Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(24)00164-8","DOIUrl":"10.1016/S1865-9217(24)00164-8","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358646","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(24)00166-1","DOIUrl":"10.1016/S1865-9217(24)00166-1","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358612","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":"Complex primary care for multimorbid patients in the Netherlands: Interprofessional perspectives within and beyond general practice","authors":"Marloes A. van Bokhoven ,&nbsp;Robin Brünn ,&nbsp;Marjan van den Akker","doi":"10.1016/j.zefq.2024.08.002","DOIUrl":"10.1016/j.zefq.2024.08.002","url":null,"abstract":"<div><div>Many consultations in general practice concern patients with multimorbidity, pressuring our healthcare systems with complex care needs. The number of people affected from multimorbidity is still increasing, as is the average number of co-occurring diseases per patient. The resulting complexity of care needs cannot be managed by health professionals from a single discipline, but requires interprofessional collaborative practice.</div><div>This paper describes best practices from the Netherlands to facilitate interprofessional caretaking of patients with multimorbidity in primary care. The focus here is on collaborations within general practice and at community level.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134150","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":"Kontinuierliche Überwachung von SARS-CoV-2 Infektionen in Kindertagesstätten: eine qualitative Interviewstudie über die Erfahrungen von Betreuer*innen und Eltern mit verschiedenen Testverfahren im häuslichen Umfeld","authors":"Maike Krauthausen ,&nbsp;David Gierszewski ,&nbsp;Andrea Streng ,&nbsp;Johannes Forster ,&nbsp;Geraldine Engels ,&nbsp;Franziska Pietsch ,&nbsp;Julia Wallstabe ,&nbsp;Thomas Jans ,&nbsp;Viktoria Rücker ,&nbsp;Marcel Romanos ,&nbsp;Peter Heuschmann ,&nbsp;Lars Dölken ,&nbsp;Christoph Härtel ,&nbsp;Oliver Kurzai ,&nbsp;Johannes Liese ,&nbsp;Ildikó Gágyor ,&nbsp;Wü-KiTa-CoV-Studiengruppe","doi":"10.1016/j.zefq.2024.07.002","DOIUrl":"10.1016/j.zefq.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><div>Since the beginning of the corona pandemic in Germany in January 2020, day care centres (DCC) have faced the challenge of reliably detecting cases of SARS-CoV-2 infection as early and reliably as possible in order to avoid major outbreaks and closures. Conducting regular virological screening tests for asymptomatic DCC children and childcare workers requires a high level of acceptance among participants and should be as easy as possible to implement. The present study aimed to evaluate childcare workers’ and parents’ attitudes and experiences regarding the acceptance and feasibility of various screening methods. This assessment was conducted using additional qualitative interviews designed for home-based screening in the context of a screening study in DCCs.</div></div><div><h3>Method</h3><div>From May to July 2021, childcare workers and parents of children in nine DCCs in Wuerzburg independently carried out screening tests for SARS-CoV-2 at home twice a week as part of the “Würzburg Child Care Study in the COVID-19 Pandemic 2.0”. The participants were offered two self-sampling methods (mouth-rinsing fluid for pooled PCR tests and/or nasal rapid antigen self-tests). Before and after the 12-week test phase, telephone interviews were conducted with a selected sample of childcare workers and parents in order to ascertain initial attitudes and further experiences with the two self-sampling methods and their implementation. The interviews were fully transcribed for analysis and subjected to a qualitative content analysis according to Kuckartz.</div></div><div><h3>Results</h3><div>Of the 1,026 eligible participants, 591 individuals, including 139 childcare workers and the parents of 452 children, agreed to take part in the screening tests. A total of 49 interviews were conducted with a specifically selected sample (20 before the start of the test, 29 after the end of the test). In the qualitative content analysis, three overarching topics emerged: ‘aspects of the test performance’, ‘aspects of the perception of safety’ and ‘aspects of the testing in children’. Regardless of the fact that the various test methods and test features were perceived very differently, conducting the tests at home was found to be feasible.</div></div><div><h3>Discussion</h3><div>The differentiated insights into the participants’ perspectives provide valuable information about factors that influence the acceptance of self-testing. These should be taken into account before such a measure is introduced in DCCs if necessary.</div></div><div><h3>Conclusion</h3><div>The assessment of test procedures is strongly influenced by individual preferences. Test concepts should be implemented with as little time and organisational effort as possible in order to promote willingness to participate. Clear study information and quick feedback on test results can enhance the sense of security among parents and childcare workers.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009668","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":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(24)00163-6","DOIUrl":"10.1016/S1865-9217(24)00163-6","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358645","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":"Arzneimittelzulassung im Bereich seltener Erkrankungen: die europäische regulatorische Perspektive am Beispiel der Gen- und Zelltherapeutika","authors":"Martina Schüßler-Lenz ,&nbsp;Benjamin Hofner","doi":"10.1016/j.zefq.2024.08.007","DOIUrl":"10.1016/j.zefq.2024.08.007","url":null,"abstract":"<div><div>Technological and scientific innovations in the area of gene and cell therapies, so-called advanced therapy medicinal products (ATMPs), have contributed to the steep increase in treatment options for patients with rare diseases. They offer opportunities to address the underlying genetic defect by gene addition, i.e., the delivery of the gene of interest to the target cells, or by genome editing approaches through direct repair of disease-causing mutations. This paper outlines clinical evidence requirements in the context of marketing authorisations for rare diseases. Two out of fifteen gene therapies that have been approved in the European Union since 2018 are used as case studies: Libmeldy (atidarsagen autotemcel) for the treatment of patients with metachromatic leukodystrophy, and Roctavian (valoctocogen roxaparvovec) for the treatment of patients with haemophilia A. Special aspects of the evaluation of single-arm trials with small sample size and requirements with regard to the isolation and causal attribution of the treatment effect are discussed. The role of clinical data obtained under everyday conditions (real world data) to support the generation of evidence in the pre- and post authorisation phase is critically examined. Furthermore, the paper outlines aspects related to conditional versus standard marketing authorisations as well as aspects related to registry-based non-interventional studies in the context of market and patient access to urgently needed drugs.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146577","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":"Testimonial: Leben mit einer Seltenen Erkrankung: suchen, kämpfen, hoffen","authors":"Michael Scholz,&nbsp;Christine Mundlos,&nbsp;Mirjam Mann","doi":"10.1016/j.zefq.2024.07.005","DOIUrl":"10.1016/j.zefq.2024.07.005","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358648","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":"Psychische Belastungen und Auffälligkeiten von Kindern und Eltern im Verlauf der COVID-19-Pandemie (2020–2022)","authors":"Ann-Kathrin Napp ,&nbsp;Martha Gilbert ,&nbsp;Anne Kaman ,&nbsp;Sophie Möller ,&nbsp;Janine Devine ,&nbsp;Michael Erhart ,&nbsp;Ulrike Ravens-Sieberer","doi":"10.1016/j.zefq.2024.06.006","DOIUrl":"10.1016/j.zefq.2024.06.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The COVID-19 pandemic and accompanying containment measures created major changes to everyone’s daily life that had an impact on mental health and psychological burden.</div></div><div><h3>Methods</h3><div>In five surveys of the COPSY study more than 1,500 parents of 7- to 17-year-olds and their children between the ages of 11 and 17 were interviewed using established mental health assessment tools and a self-developed item on the experience of mental burden. Pre-pandemic comparative data were drawn from the representative BELLA study (BEfragung zum seeLischen Wohbefinden und VerhAlten).</div></div><div><h3>Results</h3><div>The majority of children and adolescents as well as their parents in Germany felt stressed by the pandemic between 2020 and 2022. There was an increase in both mental health problems and symptoms of anxiety and depression at the beginning of the COVID-19 pandemic and during the second nationwide lockdown. A slight decrease in the subjective experience of psychological burden and mental health problems among children and their parents was observed in the fall of 2022. However, the prevalence of mental health problems and anxiety remained above pre-pandemic levels.</div></div><div><h3>Discussion</h3><div>The results illustrate the difficult situation of many children, adolescents and parents, even after 3 years of pandemic. Low-threshold counseling and support services as well as more therapy places and professional support services should be made available.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093954","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":"Implementierung der Rahmenpläne für die Pflegeausbildung – eine qualitative Studie zu förderlichen und hinderlichen Faktoren","authors":"Bärbel Wesselborg,&nbsp;Astrid Stephan,&nbsp;Patrick Frey,&nbsp;Christina Riewoldt,&nbsp;Gabriele Bartoszek,&nbsp;Silke Kuske,&nbsp;Regina Wiedemann","doi":"10.1016/j.zefq.2024.08.006","DOIUrl":"10.1016/j.zefq.2024.08.006","url":null,"abstract":"<div><h3>Background</h3><div>The reference frameworks that have been developed for the first time by the Specialist Committee in accordance with Sect. 53 of the German Nursing Professions Act follow a new didactic-curricular structure and are intended to support the nursing schools in creating their own curricular documents.</div></div><div><h3>Research question/objective</h3><div>The commissioned study investigated hindering and promoting factors in the implementation of reference frameworks at nursing schools.</div></div><div><h3>Methods</h3><div>Expert interviews (n = 16 pair interviews) were conducted with teachers responsible for curriculum development (n = 32) at nursing schools and analysed deductively using qualitative content analysis. Internal school curricula (n = 15) were subjected to a criteria-based document analysis. The results were used to establish implementation types based on the degree of completion of the curricula and the implementation of the new didactic-curricular structure.</div></div><div><h3>Results</h3><div>Four implementation types were identified: reform-oriented implementation, partially reform-oriented implementation, traditional implementation and lack of implementation. The key factors for a reform-oriented, successful implementation include the supportive behaviour of the school administration &amp; management, the acceptance of the novel vocational education &amp; training in nursing and the opportunity to take part in further trainings.</div></div><div><h3>Discussion</h3><div>The implementation types identified are largely characterized by the supportive behaviour of the school administration &amp; management as well as the acceptance and knowledge of the teaching staff. The opportunity to take part in further training courses in order to deal with the reformed vocational education and didactic-curricular recommendations is a central implementation factor.</div></div><div><h3>Conclusion</h3><div>All federal German states should set up funding programs for the didactic and curricular requirements for the new vocational education &amp; training in nursing in order to specifically promote the implementation of the reference frameworks.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146576","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":"Engaging with older people about digital technologies through nongovernmental organizations: A scoping review","authors":"Shuvarthi Bhattacharjee ,&nbsp;Abraham Kebede ,&nbsp;Moonika Raja ,&nbsp;Rada Sandic-Spaho ,&nbsp;Ingjerd Gåre Kymre ,&nbsp;Kathleen Galvin ,&nbsp;Lisbeth Uhrenfeldt","doi":"10.1016/j.zefq.2024.08.005","DOIUrl":"10.1016/j.zefq.2024.08.005","url":null,"abstract":"<div><h3>Introduction</h3><div>This scoping review investigates the extent and nature of existing evidence on the role of non-governmental organizations (NGOs) and related mechanisms of engagement and challenges in issues of caring for older persons through digital technologies. We map research and practice gaps, contributing factors and best practices in NGOs. The rising use of digital technology in health care and the role that NGOs have in supporting older people in this context is relevant to nurses and service development leaders, particularly in the context of a rapidly changing care in the 21^st century.</div></div><div><h3>Methods</h3><div>A three-stage systematic and comprehensive search strategy based on the JBI methodology for scoping reviews was employed across multiple databases and grey literature sources.</div></div><div><h3>Results</h3><div>In this review, 8,348 abstracts were retrieved. After deduplication, 7,099 titles and abstracts were reviewed. A total of 263 publications were selected for full-text review and 50 included for analysis. NGOs use digital tools to directly engage older adults in programs (e. g., information delivery) and indirectly to collaborate with other organizations (e.g., training programs) to promote digital inclusion. Factors such as individual capabilities, trust and access, technological factors (accessibility and user-friendliness of technology), and socio-cultural and system-wide factors affect how NGOs engage with older adults.</div></div><div><h3>Conclusion</h3><div>Our findings are summarized in the key domains: key organizations, mode of engagement, interorganizational process and digital technology are discussed and offer current insights into the varied engagement of NGOs with older people and its challenges concerning technology. Many interrelated factors, along with barriers and facilitators that influence older persons’ engagement with technology, have been identified.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146579","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}