Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Evaluation of a brief didactics training for peer teachers of medical history taking","authors":"Jonas Nagel ,&nbsp;Christine Zelenak ,&nbsp;Stella Fangauf ,&nbsp;Corinna Seemann ,&nbsp;Lena Bläsing ,&nbsp;Holger Kappe ,&nbsp;Iris Demmer ,&nbsp;Christoph Herrmann-Lingen","doi":"10.1016/j.zefq.2025.09.002","DOIUrl":"10.1016/j.zefq.2025.09.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The practical training of communicative competences in medical education is staff-intensive. We evaluate a brief didactics training for peer teachers (advanced students instructing fellow students from lower course levels) intended to efficiently enhance their teaching skills.</div></div><div><h3>Methods</h3><div>In a 9-hour didactics training, <em>N</em> = 139 peer teachers were prepared for instructing practical medical history taking exercises in small groups of undergraduate medical students. We assessed the participants’ satisfaction with the training, their subjective increase in didactic skills, and their evaluation of the peer teachers (compared to how the same students evaluated experienced lecturers).</div></div><div><h3>Results</h3><div>Participants evaluated the training positively and reported an increase in key didactic skills immediately after the training (0.17 ≤ <em>r</em> ≤ 0.20) and after their first term of teaching (0.12 ≤ <em>r</em> ≤ 0.20). Before the introduction of the training, students had rated their peer teachers less favorably than their faculty lecturers, but this gap disappeared after the introduction of the training (contribution to learning success: <em>d</em> = –0.84; quality of feedback: <em>d</em> = –0.43). Peer teachers were also perceived to be more activating in teaching compared to faculty lecturers (<em>d</em> = 0.34).</div></div><div><h3>Conclusions</h3><div>With a brief didactics training, peer teachers can become effective instructors for practical exercises of medical history taking interviews.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 92-99"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259608","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":"Ambulante Formen von Palliativversorgung als Prädiktoren für Ergebnisqualität und Kosten regionaler Versorgung am Lebensende in Deutschland: eine GKV-Routinedaten-basierte Kosten-Konsequenz-Analyse","authors":"Antje Freytag ,&nbsp;Markus Krause ,&nbsp;Andreas Schmid ,&nbsp;Bianka Ditscheid ,&nbsp;Ursula Marschall ,&nbsp;Ulrich Wedding ,&nbsp;Franziska Meissner","doi":"10.1016/j.zefq.2025.04.001","DOIUrl":"10.1016/j.zefq.2025.04.001","url":null,"abstract":"<div><h3>Background</h3><div>The quality of outcomes and cost-effectiveness of regional hospice and palliative care (PC) services vary greatly. This study examines the relationship between the different regional outpatient forms of PC and these two dimensions.</div></div><div><h3>Methods</h3><div>The retrospective analysis is based on the study population of 145,372 persons who were insured with the BARMER health insurance fund, who died between 2016 and 2019 and received PC in the last year of their life. The association of primary palliative care (AAPV), specially qualified and coordinated PC (BQKPmV), and specialist palliative homecare (SAPV) with quality- and cost-related outcomes was determined through multiple regression analyses, taking into account regional variability of these associations and controlling for other forms of PC as well as patient and residential district characteristics.</div></div><div><h3>Results</h3><div>AAPV in Rhineland-Palatinate, BQKPmV in Thuringia, and SAPV in Saxony-Anhalt and Berlin achieve an above-average impact on the quality of outcomes compared to the national average. The total costs of care in the last three months of life (except for the costs of ambulatory palliative care) are significantly reduced by AAPV. For SAPV, costs usually exceed potential savings, especially in North Rhine-Westphalia, with Berlin and Westphalia-Lippe being counter-examples. Whilst Westphalia-Lippe relies on a solidly effective, integrated, low-cost AAPV–SAPV model that benefits many people, Berlin represents a highly effective, low-cost SAPV model which, however, reaches fewer people.</div></div><div><h3>Conclusion</h3><div>New evidence of good practice regions offers starting points for tackling the challenge of quality-of-life-oriented, resource-efficient palliative care for a demographically growing number of people in need. Approaches that result in fewer people receiving care and higher costs and at best increase the quality of care for a few, should be critically scrutinized.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 102-111"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132023","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":"Ambulante psychotherapeutische Versorgung von Patient*innen mit chronischer körperlicher und gleichzeitig vorliegender psychischer Erkrankung – die Sicht von Psychotherapeut*innen und Hausärzt*innen","authors":"Milena Borchers ,&nbsp;Martin Hegelow ,&nbsp;Lisa Leikeim ,&nbsp;Beate Wild ,&nbsp;Gereon Heuft ,&nbsp;Hanna Kampling ,&nbsp;Johannes Kruse ,&nbsp;Hans-Christoph Friederich ,&nbsp;Mechthild Hartmann","doi":"10.1016/j.zefq.2025.09.005","DOIUrl":"10.1016/j.zefq.2025.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Patients with both mental illness and chronic physical conditions (medically complex patients) represent a large (more than 5 million people in Germany) and particularly burdened group of patients. This study describes how psychotherapists and general practitioners perceive the current care for these patients and the impact of the 2017 structural reform of psychotherapy guidelines for patients with complex disorders.</div></div><div><h3>Methods</h3><div>We used a nationwide survey to assess the perceptions of psychotherapists (N = 2,015) and general practitioners (N = 1,364) regarding psychotherapeutic care for complex patients.</div></div><div><h3>Results</h3><div>Most psychotherapists and general practitioners agree that complex patients are still undersupplied with psychotherapy (&gt;80 % agreement). The structural reform of the German psychotherapy guideline in 2017 has led to merely small improvements of care. From the perspective of care providers, further structural changes, such as the expansion of group therapy services, the consolidation of video-assisted therapy services, and the billability of consultative case discussions, could improve care.</div></div><div><h3>Conclusion</h3><div>Even after the structural reform, providers continue to consider the care provided to patients with complex disorders to be inadequate. Psychotherapists show a great willingness to meet the special needs of these patients. Nevertheless, further low-threshold services and networking between the professional groups involved are required. Given the size of the group of complex patients, we need to focus more on improving care structures.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 35-44"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423131","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":"Wir brauchen weniger, dafür bessere systematische Reviews! Ein Aufruf zum Handeln","authors":"Cordula Braun ,&nbsp;Kathrin Grummich ,&nbsp;Ralph Möhler ,&nbsp;Corinna Schaefer ,&nbsp;Dawid Pieper","doi":"10.1016/j.zefq.2025.10.008","DOIUrl":"10.1016/j.zefq.2025.10.008","url":null,"abstract":"<div><div>Systematic reviews (SR) are an important source for evidence-informed decision-making in the context of health-related questions. Examples of their use include acting as the evidence base for guidelines and health information products, for planning clinical studies, and informing health policy decisions. Accordingly, it is crucial that SR provide trustworthy, reliable summaries of the available evidence. This is why they need to be of high quality in terms of both methods and content. SR suffering from quality deficiencies carry the risk of delivering biased or erroneous and therefore untrustworthy results. For years, the international research literature has highlighted problems with the quantity and quality of SR that undermine their “usefulness”, including “mass production” of SR and evidence that a large proportion of all SR is untrustworthy. This poses a considerable challenge to users searching for and selecting suitable SR. In consequence, SR are commonly used uncritically, and health-relevant decisions are made on the basis of biased or erroneous results. This prompts an important question to everyone involved in the production of SR: Why are so many flawed SR being produced and published? The aim of this paper is to point out the importance of SR and the requirements for producing high-quality SR to inform evidence-informed healthcare, to describe the key problems with their quantity and quality, to specify possible reasons for these problems, and to outline approaches to solutions. There is an urgent need for action to make SR “useful” (again).</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558054","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":"Berufsbezogene Teilhabeeinschränkungen von Rehabilitand*innen mit Long COVID im zeitlichen Verlauf – Befunde einer qualitativen Untersuchung","authors":"Mercedes Rutsch,&nbsp;Ruth Deck","doi":"10.1016/j.zefq.2025.09.004","DOIUrl":"10.1016/j.zefq.2025.09.004","url":null,"abstract":"<div><h3>Background</h3><div>People who are affected by long COVID (LC) and have limitations in their ability to work can apply for a multi-professional rehabilitation programme. This qualitative study analysed the development of occupational participation, health limitations at work and factors supporting occupational participation in LC rehabilitants.</div></div><div><h3>Methods</h3><div>Guided telephone interviews were conducted with LC rehabilitants aged 18–65 years, who were undergoing pneumological rehabilitation, at three time points (shortly after the end of rehabilitation, and six and twelve months after rehabilitation). Data were analysed using qualitative content analysis according to Mayring.</div></div><div><h3>Results</h3><div>Between 04/2021 and 07/2022, a total of 30 interviews were conducted with 11 rehabilitants (N = 7 women; average age: 50 years). Three health-related stress dimensions were identified: cognitive (e. g., word-finding difficulties, concentration problems), psychosocial (e. g., anxiety, worry), and physical (e. g., physical exhaustion, shortness of breath) limitations. The reintegration prepared by social services, the general conditions at the workplace (e. g., flexible working hours, empathy in the workplace) and personality traits, such as acceptance of personal limitations, were described as conducive to occupational participation. Respondents used compensatory techniques (e. g., mnemonics) and pacing to cope with the demands of work despite existing limitations.</div></div><div><h3>Conclusion</h3><div>The results of the study show that “returning to work” is not the same as “regaining the ability to work”. In both rehabilitation and aftercare, the restoration of physical, psychosocial, and cognitive work ability should play an essential role in counteracting the manifestation of participation restrictions.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 62-71"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313761","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":"Akzeptanz des Einsatzes von Künstlicher Intelligenz im Anamneseprozess: Ergebnisse einer Bevölkerungsbefragung in Deutschland","authors":"Edda Currle,&nbsp;Sonja Haug,&nbsp;Karsten Weber","doi":"10.1016/j.zefq.2025.10.003","DOIUrl":"10.1016/j.zefq.2025.10.003","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Digital tools for medical history-taking, such as chatbots, are increasingly being developed and evaluated but have not yet been implemented across the board in medical practices in Germany. The aim of this study was to survey the acceptance of AI-supported tools for medical history-taking among the German population, thereby allowing conclusions to be drawn about the use of these tools and their suitability as part of digitalization strategies in medical practices.</div></div><div><h3>Method</h3><div>The study is based on an online survey among the German population (fieldwork November 18 to 24, 2024, n = 1,000). Based on the ‘Unified Theory of Acceptance and Use of Technology’ (UTAUT), three central hypotheses on the use of artificial intelligence (AI) in the medical history-taking process were generated and tested using linear regression models.</div></div><div><h3>Results</h3><div>In the two scenarios examined — patients using a chatbot at home and at the doctor’s office — there was a high level of acceptance for the use of AI-supported systems. The expected relationships between Performance Expectancy, Effort Expectancy and expected Social Influence with the behavioral intention to use a chatbot either in the doctor’s office or before visiting the doctor’s office have been confirmed. However, influential factors such as age, gender, or experience with technology do not show the expected correlations.</div></div><div><h3>Discussion and conclusion</h3><div>Practicability is crucial for a favorable attitude towards AI applications. There were no apparent gender differences. When implementing chatbots in the medical history-taking process, the aspects of practicability, data protection, and data security should play a key role. Given that a large number of the elderly in Germany still have limited experience with digital technologies, usability is highly relevant for both this population group and for people with disabilities.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"198 ","pages":"Pages 9-17"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514602","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":"Einbindung von Pflegefachpersonen mit Hochschulabschlüssen an deutschen Universitätskliniken: Vergleich der Befragungsergebnisse 2018 und 2024","authors":"Hannah Pinnekamp ,&nbsp;Julian Bauer ,&nbsp;Jennifer Luboeinski ,&nbsp;Andrea Ellermeyer ,&nbsp;Susanne Krotsetis ,&nbsp;Jenny Heymann ,&nbsp;Louise Koppe ,&nbsp;Laura Todisco ,&nbsp;Inke Zastrow ,&nbsp;Andreas Kocks ,&nbsp;Uli Fischer","doi":"10.1016/j.zefq.2025.07.001","DOIUrl":"10.1016/j.zefq.2025.07.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Healthcare in Germany faces major challenges that require greater involvement of academically qualified nursing professionals. Despite positive trends in the academization of the nursing profession, challenges remain that require further systematic research.</div></div><div><h3>Methods</h3><div>A survey was used to collect current quantitative data on the number and proportion of nursing professionals with a university degree at German university medical centers and university hospitals and to compare these data with the results from 2018. In addition, we investigated the proportion of these professionals with positions in direct patient care, existing institutes for nursing science, job descriptions, and incentive measures for academic nursing professionals.</div></div><div><h3>Results</h3><div>The analysis comprises data from 14 university medical centers and university hospitals that provided complete data sets for 2024 and 2018. The proportion of nursing professionals with a university degree increased from 2.92 % in 2018 to 3.91 % in 2024. In direct patient care, the proportion rose from 2.14 % to 3.18 %. The proportion of nursing professionals with a university degree in direct patient care in relation to the total number of employees in nursing services in direct patient care was 3.50 % in 2024. There was considerable heterogeneity in terms of job descriptions for nursing professionals with a university degree, pay-scale grouping, and non-monetary incentives. Of the clinics included, four had an Institute of Nursing Science, three had a chair in Nursing Science, and two had a primary qualifying academic degree program in nursing.</div></div><div><h3>Discussion</h3><div>The survey results show progress towards the integration of academically qualified nursing professionals in German university hospitals, but challenges remain. At 3.18 %, the proportion of academically qualified nursing professionals in direct patient care remains well below the recommended 20 %. The study emphasizes the importance of clear job descriptions, collective pay-scale groupings, and incentives to better integrate the roles of these professionals in the healthcare system and make full use of their abilities.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"197 ","pages":"Pages 62-72"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973768","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":"Talking about sexual health in primary care: Results of a cross-sectional study among general practitioners in Germany","authors":"Josephine Solbach,&nbsp;Christine Kersting,&nbsp;Achim Mortsiefer","doi":"10.1016/j.zefq.2025.06.002","DOIUrl":"10.1016/j.zefq.2025.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Physical and psychological problems related to sexual health are a highly relevant health topic. Although general practitioners (GPs) are usually the first point of contact for patients, studies show that they rarely talk about sexual health. This study explored whether German GPs consider sexual health an important health issue and feel a responsibilty to address patient concerns in this regard, how often they discuss sexual health topics with their patients, and what hampers or facilitates conversations about sexual health.</div></div><div><h3>Methods</h3><div>A quantitative, cross-sectional online survey was conducted among German GPs (11/2021–06/2022). Data were analyzed in SPSS using descriptive statistics and binary logistic regression.</div></div><div><h3>Results</h3><div>Most of the 249 participating GPs consider sexual health an important topic (68.8 %, n = 159) and feel responsible for their patients’ sexual health (74.5 %, n = 176). Nearly one-half of respondents (48.1 %, n = 112) report that they address sexual issues less often than medically indicated. The main barriers include lack of time, language barriers, and the presence of relatives; the patients’ own initiative and a good and/or long-term doctor-patient relationship have the effect of facilitating conversation. In-depth analysis revealed that the perception of hampering and supportive factors as well as the frequency with which sexual health topics are addressed is influenced by the following GP characteristics: higher age group, male gender, longer duration of practice, non-heterosexual orientation, specialization, and positive experiences with talking about this sensitive topic.</div></div><div><h3>Discussion</h3><div>Although sexual health is an important issue in primary care, it is discussed less often than medically indicated.</div></div><div><h3>Conclusion</h3><div>Structured communication and a high competence regarding sexual health issues can contribute to improving patient care and should therefore be more strongly represented in medical school curricula and GP training courses.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"197 ","pages":"Pages 47-54"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643829","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":"Evaluation der Digitalisierung der medizinischen Dokumentation in Sammelunterkünften für Geflüchtete in Deutschland: eine qualitative Studie","authors":"Fabian Walter ,&nbsp;Andreas W. Gold ,&nbsp;Rosa Jahn ,&nbsp;Stefan Noest ,&nbsp;Eva Grünberger ,&nbsp;Susanne Pruskil ,&nbsp;Kayvan Bozorgmehr ,&nbsp;Regina Poß-Doering","doi":"10.1016/j.zefq.2025.06.005","DOIUrl":"10.1016/j.zefq.2025.06.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Many refugees initially receive medical care in the medical outpatient clinics of initial reception centers as part of the statutory health service restrictions in Germany. The care on offer varies greatly depending on the center and the resources available. Reliable information on the health status or health needs of refugees in these contexts remains scarce. Against this backdrop, an electronic medical records (EMR) software (Refugee Care Manager [Ref.Care]) was developed at Heidelberg University Hospital with funding from the Federal Ministry of Health. The development began in 2016, and the software has since been implemented in over 40 reception facilities in three federal states. On the one hand, the software makes it possible to document medical treatments digitally in a standardized form and, on the other hand, to process the treatment data anonymously and based on indicators. Extensive research into the effects of EMRs has already been carried out. Health care provided for refugees in reception centers has rarely been included in this research. This study therefore examines 1) the contributions that EMRs can make to patient care from the perspective of the software users and 2) the potential for improvement with regard to both software and implementation strategy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In 2018, semi-structured expert interviews were conducted with 30 service providers from outpatient clinics in reception facilities in Germany. The interview guide focused on the topics of satisfaction, acceptance, and usability of the newly introduced electronic medical records. The interviews were digitally recorded, pseudonymized, transcribed verbatim, and analyzed based on content-structuring content analysis according to Kuckartz. MAXQDA 20 was used to support the analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The introduction of the electronic medical records software was facilitated by personal contact with the practice teams during and after the training courses. The materials provided were rarely used afterwards. In everyday care provision, the possibility to adapt the software to the treatment context was seen as particularly positive. Technical difficulties and missing features, such as lack of interoperability with other software products, sometimes made it difficult to apply Ref.Care. From the respondents’ point of view, the software makes an important contribution to improving the quality of care and increasing efficiency in terms of documentation. The option to further use the data for research purposes was viewed positively as well, and adaptability to specific professional groups and user needs was identified as a potential area of improvement.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The early evaluation of the introduction of the software Ref.Care shows that the advantages and disadvantages of electronic medical records in the setting of care for refugees are very similar to those in routine car","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"197 ","pages":"Pages 30-37"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805052","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":"Pflegeforschung in der SARS-CoV-2-Pandemie in Deutschland: ein Scoping-Review","authors":"Dorothee Bauernschmidt ,&nbsp;Martin N. Dichter ,&nbsp;Annegret Horbach ,&nbsp;Gabriele Meyer ,&nbsp;Martin Müller ,&nbsp;Anne Christin Rahn ,&nbsp;Ralph Möhler","doi":"10.1016/j.zefq.2025.05.006","DOIUrl":"10.1016/j.zefq.2025.05.006","url":null,"abstract":"<div><h3>Background</h3><div>The SARS-CoV-2 pandemic had a major impact on nursing and healthcare as well as on research. The aim of this study was to analyse the characteristics of nursing- and SARS-CoV-2-related research in Germany.</div></div><div><h3>Methods</h3><div>A scoping review was conducted. We systematically searched (06/2023) Medline, CINAHL, the German Register of Clinical Trials, abstract books of conferences and conducted a manual literature search. We included empirical studies addressing aspects of nursing and the pandemic and involving German researchers. Study selection and data extraction were conducted independently by two reviewers. Results were analysed descriptively.</div></div><div><h3>Results</h3><div>We included 131 publications (85 quantitative, 27 qualitative, 6 mixed-/multi-methods studies, 12 systematic reviews, 1 discussion paper); 49 % of the studies were published in 2021. First authors were mostly from medicine, psychology and nursing science, last authors from medicine. Most studies were explorative. Most of the quantitative studies used observational designs, only four were experimental. Nurses and other healthcare professionals were the most common target group; people with care needs or relatives were rarely addressed. The most common topics included health, perceived burden, working conditions, and characteristics of care during the pandemic. A quarter of the studies were not externally funded, 32 % did not provide information on funding. The Federal Ministry of Education and Research (21 %) was the most common funding body.</div></div><div><h3>Conclusion</h3><div>Pandemic-related nursing research was published to a limited extent by nursing scientists; clinical nursing research was particularly underrepresented. Dependable funding and the development of a research infrastructure for nursing research are necessary to ensure evidence-based nursing in times of crisis and to generate findings that are relevant to clinical practice and health policy decision-makers.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"197 ","pages":"Pages 79-88"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567975","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}