Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Hemmende und fördernde Faktoren für die Integration akademischer Pflegerollen in die psychiatrische Versorgungspraxis: Teilergebnisse der AkaPP-Studie","authors":"Stefan Scheydt , André Nienaber , Martin Holzke","doi":"10.1016/j.zefq.2025.01.002","DOIUrl":"10.1016/j.zefq.2025.01.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The integration of academically qualified nurses into psychiatric care is crucial to the quality of patient care and the professional satisfaction of nurses. Despite its increasing importance and political demand, the integration of academic nursing roles into (psychiatric) care practice appears to be progressing slowly. This study therefore examines how academically qualified nurses who work in direct psychiatric nursing practice, practice development or nursing research perceive the integration of their academic nursing role into psychiatric care practice and which contextual factors promote or inhibit the integration of academic nursing roles into psychiatric nursing and care practice.</div></div><div><h3>Methods</h3><div>Data collection for the nationwide AkaPP study took place between August and November 2020 using a specially developed online questionnaire. The target population of the study was academically qualified nurses working in psychiatric settings (n = 185). The subgroup of academically qualified nurses working in direct psychiatric nursing practice, practice development or nursing research (n = 100) was analyzed as part of this sub-study. Data analysis was performed using descriptive statistical methods as well as appropriate statistical procedures to test the correlation between certain variables of role development or role integration and the rating of role integration (Chi-square test, Cramer’s <em>V</em>, Spearman’s rank correlation). Qualitative data (free text data) were analyzed using qualitative content analysis. Reporting was based on the STROBE checklist.</div></div><div><h3>Results</h3><div>Overall, role integration is rated as less successful (<em>MV</em> = 2.62; <em>SD</em> = 1.309). The results show that time resources for extended tasks (<em>V</em> = .554, <em>p</em> < .000) and for exchange and networking (<em>V</em> = .570, <em>p</em> < .001) correlate significantly with satisfaction with role integration. A specific description of tasks and activities (<em>V</em> = .522, <em>p</em> < .000) and for research activities (<em>V</em> = .453, <em>p</em> < .001) are also moderately to strongly associated with a positive assessment of role integration. On the other hand, induction concepts, trainee programs, and specific training courses do not show a strong statistical correlation with role integration. The use of systematic concepts such as the PEPPA framework was described by only a small group but tended to show a higher level of satisfaction. The main obstacles to successful role integration were lack of acceptance by members of one’s own discipline (68.2%) or lack of appropriate differentiation of tasks and activities (60.5%).</div></div><div><h3>Conclusion</h3><div>In order to successfully integrate academically qualified nurses into psychiatric nursing practice, nursing management, educational institutions, and policy makers should pay more attention to the provision of ","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 64-73"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Was sollten Trauerbegleitende über psychische Störungen wissen? Ergebnisse einer Delphi-Befragung von Expert:innen","authors":"Bettina K. Doering ,&nbsp;Christina Hanauer ,&nbsp;Berit Telaar ,&nbsp;Rita Rosner","doi":"10.1016/j.zefq.2024.12.010","DOIUrl":"10.1016/j.zefq.2024.12.010","url":null,"abstract":"<div><h3>Background</h3><div>Stepped-care approaches can improve the support for the bereaved. This requires the selection of interventions according to individual support needs. Grief counsellors are in a position to identify bereaved persons possibly suffering from a psychological disorder and to refer them to psychotherapeutic or medical treatment. However, it remains unclear what knowledge regarding psychological disorders and which skills grief counsellors need for this task.</div></div><div><h3>Method</h3><div>We conducted an online Delphi consensus study with 17 experts of grief counselling in three consecutive survey rounds. The first round qualitatively identified the required knowledge regarding psychological disorders and the respective skills. In the subsequent rounds, the experts rated the topics concerning their relevance, whether they should be part of a training curriculum and whether they are adequately considered in current curricula. Descriptive analyses were applied. Consensus was reached if at least 50 % of the experts rated a topic as rather relevant, and 80 % endorsed the topic for a training curriculum. Expert comments were used to generate recommendations that were evaluated for consensus.</div></div><div><h3>Results</h3><div>The qualitative analysis identified 39 topics, and 26 reached a consensus. Of these, six referred to “knowledge about grief”, five to “knowledge about psychological disorders”, and 15 to professional, interpersonal, and relationship and communication skills. Experts’ opinions on whether sufficient consideration is given to these topics in current curricula varied greatly between the topics.</div></div><div><h3>Discussion</h3><div>The experts reached a consensus regarding the areas of knowledge about psychological disorders and the specific skills to be taught. At the same time, there appears to be a high degree of heterogeneity between the various training and continuing education programmes with regard to imparting knowledge to identify the need for therapeutic support.</div></div><div><h3>Conclusion</h3><div>The present recommendations can be used to inform and optimise the content of training curricula for grief counsellors with regard to the identification of bereaved persons with increased therapeutic support needs.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Pages 93-101"},"PeriodicalIF":1.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aktive Mitgestaltung der allgemeinmedizinischen Forschung durch Patient*innen: Evaluation des HAFO.NRW-Patient*innenbeirats","authors":"Susanne Kersten ,&nbsp;Judith Tillmann ,&nbsp;Julia Hülsmann ,&nbsp;Natalie Seuken ,&nbsp;Achim Mortsiefer ,&nbsp;Christine Kersting","doi":"10.1016/j.zefq.2025.01.003","DOIUrl":"10.1016/j.zefq.2025.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Patient involvement is essential for relevant, feasible, and transparent research. In recent years, generic patient advisory boards (PAB) have been increasingly established in Germany to involve patients across different projects in primary care research. One of those PABs is localized at Witten/Herdecke University as part of the North-Rhine Westphalian General Practice Research Network (NRW-GPRN). This manuscript evaluates the impact of involving the NRW-GPRN PAB into research projects, the patients’ experiences with involvement activities, and conditions required for the work of the PAB.</div></div><div><h3>Methods</h3><div>The concept for the NRW-GPRN PAB was developed on the basis of the literature and expert discussions. PAB members were, inter alia, approached via local notices and directly by general practitioners. Since 2021 the PAB meetings have taken place twice a year and are evaluated using a short, written questionnaire. In addition, there is an oral feedback round and debriefings by the scientific coordinators. The scientists contributing their projects subsequently report on the changes that have been made due to the PABs’ contributions. The findings from the written and oral evaluations are discussed together after analysis in order to draw implications for possible adjustments to PAB activities.</div></div><div><h3>Results</h3><div>The NRW-GPRN PAB comprises eleven persons; seven of them are female and most are 50 years or older. So far, six meetings have taken place with an average of six participants, where the contents of eight different projects have been discussed. During all sessions, patients were at least involved as advisors. The contributions of the PAB led to changes in all projects. Based on 38 written evaluations, the majority of the PAB members (n = 29) thoroughly enjoyed the meetings. The research topics, the diverse perspectives and the appreciative interaction were highlighted as particularly positive aspects.</div></div><div><h3>Discussion</h3><div>The involvement activities are experienced positively by both PAB members and scientists. By reflecting on the meetings together, it was possible to adapt the structure of the PAB meetings to accommodate the members’ needs. This joint process may also have had a positive effect on their respectful cooperation.</div></div><div><h3>Conclusion</h3><div>Involving a generic PAB across projects is feasible. In the future, the impact of involvement activities on research processes will have to be examined even more closely. Also, there is a need to develop strategies to promote more diversity among PAB members.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 21-30"},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516805","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":"Pflege in Kinderaugen — eine qualitative Bildanalyse von Kinderzeichnungen","authors":"Tobias Mai ,&nbsp;Nicole Feldmann ,&nbsp;Jennifer Luboeinski ,&nbsp;Antje Tannen ,&nbsp;Andreas Kocks","doi":"10.1016/j.zefq.2024.12.009","DOIUrl":"10.1016/j.zefq.2024.12.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Traditional role models or scandalous reports revealing poor working conditions have left their mark on the nursing profession in Germany. In order to make nursing a more attractive profession to young people and to create a sense of professional pride for members of the nursing profession, we need to focus more on its positive aspects. Children with hospital experience were invited to participate in a painting competition to counter visual stereotypes. “Nursing through a child’s eyes” can provide a subjective view of the nursing profession based on individual experiences.</div></div><div><h3>Methods</h3><div>The pictures that children created during the painting competition were analysed qualitatively. The paintings were described and interpreted by independent peer groups in a four-step procedure.</div></div><div><h3>Results</h3><div>A total of 42 paintings from five university hospitals were included in the analysis. Paediatric specialties with a focus on surgery, oncology and internal medicine participated. The pictures showed typical nursing activities in the areas of communication, support, organisation, technology and basic needs. Nurses were portrayed as technically experienced and pleasantly reserved. In addition, symbols such as hearts, smileys or rainbows suggest associations with attention, emotional support or hope.</div></div><div><h3>Discussion</h3><div>Children with hospital experience painted a positive and modern professional image of the nursing role. In some pictures, the typical visual features allowing a clear assignment to the nursing profession are missing.</div></div><div><h3>Conclusion</h3><div>The stereotypes of the nursing profession should be replaced with a modern and realistic, counter-stereotypical narrative in the visual presentation. The perspective of children with hospital experience demonstrates that there are numerous, often invisible aspects that give reason to be proud of being a nurse.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Pages 26-35"},"PeriodicalIF":1.4,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426314","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":"Der KKS-Prüferkurs als Qualifizierungsmaßnahme hausärztlicher Praxen zur Teilnahme an klinischer Forschung: eine qualitative Studie mit Teilnehmenden aus dem Forschungspraxennetz SaxoForN","authors":"Anna-Maria von Oltersdorff-Kalettka ,&nbsp;Meike Gerber ,&nbsp;Jennifer Engler ,&nbsp;Karola Mergenthal ,&nbsp;Corina Güthlin ,&nbsp;Karen Voigt","doi":"10.1016/j.zefq.2024.12.011","DOIUrl":"10.1016/j.zefq.2024.12.011","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;With the aim of increasingly integrating research into outpatient care and ensuring its quality, the Dresden/Frankfurt am Main General Practice Research Network (SaxoForN, information at www.saxoforn.de) has been qualifying GP practice teams for research in outpatient care since the beginning of 2021. SaxoForN offers four qualification modules for this purpose, including the course for members of the investigator group in accordance with the German Medicines Act (AMG, investigator course) in order to be trained for participation in clinical trials and to be introduced to the principles of good clinical practice (GCP) so that they can work together on research projects. This course is implemented in SaxoForN through cooperation with the Coordination Centre for Clinical Studies Dresden (KKS-Dresden) (KKS examiner course). An evaluation was to be conducted to examine how well the qualification concept works for general practitioners (GPs) and medical assistants (MFAs) in the research practice network and how they perceive the KKS examiner course.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The evaluation of the PPS examiner course for GP practice teams was planned for September 2021 using a qualitative design. The research interests focused on the participants’ subjective experiences and opinions. Due to the potential vagueness and complexity of the remembered course experiences, a qualitative study design was chosen to enable a differentiated and explorative analysis of these impressions. For the survey, telephone-based, guided interviews with 11 narrative-generating, open questions were agreed upon by a team of several researchers being familiar with qualitative methods from the social and health care sciences. The interviews were analyzed using Mayring’s qualitative content analysis. The methodology was documented according to the COREQ checklist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of eight participants of the KKS examiner course were interviewed in October 2021 (n = 8, interview duration 15–20 min). The focus was on three central topics: (1) the quality of the content of the PPS examiner course, (2) the framework conditions in terms of time management and implementation, and (3) the suitability of the course for clinical trials and GP practices. In particular, the organization and interactive design of the KKS examiner courses were rated positively. However, the need for improvement was identified with regard to the accuracy of the training for GP practice teams: above all, the participants felt that the adaptation to the GP setting through instructions for the concrete implementation of studies in GP practices was lacking.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The integration of the KKS examiner course into the SaxoForN research practice network has worked well to cover the necessary GCP basics in the outpatient setting. However, there is a need for further development in the practical implementation of the qua","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 54-63"},"PeriodicalIF":1.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415706","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":"Reliability and validity of the German “Evidence-Based Practice Confidence (EPIC) Scale” for allied health professionals","authors":"Alexander Elser ,&nbsp;Moritz Scherer ,&nbsp;Maria Stadel ,&nbsp;Sven F. Garbade ,&nbsp;Gudrun Diermayr","doi":"10.1016/j.zefq.2024.12.006","DOIUrl":"10.1016/j.zefq.2024.12.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The Evidence-Based Practice Confidence (EPIC) Scale measures health professionals’ self-efficacy associated with evidence-based practice activities. The scale has been cross-culturally translated into German together with physical therapists. To support its use in German-speaking countries, the measurement properties of the scale need to be determined. Therefore, the primary objective of this study was to assess the measurement properties of the German EPIC scale. In a preparatory step, we aimed to evaluate the comprehensibility of the scale among German-speaking occupational therapists, speech and language therapists, and nurses.</div></div><div><h3>Methods</h3><div>First, semi-structured cognitive interviews were used to evaluate the comprehensibility of the EPIC scale. Second, a longitudinal online survey with repeated measures (baseline and retest survey) was conducted. The target group included physical therapists, occupational therapists, speech and language therapists, and nurses from Germany, Austria, and Switzerland. Reliability, responsiveness, and validity were evaluated using internal consistency, test-retest reliability, standard error of measurement, known-groups method, exploratory factor analysis and the minimal detectable change, respectively.</div></div><div><h3>Results</h3><div>Comprehensibility of the German EPIC scale was confirmed by eleven health care professionals (four occupational therapists, two speech and language therapists, five nurses). The baseline and the retest surveys were completed by 708 and 222 participants, respectively. The measure demonstrated an internal consistency of .930, with an intraclass correlation coefficient (ICC) for test-retest reliability of .936 (95% CI: .917 to .951). The standard error of measurement was 4.92, and the minimal detectable change at the 95% confidence level was 6.02. All hypotheses in the known-groups method were confirmed, and construct validity was acceptable. Factor analysis revealed two main factors affecting the results of the scale.</div></div><div><h3>Conclusion</h3><div>The findings provide evidence that supports the use of the German EPIC scale among health professionals. For instance, it can be used to evaluate self-efficacy during EBP training.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"193 ","pages":"Pages 1-7"},"PeriodicalIF":1.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415735","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":"Barriers to opioid substitution therapy in primary care: A survey among general practitioners in Germany","authors":"Benedikt Sonnek,&nbsp;Jan Koetsenruijter,&nbsp;Cornelia Straßner,&nbsp;Andreas C. Dreher,&nbsp;Michel Wensing,&nbsp;Simon Schwill","doi":"10.1016/j.zefq.2024.12.007","DOIUrl":"10.1016/j.zefq.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>Opioid substitution therapy (OST) is required for patients with opioid use disorder, but specialized addiction services do not reach all patients. General practitioners (GP) can fill this gap and provide a low-threshold, locally accessible offering for OST. This study aims to explore barriers that prevent GPs from offering OST.</div></div><div><h3>Methods</h3><div>In 2022, an online questionnaire with 31 items was sent to GPs in the federal state of Baden-Württemberg by e-mail. The items included demographic data, training and experience in addiction medicine, implementation of OST in practice and possible barriers and facilitators to OST in the primary care setting. The results were analysed using a quantitative and semi-qualitative approach.</div></div><div><h3>Results</h3><div>In total, 309 GPs participated (response rate = approx. 6.2 %). 26.2 % of participants had special training in addiction medicine (n = 81). 71.9 % of GPs with special training performed OST. 15.6 % of GPs without special training knew about reimbursement for and organization of OST (30/192). The barriers most frequently mentioned included: perceived lack of competencies, difficult patient clientele, and insufficient interdisciplinary communication. 22.4 % of GPs without training considered offering OST, provided that barriers are reduced.</div></div><div><h3>Conclusions</h3><div>GPs have little knowledge of OST but one out of four considers offering OST. Thus, low-threshold addiction medicine courses in medical training and in continuing medical education are required. Barriers, such as bureaucratic obstacles and knowledge deficits, need to be addressed to decrease the growing gap in the care for patients with opioid use disorder.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"194 ","pages":"Pages 48-53"},"PeriodicalIF":1.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415650","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":"Live-in-Versorgung in Deutschland: eine qualitative Inhaltsanalyse gesellschaftlicher und politischer Diskurse","authors":"Adele Grenz ,&nbsp;Mark Schweda ,&nbsp;Milena von Kutzleben","doi":"10.1016/j.zefq.2024.10.007","DOIUrl":"10.1016/j.zefq.2024.10.007","url":null,"abstract":"<div><h3>Background</h3><div>In Germany, Eastern European live-in carers are filling a gap in home-based long-term care for older persons. As a care reality fraught with diverse problems, live-in care is an unregulated care format bordering between formal and informal structures and has so far received little attention from health services research. The aim of the qualitative study described here was to analyze the current discourses among stakeholders from care practice, politics, and associations, as well as the arguments contained therein regarding the status quo and future of live-in care.</div></div><div><h3>Methods</h3><div>We analyzed 22 online available documents from stakeholders, such as statements and contributions to the discussion, as well as ten expert interviews. Within the scope of a qualitative content analysis, triangulation of the two data corpora was conducted. Using a deductive-inductively developed system of categories, viewpoints and arguments were analyzed on this basis.</div></div><div><h3>Results</h3><div>Three arguments regarding the future regulation of live-in care were identified in current socio-political discourses: 1) Maintain: professionalization of live-in care, 2) Supplement: integrating live-in care into the care mix, 3) Abolish: alternatives to the live-in care model. Despite different perspectives regarding the implementation of live-in care in the long-term care system, there is consensus that political measures must move beyond purely legal solutions. Regulation of framework conditions, mediation, and care practices is necessary.</div></div><div><h3>Discussion and Conclusion</h3><div>Regarding the future design of live-in care, particular emphasis is placed on adjusted financial incentives, professionalized live-in and live-out services, as well as the organization and promotion of informal care networks and collaborations with formal providers like outpatient services as key levers. In a broader discourse on the regulation of live-in care, it should be clarified how requirements for quality-assured long-term care can be applied, taking into account the needs of care arrangements.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"192 ","pages":"Pages 57-65"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915915","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":"Dank an die Gutachter*innen des Jahres 2024","authors":"","doi":"10.1016/j.zefq.2024.12.002","DOIUrl":"10.1016/j.zefq.2024.12.002","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"192 ","pages":"Pages 94-96"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436949","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":"Planetary Health Diet in einer Klinikumscafeteria: Steigerung der Mitarbeitendenzufriedenheit und Reduktion von Treibhausgasemissionen und Kosten","authors":"Laura Harrison ,&nbsp;Emma Reynolds ,&nbsp;Claudia Quitmann ,&nbsp;Luisa Till ,&nbsp;Bernd Franke ,&nbsp;Christin Zeitz ,&nbsp;Ina Danquah ,&nbsp;Alina Herrmann","doi":"10.1016/j.zefq.2024.12.003","DOIUrl":"10.1016/j.zefq.2024.12.003","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;In order to ensure a healthy diet for the world’s population within planetary boundaries, the EAT-Lancet Commission has made recommendations for a “Planetary Health Diet” (PHD). Due to the special responsibility of the health sector for healthy living conditions, offering food provision in line with the Planetary Health Diet is a sensible thing to do for health facilities. With this in mind, we evaluated the acceptance, costs and reduction of greenhouse gas (GHG) emissions through a correspondingly modified food offer in the cafeteria of a large university hospital.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;For three months, a lunch menu adapted to the recommendations of the PHD and information material on sustainable nutrition were offered in the hospital cafeteria. Customers in this cafeteria (intervention group) and in all other hospital cafeterias (control group) completed a questionnaire before (from 12/2022 to 01/2023) and after (from 03/2023 to 04/2023) the intervention period. In this questionnaire, customers were asked how satisfied they were with the sustainable food offer using German school grades (from 1 to 6). We calculated the difference-in-differences (DID), 95% confidence intervals (CIs) and &lt;em&gt;p&lt;/em&gt;-values for the school grades. Open-ended questions were used to learn about customers’ perception of health and sustainability aspects of the food supply and written feedback analysed qualitatively. We conducted a bottom-up analysis of the greenhouse gas emissions of the different lunch menu lines based on the main ingredients of the dishes and calculated cost differences between the vegan menu line and the conventional menu lines based on food costs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In the intervention group, the ratings for the sustainability, health, diversity, and flavour of the food on offer improved significantly compared to the control group. The composition of the food (e. g., proportion of meat or vegetables), the product selection (regional, seasonal, organic) and the amount of waste produced were important to the employees when rating the sustainability and healthiness of the food. In the intervention cafeteria, GHG emissions fell by 27 % from 26.2 tonnes to 20.5 tonnes of GHG emissions (saving 5.6 tonnes of GHG emissions) in the second half of the intervention period compared to the previous year, despite a higher number of orders. During the entire intervention period, the intervention group saved about € 4,000 on ingredients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Due to the robust quasi-experimental study design and in combination with the qualitative results, this study provides initial evidence that a PHD-oriented food offer can increase food-related employee satisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Switching to sustainable food supply at hospitals is to be recommended due to its cost-effectiveness, positive feedback from employees and the reduction of GHG emissions.&lt;/div","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"192 ","pages":"Pages 77-87"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075855","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}