Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"The social delegitimization of individualism: Exploring potential drivers during the COVID-19 pandemic.","authors":"Pascal René Marcel Kubin","doi":"10.1016/j.zefq.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.03.001","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic many people supported compulsory vaccination and other far-reaching restrictions for unvaccinated individuals. This indicates that the COVID-19 pandemic was accompanied by a social delegitimization of individualism, which undermined personal autonomy and informed consent.</p><p><strong>Purpose & method: </strong>Against this background, I intend to identify conceptual notions that can help to explain the drivers of the social delegitimization of individualism during the COVID-19 pandemic. For this purpose, I conceptually analyzed theories from social science research on vaccination behavior by applying the technique of concept mapping.</p><p><strong>Results: </strong>The theoretical analysis reveals that (1) the essential need for health protection, (2) the demand for complexity reduction, (3) the optimization of social identity, (4) the reassurance of previous decisions, as well as (5) the feeling of being socially underprivileged may have contributed to the social delegitimization of individualism during the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>The five identified conceptual notions can explain the drivers behind the collective support for compulsory vaccination and other far-reaching restrictions against unvaccinated individuals. From a conceptual perspective, dynamic interactions between these drivers are likely. In the future, the identified notions may become relevant beyond COVID-19 if the social delegitimization of individualism continues to evolve into a ubiquitous phenomenon.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Challenges in the care for out-of-hospital intensive care patients - An observational study on the nurses' perspective].","authors":"Alena Lübben, Nathalie Englert, Andreas Büscher","doi":"10.1016/j.zefq.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.02.008","url":null,"abstract":"<p><strong>Background: </strong>Out-of-hospital intensive care (AKI) is a growing sector and is gaining increasing attention in research. In addition, the GKV-Intensive Care and Rehabilitation Strengthening Act (GKV-IPReG) influences the organization of care for people with AKI as well as the implementation and obligations of service providers. The aim is to promote decannulation and weaning from mechanical ventilation through surveys of potential. However, there is still a lack of scientifically sound evidence on care structures and care processes in AKI and the effects of the GKV-IPReG. These care structures were analyzed in the innovation fund project ATME (\"Needs, requirements and cross-sectoral care pathways of out-of-hospital ventilated intensive care patients\").</p><p><strong>Methods: </strong>As part of a mixed-methods approach, a quantitative online survey was conducted as part of the ATME project using a literature-based and interview-based questionnaire. Nurses in the AKI were surveyed from August to November 2023 on the care and care processes of patients in the AKI. Data was analyzed descriptively using SPSS. Critical care points and challenges of AKI were derived.</p><p><strong>Results: </strong>There is a lack of both supply and personal capacities in the out-of-hospital intensive care setting. Hospital care is seen as critical and can lead to discontinuity of care. 308 nurses perceive themselves to be playing a central role in the coordination of care and everyday life, but at the same time they deplore the lack of recognition and want more room for autonomous care decisions. The primary therapeutic goal is not to wean patients from ventilation or decannulation, but to maintain their current health status. There is concern that the new legislation (GKV-IPReG) will lead to increased disruptions in care and additional bureaucracy.</p><p><strong>Conclusion: </strong>The findings serve as a basis for further research and the optimization of interfaces and the solution to care issues. New care concepts need to be developed, in particular regarding the lack of personal and structural capacities. Greater cooperation across settings can prevent discontinuities in care and improve the perception of the care experienced. Also, there is a need for further monitoring of the effects of the GKV-IPReG and the implementation of the necessary conditions in patient care.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Making the case for a more sustainable health care system - The role of technology assessment].","authors":"Matthias Perleth, Barbara Buchberger, Peter Kolominsky-Rabas","doi":"10.1016/j.zefq.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.03.003","url":null,"abstract":"<p><p>Health Technology Assessment (HTA) is established as a tool for evidence-based decision support in the health care sector. HTA aims to determine the value of a health technology at different points in its life cycle and to promote an equitable, efficient and high-quality health care system. The health care sector is estimated to be responsible for 5% of greenhouse gas emissions and raw material consumption. Buildings, anesthetic gases, metered dose inhalers, pharmaceuticals and medical devices are important drivers of these emissions. So far, sustainability as (according to Brundtland) a development that meets the needs of the present without compromising the ability of future generations to meet their own needs, has not played a role as a decision-making criterion in the introduction and provision of health care technologies. The concept of sustainability could extend HTA to the entire life cycle (the 'first' and the 'last' mile) and thus establish the ecological footprint as a further dimension in the assessment process. Despite international efforts to achieve climate neutrality in the health care sector, there are as yet no concrete strategies for implementation in Germany and Europe, with the exception of the UK. The political mood is even moving in the direction of climate policy regression. A sustainability strategy could draw on a large number of national and European regulations outside the health care sector and integrate them into existing methodological approaches, such as the incremental carbon footprint effectiveness ratio. At the practical level, these findings could be incorporated into climate-sensitive health counseling. The future federal government, professional associations and health care professionals should take urgent action.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Physiotherapeutic research activities at German university hospitals: An online survey among the heads of physiotherapy departments].","authors":"Erik J Ehlers, Franziska Feldmann, Judith Gartmann, Carolin Kraushaar, Annalena Paus, Isabelle Stickdorn, Susanne G R Klotz","doi":"10.1016/j.zefq.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.02.006","url":null,"abstract":"<p><strong>Introduction: </strong>German university hospitals, with their three pillars of research, teaching, and care, enjoy a special status in the health care and science system. Alongside care and teaching, the research pillar has also become increasingly relevant for physiotherapy at university hospitals. Nevertheless, there has been no comprehensive study to date of the status of physiotherapy research activities at German university hospitals. This study aims to provide an overview of research activities and their framework conditions.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among the heads of physiotherapy departments at all 36 German university hospitals in order to collect data on physiotherapy research activities. The questionnaire used for this purpose was developed in advance with the help of a systematic literature review and an expert survey. The survey was analyzed descriptively.</p><p><strong>Results: </strong>With a response rate of 58%, eight of the 21 university hospitals included in the survey have been conducting physiotherapy research, in some cases for over a decade. The most frequently reported obstacles to research are lack of financial resources (n = 10) and lack of interest or appreciation from other professions (n = 7). Most frequently, research projects are conducted in the medical specialties of orthopedics and trauma surgery (n = 10), intensive care medicine (n = 8), pediatrics (n = 6), and the outpatient sector (n = 6). Clinical research accounts for 58% (n = 18) of research activities. Interprofessional research is more common (n = 13, 72%) than intraprofessional research (n = 5, 28%). In addition to the CRediT roles of resources (n = 6) and investigation (n = 6), the role of conceptualization in the research process (n = 6) is also among the most common. Over the two-year period, a median of three articles was published with first or last authorship assigned to physiotherapists.</p><p><strong>Conclusion: </strong>The online survey shows that there is little physiotherapy research activity at German university hospitals. In order to strengthen physiotherapy research, changes in professional and scientific policy and financial support are needed.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(25)00077-7","DOIUrl":"10.1016/S1865-9217(25)00077-7","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Page OBC"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(25)00073-X","DOIUrl":"10.1016/S1865-9217(25)00073-X","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Pages iv-v"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using artificial intelligence (AI) for form and content checks of medical reports: Proofreading by ChatGPT4.0 in a neurology department.","authors":"Maximilian Habs, Stefan Knecht, Tobias Schmidt-Wilcke","doi":"10.1016/j.zefq.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.02.007","url":null,"abstract":"<p><strong>Introduction: </strong>Medical reports contain critical information and require concise language, yet often display errors despite advances in digital tools. This study compared the effectiveness of ChatGPT 4.0 in reporting orthographic, grammatical, and content errors in German neurology reports to a human expert.</p><p><strong>Materials and methods: </strong>Ten neurology reports were embedded with ten linguistic errors each, including typographical and grammatical mistakes, and one significant content error. The reports were reviewed by ChatGPT 4.0 using three prompts: (1) check the text for spelling and grammatical errors and report them in a list format without altering the original text, (2) identify spelling and grammatical errors and generate a revised version of the text, ensuring content integrity, (3) evaluate the text for factual inaccuracies, including incorrect information and treatment errors, and report them without modifying the original text. Human control was provided by an experienced medical secretary. Outcome parameters were processing time, percentage of identified errors, and overall error detection rate.</p><p><strong>Results: </strong>Artificial intelligence (AI) accuracy in error detection was 35% (median) for Prompt 1 and 75% for Prompt 2. The mean word count of erroneous medical reports was 980 (SD = 180). AI-driven report generation was significantly faster than human review (AI Prompt 1: 102.4 s; AI Prompt 2: 209.4 s; Human: 374.0 s; p < 0.0001). Prompt 1, a tabular error report, was faster but less accurate than Prompt 2, a revised version of the report (p = 0.0013). Content analysis by Prompt 3 identified 70% of errors in 34.6 seconds.</p><p><strong>Conclusions: </strong>AI-driven text processing for medical reports is feasible and effective. ChatGPT 4.0 demonstrated strong performance in detecting and reporting errors. The effectiveness of AI depends on prompt design, significantly impacting quality and duration. Integration into medical workflows could enhance accuracy and efficiency. AI holds promise in improving medical report writing. However, proper prompt design seems to be crucial. Appropriately integrated AI can significantly enhance supervision and quality control in health care documentation.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(25)00072-8","DOIUrl":"10.1016/S1865-9217(25)00072-8","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Page iii"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abschlusseditorial.","authors":"Susanne Knappe, Ute Lewitzka, Anna Kuehne, Arne Bürger","doi":"10.1016/j.zefq.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.02.005","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Organizational measures to increase work satisfaction in residential long-term care: A cross-sectional survey from Austria].","authors":"Alexander Braun, Markus Latzke, Manfred Pferzinger, Adelheid Schönthaler","doi":"10.1016/j.zefq.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.01.001","url":null,"abstract":"<p><strong>Background: </strong>With increasing care needs and a decline in nursing staff, measures must be found to make long-term care (LTC) attractive for nursing staff and at the same time encourage them to remain in the care sector. For this reason, the question is answered: \"How do organizational measures, identified by nursing staff, contribute to improving job satisfaction?\".</p><p><strong>Method: </strong>In a non-proportional quota sample along the federal state distribution, the implementation of measures was surveyed in a cross-sectional survey in LTC facilities. The effect of the measures on job satisfaction was analyzed using multiple linear regression.</p><p><strong>Results: </strong>The bundles of measures show a high internal consistency of 0.771 to 0.863. Regression analyses revealed that the bundles of measures, like making LTC more attractive (B = 0.244; p < 0.05), integrating interns (B = 0.222, p < 0.05), duty scheduling and working hours (B = 0.324, p < 0.05), and strengthening relationships (B = 0.078), explain more than 60% of the variance in job satisfaction. Overtime has a negative effect but can be mitigated by duty scheduling (B = -0.017, p < 0.05). Women report higher levels of job satisfaction than men. The type of organization, age and vocational training have no influence on job satisfaction.</p><p><strong>Discussion: </strong>Duty scheduling and working hours are important factors. Loss in job satisfaction can be cushioned by focusing on these measures.</p><p><strong>Conclusions: </strong>The bundles of measures \"Making LTC more attractive\", \"Duty scheduling and working hours\", \"Integrating interns\", and \"Strengthening relationships\" are positively associated with job satisfaction. Accordingly, care facilities that implement these bundles of measures have higher job satisfaction rates.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}