Moral distress affects the health of home care nurses and can lead to the decision to leave the profession early. Little is known about the ways to reduce moral distress in the context of home care nursing.
Objective
Identification of interventions to reduce moral distress in home care nurses.
Method
Interviews with home care nurses (n = 20; 04−08/2023) from different organizations and with from different federal states and with care ethicists (n = 6; 10/2023−04/2024) were conducted, transcribed and analyzed via qualitative content analysis.
Results
On the one hand, interventions were identified that directly address the situations triggering moral distress or relate to the organization of work: e.g., support from superiors, evaluation of informal care, adaptation of the performance and billing system, family-friendly working time models, greater scope for decision-making, and improved cooperation between healthcare stakeholders. On the other hand, the respondents would like to see “ethical interventions”, such as ethics counseling, and more opportunities for professional exchange, e.g., in the context of team meetings on ethical issues.
Conclusions
In addition to improving working conditions and creating a positive organizational culture, outpatient ethics consultations at provider level or across care services represent an important intervention.
{"title":"Interventionen, um Moral Distress in der ambulanten Pflege zu reduzieren: eine Interviewstudie mit Pflegenden und Pflegeethiker*innen","authors":"Julia Petersen , Ulrike Rösler , Gabriele Meyer , Christiane Luderer","doi":"10.1016/j.zefq.2025.05.005","DOIUrl":"10.1016/j.zefq.2025.05.005","url":null,"abstract":"<div><h3>Background</h3><div>Moral distress affects the health of home care nurses and can lead to the decision to leave the profession early. Little is known about the ways to reduce moral distress in the context of home care nursing.</div></div><div><h3>Objective</h3><div>Identification of interventions to reduce moral distress in home care nurses.</div></div><div><h3>Method</h3><div>Interviews with home care nurses (n<!--> <!-->=<!--> <!-->20; 04−08/2023) from different organizations and with from different federal states and with care ethicists (n<!--> <!-->=<!--> <!-->6; 10/2023−04/2024) were conducted, transcribed and analyzed via qualitative content analysis.</div></div><div><h3>Results</h3><div>On the one hand, interventions were identified that directly address the situations triggering moral distress or relate to the organization of work: e.g., support from superiors, evaluation of informal care, adaptation of the performance and billing system, family-friendly working time models, greater scope for decision-making, and improved cooperation between healthcare stakeholders. On the other hand, the respondents would like to see “ethical interventions”, such as ethics counseling, and more opportunities for professional exchange, e.g., in the context of team meetings on ethical issues.</div></div><div><h3>Conclusions</h3><div>In addition to improving working conditions and creating a positive organizational culture, outpatient ethics consultations at provider level or across care services represent an important intervention.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 15-21"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334128","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}
Evidence synthesis of primary studies assessing complex interventions poses challenges due to the heterogeneity of study populations, interventions, outcomes, or study designs. Qualitative comparative analysis (QCA) aims to identify conditions or combinations of conditions that lead to a specific outcome and may be an appropriate instrument to deal with heterogeneity and complexity.
Objective
We aimed to describe the lessons learned when applying QCA in a systematic review on technology-based counselling interventions in dementia.
Methods
The lessons learned were generated through research team reflection and discussion of the challenges and problems encountered in the process of applying the initial steps of the QCA. As the QCA remained incomplete, a brief account of aspects to be considered when using QCA methodology for data synthesis within a systematic review is presented.
Results
The lessons learned comprise the importance of clear eligibility criteria representing the core elements of interventions and the need for a consistent dataset based on sufficient reporting and suitable publication types. We also recommend adoption of a multi-perspective view by integrating theoretical and practical knowledge.
Conclusion
QCA may increase knowledge gain in systematic reviews by capturing the complexity of interventions and contexts. An adequate dataset is needed to enable systematic comparison. To achieve this, adherence to frameworks guiding the development, implementation, and evaluation of complex interventions as well as to reporting guidelines is essential.
{"title":"Applying qualitative comparative analysis in a systematic review: Lessons learned","authors":"Dorothee Bauernschmidt , Janina Wittmann , Julian Hirt , Gabriele Meyer , Anja Bieber","doi":"10.1016/j.zefq.2025.03.013","DOIUrl":"10.1016/j.zefq.2025.03.013","url":null,"abstract":"<div><h3>Background</h3><div>Evidence synthesis of primary studies assessing complex interventions poses challenges due to the heterogeneity of study populations, interventions, outcomes, or study designs. Qualitative comparative analysis (QCA) aims to identify conditions or combinations of conditions that lead to a specific outcome and may be an appropriate instrument to deal with heterogeneity and complexity.</div></div><div><h3>Objective</h3><div>We aimed to describe the lessons learned when applying QCA in a systematic review on technology-based counselling interventions in dementia.</div></div><div><h3>Methods</h3><div>The lessons learned were generated through research team reflection and discussion of the challenges and problems encountered in the process of applying the initial steps of the QCA. As the QCA remained incomplete, a brief account of aspects to be considered when using QCA methodology for data synthesis within a systematic review is presented.</div></div><div><h3>Results</h3><div>The lessons learned comprise the importance of clear eligibility criteria representing the core elements of interventions and the need for a consistent dataset based on sufficient reporting and suitable publication types. We also recommend adoption of a multi-perspective view by integrating theoretical and practical knowledge.</div></div><div><h3>Conclusion</h3><div>QCA may increase knowledge gain in systematic reviews by capturing the complexity of interventions and contexts. An adequate dataset is needed to enable systematic comparison. To achieve this, adherence to frameworks guiding the development, implementation, and evaluation of complex interventions as well as to reporting guidelines is essential.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 82-86"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030075","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}
Pub Date : 2025-07-01Epub Date: 2025-05-13DOI: 10.1016/j.zefq.2025.04.003
Marwin Weber , Marlene Stoll , Anita Chasiotis , Claudia Breuer , Joerg J. Meerpohl , Angela M. Kunzler
Background
Science communication can support informed decision-making. As part of the “PLan Psy” project, a guideline for producing plain language summaries of systematic reviews with meta-analysis on psychological topics (“KLARpsy” texts), was developed. This study aims to investigate the similarities and differences in the user experience with “KLARpsy texts” between laypersons and professionals (science communicators and psychologists).
Methods
We conducted a qualitative online interview study. Participants read two “KLARpsy” texts presented on a mock-up website and verbalized their impressions and experiences using the think aloud method. The interviews were transcribed verbatim and analyzed with a deductive approach using content analysis.
Results
The study was completed by twelve participants (nine female, three male), including six laypersons, three science communicators, and three psychologists. Both groups found the “KLARpsy” texts to be mainly useful, user-friendly, and trustworthy. Nevertheless, professional users preferred the original studies. Both groups emphasized the need for more detailed descriptions regarding methodology and result presentation. The “KLARsaurus” glossary promoted comprehensibility. The text structure supported usability. However, the structure and transitions between study-specific and general information as well as sentence structure were sometimes seen as non-intuitive. Some opinions on comprehensibility and information density were not consistent within the two groups.
Discussion
The plain language summaries in the form of ‘KLARpsy’ texts were perceived by interested participants as added value for laypersons. Both laypersons and professionals attach particular importance to a transparent and critical, but also understandable and clear presentation of study results. Individual preferences and differences in the perspectives of both user groups highlight challenges of standardizing such a science communication format.
{"title":"Nutzer*innenerfahrung mit allgemeinverständlichen Kurzzusammenfassungen psychologischer systematischer Übersichtsarbeiten mit Metaanalyse („KLARpsy“-Texte) – eine qualitative Studie mit der „Lautes Denken“-Methode","authors":"Marwin Weber , Marlene Stoll , Anita Chasiotis , Claudia Breuer , Joerg J. Meerpohl , Angela M. Kunzler","doi":"10.1016/j.zefq.2025.04.003","DOIUrl":"10.1016/j.zefq.2025.04.003","url":null,"abstract":"<div><h3>Background</h3><div>Science communication can support informed decision-making. As part of the “PLan Psy” project, a guideline for producing plain language summaries of systematic reviews with meta-analysis on psychological topics (“KLARpsy” texts), was developed. This study aims to investigate the similarities and differences in the user experience with “KLARpsy texts” between laypersons and professionals (science communicators and psychologists).</div></div><div><h3>Methods</h3><div>We conducted a qualitative online interview study. Participants read two “KLARpsy” texts presented on a mock-up website and verbalized their impressions and experiences using the think aloud method. The interviews were transcribed verbatim and analyzed with a deductive approach using content analysis.</div></div><div><h3>Results</h3><div>The study was completed by twelve participants (nine female, three male), including six laypersons, three science communicators, and three psychologists. Both groups found the “KLARpsy” texts to be mainly useful, user-friendly, and trustworthy. Nevertheless, professional users preferred the original studies. Both groups emphasized the need for more detailed descriptions regarding methodology and result presentation. The “KLARsaurus” glossary promoted comprehensibility. The text structure supported usability. However, the structure and transitions between study-specific and general information as well as sentence structure were sometimes seen as non-intuitive. Some opinions on comprehensibility and information density were not consistent within the two groups.</div></div><div><h3>Discussion</h3><div>The plain language summaries in the form of ‘KLARpsy’ texts were perceived by interested participants as added value for laypersons. Both laypersons and professionals attach particular importance to a transparent and critical, but also understandable and clear presentation of study results. Individual preferences and differences in the perspectives of both user groups highlight challenges of standardizing such a science communication format.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 4-14"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079753","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}
Pub Date : 2025-07-01Epub Date: 2025-05-13DOI: 10.1016/j.zefq.2025.04.004
Susanne In der Smitten , Valeria Aman , Nikita Sorgatz , Christopher Traylor , Christoph Herrmann-Lingen
Background
In the specialist literature clinical practice guidelines are primarily discussed with a focus on the methodology of their development and their importance for medical care. There is a lack of research on the motivation of contributors and on forms of recognition and rewards for involvement in guideline development.
Methods
Between August and December 2023, an exploratory online survey on the possibilities of recognizing engagement in guideline development was conducted among members of scientific medical societies and members of German medical faculties. The survey was funded by the German Federal Ministry of Education and Research (BMBF; funding codes 16PU17025A; 16PU17025B) and provided 375 evaluable cases.
Results
Four out of five respondents (79.1%) stated that they got involved in guideline work via an enquiry from a scientific medical society. They saw the added value above all in medical care (90.3% answering ‘(rather) true’), but a function of network maintenance was also (rather) affirmed (77.8%). A majority of 80.5% of respondents were in favor of rewarding guideline work, in particular through reimbursement of travel expenses (73.4%) and time off work (70.5%), but also in systems of indicator-based resource allocation (52.7%), other expense allowances (48.3%), or payment of a fee (42.5%). This was specified in free-text responses. The relevance of considering engagement in guideline work in habilitation and job appointment procedures was separately identified. Those against financial remuneration emphasized non-monetary benefits of collaboration, such as network or knowledge expansion, or expressed fears of possible negative consequences, for example with regard to conflicts of interest.
Conclusion
No standard yet exists for recognizing involvement with guideline development. Different forms of expense allowances, time off work and recognition in performance evaluation and resource allocation procedures should be tested and examined for possible consequences.
{"title":"Honorierung von Leitlinienarbeit: die Perspektive der Engagierten","authors":"Susanne In der Smitten , Valeria Aman , Nikita Sorgatz , Christopher Traylor , Christoph Herrmann-Lingen","doi":"10.1016/j.zefq.2025.04.004","DOIUrl":"10.1016/j.zefq.2025.04.004","url":null,"abstract":"<div><h3>Background</h3><div>In the specialist literature clinical practice guidelines are primarily discussed with a focus on the methodology of their development and their importance for medical care. There is a lack of research on the motivation of contributors and on forms of recognition and rewards for involvement in guideline development.</div></div><div><h3>Methods</h3><div>Between August and December 2023, an exploratory online survey on the possibilities of recognizing engagement in guideline development was conducted among members of scientific medical societies and members of German medical faculties. The survey was funded by the German Federal Ministry of Education and Research (BMBF; funding codes 16PU17025A; 16PU17025B) and provided 375 evaluable cases.</div></div><div><h3>Results</h3><div>Four out of five respondents (79.1%) stated that they got involved in guideline work via an enquiry from a scientific medical society. They saw the added value above all in medical care (90.3% answering ‘(rather) true’), but a function of network maintenance was also (rather) affirmed (77.8%). A majority of 80.5% of respondents were in favor of rewarding guideline work, in particular through reimbursement of travel expenses (73.4%) and time off work (70.5%), but also in systems of indicator-based resource allocation (52.7%), other expense allowances (48.3%), or payment of a fee (42.5%). This was specified in free-text responses. The relevance of considering engagement in guideline work in habilitation and job appointment procedures was separately identified. Those against financial remuneration emphasized non-monetary benefits of collaboration, such as network or knowledge expansion, or expressed fears of possible negative consequences, for example with regard to conflicts of interest.</div></div><div><h3>Conclusion</h3><div>No standard yet exists for recognizing involvement with guideline development. Different forms of expense allowances, time off work and recognition in performance evaluation and resource allocation procedures should be tested and examined for possible consequences.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 47-52"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081316","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}
Pub Date : 2025-07-01Epub Date: 2025-06-18DOI: 10.1016/j.zefq.2025.05.004
Annalena Paus , Isabelle Stickdorn
Introduction
A lack of structural-organisational and methodological skills can be a reason why evidence-based methods are not applied by healthcare practitioners. A Journal Club (JC) can be a suitable forum to strengthen the critical exchange of scientific findings in practice and thus promote evidence-based practice. The aim of this practical project was to implement and evaluate a JC in an interprofessional department for therapeutic health professions at a university hospital.
Methods
Based on a literature review and expert discussions, a guideline for the implementation of a JC was developed. This guideline was used to set up a JC for therapeutic healthcare professions at a university hospital. To evaluate the JC, written feedback forms were handed out to the participants after each JC.
Results
Ten JCs were conducted between March 2023 and January 2025 and attended by an average of 43 participants. 278 feedback forms from JC participants were analysed. Overall satisfaction with the JC was rated at an average of 8.6 on a rating scale of 0–10 (0 = lowest satisfaction, 10 = highest satisfaction). 92.0% of participants agreed or strongly agreed with the statement that a JC offers a suitable forum to strengthen evidence-based practice. 37.2% of participants stated that since they started attending the JC, they have more frequently incorporated study results into their therapeutic decision-making.
Conclusion
The results show that a JC can be a promising platform for strengthening evidence-based work in everyday therapeutic practice.
{"title":"Förderung der evidenzbasierten Praxis durch die Implementierung eines Journal Clubs im Setting eines Universitätsklinikums","authors":"Annalena Paus , Isabelle Stickdorn","doi":"10.1016/j.zefq.2025.05.004","DOIUrl":"10.1016/j.zefq.2025.05.004","url":null,"abstract":"<div><h3>Introduction</h3><div>A lack of structural-organisational and methodological skills can be a reason why evidence-based methods are not applied by healthcare practitioners. A Journal Club (JC) can be a suitable forum to strengthen the critical exchange of scientific findings in practice and thus promote evidence-based practice. The aim of this practical project was to implement and evaluate a JC in an interprofessional department for therapeutic health professions at a university hospital.</div></div><div><h3>Methods</h3><div>Based on a literature review and expert discussions, a guideline for the implementation of a JC was developed. This guideline was used to set up a JC for therapeutic healthcare professions at a university hospital. To evaluate the JC, written feedback forms were handed out to the participants after each JC.</div></div><div><h3>Results</h3><div>Ten JCs were conducted between March 2023 and January 2025 and attended by an average of 43 participants. 278 feedback forms from JC participants were analysed. Overall satisfaction with the JC was rated at an average of 8.6 on a rating scale of 0–10 (0 = lowest satisfaction, 10 = highest satisfaction). 92.0% of participants agreed or strongly agreed with the statement that a JC offers a suitable forum to strengthen evidence-based practice. 37.2% of participants stated that since they started attending the JC, they have more frequently incorporated study results into their therapeutic decision-making.</div></div><div><h3>Conclusion</h3><div>The results show that a JC can be a promising platform for strengthening evidence-based work in everyday therapeutic practice.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 22-28"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334129","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}
Pub Date : 2025-07-01Epub Date: 2025-06-20DOI: 10.1016/j.zefq.2025.05.003
Monika Nothacker, Jordana Dreger, Ina Kopp, Susanne Blödt
Introduction
The development of high-quality guidelines is resource-intensive and time-consuming, and currency is crucial for the improvement of care. Criteria-based update procedures are recommended. Living guidelines (LGs) are intended to quickly incorporate new findings. The guidance of the Association of the Scientific Medical Societies in Germany (AWMF) require an annual review and needs-based updating. Internationally, there are different definitions; in particular, the concept of “living recommendations” based on “living systematic reviews” is recommended.
Methods
A search for LGs (March – May 2024) was carried out in the AWMF guideline registry, Medline and three international guideline databases to compare current German and international LGs based on criteria of an LG framework concept and to identifiy favorable and unfavorable implementation factors.
Results
Few current guidelines – 12 German and 26 international – followed a “living” concept. Decisions for German LGs were mostly made per project, internationally mostly at the organisational level. Compared to international LGs, German LGs had more recommendations, with less evidence-based content, and a lower research and update frequency. Not all LGs had a transparent methodological documentation with labelling of new, amended, or confirmed recommendations. More international than German LGs are available in apps with direct access to recommendations.
Discussion
The “Living Guideline” concept is rarely implemented, and the approach continues to vary. During the COVID-19 pandemic, resources and motivation were high. Currently, organizational support in combination with a rather narrow guideline scope seem to offer the best conditions for LGs.
Conclusion
We need current and trustworthy guidelines. Actual concepts provide different opportunities. To support them, decisions should also be made at the organizational level.
{"title":"“Living guideline recommendations” – more important than ever?! Successes and challenges of “living guidelines”: A systematic evaluation","authors":"Monika Nothacker, Jordana Dreger, Ina Kopp, Susanne Blödt","doi":"10.1016/j.zefq.2025.05.003","DOIUrl":"10.1016/j.zefq.2025.05.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The development of high-quality guidelines is resource-intensive and time-consuming, and currency is crucial for the improvement of care. Criteria-based update procedures are recommended. Living guidelines (LGs) are intended to quickly incorporate new findings. The guidance of the Association of the Scientific Medical Societies in Germany (AWMF) require an annual review and needs-based updating. Internationally, there are different definitions; in particular, the concept of “living recommendations” based on “living systematic reviews” is recommended.</div></div><div><h3>Methods</h3><div>A search for LGs (March – May 2024) was carried out in the AWMF guideline registry, Medline and three international guideline databases to compare current German and international LGs based on criteria of an LG framework concept and to identifiy favorable and unfavorable implementation factors.</div></div><div><h3>Results</h3><div>Few current guidelines – 12 German and 26 international – followed a “living” concept. Decisions for German LGs were mostly made per project, internationally mostly at the organisational level. Compared to international LGs, German LGs had more recommendations, with less evidence-based content, and a lower research and update frequency. Not all LGs had a transparent methodological documentation with labelling of new, amended, or confirmed recommendations. More international than German LGs are available in apps with direct access to recommendations.</div></div><div><h3>Discussion</h3><div>The “Living Guideline” concept is rarely implemented, and the approach continues to vary. During the COVID-19 pandemic, resources and motivation were high. Currently, organizational support in combination with a rather narrow guideline scope seem to offer the best conditions for LGs.</div></div><div><h3>Conclusion</h3><div>We need current and trustworthy guidelines. Actual concepts provide different opportunities. To support them, decisions should also be made at the organizational level.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 72-81"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340420","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}
Since 2020, the Federal Ministry of Education and Research has been funding the establishment of six research practice networks in primary care in Germany through the Initiative DESAM-ForNet. The aim is to create a practice-based and efficient research infrastructure. The involvement of medical assistants (MAs) in these networks is of central importance, as they are able to contribute valuable perspectives and knowledge through their daily practice work and are often involved in studies.
Methods
Three tabular instruments were developed to record MA participation. In each research practice network, the tables were used to document the involvement of MAs in the network structure, their qualifications and their role in research projects. The information from each network was discussed and summarized in terms of similarities and differences.
Results
Reports were provided from five practice-based research networks where MAs are actively involved in various participation formats such as committees, round tables, and advisory boards. MAs are involved at different quality levels in the development of the networks and the implementation of studies. In addition, the practice-based research network offers specific qualifications to train MAs for research work. MAs receive financial incentives and/or certificates for their participation.
Discussion
The results show that MAs play an important role in research practice networks, especially in a co-determining function. Overall, MA participation through research practice networks is established, but not yet as self-evident as patient participation. In order to further strengthen participation of MAs, future measures should promote their involvement in decision-making processes and enable them to obtain additional qualifications. The role of MAs in research should be further expanded at all quality levels of involvement.
Conclusion
The active involvement of MAs in the development and operation of research practice networks is essential to ensure the practical relevance of research projects. Greater participation could further improve the quality of research and should therefore be specifically promoted.
{"title":"Aktive Beteiligung von Medizinischen Fachangestellten in der allgemeinmedizinischen Forschung in Deutschland","authors":"Susanne Kersten , Doreen Kuschick , Annett Bräsigk , Andreas Polanc , Sandra Salm","doi":"10.1016/j.zefq.2025.03.012","DOIUrl":"10.1016/j.zefq.2025.03.012","url":null,"abstract":"<div><h3>Introduction</h3><div>Since 2020, the Federal Ministry of Education and Research has been funding the establishment of six research practice networks in primary care in Germany through the Initiative DESAM-ForNet. The aim is to create a practice-based and efficient research infrastructure. The involvement of medical assistants (MAs) in these networks is of central importance, as they are able to contribute valuable perspectives and knowledge through their daily practice work and are often involved in studies.</div></div><div><h3>Methods</h3><div>Three tabular instruments were developed to record MA participation. In each research practice network, the tables were used to document the involvement of MAs in the network structure, their qualifications and their role in research projects. The information from each network was discussed and summarized in terms of similarities and differences.</div></div><div><h3>Results</h3><div>Reports were provided from five practice-based research networks where MAs are actively involved in various participation formats such as committees, round tables, and advisory boards. MAs are involved at different quality levels in the development of the networks and the implementation of studies. In addition, the practice-based research network offers specific qualifications to train MAs for research work. MAs receive financial incentives and/or certificates for their participation.</div></div><div><h3>Discussion</h3><div>The results show that MAs play an important role in research practice networks, especially in a co-determining function. Overall, MA participation through research practice networks is established, but not yet as self-evident as patient participation. In order to further strengthen participation of MAs, future measures should promote their involvement in decision-making processes and enable them to obtain additional qualifications. The role of MAs in research should be further expanded at all quality levels of involvement.</div></div><div><h3>Conclusion</h3><div>The active involvement of MAs in the development and operation of research practice networks is essential to ensure the practical relevance of research projects. Greater participation could further improve the quality of research and should therefore be specifically promoted.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 29-37"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021263","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}
Pub Date : 2025-07-01Epub Date: 2025-04-29DOI: 10.1016/j.zefq.2025.03.009
Jessica Ruck, Anne Simmenroth
{"title":"Cannabisprävention: Legal, aber … lost?! Wie Plakate mehr verwirren als angemessen aufklären","authors":"Jessica Ruck, Anne Simmenroth","doi":"10.1016/j.zefq.2025.03.009","DOIUrl":"10.1016/j.zefq.2025.03.009","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 1-3"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064979","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}
Pub Date : 2025-07-01Epub Date: 2025-07-09DOI: 10.1016/S1865-9217(25)00162-X
{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(25)00162-X","DOIUrl":"10.1016/S1865-9217(25)00162-X","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages iv-v"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588085","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}
Urinary incontinence affects 5% to 35% of the older adult population. Untreated urinary incontinence is associated with reduced quality of life, amongst others. Pelvic floor muscle training is the first-line treatment. Existing evidence on the proportion of physiotherapy care remains limited, particularly regarding men with urinary incontinence, and insufficiently accounts for care situation- or age-specific disparities. This study investigated the proportion of physiotherapy care, differentiated by age, sex, care situation, informal provider networks, and temporal trends, to address these evidence gaps.
Method
We analysed health insurance fund claims data covering a period of 9 years (2008–2016), from up to 6,433,070 individuals aged 65+, and applied a network approach to identify patient sharing networks. We calculated the proportion of physiotherapy care on a quarterly basis.
Results
The proportion of physiotherapy care remained relatively stable over time. In the first quarter of 2016, it was 10.5% for people with incident urinary incontinence in total, 7.9% for those without care, 11.9% for people with home care, and 14.0% for nursing home residents. The lowest proportion of physiotherapy care (3.5%) was found among men with incident urinary incontinence in the 85 to 89 age group receiving no care, and the highest proportion (19.3%) among women with incident urinary incontinence in the age group 70 to 74 years living in a nursing home. The variation in the proportion of physiotherapy care between patient sharing networks was the highest for women and men in nursing homes (SD 9.7% and 9.2%, respectively).
Conclusions
These findings indicate a systematic underuse of physiotherapy services for both sexes across all age groups and care situations. Older men without care needs are particularly at risk for underuse.
{"title":"Physiotherapeutic care for urinary incontinence in the context of age, sex, care situation, and informal provider networks – A longitudinal German claims data analysis","authors":"Dirk Peschke , Kathrin Seibert , Susanne Stiefler , Dominik Domhoff , Karin Wolf-Ostermann","doi":"10.1016/j.zefq.2025.05.001","DOIUrl":"10.1016/j.zefq.2025.05.001","url":null,"abstract":"<div><h3>Background</h3><div>Urinary incontinence affects 5% to 35% of the older adult population. Untreated urinary incontinence is associated with reduced quality of life, amongst others. Pelvic floor muscle training is the first-line treatment. Existing evidence on the proportion of physiotherapy care remains limited, particularly regarding men with urinary incontinence, and insufficiently accounts for care situation- or age-specific disparities. This study investigated the proportion of physiotherapy care, differentiated by age, sex, care situation, informal provider networks, and temporal trends, to address these evidence gaps.</div></div><div><h3>Method</h3><div>We analysed health insurance fund claims data covering a period of 9 years (2008–2016), from up to 6,433,070 individuals aged 65+, and applied a network approach to identify patient sharing networks. We calculated the proportion of physiotherapy care on a quarterly basis.</div></div><div><h3>Results</h3><div>The proportion of physiotherapy care remained relatively stable over time. In the first quarter of 2016, it was 10.5% for people with incident urinary incontinence in total, 7.9% for those without care, 11.9% for people with home care, and 14.0% for nursing home residents. The lowest proportion of physiotherapy care (3.5%) was found among men with incident urinary incontinence in the 85 to 89 age group receiving no care, and the highest proportion (19.3%) among women with incident urinary incontinence in the age group 70 to 74 years living in a nursing home. The variation in the proportion of physiotherapy care between patient sharing networks was the highest for women and men in nursing homes (SD 9.7% and 9.2%, respectively).</div></div><div><h3>Conclusions</h3><div>These findings indicate a systematic underuse of physiotherapy services for both sexes across all age groups and care situations. Older men without care needs are particularly at risk for underuse.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"196 ","pages":"Pages 65-71"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235528","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}
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