Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"The aftermath of the COVID-19 pandemic in general practices compared to pre-pandemic times: Longitudinal questionnaire survey among general practitioners and medical practice assistants in Germany on how the pandemic shaped everyday care.","authors":"Lisa Kümpel, Doreen Kuschick, Kahina Toutaoui, Marius Dierks, Florian Wolf, Liliana Rost, Christoph Heintze, Susanne Döpfmer","doi":"10.1016/j.zefq.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.02.002","url":null,"abstract":"<p><strong>Introduction: </strong>During the COVID-19 pandemic, general practice teams faced numerous challenges. The aim of the VeCo practice project was to explore changes in the provision and utilisation of health care services in general practices as well as professional challenges and needs during and after the COVID-19 pandemic from the perspective of general practitioners (GPs) and medical practice assistants (MPAs). This article focusses on the follow-up survey of the two groups, administered shortly after the pandemic, to explore whether and which of the perceived changes persisted post-pandemic.</p><p><strong>Methods: </strong>We administered a longitudinal, self-developed, paper-based survey to GPs and MPAs in three German federal states during the pandemic in April 2022 (baseline) and shortly after the pandemic in May 2023 (follow-up). The results were analysed descriptively.</p><p><strong>Results: </strong>A total of 657 GPs and 762 MPAs participated in the baseline survey, and some 327 GPs and 369 MPAs took part in the follow-up survey. The results indicate that GPs and MPAs have perceived an increased frequency of scheduled visits and routine examinations since 2023. In contrast, during the pandemic, these services were offered at a considerably lower rate compared to pre-pandemic times. Compared to the data obtained from the baseline survey, the follow-up data indicates that both GPs and MPAs felt more satisfied with their work again, but still felt overburdened. Both professional groups continue to regard better remuneration, appreciation and more involvement in health policy decisions as the most important requirements. Additionally, our findings suggest that telephone sick notes, a separate service of infectious diseases consultation and mandatory face mask use for infectious patients should be maintained post-pandemic.</p><p><strong>Discussion: </strong>The COVID-19 pandemic has led to numerous changes in GP care, some of which may have an impact beyond the pandemic. Shortly after the end of the pandemic, the changes in the supply and utilisation of GP services had not yet returned to pre-pandemic levels. This applied, for example, to aspects of the organisation of consultation hours, where sustainable changes and improvements have been made. Even after the end of the pandemic, GPs and MPAs are still calling for appropriate remuneration, better appreciation and less bureaucracy.</p><p><strong>Conclusion: </strong>Reflecting on the changes in GP practices during and after the pandemic could provide important information about lessons learned, potentially useful adjustments and opportunities for improvements to daily practice as well as highlighting the importance of work satisfaction of GPs and MPAs.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573989","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":"[How can we support medical residents and lateral entrants into general practice during the transition from the inpatient to the outpatient setting? A qualitative interview study].","authors":"Maria Farquharson, Ida Lotter, Martin Fink, Armin Wunder","doi":"10.1016/j.zefq.2025.02.001","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.02.001","url":null,"abstract":"<p><strong>Background: </strong>In the context of specialist training and lateral entry into general practice (GP), the transition from inpatient to outpatient work can be associated with challenges and uncertainty. In view of the GP shortages, it is particularly important to promote both the entry into primary care and the quality of postgraduate training.</p><p><strong>Methods: </strong>In a qualitative interview study, 15 lateral entrants into GP and resident doctors (\"residents\") were asked about challenges and needs, and the results were analyzed using content analysis.</p><p><strong>Results: </strong>Lateral entrants and residents are characterized by their hospital-oriented approach. In addition, lateral entrants have to (re-)familiarize themselves with being a doctor in training. The heavy workload is a key challenge for residents. Different structures and requirements of the inpatient and outpatient setting are challenging for both groups. Both groups see a need for support in areas such as adapted specialist knowledge, GP vocabulary and outpatient work processes, and they benefit from educational programs in heterogeneous groups including both lateral entrants and doctors in training in the outpatient setting, e.g., through networking.</p><p><strong>Discussion: </strong>The common needs identified provide information for educational program planning. Irrespective of heterogeneous life circumstances, joint support programs can be both useful and resource-sparing, as existing programs are often suitable for covering the identified needs. The qualitative findings of this study provide insight into the (professional) biographical context of the interviewees and should be quantitatively verified in further research.</p><p><strong>Conclusion: </strong>In order to facilitate the transition from inpatient to outpatient care for both lateral entrants and residents, existing seminar and mentoring programs of the Competence Centers for Postgraduate Education can meet, with a few minor adjustments, the needs of both groups. However, it is important to find unique ways to address these groups and to identify and remove barriers to participation at an organizational level.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573986","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":"[Requirements and possible solutions for practice-relevant nursing research in acute care in Germany: Results of a scoping workshop].","authors":"Martin Müller, Sascha Köpke, Gabriele Meyer","doi":"10.1016/j.zefq.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.02.004","url":null,"abstract":"<p><p>Nursing science as an academic discipline in Germany is still developing and has not yet been sufficiently integrated into acute hospital care. The aim of this paper is to analyze the key challenges of nursing research in acute hospital care and to develop strategic solutions to strengthen the development of nursing science in Germany. The results of a two-day scoping workshop with national and international experts indicate that the lack of structural integration of nursing science into clinical care, the low number of academically qualified nursing professionals, and insufficient research funding are major obstacles to further development. Based on a SWOT analysis, six priority action areas were identified: (1) development and implementation of qualification and career programs, (2) promotion of clinician scientists, (3) strengthening visibility and communication, (4) effective political participation, (5) increase of research funding, and (6) improvement of networks and collaborations. The implementation of these strategies will contribute to establishing nursing science as an independent discipline, increasing its societal relevance, and promoting evidence-based nursing practice in inpatient acute care. Close collaboration among academia, policymakers, and practitioners is essential for achieving these goal.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558340","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":"[Real-world data for comparative effectiveness research: Taking stock of available data sources in Germany with special regard to registries].","authors":"Malik Cakir, Paula Starke, Alexandra Nolting, Wendi Qu, Dawid Pieper, Tim Mathes","doi":"10.1016/j.zefq.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.01.008","url":null,"abstract":"<p><p>Using real-world data (RWD) for comparative effectiveness research has gained increasing attention. Real-world data is usually not collected with the primary aim of answering questions about the comparative effectiveness of medical interventions. Therefore, data collection is often not optimally designed for this purpose. For this reason, using it can be associated with several data-related or analysis-related problems. This article has two aims: First of all, we will outline the basic requirements for comparative non-randomized studies based on RWD. In addition, the advantages and disadvantages of potentially eligible RWD in Germany will be considered. In particular, the use of registry data will be discussed, as these currently appear to be the most suitable for comparing the effectiveness of interventions. There are now various databases in Germany that contain RWD and can potentially be used for comparative effectiveness research. If they contain all the necessary information and if the data are of sufficient quality, they could offer a timely and efficient way of determining the effectiveness of medical interventions. However, our analysis shows that the use of this data is sometimes associated with considerable limitations. RWD is often highly aggregated and thus may not be sufficiently detailed to select the subjects precisely or to emulate the intervention or control interventions satisfactorily. In addition, many data sources only encompass a limited set of variables and limited time horizons (e.g., only hospitalization) according to their intended purpose (e.g., billing). Therefore, it is often questionable whether this includes all endpoints on benefit and harm that are important for the assessment and whether sufficiently long observation horizons/follow-up periods are given. Similarly, it is often questionable whether all necessary data to avoid bias are included. Furthermore, it is often difficult to assess suitability in advance due to the lack of available information.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558339","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":"[The importance of the right to opt for specialized vocational qualifications in general nursing training from the perspectives of vocational trainers and trainees - Results of an accompanying mixed methods research study].","authors":"Elena Tsarouha, Daniel Großmann, Kristina Greißl, Antje Krause-Zenß, Bernd Reuschenbach, Markus Wochnik, Karin Reiber","doi":"10.1016/j.zefq.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.01.007","url":null,"abstract":"<p><strong>Introduction: </strong>The new Nursing Professions Act has been in force in Germany since 2020. Since then, general nursing training has been implemented. The reform of nursing training was the subject of controversial debate beforehand. Concerns were raised about inadequate preparation for different care sectors and settings. As a result, it is possible to choose specialized vocational qualifications in addition to the general nurse training. The article addresses how trainees are currently trained to meet the requirements in nursing and whether specialized vocational qualifications are chosen.</p><p><strong>Methods: </strong>The article presents the results of an accompanying scientific research project (2021-2024). In this mixed methods study, a convergent parallel design was applied. The article is based on 80 guideline-based interviews with vocational trainers. Additionally, trainees were surveyed online in a longitudinal cohort study with three survey waves.</p><p><strong>Results: </strong>Few of the institutions represented in the sample offer the specialized vocational qualifications. Where an offer exists, trainees make little use of it. Trainees feel that the nursing training does not prepare them equally well for the different care areas.</p><p><strong>Discussion: </strong>The qualitative and quantitative findings demonstrate that general nursing training and the general vocational qualification are the preferred choice. Many vocational trainers consider general nursing training to be appropriate in order to meet the complex care requirements.</p><p><strong>Conclusion: </strong>In particular, the practical part of the general nursing training must provide a more appropriate representation of care-oriented pediatric care settings. In order to cope with the fundamental transformation associated with generalistics, further training programs need to be established that adequately qualify future nurses.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537895","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":"Digital health literacy: A cross-sectional survey study among patients after hospitalization in Germany.","authors":"Matthias Marsall, Matthias Weigl, Dagmar Lüttel, Hardy Müller","doi":"10.1016/j.zefq.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.01.004","url":null,"abstract":"<p><strong>Introduction: </strong>Digital transformation in healthcare is both a unique opportunity to improve care services and a significant challenge for legislation, stakeholders and all citizens. eHealth literacy (eHL) describes an important set of competencies when dealing with digital health information. Therefore, health insurance funds in Germany received the mandate to promote eHL among their policy holders. However, to date little is known about eHL in the German population and its potential determinants. Therefore, the aim of this study was to assess eHL in a sample of patients after their hospital stay and to explore potential sociodemographic determinants.</p><p><strong>Methods: </strong>A cross-sectional, self-report, online survey study was conducted with a subgroup of a nationally representative sample in Germany using the revised eHealth Literacy Scale (GR-eHEALS). Market research providers were commissioned with the recruitment and data collection of 1,000 participants. Descriptive and bivariate analyses were computed.</p><p><strong>Results: </strong>Overall, comparatively high scores were reported for eHealth literacy. Significant differences in eHL were found regarding age, sex, and educational background. Participants aged between 38 and 67 years had significantly higher scores than the under 27-year-olds. Female participants reported higher levels of eHL than male participants. Further, a higher level of educational attainment was related to a higher level of eHL. The native language (German) and the actual employment status were unrelated to eHL.</p><p><strong>Discussion: </strong>Previous studies showed inconsistent results regarding the potential determinants of eHL. Our results provide further data on eHL in the German population and underscore the importance of age, sex, and education for eHL. Stakeholders such as health insurance funds should therefore pay particular attention to these determinants in order to fulfil their legal mandate to promote eHealth literacy.</p><p><strong>Conclusions: </strong>Our results provide an assessment of the status quo of eHealth literacy among a subgroup of the general population in Germany, which can inform both legislators and health insurers about important determinants affecting the development and design of technical health products.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537898","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":"[\"Ultimately, you are on your own.\" A qualitative analysis of barriers to health care from the perspective of patients with long COVID].","authors":"Sabine Hammer, Clara Monaca, Annika Hoelz, Markus Tannheimer, Saskia Huckels- Baumgart, Kathrin Dornieden, Dagmar Lüttel, Marcus Rall, Hardy Müller","doi":"10.1016/j.zefq.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.01.006","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;About 5% of the population are affected by post-infectious symptoms after a Sars-CoV-2-infection. Long COVID or a post-COVID-19 condition can affect all organ systems and lead to a complete need for care. 10-50% of patients meet the diagnostic criteria for myalgic encephalomyelitis/chronic fatigue syndrome. Treatment recommendations have so far been limited to stress management and symptomatic, psychological or activity-enhancing measures (physical or exercise therapy). Initial studies of patients' perspectives indicate that both the recognition of the disease and the medical care for affected patients are insufficient.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;Since June 2023, patients with long COVID or their relatives have been able to report medical and social care experiences by telephone or using an online reporting form from the Techniker (TK) Health Insurance fund and the German Society for Patient Safety as part of a project funded by the German Federal Ministry of Health. From 1,216 reports received by December 2023, 264 representative cases were selected and evaluated using structuring and summarizing content analysis. The aim was to understand the experiences of those affected with barriers to health and social care and their consequences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In the fourth year after the start of the pandemic, there is a lack of care structures and competence on the part of all care service providers, according to those affected. Special outpatient clinics for post-viral syndromes are either not accessible for the majority of participants or do not accept new patients or have waiting times of up to two years. Aside from the fact that there are currently no causally effective treatments for post-viral syndromes, 85% of those surveyed report that medical or social contacts are not sufficiently informed about the clinical picture. 80% of participants report that their symptoms are not acknowledged by employees in the health and social care sector, or they are considered a psychological issue. As a result, patients receive no or incorrect treatment and/or do not receive appropriate social care. 56% report a deterioration in their health status caused by prescribed or recommended examinations or treatments. The psychologization of post-viral symptoms is described as stigmatizing and considered the main cause of the precarious care situation of those affected by long COVID.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;The study shows that there are currently no adequate care concepts and structures for post-infectious illnesses and that activating therapies, mostly in connection with the assumption of a psychosomatic origin, lead to significant malpractice. The finding that the majority of respondents feel weakened, ashamed or harmed by their physicians is particularly dramatic. The data also provide evidence of systematic stigmatization and discrimination against those affected. The generalizability of the results is","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531899","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":"General practitioner-based interventions to reduce hospital admissions in patients with multimorbidity living at home - A rapid review.","authors":"Julia Nothacker, Stefanie Butz, Dagmar Lühmann, Paula Duwe, Marjan van den Akker, Ulrich Thiem, Martin Scherer, Ingmar Schäfer","doi":"10.1016/j.zefq.2025.01.005","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.01.005","url":null,"abstract":"<p><strong>Background: </strong>Multimorbidity is a common health problem among patients treated in GP practices and often associated with an increased risk of hospitalization. The aim of this review was to identify GP-based interventions to reduce hospitalization in patients with multimorbidity who were evaluated in randomized controlled trials.</p><p><strong>Methods: </strong>For the rapid review, the databases Medline and CENTRAL were systematically searched for randomized controlled trials evaluating an effect of GP-based interventions on the duration or frequency of hospitalization in adult patients with multimorbidity living at home. The interventions and their effects were described narratively.</p><p><strong>Results: </strong>From 2,260 hits in the database searches, 15 studies could be included. The interventions identified included, amongst others, interdisciplinary cooperation, training of GPs and other practice staff, and increased patient centeredness. Hospital admissions were reported in 13 studies, and the number of days spent in hospital was reported in six studies. Two studies found a significant reduction in hospitalization.</p><p><strong>Conclusions: </strong>While most interventions were not effective, there were also two GP-based interventions for patients with multimorbidity which focused on the patients' individual situation and contributed to avoiding hospitalization. However, more studies are needed to make reliable statements on the effectiveness of various measures.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531906","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":"[Barriers and facilitators to integrating academic nursing roles into psychiatric practice: Partial results of the AkaPP study].","authors":"Stefan Scheydt, André Nienaber, Martin Holzke","doi":"10.1016/j.zefq.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.zefq.2025.01.002","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;The integration of academically qualified nurses into psychiatric care is crucial to the quality of patient care and the professional satisfaction of nurses. Despite its increasing importance and political demand, the integration of academic nursing roles into (psychiatric) care practice appears to be progressing slowly. This study therefore examines how academically qualified nurses who work in direct psychiatric nursing practice, practice development or nursing research perceive the integration of their academic nursing role into psychiatric care practice and which contextual factors promote or inhibit the integration of academic nursing roles into psychiatric nursing and care practice.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Data collection for the nationwide AkaPP study took place between August and November 2020 using a specially developed online questionnaire. The target population of the study was academically qualified nurses working in psychiatric settings (n = 185). The subgroup of academically qualified nurses working in direct psychiatric nursing practice, practice development or nursing research (n = 100) was analyzed as part of this sub-study. Data analysis was performed using descriptive statistical methods as well as appropriate statistical procedures to test the correlation between certain variables of role development or role integration and the rating of role integration (Chi-square test, Cramer's V, Spearman's rank correlation). Qualitative data (free text data) were analyzed using qualitative content analysis. Reporting was based on the STROBE checklist.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, role integration is rated as less successful (MV = 2.62; SD = 1.309). The results show that time resources for extended tasks (V = .554, p &lt; .000) and for exchange and networking (V = .570, p &lt; .001) correlate significantly with satisfaction with role integration. A specific description of tasks and activities (V = .522, p &lt; .000) and for research activities (V = .453, p &lt; .001) are also moderately to strongly associated with a positive assessment of role integration. On the other hand, induction concepts, trainee programs, and specific training courses do not show a strong statistical correlation with role integration. The use of systematic concepts such as the PEPPA framework was described by only a small group but tended to show a higher level of satisfaction. The main obstacles to successful role integration were lack of acceptance by members of one's own discipline (68.2%) or lack of appropriate differentiation of tasks and activities (60.5%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In order to successfully integrate academically qualified nurses into psychiatric nursing practice, nursing management, educational institutions, and policy makers should pay more attention to the provision of time resources, clear role descriptions and the promotion of research activities. The implementation of systematic approach","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524618","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":"[What grief counsellors should know about psychological disorders - Results of a Delphi survey among experts].","authors":"Bettina K Doering, Christina Hanauer, Berit Telaar, Rita Rosner","doi":"10.1016/j.zefq.2024.12.010","DOIUrl":"https://doi.org/10.1016/j.zefq.2024.12.010","url":null,"abstract":"<p><strong>Background: </strong>Stepped-care approaches can improve the support for the bereaved. This requires the selection of interventions according to individual support needs. Grief counsellors are in a position to identify bereaved persons possibly suffering from a psychological disorder and to refer them to psychotherapeutic or medical treatment. However, it remains unclear what knowledge regarding psychological disorders and which skills grief counsellors need for this task.</p><p><strong>Method: </strong>We conducted an online Delphi consensus study with 17 experts of grief counselling in three consecutive survey rounds. The first round qualitatively identified the required knowledge regarding psychological disorders and the respective skills. In the subsequent rounds, the experts rated the topics concerning their relevance, whether they should be part of a training curriculum and whether they are adequately considered in current curricula. Descriptive analyses were applied. Consensus was reached if at least 50 % of the experts rated a topic as rather relevant, and 80 % endorsed the topic for a training curriculum. Expert comments were used to generate recommendations that were evaluated for consensus.</p><p><strong>Results: </strong>The qualitative analysis identified 39 topics, and 26 reached a consensus. Of these, six referred to \"knowledge about grief\", five to \"knowledge about psychological disorders\", and 15 to professional, interpersonal, and relationship and communication skills. Experts' opinions on whether sufficient consideration is given to these topics in current curricula varied greatly between the topics.</p><p><strong>Discussion: </strong>The experts reached a consensus regarding the areas of knowledge about psychological disorders and the specific skills to be taught. At the same time, there appears to be a high degree of heterogeneity between the various training and continuing education programmes with regard to imparting knowledge to identify the need for therapeutic support.</p><p><strong>Conclusion: </strong>The present recommendations can be used to inform and optimise the content of training curricula for grief counsellors with regard to the identification of bereaved persons with increased therapeutic support needs.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524767","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}