Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

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Übersetzung und Validitätsprüfung der Selbsteinschätzungsskala für digitale Kompetenzen Pflegestudierender 护理信息学能力自评量表的翻译与效度检验
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-05-01 Epub Date: 2026-03-26 DOI: 10.1016/j.zefq.2026.02.001
Marten Schmied , Orsolya Máté , Klára Simon , Livia Toth , Gerhard Müller
{"title":"Übersetzung und Validitätsprüfung der Selbsteinschätzungsskala für digitale Kompetenzen Pflegestudierender","authors":"Marten Schmied ,&nbsp;Orsolya Máté ,&nbsp;Klára Simon ,&nbsp;Livia Toth ,&nbsp;Gerhard Müller","doi":"10.1016/j.zefq.2026.02.001","DOIUrl":"10.1016/j.zefq.2026.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Digital competencies are essential skills in modern nursing practice. Until now, no validated instrument has been available for assessing these competencies among nursing students in German-speaking countries. This study aimed to culturally adapt and validate the Self-Assessment of Nursing Informatics Competencies Scale for this context.</div></div><div><h3>Method</h3><div>The scale was translated and culturally adapted in accordance with the Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcome Measures of the International Society for Pharmacoeconomics and Outcome Research. Content validity was evaluated in a two-stage expert review (<em>n</em> = 20) using the Content Validity Index. To assess construct validity, a pretest was conducted with 140 nursing students enrolled in an Austrian bachelor level degree program. Data analysis included principal component analysis with Varimax rotation and evaluation of internal consistency (Cronbach’s alpha, Spearman–Brown coefficient).</div></div><div><h3>Results</h3><div>The principal component analysis confirmed the three-factor model (“Basic Computer Skills”, “Role”, “Applied computer skills: clinical informatics”), which explained 63.86% of the total variance. Internal consistency was high for two subscales (α = .92; ρ = .77), and moderate for the third (α = .58). Known-groups analysis revealed significantly different scores between students with and without perceived need for additional computer training, supporting construct validity.</div></div><div><h3>Conclusion</h3><div>With the German translation of the Self-Assessment of Nursing Informatics Competencies Scale, a valid instrument is now available to assess nursing students’ self-perceived digital competence in German-speaking countries. It can contribute to quantitatively measuring the learning and teaching of digital competencies in nursing education.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 74-82"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533450","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}
引用次数: 0
Herausforderungen und Bedarfe bei der Versorgung von Post-COVID-Patient*innen in Hausarztpraxen in Berlin und Brandenburg – eine qualitative Studie [柏林和勃兰登堡初级保健实践中对covid后患者护理的挑战和需求-一项定性研究]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-05-01 Epub Date: 2026-04-06 DOI: 10.1016/j.zefq.2026.02.004
Wibke Bartels , Lisa Kümpel , Marie Ledebur , Michael Jeitler , Christoph Heintze , Susanne Döpfmer
{"title":"Herausforderungen und Bedarfe bei der Versorgung von Post-COVID-Patient*innen in Hausarztpraxen in Berlin und Brandenburg – eine qualitative Studie","authors":"Wibke Bartels ,&nbsp;Lisa Kümpel ,&nbsp;Marie Ledebur ,&nbsp;Michael Jeitler ,&nbsp;Christoph Heintze ,&nbsp;Susanne Döpfmer","doi":"10.1016/j.zefq.2026.02.004","DOIUrl":"10.1016/j.zefq.2026.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>General practitioners (GPs) play a central role as the first point of contact for patients with post-COVID. The aim of this qualitative study was to explore challenges and needs in the care for post-COVID patients from the perspective of GPs.</div></div><div><h3>Methods</h3><div>Between October 2023 and May 2024, one face-to-face and two online focus groups were conducted with a total of 17 GPs from Berlin and Brandenburg. A self-developed guide was used, and data were analysed using framework analysis. In October 2024, results were validated in follow-up discussions with seven of these GPs.</div></div><div><h3>Results</h3><div>Across all focus groups, GPs reported multiple challenges. These included diagnostic and therapeutic uncertainties, a lack of robust evidence, and gaps in service provision, such as long waiting times in specialised care facilities and feelings of helplessness in dealing with affected patients. Several care needs emerged from these challenges: low-threshold access to specialised outpatient clinics, the development of tailored rehabilitation concepts, and structured, up-to-date information for patients. In addition, GPs highlighted the need for stronger recognition and support of their role in post-COVID care.</div></div><div><h3>Discussion</h3><div>GPs provide the lion’s share of care for people affected by post-COVID, and thus their perspective should be given greater consideration in order to strengthen ambulatory care. The findings uncover genuine opportunities to address gaps in care and improve patient support.</div></div><div><h3>Conclusion</h3><div>GPs require support through structured care pathways and closer collaboration with specialised services. Further research is needed to develop cross-sectoral models of care that both improve patient outcomes and alleviate the burden on primary care.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 34-43"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634812","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}
引用次数: 0
Experiences of people with substance use disorders with a novel intervention for reintegration into working life: A qualitative formative evaluation 物质使用障碍患者的经验与重新融入工作生活的新干预:定性形成性评价。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-05-01 Epub Date: 2026-04-11 DOI: 10.1016/j.zefq.2026.03.004
Christoph Armbruster , Emre Özbulut , Marianne Bayrhuber , Malgorzata Schlöffel , Erik Farin-Glattacker
{"title":"Experiences of people with substance use disorders with a novel intervention for reintegration into working life: A qualitative formative evaluation","authors":"Christoph Armbruster ,&nbsp;Emre Özbulut ,&nbsp;Marianne Bayrhuber ,&nbsp;Malgorzata Schlöffel ,&nbsp;Erik Farin-Glattacker","doi":"10.1016/j.zefq.2026.03.004","DOIUrl":"10.1016/j.zefq.2026.03.004","url":null,"abstract":"<div><h3>Introduction</h3><div>In Germany, substance use disorders (SUDs) are highly prevalent and impose a significant burden on both individuals and society, such as unemployment. Participation in working life is crucial for people with SUDs as employment can help to overcome these disorders. However, re-entry into the labour market among this population remains low, which is partly due to insufficient cross-sectoral collaboration at the interface between job centres and rehabilitation. ANDANTE is an innovative intervention for people with SUDs based on the “Individual Placement and Support” model that aims to address these challenges. This study presents the experiences of people with SUDs who participated in the ANDANTE program.</div></div><div><h3>Methods</h3><div>We conducted n = 11 semi-structured interviews between 04/2023 and 06/2024. Participants were interviewed during the first 8 months of the intervention. We analysed the interviews using a structuring qualitative content analysis with a deductive-inductive approach according to Kuckartz and Rädiker.</div></div><div><h3>Results</h3><div>The majority of respondents were male (n = 10). Participants spoke predominantly positive about ANDANTE in terms of content and organisation. Some respondents made suggestions for improvement such as a greater focus on stress management or application training. Support from both ANDANTE staff or peers was described as helpful. Participants also perceived positive impacts throughout the intervention, such as an improved daily structure or living situation, as well as more control over substance use.</div></div><div><h3>Conclusion</h3><div>This study provides insights into the experiences of people with SUDs with an innovative intervention for reintegration into working life. The findings may contribute to targeted adaptations of ANDANTE or the development of future programmes in a similar context in Germany.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 56-63"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677757","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}
引用次数: 0
Development of meta-inferences using joint displays in mixed-methods nursing research: An illustrative study of an evidence-based practice educational intervention 在混合方法护理研究中使用联合显示的元推断的发展:一项基于证据的实践教育干预的说明性研究。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-05-01 Epub Date: 2026-04-10 DOI: 10.1016/j.zefq.2026.02.007
Janina Wittmann, Gero Langer, Almuth Berg
{"title":"Development of meta-inferences using joint displays in mixed-methods nursing research: An illustrative study of an evidence-based practice educational intervention","authors":"Janina Wittmann,&nbsp;Gero Langer,&nbsp;Almuth Berg","doi":"10.1016/j.zefq.2026.02.007","DOIUrl":"10.1016/j.zefq.2026.02.007","url":null,"abstract":"<div><h3>Background</h3><div>Mixed-methods research enables comprehensive evaluation of complex nursing phenomena, yet its application remains limited, particularly regarding the systematic integration of qualitative and quantitative data. Using an illustrative study of an evidence-based practice (EBP) educational intervention, this article presents a structured data integration process supported by joint displays to derive meta-inferences.</div></div><div><h3>Methods</h3><div>The EBP educational intervention was conducted at a regional hospital in Germany with nurses and comprised four structured workshops along with a practical assignment. A convergent parallel mixed-methods design was applied for evaluation. Qualitative data were collected via a group interview, and quantitative data were used to assess self-efficacy using the Evidence-based Practice Confidence (EPIC) scale pre- and post-intervention. Data integration followed a four-step process: thematic coding, identification of thematic complexes, condensation, and derivation of meta-inferences. Formative and summative joint displays facilitated systematic comparison and visualisation of convergence, divergence, and complementarity between data strands.</div></div><div><h3>Results</h3><div>The integration process identified four thematic complexes: integration of the patient perspective, practical implementation, heterogeneous prior knowledge, and role clarity. Joint displays enabled transparent and iterative comparison of qualitative and quantitative findings, supporting the derivation of nuanced meta-inferences and a structured presentation of findings. This approach highlighted how the educational intervention interacted with existing roles, prior knowledge, and contextual conditions relevant to the implementation of EBP.</div></div><div><h3>Conclusions</h3><div>Different types of meta-inferences illustrated the depth achievable through integration. Joint displays enhanced structured integration, methodological transparency, and reflective interpretation. They provide a pragmatic and rigorous approach to integrating qualitative and quantitative data in nursing research.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Pages 94-101"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677707","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}
引用次数: 0
Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations 附属机构名单
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-05-01 Epub Date: 2026-04-29 DOI: 10.1016/S1865-9217(26)00096-6
{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(26)00096-6","DOIUrl":"10.1016/S1865-9217(26)00096-6","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"202 ","pages":"Page OBC"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147755588","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}
引用次数: 0
[Health conditions of elementary school pupils in socio-spatially selected schools in the federal state of Bremen]. [不来梅联邦州按社会空间选择的学校小学生的健康状况]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-04-28 DOI: 10.1016/j.zefq.2026.03.010
Lisa Kühne, Tatiana Mamontova, Eva Quante-Brandt
{"title":"[Health conditions of elementary school pupils in socio-spatially selected schools in the federal state of Bremen].","authors":"Lisa Kühne, Tatiana Mamontova, Eva Quante-Brandt","doi":"10.1016/j.zefq.2026.03.010","DOIUrl":"https://doi.org/10.1016/j.zefq.2026.03.010","url":null,"abstract":"<p><strong>Introduction: </strong>The public health department can address inequalities through social space-oriented health promotion when findings from health reporting, social monitoring, and other healthcare data are combined. In the federal state of Bremen, school nurses are employed at elementary schools which are prioritized according to the social index and the results of school entry examinations. This article describes the health conditions of the target group of children addressed by school nurses by offering health promoting interventions.</p><p><strong>Methods: </strong>Selected data from school entry examinations and the AOK health insurance fund in Bremen/Bremerhaven were processed anonymously. The sample includes children who started school between 2018 and 2022 in schools supervised by health professionals, as well as AOK policyholders aged 6 to 11 in the school years 2018/2019 up to 2021/22 living in the catchment areas of these elementary schools. Physical development is presented over time and in subgroups.</p><p><strong>Results: </strong>On average, 1,135 preschoolers and 5,008 elementary school pupils per school year were included. At the school entry examinations, 20% of the children were overweight. This proportion increased at the start of the 2021 school year before returning to normal in the following year. Compared to girls, boys are more likely to experience difficulties with body coordination when they start school (n = 4,190; chi-square = 39.3839), and are more likely to require speech therapy (IRR = 2.25; 95% CI: 1.71-2.95) and occupational therapy (IRR = 4.39; 95% CI: 2.87-6.72) later on. At elementary school age, diagnoses of behavioral and emotional disorders were twice as common in boys than in girls (IRR = 1.99; 95% CI: 1.92-2.06) and were found twice as often in children with German nationality than in children of other nationalities (IRR = 2.02; 95% CI: 1.94-2.10).</p><p><strong>Discussion: </strong>The health data indicate the specific needs of children in the selected elementary schools. School nurses promote healthy behavior in the school setting and can also act as guides in the healthcare system, helping families to identify abnormalities early on and, if necessary, seek appropriate treatment. School nurses support children in growing up healthy and thus aim to achieve health equity in the federal state of Bremen in the long term.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785233","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}
引用次数: 0
[Direct access to physiotherapy as a care model for Germany? A qualitative analysis of experts' perspectives on relevance and feasibility]. [直接获得物理治疗作为德国的护理模式?专家观点的相关性与可行性定性分析[j]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-04-27 DOI: 10.1016/j.zefq.2026.03.008
Anne Jarck, Kerstin Lüdtke, Luka Marko Rašo, Katrin Balzer
{"title":"[Direct access to physiotherapy as a care model for Germany? A qualitative analysis of experts' perspectives on relevance and feasibility].","authors":"Anne Jarck, Kerstin Lüdtke, Luka Marko Rašo, Katrin Balzer","doi":"10.1016/j.zefq.2026.03.008","DOIUrl":"https://doi.org/10.1016/j.zefq.2026.03.008","url":null,"abstract":"<p><strong>Background: </strong>In some countries, direct access to physiotherapy for patients with musculoskeletal complaints has been introduced in order to ensure needs-based care. Patients can seek physiotherapy treatment directly without a doctor's prescription at the expense of their health insurance. Reviews show clinical advantages compared to referral-based access. The aim of this study was to investigate the need, possible care models and requirements for model projects of relevant stakeholders in Germany.</p><p><strong>Methods: </strong>A qualitative study design was chosen to answer the research questions. Data collection involved a semi-structured, guide-assisted focus group and individual interviews on the perspectives of physiotherapy (n = 3), medicine (n = 3), patients (n = 2), payers (n = 4), politics (n = 2), and medical law (n = 2). Data were analyzed deductively-inductively using a thematic-structuring content analysis.</p><p><strong>Results: </strong>A total of 16 people took part in 11 individual interviews and one focus group (n = 5). All the perspectives planned were represented. The interview results indicate very heterogeneous views on the perceived need for and the design of direct access. Model projects are mainly considered necessary and should be conducted with comparable methodology in several German federal states in various settings.</p><p><strong>Conclusion: </strong>In the German context, where there is disagreement among stakeholders about the need for direct access to physiotherapy, there is a nationwide need for research to clarify unresolved issues through pilot projects. This study provides an overview of the perspectives and thereby essential information for the further development of healthcare in Germany.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785252","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}
引用次数: 0
[Low-priority emergency calls: planned and actual dispatching of resources in a German Emergency Dispatch Center (EDC) following the introduction of a standardized emergency call query. A retrospective analysis of EDC data]. [低优先级紧急呼叫:在引入标准化紧急呼叫查询后,在德国紧急调度中心(EDC)规划和实际调度资源。EDC数据的回顾性分析]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-04-17 DOI: 10.1016/j.zefq.2026.03.006
Stefan Thate, Johanna Sophie Lubasch, Christopher Plata, Kadriye Gülöz, Elias Wolfgang Eisenreich, Rainer Röhrig, Insa Seeger
{"title":"[Low-priority emergency calls: planned and actual dispatching of resources in a German Emergency Dispatch Center (EDC) following the introduction of a standardized emergency call query. A retrospective analysis of EDC data].","authors":"Stefan Thate, Johanna Sophie Lubasch, Christopher Plata, Kadriye Gülöz, Elias Wolfgang Eisenreich, Rainer Röhrig, Insa Seeger","doi":"10.1016/j.zefq.2026.03.006","DOIUrl":"https://doi.org/10.1016/j.zefq.2026.03.006","url":null,"abstract":"<p><strong>Background: </strong>A significant proportion of calls to Emergency Dispatch Centers (EDCs) are classified as low-priority calls (LPCs). This study examines LPCs detected in an EDC through a standardized emergency call query and the degree of fulfilment between planned and actual dispatching.</p><p><strong>Method: </strong>This retrospective prevalence study uses descriptive and exploratory data analysis to examine data from the routine documentation of the emergency dispatch system (EDS) and the standardized emergency call system of an EDC. The primary endpoint of the study is the frequency of LPCs for assistance and their standardized assignment to the appropriate care structures of medical on-call services (provided by the Association of Statutory Health Insurance Physicians, ASHIP) and community paramedics (CPs).</p><p><strong>Results: </strong>Just under 10% of the calls handled with a standardized emergency call query were LPCs. Of these, 54.0% fell within the remit of the ASHIP and 41.1% within the remit of EMS. In areas without CPs, an ALS ambulance was dispatched twice as often as in areas with such a system (85.9% versus 41.6%). Also, a difference was found regarding the subsequent transport to a hospital (57.4% vs. 29%). There were only minor differences in utilization between day (49.2%) and night (50.8%).</p><p><strong>Conclusion: </strong>The data examined support the current approach to reforming cross-sectoral emergency care services. Detecting LPCs will only lead to a needs-based care if suitable downstream resources are available at all times. The control of all outreach care resources by the EDC could prevent disruptions at sector boundaries.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718256","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}
引用次数: 0
Care concepts during the latent phase of labour: A scoping review. 分娩潜伏期的护理概念:范围综述。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-04-17 DOI: 10.1016/j.zefq.2026.03.003
Caro Jeltsch, Svea Schmidt, Oda von Rahden, Frauke Koppelin, Birte Berger-Höger
{"title":"Care concepts during the latent phase of labour: A scoping review.","authors":"Caro Jeltsch, Svea Schmidt, Oda von Rahden, Frauke Koppelin, Birte Berger-Höger","doi":"10.1016/j.zefq.2026.03.003","DOIUrl":"https://doi.org/10.1016/j.zefq.2026.03.003","url":null,"abstract":"<p><strong>Background: </strong>Optimal care concepts for the latent phase of labour are often lacking and inconsistent. Early hospital admission is not recommended because it is associated with higher intervention rates. Sustainable (home-based) care concepts for this phase are therefore needed.</p><p><strong>Objective: </strong>To identify and describe existing concepts for supporting women during the latent phase of labour with regard to their objectives, measures, and intended outcome parameters for evaluation.</p><p><strong>Methods: </strong>A scoping review was conducted following JBI methodology and reported according to PRISMA-ScR. A systematic literature search was performed in Medline (PubMed), CINAHL (EBSCOhost), Cochrane, Cordis, and Scopus. Study selection, data extraction, and analysis were conducted independently by two reviewers.</p><p><strong>Results: </strong>Of the 2,320 records identified, 31 publications describing 15 care concepts were included. Interventions were grouped into inpatient care, outpatient care, and asynchronous support formats. Most concepts focused on hospital-based care and combined multiple components for autonomous use after initial guidance by a health care professional. Intended outcomes included reduced labour duration, increased satisfaction, reduced staff workload, and fewer hospital admissions during the latent phase. Four interventions used exclusively asynchronous digital formats; three were associated with reduced labour augmentation and increased birth satisfaction.</p><p><strong>Discussion: </strong>The concepts varied widely in content, delivery methods, and objectives, reflecting different care contexts and health systems. Further evaluation of effectiveness and careful consideration of objectives are essential when developing future care concepts for the latent phase.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718285","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}
引用次数: 0
[Missing replication of study results in evidence assessment with GRADE]. [GRADE证据评估中缺少研究结果的重复]。
IF 1.7
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2026-04-17 DOI: 10.1016/j.zefq.2026.03.007
Kevin Rudolf, Corinna Kiefer, Alexandra Korzeczek-Opitz, André Wilmer, Sarah Thys
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