首页 > 最新文献

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

英文 中文
Inhaltsverzeichnis / Table of Contents 目录
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/S1865-9217(24)00164-8
{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(24)00164-8","DOIUrl":"10.1016/S1865-9217(24)00164-8","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations Affiliierten Institute und Fachgesellschaften / 关联机构列表
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/S1865-9217(24)00166-1
{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(24)00166-1","DOIUrl":"10.1016/S1865-9217(24)00166-1","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complex primary care for multimorbid patients in the Netherlands: Interprofessional perspectives within and beyond general practice 荷兰多病患者的复杂初级保健:全科医生内外的跨专业视角。
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/j.zefq.2024.08.002
Marloes A. van Bokhoven , Robin Brünn , Marjan van den Akker
Many consultations in general practice concern patients with multimorbidity, pressuring our healthcare systems with complex care needs. The number of people affected from multimorbidity is still increasing, as is the average number of co-occurring diseases per patient. The resulting complexity of care needs cannot be managed by health professionals from a single discipline, but requires interprofessional collaborative practice.
This paper describes best practices from the Netherlands to facilitate interprofessional caretaking of patients with multimorbidity in primary care. The focus here is on collaborations within general practice and at community level.
全科医学中的许多咨询都涉及到多病症患者,复杂的护理需求给我们的医疗系统带来了压力。多重疾病患者的人数仍在不断增加,每位患者并发疾病的平均数量也在不断增加。由此产生的复杂护理需求无法由单一学科的医疗专业人员来管理,而需要跨专业的合作实践。本文介绍了荷兰在初级医疗中促进跨专业护理多发病患者的最佳实践。本文的重点是全科医生内部和社区层面的合作。
{"title":"Complex primary care for multimorbid patients in the Netherlands: Interprofessional perspectives within and beyond general practice","authors":"Marloes A. van Bokhoven ,&nbsp;Robin Brünn ,&nbsp;Marjan van den Akker","doi":"10.1016/j.zefq.2024.08.002","DOIUrl":"10.1016/j.zefq.2024.08.002","url":null,"abstract":"<div><div>Many consultations in general practice concern patients with multimorbidity, pressuring our healthcare systems with complex care needs. The number of people affected from multimorbidity is still increasing, as is the average number of co-occurring diseases per patient. The resulting complexity of care needs cannot be managed by health professionals from a single discipline, but requires interprofessional collaborative practice.</div><div>This paper describes best practices from the Netherlands to facilitate interprofessional caretaking of patients with multimorbidity in primary care. The focus here is on collaborations within general practice and at community level.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kontinuierliche Überwachung von SARS-CoV-2 Infektionen in Kindertagesstätten: eine qualitative Interviewstudie über die Erfahrungen von Betreuer*innen und Eltern mit verschiedenen Testverfahren im häuslichen Umfeld [日托中心的 SARS-CoV-2 持续监测:关于保育员和家长在家庭环境中使用不同自我采样方法的经验的定性访谈研究]。
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/j.zefq.2024.07.002
Maike Krauthausen , David Gierszewski , Andrea Streng , Johannes Forster , Geraldine Engels , Franziska Pietsch , Julia Wallstabe , Thomas Jans , Viktoria Rücker , Marcel Romanos , Peter Heuschmann , Lars Dölken , Christoph Härtel , Oliver Kurzai , Johannes Liese , Ildikó Gágyor , Wü-KiTa-CoV-Studiengruppe

Background

Since the beginning of the corona pandemic in Germany in January 2020, day care centres (DCC) have faced the challenge of reliably detecting cases of SARS-CoV-2 infection as early and reliably as possible in order to avoid major outbreaks and closures. Conducting regular virological screening tests for asymptomatic DCC children and childcare workers requires a high level of acceptance among participants and should be as easy as possible to implement. The present study aimed to evaluate childcare workers’ and parents’ attitudes and experiences regarding the acceptance and feasibility of various screening methods. This assessment was conducted using additional qualitative interviews designed for home-based screening in the context of a screening study in DCCs.

Method

From May to July 2021, childcare workers and parents of children in nine DCCs in Wuerzburg independently carried out screening tests for SARS-CoV-2 at home twice a week as part of the “Würzburg Child Care Study in the COVID-19 Pandemic 2.0”. The participants were offered two self-sampling methods (mouth-rinsing fluid for pooled PCR tests and/or nasal rapid antigen self-tests). Before and after the 12-week test phase, telephone interviews were conducted with a selected sample of childcare workers and parents in order to ascertain initial attitudes and further experiences with the two self-sampling methods and their implementation. The interviews were fully transcribed for analysis and subjected to a qualitative content analysis according to Kuckartz.

Results

Of the 1,026 eligible participants, 591 individuals, including 139 childcare workers and the parents of 452 children, agreed to take part in the screening tests. A total of 49 interviews were conducted with a specifically selected sample (20 before the start of the test, 29 after the end of the test). In the qualitative content analysis, three overarching topics emerged: ‘aspects of the test performance’, ‘aspects of the perception of safety’ and ‘aspects of the testing in children’. Regardless of the fact that the various test methods and test features were perceived very differently, conducting the tests at home was found to be feasible.

Discussion

The differentiated insights into the participants’ perspectives provide valuable information about factors that influence the acceptance of self-testing. These should be taken into account before such a measure is introduced in DCCs if necessary.

Conclusion

The assessment of test procedures is strongly influenced by individual preferences. Test concepts should be implemented with as little time and organisational effort as possible in order to promote willingness to participate. Clear study information and quick feedback on test results can enhance the sense of security among parents and childcare workers.
背景:自 2020 年 1 月日冕大流行在德国开始以来,日托中心(DCC)就面临着一个挑战,即如何尽可能早地可靠检测出 SARS-CoV-2 感染病例,以避免重大疫情的爆发和关闭。对无症状的 DCC 儿童和保育员进行定期病毒学筛查需要参与者的高度认可,并应尽可能简单易行。本研究旨在评估保育员和家长对各种筛查方法的接受程度和可行性的态度和经验。这项评估是在幼儿保育中心筛查研究的背景下,利用为家庭筛查设计的额外定性访谈进行的:2021 年 5 月至 7 月,维尔茨堡 9 家幼儿保育中心的保育员和儿童家长每周两次在家独立进行 SARS-CoV-2 筛查测试,这是 "COVID-19 大流行 2.0 维尔茨堡幼儿保育研究 "的一部分。研究人员为参与者提供了两种自我采样方法(漱口液用于 PCR 检测和/或鼻腔快速抗原自我检测)。在为期 12 周的测试阶段之前和之后,我们对选定的儿童保育员和家长样本进行了电话访谈,以了解他们对两种自我采样方法及其实施的初步态度和进一步体验。访谈内容已全部转录,并按照库卡茨的方法进行了定性内容分析:在 1026 名符合条件的参与者中,有 591 人同意参加筛选测试,其中包括 139 名保育员和 452 名儿童的家长。我们对专门挑选的样本进行了 49 次访谈(20 次在测试开始前,29 次在测试结束后)。在定性内容分析中,出现了三个主要议题:"测试表现方面"、"安全感方面 "和 "儿童测试方面"。尽管对各种测试方法和测试特点的看法大相径庭,但在家中进行测试被认为是可行的:讨论:对参与者观点的不同看法为了解影响自我检测接受度的因素提供了宝贵的信息。讨论:对参与者观点的不同见解提供了有关影响自我检测接受度的因素的宝贵信息,如有必要,在残疾儿童中心引入这一措施前应考虑到这些因素:对测试程序的评估深受个人偏好的影响。测试概念的实施应尽可能减少时间和组织工作,以提高参与意愿。明确的研究信息和对测试结果的快速反馈可以增强家长和保育员的安全感。
{"title":"Kontinuierliche Überwachung von SARS-CoV-2 Infektionen in Kindertagesstätten: eine qualitative Interviewstudie über die Erfahrungen von Betreuer*innen und Eltern mit verschiedenen Testverfahren im häuslichen Umfeld","authors":"Maike Krauthausen ,&nbsp;David Gierszewski ,&nbsp;Andrea Streng ,&nbsp;Johannes Forster ,&nbsp;Geraldine Engels ,&nbsp;Franziska Pietsch ,&nbsp;Julia Wallstabe ,&nbsp;Thomas Jans ,&nbsp;Viktoria Rücker ,&nbsp;Marcel Romanos ,&nbsp;Peter Heuschmann ,&nbsp;Lars Dölken ,&nbsp;Christoph Härtel ,&nbsp;Oliver Kurzai ,&nbsp;Johannes Liese ,&nbsp;Ildikó Gágyor ,&nbsp;Wü-KiTa-CoV-Studiengruppe","doi":"10.1016/j.zefq.2024.07.002","DOIUrl":"10.1016/j.zefq.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><div>Since the beginning of the corona pandemic in Germany in January 2020, day care centres (DCC) have faced the challenge of reliably detecting cases of SARS-CoV-2 infection as early and reliably as possible in order to avoid major outbreaks and closures. Conducting regular virological screening tests for asymptomatic DCC children and childcare workers requires a high level of acceptance among participants and should be as easy as possible to implement. The present study aimed to evaluate childcare workers’ and parents’ attitudes and experiences regarding the acceptance and feasibility of various screening methods. This assessment was conducted using additional qualitative interviews designed for home-based screening in the context of a screening study in DCCs.</div></div><div><h3>Method</h3><div>From May to July 2021, childcare workers and parents of children in nine DCCs in Wuerzburg independently carried out screening tests for SARS-CoV-2 at home twice a week as part of the “Würzburg Child Care Study in the COVID-19 Pandemic 2.0”. The participants were offered two self-sampling methods (mouth-rinsing fluid for pooled PCR tests and/or nasal rapid antigen self-tests). Before and after the 12-week test phase, telephone interviews were conducted with a selected sample of childcare workers and parents in order to ascertain initial attitudes and further experiences with the two self-sampling methods and their implementation. The interviews were fully transcribed for analysis and subjected to a qualitative content analysis according to Kuckartz.</div></div><div><h3>Results</h3><div>Of the 1,026 eligible participants, 591 individuals, including 139 childcare workers and the parents of 452 children, agreed to take part in the screening tests. A total of 49 interviews were conducted with a specifically selected sample (20 before the start of the test, 29 after the end of the test). In the qualitative content analysis, three overarching topics emerged: ‘aspects of the test performance’, ‘aspects of the perception of safety’ and ‘aspects of the testing in children’. Regardless of the fact that the various test methods and test features were perceived very differently, conducting the tests at home was found to be feasible.</div></div><div><h3>Discussion</h3><div>The differentiated insights into the participants’ perspectives provide valuable information about factors that influence the acceptance of self-testing. These should be taken into account before such a measure is introduced in DCCs if necessary.</div></div><div><h3>Conclusion</h3><div>The assessment of test procedures is strongly influenced by individual preferences. Test concepts should be implemented with as little time and organisational effort as possible in order to promote willingness to participate. Clear study information and quick feedback on test results can enhance the sense of security among parents and childcare workers.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Herausgeberkollegium / Editorial Board 编辑委员会
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/S1865-9217(24)00163-6
{"title":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(24)00163-6","DOIUrl":"10.1016/S1865-9217(24)00163-6","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arzneimittelzulassung im Bereich seltener Erkrankungen: die europäische regulatorische Perspektive am Beispiel der Gen- und Zelltherapeutika [罕见疾病的上市许可:以基因和细胞疗法为例的欧洲监管视角]。
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/j.zefq.2024.08.007
Martina Schüßler-Lenz , Benjamin Hofner
Technological and scientific innovations in the area of gene and cell therapies, so-called advanced therapy medicinal products (ATMPs), have contributed to the steep increase in treatment options for patients with rare diseases. They offer opportunities to address the underlying genetic defect by gene addition, i.e., the delivery of the gene of interest to the target cells, or by genome editing approaches through direct repair of disease-causing mutations. This paper outlines clinical evidence requirements in the context of marketing authorisations for rare diseases. Two out of fifteen gene therapies that have been approved in the European Union since 2018 are used as case studies: Libmeldy (atidarsagen autotemcel) for the treatment of patients with metachromatic leukodystrophy, and Roctavian (valoctocogen roxaparvovec) for the treatment of patients with haemophilia A. Special aspects of the evaluation of single-arm trials with small sample size and requirements with regard to the isolation and causal attribution of the treatment effect are discussed. The role of clinical data obtained under everyday conditions (real world data) to support the generation of evidence in the pre- and post authorisation phase is critically examined. Furthermore, the paper outlines aspects related to conditional versus standard marketing authorisations as well as aspects related to registry-based non-interventional studies in the context of market and patient access to urgently needed drugs.
基因和细胞疗法(即所谓的先进治疗药物产品(ATMP))领域的技术和科学创新为罕见病患者治疗选择的急剧增加做出了贡献。它们提供了通过基因添加(即向靶细胞传递相关基因)或通过直接修复致病突变的基因组编辑方法来解决潜在基因缺陷的机会。本文概述了罕见病上市许可对临床证据的要求。本文以 2018 年以来欧盟批准的 15 种基因疗法中的两种作为案例研究:讨论了样本量较小的单臂试验评估的特殊方面,以及治疗效果的分离和因果关系归因方面的要求。本文对在日常条件下获得的临床数据(真实世界数据)在授权前和授权后阶段支持证据生成的作用进行了严格审查。此外,本文还概述了有条件上市授权与标准上市授权的相关问题,以及在急需药品的市场和患者准入方面与基于登记册的非干预性研究相关的问题。
{"title":"Arzneimittelzulassung im Bereich seltener Erkrankungen: die europäische regulatorische Perspektive am Beispiel der Gen- und Zelltherapeutika","authors":"Martina Schüßler-Lenz ,&nbsp;Benjamin Hofner","doi":"10.1016/j.zefq.2024.08.007","DOIUrl":"10.1016/j.zefq.2024.08.007","url":null,"abstract":"<div><div>Technological and scientific innovations in the area of gene and cell therapies, so-called advanced therapy medicinal products (ATMPs), have contributed to the steep increase in treatment options for patients with rare diseases. They offer opportunities to address the underlying genetic defect by gene addition, i.e., the delivery of the gene of interest to the target cells, or by genome editing approaches through direct repair of disease-causing mutations. This paper outlines clinical evidence requirements in the context of marketing authorisations for rare diseases. Two out of fifteen gene therapies that have been approved in the European Union since 2018 are used as case studies: Libmeldy (atidarsagen autotemcel) for the treatment of patients with metachromatic leukodystrophy, and Roctavian (valoctocogen roxaparvovec) for the treatment of patients with haemophilia A. Special aspects of the evaluation of single-arm trials with small sample size and requirements with regard to the isolation and causal attribution of the treatment effect are discussed. The role of clinical data obtained under everyday conditions (real world data) to support the generation of evidence in the pre- and post authorisation phase is critically examined. Furthermore, the paper outlines aspects related to conditional versus standard marketing authorisations as well as aspects related to registry-based non-interventional studies in the context of market and patient access to urgently needed drugs.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Testimonial: Leben mit einer Seltenen Erkrankung: suchen, kämpfen, hoffen 感言:与罕见病共存:寻找、抗争、希望
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/j.zefq.2024.07.005
Michael Scholz, Christine Mundlos, Mirjam Mann
{"title":"Testimonial: Leben mit einer Seltenen Erkrankung: suchen, kämpfen, hoffen","authors":"Michael Scholz,&nbsp;Christine Mundlos,&nbsp;Mirjam Mann","doi":"10.1016/j.zefq.2024.07.005","DOIUrl":"10.1016/j.zefq.2024.07.005","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychische Belastungen und Auffälligkeiten von Kindern und Eltern im Verlauf der COVID-19-Pandemie (2020–2022) [COVID-19大流行期间(2020-2022年)儿童及其父母的心理困扰和心理健康问题]。
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/j.zefq.2024.06.006
Ann-Kathrin Napp , Martha Gilbert , Anne Kaman , Sophie Möller , Janine Devine , Michael Erhart , Ulrike Ravens-Sieberer

Introduction

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.

Methods

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).

Results

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.

Discussion

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.
引言COVID-19 大流行和随之而来的遏制措施给每个人的日常生活带来了重大变化,对心理健康和心理负担产生了影响:在 COPSY 研究的五次调查中,1500 多名 7 至 17 岁儿童的父母及其 11 至 17 岁的子女接受了访谈,访谈中使用了成熟的心理健康评估工具和自行开发的心理负担体验项目。大流行前的对比数据来自具有代表性的 BELLA 研究(BEFragung zum seeLischen Wohbefinden und VerhAlten):结果:2020 年至 2022 年期间,德国大多数儿童和青少年及其父母都感到大流行带来的压力。在 COVID-19 大流行初期和第二次全国封锁期间,心理健康问题以及焦虑和抑郁症状都有所增加。2022 年秋季,儿童及其家长的主观心理负担和心理健康问题略有减少。然而,心理健康问题和焦虑的发生率仍高于大流行前的水平:讨论:研究结果表明,即使在大流行 3 年后,许多儿童、青少年和家长的处境依然艰难。应提供低门槛的咨询和支持服务,以及更多的治疗场所和专业支持服务。
{"title":"Psychische Belastungen und Auffälligkeiten von Kindern und Eltern im Verlauf der COVID-19-Pandemie (2020–2022)","authors":"Ann-Kathrin Napp ,&nbsp;Martha Gilbert ,&nbsp;Anne Kaman ,&nbsp;Sophie Möller ,&nbsp;Janine Devine ,&nbsp;Michael Erhart ,&nbsp;Ulrike Ravens-Sieberer","doi":"10.1016/j.zefq.2024.06.006","DOIUrl":"10.1016/j.zefq.2024.06.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The COVID-19 pandemic and accompanying containment measures created major changes to everyone’s daily life that had an impact on mental health and psychological burden.</div></div><div><h3>Methods</h3><div>In five surveys of the COPSY study more than 1,500 parents of 7- to 17-year-olds and their children between the ages of 11 and 17 were interviewed using established mental health assessment tools and a self-developed item on the experience of mental burden. Pre-pandemic comparative data were drawn from the representative BELLA study (BEfragung zum seeLischen Wohbefinden und VerhAlten).</div></div><div><h3>Results</h3><div>The majority of children and adolescents as well as their parents in Germany felt stressed by the pandemic between 2020 and 2022. There was an increase in both mental health problems and symptoms of anxiety and depression at the beginning of the COVID-19 pandemic and during the second nationwide lockdown. A slight decrease in the subjective experience of psychological burden and mental health problems among children and their parents was observed in the fall of 2022. However, the prevalence of mental health problems and anxiety remained above pre-pandemic levels.</div></div><div><h3>Discussion</h3><div>The results illustrate the difficult situation of many children, adolescents and parents, even after 3 years of pandemic. Low-threshold counseling and support services as well as more therapy places and professional support services should be made available.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementierung der Rahmenpläne für die Pflegeausbildung – eine qualitative Studie zu förderlichen und hinderlichen Faktoren [在护理学校实施参考框架--关于有利因素和阻碍因素的定性研究]。
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/j.zefq.2024.08.006
Bärbel Wesselborg, Astrid Stephan, Patrick Frey, Christina Riewoldt, Gabriele Bartoszek, Silke Kuske, Regina Wiedemann

Background

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.

Research question/objective

The commissioned study investigated hindering and promoting factors in the implementation of reference frameworks at nursing schools.

Methods

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.

Results

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 & management, the acceptance of the novel vocational education & training in nursing and the opportunity to take part in further trainings.

Discussion

The implementation types identified are largely characterized by the supportive behaviour of the school administration & 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.

Conclusion

All federal German states should set up funding programs for the didactic and curricular requirements for the new vocational education & training in nursing in order to specifically promote the implementation of the reference frameworks.
背景:专家委员会根据《德国护理专业法》第 53 条首次制定的参考框架采用了新的教学-课程结构,旨在支持护理学校制定自己的课程文件:委托研究调查了护理学校实施参考框架的阻碍因素和促进因素:对护理学校负责课程开发的教师(32 人)进行了专家访谈(16 对访谈),并使用定性内容分析法进行了演绎分析。对学校内部课程(n = 15)进行了基于标准的文件分析。根据课程的完成程度和新的教学-课程结构的实施情况,确定了实施类型:结果:确定了四种实施类型:以改革为导向的实施、部分以改革为导向的实施、传统的实施和未实施。以改革为导向的成功实施的关键因素包括:学校行政和管理层的支持行为、对新颖的护理职业教育和培训的接受程度以及参加进一步培训的机会:讨论:所确定的实施类型的主要特点是学校行政和管理层的支持行为以及教职员工的接受程度和知识水平。参加进一步培训课程的机会,以应对改革后的职业教育和教学课程建议,是实施的核心因素:结论:德国各联邦州应为新的护理职业教育与培训的教学和课程要求制定资助计划,以专门促进参考框架的实施。
{"title":"Implementierung der Rahmenpläne für die Pflegeausbildung – eine qualitative Studie zu förderlichen und hinderlichen Faktoren","authors":"Bärbel Wesselborg,&nbsp;Astrid Stephan,&nbsp;Patrick Frey,&nbsp;Christina Riewoldt,&nbsp;Gabriele Bartoszek,&nbsp;Silke Kuske,&nbsp;Regina Wiedemann","doi":"10.1016/j.zefq.2024.08.006","DOIUrl":"10.1016/j.zefq.2024.08.006","url":null,"abstract":"<div><h3>Background</h3><div>The reference frameworks that have been developed for the first time by the Specialist Committee in accordance with Sect. 53 of the German Nursing Professions Act follow a new didactic-curricular structure and are intended to support the nursing schools in creating their own curricular documents.</div></div><div><h3>Research question/objective</h3><div>The commissioned study investigated hindering and promoting factors in the implementation of reference frameworks at nursing schools.</div></div><div><h3>Methods</h3><div>Expert interviews (n = 16 pair interviews) were conducted with teachers responsible for curriculum development (n = 32) at nursing schools and analysed deductively using qualitative content analysis. Internal school curricula (n = 15) were subjected to a criteria-based document analysis. The results were used to establish implementation types based on the degree of completion of the curricula and the implementation of the new didactic-curricular structure.</div></div><div><h3>Results</h3><div>Four implementation types were identified: reform-oriented implementation, partially reform-oriented implementation, traditional implementation and lack of implementation. The key factors for a reform-oriented, successful implementation include the supportive behaviour of the school administration &amp; management, the acceptance of the novel vocational education &amp; training in nursing and the opportunity to take part in further trainings.</div></div><div><h3>Discussion</h3><div>The implementation types identified are largely characterized by the supportive behaviour of the school administration &amp; management as well as the acceptance and knowledge of the teaching staff. The opportunity to take part in further training courses in order to deal with the reformed vocational education and didactic-curricular recommendations is a central implementation factor.</div></div><div><h3>Conclusion</h3><div>All federal German states should set up funding programs for the didactic and curricular requirements for the new vocational education &amp; training in nursing in order to specifically promote the implementation of the reference frameworks.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engaging with older people about digital technologies through nongovernmental organizations: A scoping review 通过非政府组织让老年人了解数字技术:范围审查。
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2024-09-01 DOI: 10.1016/j.zefq.2024.08.005
Shuvarthi Bhattacharjee , Abraham Kebede , Moonika Raja , Rada Sandic-Spaho , Ingjerd Gåre Kymre , Kathleen Galvin , Lisbeth Uhrenfeldt

Introduction

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 21st century.

Methods

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.

Results

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.

Conclusion

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.
导言:本范围界定综述调查了非政府组织(NGO)在通过数字技术关爱老年人的问题上所发挥作用的现有证据的范围和性质,以及相关的参与机制和挑战。我们描绘了非政府组织在研究和实践方面的差距、促成因素和最佳实践。数字技术在医疗保健领域的应用日益增多,非政府组织在此背景下为老年人提供支持的作用与护士和服务发展领导者息息相关,尤其是在 21 世纪护理服务快速变化的背景下:方法:根据 JBI 的范围界定综述方法,在多个数据库和灰色文献来源中采用了三阶段系统性综合搜索策略:结果:本次综述共检索到 8348 篇摘要。经过去重后,共审查了 7099 篇标题和摘要。共选取了 263 篇出版物进行全文审阅,并纳入 50 篇进行分析。非政府组织利用数字工具直接让老年人参与项目(如信息传递),并间接与其他组织合作(如培训项目),以促进数字包容。个人能力、信任和访问、技术因素(技术的可访问性和用户友好性)以及社会文化和全系统因素都会影响非政府组织如何与老年人接触:我们的研究结果归纳为几个关键领域:关键组织、参与模式、组织间进程和数字技术,并对非政府组织与老年人的各种参与及其在技术方面的挑战提供了最新见解。我们发现了许多相互关联的因素,以及影响老年人使用技术的障碍和促进因素。
{"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<sup>st</sup> century.</div></div><div><h3>Methods</h3><div>A three-stage systematic and comprehensive search strategy based on the JBI methodology for scoping reviews was employed across multiple databases and grey literature sources.</div></div><div><h3>Results</h3><div>In this review, 8,348 abstracts were retrieved. After deduplication, 7,099 titles and abstracts were reviewed. A total of 263 publications were selected for full-text review and 50 included for analysis. NGOs use digital tools to directly engage older adults in programs (e. g., information delivery) and indirectly to collaborate with other organizations (e.g., training programs) to promote digital inclusion. Factors such as individual capabilities, trust and access, technological factors (accessibility and user-friendliness of technology), and socio-cultural and system-wide factors affect how NGOs engage with older adults.</div></div><div><h3>Conclusion</h3><div>Our findings are summarized in the key domains: key organizations, mode of engagement, interorganizational process and digital technology are discussed and offer current insights into the varied engagement of NGOs with older people and its challenges concerning technology. Many interrelated factors, along with barriers and facilitators that influence older persons’ engagement with technology, have been identified.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1