available therapy options patients with mild moderate depression. However, older adults particular challenge in implementing DiGA since higher age is decisive predictor lower literacy. The necessity an independent use prescribed therefore associated challenges providers. practice, it crucial not leave patients,...
<title>Abstract</title> This study explores the necessary considerations for preparing and conducting qualitative interviews with palliative care patients their relatives. Palliative are considered a vulnerable group, which raises ethical methodological challenges researchers. The aims to address these by emphasizing importance of relationship between researcher participant, sensitive communication, continuous self-reflection throughout research process. Six semi-structured were conducted...
Background This article explores the psychological burden experienced by medical assistants (MAs) in General Practices during Covid-19 pandemic (Corona virus disease 2019 (SARS-CoV-2)) Germany. The study aims on demanding patient behavior, increased workload, and perceived lack of appreciation discuss their potential impact MAs´ well-being career decisions. Methods A qualitative approach was utilized. MAs were included via a regional practice network as well professional associations...
Abstract This study explores the necessary considerations for preparing and conducting qualitative interviews with palliative care patients their relatives. Palliative are considered a vulnerable group, which raises ethical methodological challenges researchers. The aims to address these by emphasizing importance of relationship between researcher participant, sensitive communication, continuous self-reflection throughout research process. Six semi-structured were conducted healthcare...
Aim This article presents the study protocol of a retrospective cohort designed to compare effectiveness herpes zoster, and influenza vaccines in individuals with multiple sclerosis (MS), chronic inflammatory bowel diseases (IBD), or rheumatic (CIRD) without these diseases, using claims data one largest population based health insurances Germany. Background Individuals autoimmune such as MS, IBD, CIRD are more susceptible vaccine preventable infectious due disease itself, presence...
Treating legally committed patients on open, instead of locked wards is controversially discussed and the affected stakeholders (patients, mental health professionals) have ambiguous views benefits disadvantages. The study aims to assess opinions values relevant with regard requirements for implementing open in psychiatric hospitals. Semi-structured interviews were conducted 15 psychiatrists, nurses patients, analyzed using qualitative content analysis. interviewees identified conceptual,...
Zusammenfassung Hintergrund Die Covid-19-Pandemie wirkte sich in erheblichem Maße auf medizinisches Personal aus. Dies führte zu einer sehr hohen Arbeitsbelastung und verschärften Schutzmaßnahmen für Ärzt*innen, Pflegepersonal Patient*innen. Erfahrungen medizinischer Fachkräfte tragen hohem jedem Forschungsprojekt bei, das darauf abzielt, die Bereitstellung Qualität der Versorgung verbessern. Darüber hinaus trägt ihre Teilnahme wesentlich dazu einen besseren Einblick den Umgang mit Pandemie...
PRINCIPLES: Advance directives are seen as an important tool for documenting the wishes of patients who no longer competent to make decisions in regards their medical care. Due nature, approaching subject advance with a patient can be difficult both care provider and patient. This paper focuses on general practitioners’ perspectives regarding timing at which this discussion should take place, well advantages disadvantages different moments. METHODS: In 2013, 23 semi-structured face-to-face...
Advance directives (AD) are written documents that give patients the opportunity to communicate their preferences regarding treatments they do or not want receive in case become unable make decisions. Commonly used pre-printed forms have different formats. Some offer space for (a) appoint a surrogate decision maker, and/or (b) determine future medical (c) statement of personal values. So far it is unknown which GPs preferably use and why decide so. 23 semi-structured interviews with were...
Physicians' clinical expertise forms an exclusive body of competences, which helps them to find the appropriate diagnostics and treatment for each individual patient. Empirical evidence, however, suggests that there is inverse relationship between number years in practice quality care provided by a physician. Knowledge adherence professional standards (such as guidelines) are often used indicators previous research.Semistructured interviews Q method were explorative study on oncologists'...
Abstract Peer support workers (PSWs) use their experiential knowledge and specific skills to patients in recovery process. The aim of our study was examine the integration role-finding process PSWs adult psychiatric hospitals Germany. We conducted open nonparticipant observations 25 multiprofessional team meetings 5 transregional peer worker over a period six months. data were analyzed using qualitative content analysis. Regarding into teams, we identified three subcategories: “Features...
Background: Empirical research suggests that the quality of patient care at end life (EOL) is influenced by effectiveness collaboration between general practitioners (GPs) and hospital physicians (HPs). Aim: To identify possible difficulties barriers to effective EOL GPs HPs from perspective Swiss GPs. Design: Twenty-three qualitative semi-structured interviews with were transcribed analyzed using Mayring's content analysis. Interdisciplinary clinical-ethical analysis focused on GP HP...
Various companies are currently advertising or selling genetic tests over the internet using a model of provision referred to as 'direct-to-consumer' (DTC). This commercial offer DTC testing (GT) has fueled number scientific, ethical and policy debates. To date there have been few studies published regarding users' perspective. study aimed obtain information issues raised by individuals who signed petition in support GT 'unrestricted' access their information.We conducted qualitative content...
Background: Many palliative care patients are admitted to hospital shortly before death even though the acute setting is not considered ideal for end-of-life (EOLC). Objectives: This study aimed evaluate General Practitioners' (GPs') perspective on frequency of and reasons referrals these patients. Methods: Cross-sectional survey involving a stratified random sample 2000 GPs in Switzerland 2014. GP characteristics, type transfers, referrals, confidence EOLC, regional provision were assessed....