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Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Promoting First Relationships (PFR) is an evidence‐based home‐visiting program for caregivers and their children from birth to age 5 years. It focuses on caregiver–child interaction, attachment, and relationship quality using video feedback of unedited recordings to elicit reflection and provide positive feedback linked to knowledge development. This paper provides a brief history of PFR and reports on a qualitative study of 222 caregivers’ comments about their PFR experiences following participation in one of four randomized controlled trials conducted over the past decade in the United States (two studies within child welfare setting, one study with Native American families, and one study with Spanish and English‐speaking mothers), using a thematic analysis approach to code excerpts from written satisfaction surveys and oral satisfaction interviews. Caregivers’ comments about PFR were positive and were classified into four major thematic areas: a caring, trusting relationship with the provider; enthusiastic program endorsement; improved relationship with their child; and reports of their personal growth and development. The qualitative results align with the key components of the PFR program and confirm aspects of the PFR theory of change model. [ABSTRACT FROM AUTHOR]

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Copyright of HMD: Praxis der Wirtschaftsinformatik is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Unternehmung: Swiss Journal of Business Research & Practice is the property of Nomos Verlagsgesellschaft mbH & Co. KG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Educatia 21 is the property of Babes-Bolyai University, Faculty of Psychology & Educational Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Psychosomatische Medizin und Psychotherapie is the property of Vandenhoeck & Ruprecht GmbH & Co. KG and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: A good 30 years ago general medicine fought for the status of a separate specialty against extensive resistance. Characteristic for the previous state of the "lessness syndrome" was, among other things, that there was no separate terminology, no defined territorial boundaries and no academic tradition in the old federal states of the Federal Republic of Germany (FRG). The aim of the present analysis was to present hypotheses for the development of the specialist in general medicine in Germany as an essential step out of the "lessness". Methods: General practitioners from the former German Democratic Republic (GDR) and the FRG were interviewed on the development of the specialist in general medicine using a partially standardized interview guide. The interviews were analyzed deductively and inductively according to Mayring. Results: In total, interviews were conducted with 28 participants. The average age of the participants was 75 years (minimum 50 years, maximum 91 years), 18% were female and 64% originally worked in the FRG. The participants saw, among other things, the blurred boundaries to other fields,which characterized the cooperation with specialists at that time and the lack of acceptance of the independence of the discipline as inhibiting factors in the development of a separate field. An accompanying symptom of this situation was the lack of and slow progress in establishing the discipline at universities. There was an important influence of the general practitioners qualified in the GDR for the introduction of an all-German specialist in general medicine. Conclusion: The specialist status for general medicine has been influenced by the self-image for the discipline in the former GDR. The development in the areas of optimization of further training and in research, which continues to this day, ensures that the field of general medicine can develop with increasing self-confidence. [ABSTRACT FROM AUTHOR]

Copyright of Educatia 21 is the property of Babes-Bolyai University, Faculty of Psychology & Educational Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

New technologies, for example, telerehabilitation (TR) tools, can support physiotherapists’ work. Even though studies have demonstrated their potential, TR is not yet fully implemented in Austrian outpatient physiotherapy. As a result of the Coronavirus pandemic and the associated lockdowns, physiotherapists in Austria were confronted with the challenge of offering therapies without physical contact. This study aims to investigate opinions and experiences of physiotherapists in Austria regarding TR and its implementation in different clinical fields.

Copyright of Zeitschrift für Gerontologie und Geriatrie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Schmerz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: 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., Methods: 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., Results: 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., Discussion and Conclusion: 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., (Copyright © 2024. Published by Elsevier GmbH.)

The dual competence profile: A support of collaboration between practice and science. A qualitative descriptive study Abstract: Background: To ensure orientation towards needs existing in the realm of practice, the dual competence profile is mandatory at universities of applied sciences (UAS): in addition to academic qualifications, entrenchment in professional practice is demanded. However, it is unclear how needs, attitudes, and expectation of clinical practice regarding the interface between UAS and practice looks like. Thus, it is necessary to shed light on the cross-institutional and cross-divisional cooperation as well as on its participants. Aim: This article shows what needs and attitudes people from clinical practice have with regard to cooperation with the UAS and what they expect from persons with a dual competence profile. Methods: Guided individual and focus group interviews with 24 selected representatives from acute, rehabilitation and geriatric care institutions took place. The interviews address the following five block themes: "current state", "need for change", "areas for action", "needs" and "sustainability". Results: Practice institutions demonstrated a clear need for networking and knowledge circulation with the UAS, with a bilateral influence of four subcategories: overall goal, staff development, resources and general regulations. Conclusions: Persons with dual competency profiles provide a valid way for interconnecting higher education and practice institutions in a concrete manner. Their complex work environments require meaningful frameworks, shared goals, and the inclusion of key stakeholders.

Nursing prioritization and rationing decisions in acute care hospitals during the Covid-19 pandemic: a qualitative study Abstract: Background: The Covid-19 pandemic has put decisions regarding prioritization and rationing of care resources on the health policy agenda. The effects on the allocation of nursing resources in clinical practice are unclear. Aim: In order to derive implications for future pandemic situations, we analyzed the extent to which decisions were made about the distribution of resources in acute inpatient care and how bottlenecks were dealt with. Methods: We conducted semi-structured interviews with nursing staff (n = 16) and nursing team leaders (n = 10) in five acute-care clinics in Germany and analyzed them inductively using thematic framework analysis. Results: In acute inpatient care under pandemic conditions, prioritization and rationing decisions were made, such as the postponement or reduction of nursing measures, in order to overcome pandemic-specific challenges. These decisions affected certain patient groups and certain near- and distant-patient services, in particular fundamental care measures, such as support with personal hygiene and nutrition, as well as access to acute inpatient care. The decisions were made implicitly rather than according to evidence-based criteria. Conclusions: Nursing prioritization and rationing decisions were made during the pandemic. These decisions are similar to comparable decisions outside of the pandemic, particularly in terms of insufficient evidence base, and emphasize the need for empirically based decision criteria.

Background The digitalization of vaccination management is intended to increase vaccination rates. Part of the digitization strategy is the use of an electronic vaccination card (EVC), which has been available to people with statutory health insurance in Germany since 01.01.2022. The study aimed to find out how the planned concept of the EVC can be improved following assessments from various doctors and medical assistants that use the system. Methods In a qualitative study design, guided interviews were conducted with practicing physicians from the fields of general (n = 4) and pediatrics and adolescent medicine (n = 3) as well as with medical assistants (n = 4). The evaluation was carried out qualitatively by content analysis according to Mayring. Results The respondents have a fundamentally positive view of the introduction of the EVC. They hope for a better overview, constant availability, and simplified exchange of data. Above all, the transfer of vaccination data from the analogue to the digital vaccination card, including the functionality of the telematics infrastructure interface, pose challenges. The respondents would like to see further functions added, such as a reminder function, the possibility of transmitting the vaccination data to a surveillance system and information on available vaccines. The respondents assume a predominantly positive reaction from their patients but consider good education to be necessary in order to achieve widespread use of the EVC. Conclusions The practice teams assume that the introduction of the EVC will initially lead to additional work. In the long term, they hope for positive changes (workload reduction, time savings or error minimization). So far, the EVC does not seem to have arrived in practice; to what extent this will happen remains to be seen. [ABSTRACT FROM AUTHOR]

Copyright of HMD: Praxis der Wirtschaftsinformatik is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

For the first time in educational research, this article explores the use of advice media by early childhood educators. The results of the qualitative study show reasons for use related directly to the individual, such as the desire for self-reflection, for inspiration and stimuli, for refreshing their own knowledge, but also the search for confirmation and affirmation. In addition, conditions in the everyday work life became clear, which promote the use of advice media, among them the necessity of a layman understandable knowledge transfer to parents and in the work with parents. With regard to the specific quality of the advice medium, its comprehensibility and the practical examples it contains were particularly important for the early childhood educators. The contents of the used advice offerings are manifold. In regard to the media formats, books and practical journals were frequently used by the interviewed professionals. [ABSTRACT FROM AUTHOR]

For older people, poor balance and strength as well as environmental hazards are a major risk factor for falls. A lifestyle-integrated home-based physical exercise training and home modification intervention were developed for older people at risk of falling.

Background The rural doctor quota ("Landarztquote") for medical studies was introduced in Rhineland-Palatinate in winter 2020/2021. The quota intends to ensure and improve FP care in rural regions in the future. Since autumn 2020, 39 students have started their medical studies at the University Medical Center of the Johannes Gutenberg University Mainz via the rural doctor quota. The aim of this study was to examine in more detail what the students' ideas and expectations are with regard to their studies and future work as rural doctors. Methods In 2021 we conducted 20 guideline-based individual interviews by video or telephone with students who obtained a study place via the rural doctor quota. We did a qualitative content analysis according to Mayring. Results In general, students expect a strong link between theoretical and practical content from the very beginning of their studies. It is important for students to gain an early insight into the daily practice of family doctors. In addition, they also asked for specific preparatory courses or support services regarding setting up a practice, as well as business management aspects of running a practice. At the beginning of their work as specialists, however, most students would prefer to work in a joint practice, as they consider the challenges of setting up their own practice to be very high. Conclusions In addition to the teaching of practice-oriented medical expertise and the expansion of practice days, it will also be important in the future to offer courses on practice management to take away students' fear of setting up a practice. The teaching content of the accompanying program should be increasingly oriented to the students' previous professional experience. [ABSTRACT FROM AUTHOR]

Family medicine can be strengthened by networking with other service providers, especially in an aging population. The aim of this qualitative study was to explore attitudes towards cooperation, the role of information exchange and considerations regarding financial reimbursement from different provider perspectives. Methods A qualitative study design was used. Family physicians, their representatives, experienced managers of outpatient nursing services and welfare organizations in Lower Saxony and North Rhine-Westphalia were interviewed. The focus of the interviews were about attitudes towards cooperation, importance of the exchange of information and appropriate financial reimbursement. The collected data was evaluated using qualitative content analysis. Results 39 people took part in the study. Each of the participants stated that cooperation was important for patient care. Moreover, the participants expressed the desire for appreciation and a permanent contact person to provide continuity of patient care. Furthermore, financial reimbursement seems to be important for good cooperation. Family physicians and outpatient nursing services wished an extra payment for the cooperation. Conclusions The stakeholders and those directly involved in care emphasize that cooperation and the mutual exchange of information in the treatment process represent an essential, care-relevant aspect, especially for special patient groups. However, financial reimbursement of cooperation, relevant for patient care remains to be determined. [ABSTRACT FROM AUTHOR]

Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The number of patients depending on long-term invasive mechanical ventilation (IMV) has been increasing for several years. Anecdotal reports indicate heterogeneous health structures, opaque patient pathways, nontransparent and sometimes questionable practices in individual areas of care, inadequate quality standards and control mechanisms in Germany. However, there is hardly any empirical data on this topic.

Background: Coding diagnoses is part of a physician's daily routine. Good coding quality has several functions; it is, for example, the basis for the remuneration of contract doctors. In the field of general medicine, this process can, however, pose a particular challenge, as diagnoses are naturally more often excluded than made. In addition, the process of diagnosing informs treatment., Methods: 23 semi-structured interviews were conducted with general practitioners from Schleswig-Holstein. The interviews were recorded with a dictaphone, pseudonymized, transcribed and then analyzed by content analysis according to Mayring., Results: 87 % (N = 20) of the participants were male, the mean age was 57 years, and the mean duration of work experience was 23 years. The ICD-10 (International Classification of Diseases) coding system was often criticized for not representing general medical practice and placing an increased administrative and time burden on physicians. At the same time, diagnostic pressure from external economic interests was perceived. Specifications of practice management systems or their additional programming options were used, among other things, to search for a code. Particular challenges arose in this context, e.g., complex clinical pictures and lack of time. Prescriptions without indication, among other things, have been made at the request of patients, due to a lack of time and concerns about doctor switching. In these cases, a diagnosis in the ICD-10 code that justified the therapy was sometimes used., Conclusions: The path leading from clinical findings to therapy and finally to the appropriate diagnostic code is a complex one, and it involves various influencing factors, including non-medical factors. These influencing factors must be taken into account in future secondary data analyses. The ICD-10 is not the ideal choice for mapping these processes in general medicine., (Copyright © 2024. Published by Elsevier GmbH.)

Background: Against the background of inadequate healthcare provision for children and adolescents with post-COVID-19 syndrome (PCS), a model project was initiated in Bavaria (PoCoKiBa: Post-COVID Kids Bavaria), offering specialized diagnostics and care. The aim of this study was to explore and describe the experiences and satisfaction of children and adolescents with PCS, as well as their parents, with the healthcare provided in the model project., Methods: From October to December 2022, seven focus group discussions were conducted via video conference or in person with a total of 32 participants (19 children/adolescents, twelve mothers, one father). These represented 28 children and adolescents affected by PCS (aged 7 to 17 years). The focus group discussions were recorded, transcribed and analysed using qualitative content analysis., Results: Study participants talked about their experiences with the care they received within and beyond the model project, continuity of care, communication between doctors and patients, patient information, and the accompanying study. At the sites of the model project, patients found physicians who spent more time with their patients and took them seriously. Following diagnosis, some patients have benefited from recommendations for therapeutic services or everyday behaviours, while others complained about a lack of treatment suggestions or support for dealing with PCS in their everyday life., Discussion: The experiences of study participants with the medical care of their PCS symptoms within or beyond the model project mirror the well-known challenges of healthcare provision. There is considerable room for improvement in the care of children and adolescents with PCS, particularly in the organization of the complex diagnostic process, which involves several organ systems, and in the provision of targeted information to patients and families affected., Conclusion: The supply of healthcare services, as established and offered in the PoCoKiBa model project, is crucial for families with a child affected by PCS, since it can offer expertise in diagnosis and treatment that is currently not available in routine health care., (Copyright © 2024. Published by Elsevier GmbH.)

Background: To investigate patients' perspective on case management in a behaviour therapy-oriented, psychoeducational intervention („Patient Activation foR Anxiety DIsordErS/Paradies") for patients with panic disorder with/without agoraphobia in family practice. Methods: 16 patients of the intervention group (87,5% female, mean age: 44,3 years) from 12 practices with panic disorder with/without agoraphobia (ICD-10: F41.0, F40.01) were interviewed using a semi-structured interview guide. The interviews were transcribed and analysed qualitatively using content analysis according to Mayring. Results: The local offer of treatment for panic disorder by the familiar practice team was positively received by the participants and led to a closer relationship between participants and practice teams. The structured monitoring calls of the medical assistant (MFA) as case manager were felt as support and motivation for self-management. They helped patients overcome phases of demotivation and provided an opportunity for self-reflection on the treatment. Conclusions: This case manager-supported treatment programme for panic disorder in family practices was positively evaluated by the patients. The support by the practice team can contribute to higher patient satisfaction, better compliance and a closer relationship with the practice team. [ABSTRACT FROM AUTHOR]

Background In this paper, we investigated which aspects had influenced the involvement of Health Care Assistants (HCAs) in the coordination and recruitment of a clinical study for the implementation of an online self-management program for patients with asthma in primary care practices. Methods In eleven family practices, the person (HCA or physician) who, according to the cooperation agreement, had taken over the local study coordination, was invited to participate in a semistructured interview. The evaluation was carried out with a summarizing content analysis. Results According to the cooperation agreement, HCAs took on the coordination function in four and doctors in seven practices; in at least two other practices, however, HCAs took on essential coordination functions. Important reasons for doctors to take over the coordination themselves were the routine workload of HCAs, part-time employment or concerns about the development of internal competition. With regard to addressing possible study participants, doctors saw better chances of success in themselves because of their authority. A reward for the HCAs was seen as desirable. Conclusions In the accompanying study, the doctors were often reluctant to pass on important functions to the HCA. The successful integration of HCAs in clinical trials appears to be a complex task that requires a respectful and trusting cooperation between the participants that grows over time. [ABSTRACT FROM AUTHOR]

In diesem 2. Teil wird das Thema Forschung im Rahmen der Osteopathie besprochen. Die Grundmotivation für Forschung ist neben anderen Motiven häufig eine „innere Frage". Historische Forschung über den Begründer der Osteopathie A.T. Still bildet die Grundlage für die notwendige Definition der Osteopathie. Dabei gilt es, das osteopathische Welt- und Menschenbild ebenso zu klären wie das eigene Verständnis für Krankheit, Heilung und Gesundheit. Zur Klärung offener Fragen können im transdisziplinären Setting verschiedenste Disziplinen beitragen. Ein besonderes Augenmerk möge dabei immer auf der osteopathischen Philosophie liegen. Die Eignung üblicher quantitativer Forschungsmethoden gilt es kritisch zu evaluieren und ggf. anzupassen. Unter anderem bedarf es wahrscheinlich einer Ergänzung mit qualitativen Methoden im Rahmen eines Mixed-Methods-Designs. Die qualitative Forschung hingegen erscheint als eine besonders geeignete Methode, durch die das umfangreiche Begreifen der Osteopathie und des Individuums möglich sein könnte. Unter anderem zeigt das „Unbekannte und Unerkennbare des Menschseins" den Bedarf neuer Messmethoden auf, die es für die Osteopathie zu entwickeln gilt. In this second part, the topic of research in the context of osteopathy is being discussed. The basic motivation for research, among other motives, is often an "inner question". Historical research about the founder of osteopathy A.T. Still forms the basis for the needed definition of osteopathy. Thus, it is necessary to clarify the osteopathic view of the world and the human being as well as the own understanding of illness, healing and health. A wide variety of disciplines can contribute to the clarification of open questions in a transdisciplinary setting. Special attention should always be paid to the osteopathic philosophy. The suitability of usual quantitative research methods should be critically evaluated and adapted if necessary. Among others, a complementation with qualitative methods in the context of a mixed-methods design is probably necessary. Qualitative research, on the other hand, seems to be a particularly suitable method by way of which the comprehensive understanding of osteopathy and the individual might be possible. Moreover the "unknown and unknowable of being human" points to the need for new methods of measurement to be developed for osteopathy. [ABSTRACT FROM AUTHOR]

The term ‘household’ in subject titles of study and teaching subjects repeatedly gives rise to discourse. The subject-specific and subject-didactic analyses, as well as the results of a qualitative teacher survey in Austria, illustrate the complexity of the household as a basic place of living and thus the claim of a basic household-related education. [ABSTRACT FROM AUTHOR]

Copyright of HMD: Praxis der Wirtschaftsinformatik is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)