Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Testimonial: Leben mit einer Seltenen Erkrankung: suchen, kämpfen, hoffen","authors":"Michael Scholz, Christine Mundlos, 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":"189 ","pages":"Pages 64-65"},"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":"189 ","pages":"Pages 55-62"},"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":"Methodological approaches for generating robust evidence from trials in rare diseases","authors":"Ralf-Dieter Hilgers ,&nbsp;Nicole Heussen","doi":"10.1016/j.zefq.2024.07.006","DOIUrl":"10.1016/j.zefq.2024.07.006","url":null,"abstract":"<div><div>Generating scientific evidence from clinical trials for the treatment of rare diseases is associated with particular challenges. Standard clinical trial methodology is hardly ever appropriate in the rare disease setting, so innovative approaches need to be developed, evaluated and established. Among the various innovative methodologies introduced two approaches are discussed in more detail: the influence of randomised treatment allocation and the integration of external control information, both with respect to the level of evidence. The evaluation of the impact of randomised treatment allocation is guided by a structured approach which can be used to inform the design in the planning phase of a trial and select an appropriate randomisation procedure. Moreover, after the conduct of the trial the magnitude of actual bias can be estimated, and both a bias-adjusted treatment effect and a bias-adjusted test can be derived to put the level of reachable evidence into context. Adding external control data to randomised clinical trials appears charming with respect to small numbers of available patients but raises the question of how this can be achieved without compromising on the quality of evidence. One approach that seems promising in this respect is to check after a determined proportion of the total sample size whether the addition of external control data appears justified without compromising the pre-specified level of evidence. New approaches need to be accepted by all stakeholders. Their strengths and weaknesses in terms of reachable evidence need to be evaluated and presented in a such a way that they are comprehensible for patients, clinicians, industry, regulatory and HTA bodies.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"189 ","pages":"Pages 66-72"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358649","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":"189 ","pages":"Pages 43-49"},"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":"189 ","pages":"Pages 4-14"},"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}

{"title":"„Der Reha-Gedanke muss bei dieser Erkrankung völlig neu gedacht werden“ – Qualitative Ergebnisse einer Online-Befragung zu Erfahrungen Betroffener mit stationärer Rehabilitation bei Long/Post-COVID","authors":"","doi":"10.1016/j.zefq.2024.05.007","DOIUrl":"10.1016/j.zefq.2024.05.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;In Germany, an estimated number of 70,000 people diagnosed with long COVID or post-COVID syndrome (PCS) had received inpatient medical rehabilitation by the end of 2022. Due to the heterogeneity of the clinical picture, the variability of interventions and inconsistent endpoints, previous studies on the effectiveness of rehabilitation are of limited value. It therefore remains unclear whether and to what extent rehabilitation measures established for, e.g., pulmonary, cardiovascular, or neurological diseases are suitable for patients with PCS.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To identify the experiences and perspectives of those affected by PCS, in relation to inpatient rehabilitation and to describe patients’ values and wishes with respect to evidence-based medicine.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;In January/February 2023, the German initiative “Long COVID Deutschland” conducted a retrospective online survey (39 closed items, two open answer fields) among adult PCS sufferers on their experiences with inpatient rehabilitation. Recruitment was carried out via social media and websites of patient initiatives. The open answers were analyzed using a structuring and summarizing qualitative content analysis according to Mayring, supplemented by descriptive representations of the distribution of standardized information.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Of 1,191 participants in the survey, 733 used open response formats to additionally explain their experiences and the effects of individual measures on their general condition. 366 (50&lt;!--&gt; &lt;!--&gt;%) reported that their state of health deteriorated, mainly because of strength or endurance training and too extensive treatment plans. The presence of a post-exertional malaise (PEM) or its insufficient consideration during rehabilitation was described as the main barrier. Recognition and acceptance of individual performance limits, flexible and coordinated individual treatment plans tailored to the patient’s limitations, and support in coping with the disease were described as supportive factors. From the participants’ perspective, learning strategies to avoid deterioration in their state of health due to overexertion, the so-called pacing, should be the core treatment goal for patients affected by PEM.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;p&gt;The results are not statistically representative but ensure systematic insights into the subjective perspectives of those affected, the consideration of which represents one of the three principles of evidence-based medicine. The results show that for PCS patients with PEM, even minimum requirements for rehabilitation measures can lead to overexertion and aggravation.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;Common subject-specific rehabilitation concepts appear to be only partially suitable for dealing with the symptoms and the heterogeneity of the disease. Aims and interventions should be individually adapted, and the focus should be on pacing, d","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 14-25"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000928/pdfft?md5=aa747b95029cb5ae50ccaf6cc146f342&pid=1-s2.0-S1865921724000928-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(24)00139-9","DOIUrl":"10.1016/S1865-9217(24)00139-9","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages iv-v"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001399/pdfft?md5=d012d69ff8cefbf318fd6bd851aafdf1&pid=1-s2.0-S1865921724001399-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998162","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":"Unerfüllte Behandlungswünsche jüngerer und älterer Menschen in sozial deprivierten Räumen: eine qualitative Interviewstudie im Ruhrgebiet","authors":"Sarah Heidenreiter,&nbsp;Michael Lauerer,&nbsp;Eckhard Nagel","doi":"10.1016/j.zefq.2024.06.001","DOIUrl":"10.1016/j.zefq.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Unmet health care needs are considered a key indicator of equity in access to health care. For younger people, they can lead to poorer health outcomes in adulthood, for older people, they are associated with an increased risk of mortality. Unmet needs were therefore investigated as part of a research project on „Improving the health-related life situation of young and old people in the Ruhr area.“</p></div><div><h3>Method</h3><p>Unmet health care needs were surveyed with the help of semi-structured guideline interviews with younger and older people in the Ruhr area (n<!--> <!-->=<!--> <!-->29). Due to the spatial and social structure of the study region, the aim was to recruit especially people with a low subjective social status (SSS) for the study. The interviews were recorded, transcribed, and subjected to a qualitative content analysis and a supplementary frequency analysis. The reporting is based on the Standards for Qualitative Research (SRQR).</p></div><div><h3>Results</h3><p>The respondents reported deficiencies in treatment and doctor-patient communication with GPs and specialists. The feeling of not being taken seriously due to age is cited several times by both age groups as a reason for unmet health care needs. Waiting times are particularly relevant in the case of specialist consultations, while co-payments for services mainly play a role in dentistry and orthodontics. Unmet needs are primarily reported by people with a medium SSS. Overall, almost two thirds of the respondents stated that they have or have had at least one unmet need. Participants with a low SSS report fewer unmet needs and do not mention any financial aspects as a cause. Explanations for this range from lower health literacy to the fear of being discredited.</p></div><div><h3>Conclusions</h3><p>The results provide indications of deficits in regional health care provision for younger and older people in the Ruhr region. Corresponding fields of action result from the areas of care and reasons identified as relevant for unmet health care needs. The reported findings also provide a basis for differentiated quantitative surveys with representative samples.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 87-94"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001132/pdfft?md5=cd273cd440f0ab4b1d1feb193beaf9c3&pid=1-s2.0-S1865921724001132-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634954","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":"Stakeholders’ perspectives on patient involvement in systematic reviews – Results of a World Café in Germany","authors":"Stefanie Pfisterer-Heise ,&nbsp;Claire Iannizzi ,&nbsp;Sarah Messer ,&nbsp;Annika Oeser ,&nbsp;Ulrike Holtkamp ,&nbsp;Charlotte M. Kugler","doi":"10.1016/j.zefq.2024.06.003","DOIUrl":"10.1016/j.zefq.2024.06.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Patient involvement (PI) in systematic reviews (SRs) can help to improve the quality of SRs and enhance the credibility of the research process. At the same time, PI in SRs poses challenges such as the need for extra time. While several organizations and working groups from English-speaking countries provide recommendations for PI in SRs, there is a lack of current insights from stakeholders in Germany, including researchers and patients. Eliciting their perspectives is indicated, as PI in SRs in Germany might differ due to language barriers and organizational dissimilarities. For sharing and discussing stakeholders’ experiences in Germany, a workshop was facilitated. This paper summarizes the results of the workshop to elucidate stakeholders’ perspectives on key aspects of PI in SRs in Germany.</p></div><div><h3>Methods</h3><p>A World Café was conducted at the 2023 conference of the Network for Evidence-based Medicine. Participants at all levels of experience could take part without prior registration. The data obtained was summarized narratively in an iterative process, and a framework of the topics discussed was developed.</p></div><div><h3>Results</h3><p>22 participants, predominantly researchers, took part. Participants formulated several general conditions for PI in SRs such as time and transparency. The majority of the tasks described referred to the application phase and the initial phase of a SR. The development of training and information materials in plain German language was deemed essential. The application phase of an externally funded SR and patient recruitment were considered as particularly challenging.</p></div><div><h3>Discussion</h3><p>Several of the formulated aspects such as time and transparency are consistent with earlier work. The project start of a SR, however, has so far not been explicitly described in the literature as being of particular importance. This phase might be even more crucial to SR projects in Germany since researchers are expected to develop information materials for patients. Both the application phase and patient recruitment could be considered particularly challenging due to a lower degree of organisation of PI in Germany.</p></div><div><h3>Conclusion</h3><p>World Café participants described many aspects referring to the project start of a SR. This underlines that PI in SRs needs to be described as a process. A process model intertwining the phases of a SR with the respective phases of PI, ideally including best practices for each phase, could be of great value. With respect to the specific context in Germany, a greater degree of organization of PI, i.<!--> <!-->e. coordinated by an institution, could help to manage challenges such as patient recruitment.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 26-34"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001156/pdfft?md5=11c94b2cd7843dc0631effabe158711f&pid=1-s2.0-S1865921724001156-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753097","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":"World views on shortage in nursing resource: Challenges and opportunities","authors":"","doi":"10.1016/j.zefq.2024.05.009","DOIUrl":"10.1016/j.zefq.2024.05.009","url":null,"abstract":"<div><h3>Background</h3><p>Shortage in nursing resource results from the combination of a lack of nurses, an increased patient volume and workload, and other factors. This seems to be a worldwide phenomenon, leading to multiple health care related challenges and a decreased quality of care, but is different in extent in high- vs. low-income countries. An international perspective can alleviate challenges to keep our patients safe through increasing our health workers' safety.</p></div><div><h3>Purpose &amp; Method</h3><p>To exchange experiences with the shortage in nursing resource globally, an international online conference event was hosted. Speakers from Germany, the Philippines, Poland, Tanzania, the United Kingdom and the United States presented their national challenges and strategies to deal with this phenomenon.</p></div><div><h3>Results</h3><p>Conference presentations included information about the health care systems, comparable numbers of hospital beds, nurses, and nursing education. Speakers reported challenges such as an imbalance between a high nurse vacancy rate and demands, but also war and refugees, high human immunodeficiency virus (HIV) and other infection rates, or nurses’ migration to other countries; the solutions reported included buy-in from other countries, nurses-attracting projects such as Magnet hospitals, improved job opportunities like higher wages, career prospects, or improved education, and others.</p></div><div><h3>Conclusions</h3><p>Shortage in nursing resource seems to be a global phenomenon. Nursing managers and researchers should exchange and communicate challenges and solutions continuously and cooperate globally.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 35-40"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001120/pdfft?md5=011afa377d10f7bc5e2803375ffd64d8&pid=1-s2.0-S1865921724001120-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451916","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}