Wolfgang Arens-Fischer, Julia Biedendieck, A. Braun von Reinersdorff, Katrin Dinkelborg, Heike Thiele, A. Wolf
Abstract With the academization of practical health professions universities as well as universities of applied sciences are facing the challenge to qualify nurses and therapists for a field of profession which is not defined yet. Science has to answer the questions about the exact contents and the boundary of academic health professions to other professions, which are established in fields of activities within patient care for a long time. Furthermore, science has to show prospective developments. At this point the need of labour research in academic, practical professions of health care arises. The concept of this contribution combines the further qualification with labour research in the professional field and aims to design modules of further education, which combine systematically the practical field of work with the contents of the module. The base is a didactical approach of a relation between theoretical and practical parts, known from dual study programs. A reflective oriented case study is the central instrument of the further education in every module. The participants have to use the theoretical contents of the module to reflect their practical field of work with a professional perspective. In doing so the participants become researcher in their own practice and at the same time the further education is used for a scientific reflection of their field of work which generates inputs for the development of the practice.
{"title":"Theory-practice transfer in health care - by scientific reflection of occupational area to care experts / Theorie-Praxis-Transfer in der Gesundheitsversorgung – durch wissenschaftliche Berufsfeldreflexion zum Versorgungsexperten","authors":"Wolfgang Arens-Fischer, Julia Biedendieck, A. Braun von Reinersdorff, Katrin Dinkelborg, Heike Thiele, A. Wolf","doi":"10.1515/ijhp-2016-0004","DOIUrl":"https://doi.org/10.1515/ijhp-2016-0004","url":null,"abstract":"Abstract With the academization of practical health professions universities as well as universities of applied sciences are facing the challenge to qualify nurses and therapists for a field of profession which is not defined yet. Science has to answer the questions about the exact contents and the boundary of academic health professions to other professions, which are established in fields of activities within patient care for a long time. Furthermore, science has to show prospective developments. At this point the need of labour research in academic, practical professions of health care arises. The concept of this contribution combines the further qualification with labour research in the professional field and aims to design modules of further education, which combine systematically the practical field of work with the contents of the module. The base is a didactical approach of a relation between theoretical and practical parts, known from dual study programs. A reflective oriented case study is the central instrument of the further education in every module. The participants have to use the theoretical contents of the module to reflect their practical field of work with a professional perspective. In doing so the participants become researcher in their own practice and at the same time the further education is used for a scientific reflection of their field of work which generates inputs for the development of the practice.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"233-234 1","pages":"71 - 80"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76942054","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}
A. Wolf, Heike Thiele, M. Haar, Stefanie Kortekamp, A. Braun von Reinersdorff
Abstract The health care sector is facing many aspects of transformation. One aspect amongst others herein is an alteration of qualification profiles. Universities have to focus on both aspects determining future qualification profiles and increasing permeability between educational systems in a sense of optimally intermeshing competences that have been acquired at universities and those that have been acquired outside of them. This leads to the question how to create university certificate programs that offers two aspects: academic qualification on the one hand and on the other hand a possibility to identify, evaluate and certify non-formally and informally acquired competences of participating students. The ultimate goal is to identify and evaluate a person´s overall competence in a clearly defined thematic context, whereat competences that have been acquired outside universities will play an important role. Competences that have been certified by these academic programs may be used later for crediting purposes. In this report an initial prototype is being presented. It defines itself mainly as additional novel way of discussing crediting concepts.
{"title":"Formalization of informally acquired competences as part of academic certificate programs in healthcare – “prototype” of a model / Formalisierung informell erworbener Kompetenzen im Rahmen akademischer Zertifikatsprogramme im Gesundheitsbereich – „Prototyp“ eines Modells","authors":"A. Wolf, Heike Thiele, M. Haar, Stefanie Kortekamp, A. Braun von Reinersdorff","doi":"10.1515/ijhp-2016-0007","DOIUrl":"https://doi.org/10.1515/ijhp-2016-0007","url":null,"abstract":"Abstract The health care sector is facing many aspects of transformation. One aspect amongst others herein is an alteration of qualification profiles. Universities have to focus on both aspects determining future qualification profiles and increasing permeability between educational systems in a sense of optimally intermeshing competences that have been acquired at universities and those that have been acquired outside of them. This leads to the question how to create university certificate programs that offers two aspects: academic qualification on the one hand and on the other hand a possibility to identify, evaluate and certify non-formally and informally acquired competences of participating students. The ultimate goal is to identify and evaluate a person´s overall competence in a clearly defined thematic context, whereat competences that have been acquired outside universities will play an important role. Competences that have been certified by these academic programs may be used later for crediting purposes. In this report an initial prototype is being presented. It defines itself mainly as additional novel way of discussing crediting concepts.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"8 1","pages":"57 - 70"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88901244","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}
A. Boettcher, Linda Cording, Kristin Maria Käuper, S. Busch
Abstract Studies indicate positive effects of interprofessional collaboration on the quality of health care. Interprofessional academic education of health care professionals is crucial for successful cooperation, although Terizakis & Gehring (2014, p. 24) state «a genuine understanding of interprofessional teaching […] hasn't developed yet.» The undefined usage of terminology and coexisting interprofessional study programs are only one part of the problem. Further consented interprofessional learning concepts and systematic knowledge regarding competencies and teaching experiences are lacking. The WHO (2010, pp. 27 f) recommends lecturers to generate a common understanding of interprofessionality. At Hamburg University of Applied Sciences a part-time study program in interprofessional health care and management started in September 2015. It was designed as a continuing education program for occupational-, physio-, and speech therapists, nurses and midwives. As a preparation for the program focus group discussions with staff members of the department „Pfege & Management» were conducted. The aim was to investigate their understanding of interprofessionality, learning and teaching. The results indicated a contextual understanding of interprofessionality, although the usage of the terminology remains blurred. The tension of a congruent interprofessional learning concept is to enhance scientific reflection of disciplines, as well as strengthening interprofessional aspects. Regarding the change in demands of the health care system, interprofessional collaboration is seen as a major resource. The research gap on disciplinary orientations in terms of enhancing professional identity on the one and interprofessionality as innovative construct on the other hand has to be filled.
研究表明，跨专业合作对医疗保健质量有积极影响。卫生保健专业人员的跨专业学术教育对于成功合作至关重要，尽管Terizakis和Gehring (2014, p. 24)指出“对跨专业教学的真正理解[…]尚未发展起来。”术语的不明确用法和共存的跨专业学习项目只是问题的一部分。进一步商定的跨专业学习概念和关于能力和教学经验的系统知识缺乏。世卫组织(2010年，第27页f)建议讲师形成对跨专业的共同理解。汉堡应用科学大学(Hamburg University of Applied Sciences)于2015年9月开设了一个跨专业医疗保健和管理的兼职学习项目。它被设计为职业、物理和语言治疗师、护士和助产士的继续教育计划。作为该计划的准备工作，与“管理与管理”部门的工作人员进行了焦点小组讨论。目的是调查他们对跨专业、学习和教学的理解。结果表明了对专业间性的上下文理解，尽管术语的使用仍然模糊。一个一致的跨专业学习理念的张力在于增强学科的科学性反思，以及加强跨专业方面。关于卫生保健系统需求的变化，跨专业合作被视为一种主要资源。学科取向一方面是提高专业认同，另一方面是作为创新结构的跨专业性，这两方面的研究空白有待填补。
{"title":"Think outside the box – Interprofessional collaboration starts in the mind of teachers / Querdenken erlaubt – Interdisziplinarität beginnt in den Köpfen von Lehrenden","authors":"A. Boettcher, Linda Cording, Kristin Maria Käuper, S. Busch","doi":"10.1515/ijhp-2016-0008","DOIUrl":"https://doi.org/10.1515/ijhp-2016-0008","url":null,"abstract":"Abstract Studies indicate positive effects of interprofessional collaboration on the quality of health care. Interprofessional academic education of health care professionals is crucial for successful cooperation, although Terizakis & Gehring (2014, p. 24) state «a genuine understanding of interprofessional teaching […] hasn't developed yet.» The undefined usage of terminology and coexisting interprofessional study programs are only one part of the problem. Further consented interprofessional learning concepts and systematic knowledge regarding competencies and teaching experiences are lacking. The WHO (2010, pp. 27 f) recommends lecturers to generate a common understanding of interprofessionality. At Hamburg University of Applied Sciences a part-time study program in interprofessional health care and management started in September 2015. It was designed as a continuing education program for occupational-, physio-, and speech therapists, nurses and midwives. As a preparation for the program focus group discussions with staff members of the department „Pfege & Management» were conducted. The aim was to investigate their understanding of interprofessionality, learning and teaching. The results indicated a contextual understanding of interprofessionality, although the usage of the terminology remains blurred. The tension of a congruent interprofessional learning concept is to enhance scientific reflection of disciplines, as well as strengthening interprofessional aspects. Regarding the change in demands of the health care system, interprofessional collaboration is seen as a major resource. The research gap on disciplinary orientations in terms of enhancing professional identity on the one and interprofessionality as innovative construct on the other hand has to be filled.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"19 1","pages":"29 - 36"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89592229","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}
Abstract Introduction In Switzerland, 39% of nursing home residents have a dementia related disease. Behavioral symptoms are increasingly observed as dementia progresses. These symptoms impair patients’ quality of life and are distressing to family caregivers and nurses. A person-centered approach, which includes the resident’s individual biography, reduces such symptoms. The most current literature describes how therapists include biographical information in designated therapies. However person-centered care takes place not only in specific activities. Nurses are responsible for their patients’ care 24 hours a day. Aim The goal of this study is to explore how nurses include biographical information in their daily care. Method Data were collected from qualitative interviews with registered nurses (n=10) in a nursing home and analysed according to the Charmaz Grounded Theory approach. Results The inclusion of the personal biography in daily care appears as a continuous, repetitive process with three main categories: “negotiating”, “connecting” and “being-in-good-hands”. Nurses in this study report that they can trigger positive reactions and reduce behavioral symptoms by means of meaningful interventions, when connected to the residents’ biography. Meaningful interventions can support residents in making contact to their current everyday life, acting independently and perceiving self-efficacy (= connecting). To initiate meaningful interventions, nurses need to connect biographical information to current experiences of the resident (= negotiating). This requires a thorough understanding of the residents’ situation. Nurses obtain an in-depth understanding through caring relationships, which are characterized by continuity of care and a mutual dialogue, where needs and experiences are shared, understood and evaluated (= being-in-good-hands).
{"title":"Inclusion of the personal biography in daily care – a qualitative study / Einbezug der Biographie in den Pflegealltag – eine qualitative Studie","authors":"Stephanie Kipfer, L. Imhof, A. Koppitz","doi":"10.1515/ijhp-2016-0016","DOIUrl":"https://doi.org/10.1515/ijhp-2016-0016","url":null,"abstract":"Abstract Introduction In Switzerland, 39% of nursing home residents have a dementia related disease. Behavioral symptoms are increasingly observed as dementia progresses. These symptoms impair patients’ quality of life and are distressing to family caregivers and nurses. A person-centered approach, which includes the resident’s individual biography, reduces such symptoms. The most current literature describes how therapists include biographical information in designated therapies. However person-centered care takes place not only in specific activities. Nurses are responsible for their patients’ care 24 hours a day. Aim The goal of this study is to explore how nurses include biographical information in their daily care. Method Data were collected from qualitative interviews with registered nurses (n=10) in a nursing home and analysed according to the Charmaz Grounded Theory approach. Results The inclusion of the personal biography in daily care appears as a continuous, repetitive process with three main categories: “negotiating”, “connecting” and “being-in-good-hands”. Nurses in this study report that they can trigger positive reactions and reduce behavioral symptoms by means of meaningful interventions, when connected to the residents’ biography. Meaningful interventions can support residents in making contact to their current everyday life, acting independently and perceiving self-efficacy (= connecting). To initiate meaningful interventions, nurses need to connect biographical information to current experiences of the resident (= negotiating). This requires a thorough understanding of the residents’ situation. Nurses obtain an in-depth understanding through caring relationships, which are characterized by continuity of care and a mutual dialogue, where needs and experiences are shared, understood and evaluated (= being-in-good-hands).","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"18 1","pages":"216 - 226"},"PeriodicalIF":0.0,"publicationDate":"2016-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87239529","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}
Abstract Background: Currently, the debate on regional and socio-structurally related treatment gaps in psychotherapeutic care increases the interest in e-mental health interventions such as the Internet-based psychotherapy, online self-help and new approaches for self-empowerment. Thus, health professionals could support informed decision-making by knowing the latest developments. However, if the ‘digital revolution’ fails to reach patients not familiar with Web 2.0, access to psychotherapies is unlikely to improve. Therefore, the objective of this review is to clarify whether online therapies should be recommended as an effective alternative to conventional psychotherapy in primary care. Methods: To investigate the research evidence of online therapies in adults within the last decade (2004-2014), a rapid review of literature was conducted by using electronic databases (i.e. Medline/PubMed, PubMed Central, Cochrane Library) to find systematic reviews, meta-analysis and clinical trials. Furthermore, a hand search in journals and grey literature was undertaken. Results: A search in PubMed for clinical trials on ‘online psychotherapy’ resulted in a total number of 245 publications. So, eight reviews and several clinical trials were chosen. Overall, mostly positive findings on the effectiveness and acceptance of online psychotherapy, primarily in the treatment of depression and anxiety disorders, were identified. Discussion: In sum, Internet-based psychotherapies have been effective in reducing symptoms of mood and anxiety disorders in clinical trials. However, due to the limited range of treatable disorders and non-representative samples (young female college graduates), external validity remains insufficient. Thus, further research is needed to determine if online therapies will be capable of improving access to psychotherapy.
{"title":"Access to Psychotherapy in the Era of Web 2.0 – New Media, Old Inequalities? / Zugang zur Psychotherapie in der Ära des Web 2.0 – Neue Medien, Alte Ungleichheiten?","authors":"J. Apolinário-Hagen, S. Tasseit","doi":"10.1515/ijhp-2015-0010","DOIUrl":"https://doi.org/10.1515/ijhp-2015-0010","url":null,"abstract":"Abstract Background: Currently, the debate on regional and socio-structurally related treatment gaps in psychotherapeutic care increases the interest in e-mental health interventions such as the Internet-based psychotherapy, online self-help and new approaches for self-empowerment. Thus, health professionals could support informed decision-making by knowing the latest developments. However, if the ‘digital revolution’ fails to reach patients not familiar with Web 2.0, access to psychotherapies is unlikely to improve. Therefore, the objective of this review is to clarify whether online therapies should be recommended as an effective alternative to conventional psychotherapy in primary care. Methods: To investigate the research evidence of online therapies in adults within the last decade (2004-2014), a rapid review of literature was conducted by using electronic databases (i.e. Medline/PubMed, PubMed Central, Cochrane Library) to find systematic reviews, meta-analysis and clinical trials. Furthermore, a hand search in journals and grey literature was undertaken. Results: A search in PubMed for clinical trials on ‘online psychotherapy’ resulted in a total number of 245 publications. So, eight reviews and several clinical trials were chosen. Overall, mostly positive findings on the effectiveness and acceptance of online psychotherapy, primarily in the treatment of depression and anxiety disorders, were identified. Discussion: In sum, Internet-based psychotherapies have been effective in reducing symptoms of mood and anxiety disorders in clinical trials. However, due to the limited range of treatable disorders and non-representative samples (young female college graduates), external validity remains insufficient. Thus, further research is needed to determine if online therapies will be capable of improving access to psychotherapy.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"162 1","pages":"119 - 129"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74865177","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}
Abstract Background: Early specialised care is important for those with mental health problems to prevent e.g. chronic progression. Targeted professionally initiated intervention to stabilise mental health status is only possible if affected individuals actively seek support. The reasons for inadequate use of qualified services have not been sufficiently investigated from the perspectives of those affected. There is only limited insight into the help-seeking behaviour of those with mental health issues. Aim: This study sheds light on the ‘experience’ of help-seeking to time of first contact with a psychiatric institution. It specifically concentrates on the perspective of those affected and their subjective problems. Method: Using a qualitative-inductive design, patients at a crisis centre were retrospectively interviewed using a guideline-supported approach. Interview results were analysed using Saldaña (2013) opening coding (two circles). Results: The patients’ experience can be categorised as ‘real’ problems as the cause, exacerbated mental health problems and utilising mental health services. Help-seeking is determined by the need to manage causal, ‘real’ (everyday, social) problems. Many mental health problem have long not been recognised as such, and thus help-seeking is initially focussed on ‘real’ problems. At all levels of help-seeking, from recognition of a mental health Problem to overcoming barriers preventing use of specialised help, affected persons require the support of third parties. Conclusions: The results indicate the need for a patient-orientated transformation of mental health primary care to provide for more easily accessible services that take into account the everyday and social problems of those with related problems.
{"title":"Help-seeking for mental health problems from the patient perspective – A qualitative study / Das Hilfe(auf)suchen bei psychischen Gesundheitsproblemen aus der Betroffenenperspektive – Eine qualitative Studie","authors":"Eva Tola, P. Metzenthin, C. Mischke","doi":"10.1515/ijhp-2015-0012","DOIUrl":"https://doi.org/10.1515/ijhp-2015-0012","url":null,"abstract":"Abstract Background: Early specialised care is important for those with mental health problems to prevent e.g. chronic progression. Targeted professionally initiated intervention to stabilise mental health status is only possible if affected individuals actively seek support. The reasons for inadequate use of qualified services have not been sufficiently investigated from the perspectives of those affected. There is only limited insight into the help-seeking behaviour of those with mental health issues. Aim: This study sheds light on the ‘experience’ of help-seeking to time of first contact with a psychiatric institution. It specifically concentrates on the perspective of those affected and their subjective problems. Method: Using a qualitative-inductive design, patients at a crisis centre were retrospectively interviewed using a guideline-supported approach. Interview results were analysed using Saldaña (2013) opening coding (two circles). Results: The patients’ experience can be categorised as ‘real’ problems as the cause, exacerbated mental health problems and utilising mental health services. Help-seeking is determined by the need to manage causal, ‘real’ (everyday, social) problems. Many mental health problem have long not been recognised as such, and thus help-seeking is initially focussed on ‘real’ problems. At all levels of help-seeking, from recognition of a mental health Problem to overcoming barriers preventing use of specialised help, affected persons require the support of third parties. Conclusions: The results indicate the need for a patient-orientated transformation of mental health primary care to provide for more easily accessible services that take into account the everyday and social problems of those with related problems.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"39 1","pages":"107 - 118"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86483851","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}
R. Waite, Nicole S. McKinney, M. Sahl, Phi Nguyen, Alecia Schneider Fox
Abstract Emotional and social competencies are important skills to cultivate in developing leaders. This study examined pre-post findings from the Hay Group Emotional and Social Competence Inventory among 18 undergraduate students enrolled in a leadership programme while they concurrently completed their traditional academic courses. Correlations and paired t-tests were conducted using Statistical Package of Social Sciences 20.0 for data analysis. Statistical significance was found in students’ self-assessed functional behaviour in a number of competencies - emotional self-awareness, positive outlook, empathy, organisational awareness, coach and mentor, systems thinking, and pattern recognition. Pedagogical strategies that intentionally focus on development of emotional and social competencies aid in students’ abilities to understand, internalise, and make use of skills essential to a variety of leadership roles, specifically, how they are able to relate effectively with others. Graduating students who are better prepared to serve in leadership roles - on teams and in the community are an investment in the future of healthcare.
情感能力和社交能力是培养领导者的重要技能。本研究对18名参加领导课程的本科生进行了调查，调查结果来自合益集团的情绪和社会能力量表，这些学生同时完成了传统的学术课程。数据分析采用Statistical Package of Social Sciences 20.0进行相关检验和配对t检验。学生自我评估的功能行为在情绪自我意识、积极前景、同理心、组织意识、教练和导师、系统思维和模式识别等多项能力中均有统计学意义。刻意注重情感和社会能力发展的教学策略有助于学生理解、内化和利用各种领导角色所必需的技能，特别是如何与他人有效联系。那些为在团队和社区中担任领导角色做好更好准备的毕业生是对医疗保健未来的投资。
{"title":"Strengthening emotional and social competence: undergraduate health professions students / Stärkung emotionaler und sozialer Kompetenzen bei Bachelorstudierenden in Gesundheitsberufen","authors":"R. Waite, Nicole S. McKinney, M. Sahl, Phi Nguyen, Alecia Schneider Fox","doi":"10.1515/ijhp-2015-0011","DOIUrl":"https://doi.org/10.1515/ijhp-2015-0011","url":null,"abstract":"Abstract Emotional and social competencies are important skills to cultivate in developing leaders. This study examined pre-post findings from the Hay Group Emotional and Social Competence Inventory among 18 undergraduate students enrolled in a leadership programme while they concurrently completed their traditional academic courses. Correlations and paired t-tests were conducted using Statistical Package of Social Sciences 20.0 for data analysis. Statistical significance was found in students’ self-assessed functional behaviour in a number of competencies - emotional self-awareness, positive outlook, empathy, organisational awareness, coach and mentor, systems thinking, and pattern recognition. Pedagogical strategies that intentionally focus on development of emotional and social competencies aid in students’ abilities to understand, internalise, and make use of skills essential to a variety of leadership roles, specifically, how they are able to relate effectively with others. Graduating students who are better prepared to serve in leadership roles - on teams and in the community are an investment in the future of healthcare.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"33 1","pages":"84 - 92"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80941036","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}
Abstract In Germany 1,76 million people are in need of care to live at home. Most of them (1,18 mill.) receive that care from members of their own families. German informal caregiver training programs are paid for by the compulsory long term care insurance. Nevertheless there are only very few published national curricula or evaluations of training courses. Therefore we reviewed international evaluations of group support programs for informal caregivers. Electronic databases (Medline and Cinahl) were searched for controlled trials, published in English, German or French from 2000- 2013 inclusive. The authors of this review located and scored 15 studies according to set criteria. There are five studies with more than 200 probands. These studies indicate improvement in the areas of satisfaction from the work, quality of life and level of stress. Nevertheless the admissions for nursing homes increased in one of them. Other studies show some significant findings that could improve the mood of depression, the quality of life, empowerment and the response to behavioral disorders of their family members. It is not always possible to ascertain the indirect effects on strain, distress or social support. As the researchers used different assessments, it is not possible to combine the results of the studies. We lack widely accepted sensitive assessment instruments and assessments, which target the contents of the courses. The studies show how caregiver training programs can be combined with other support offers.
{"title":"Characteristics and effectiveness of group support programs for informal caregivers - a systematic review / Design und Erfolg von Gruppenschulungen für pflegende Angehörige – eine systematische Übersichtsarbeit","authors":"M. Fink-Heitz, J. Behrens","doi":"10.1515/ijhp-2015-0009","DOIUrl":"https://doi.org/10.1515/ijhp-2015-0009","url":null,"abstract":"Abstract In Germany 1,76 million people are in need of care to live at home. Most of them (1,18 mill.) receive that care from members of their own families. German informal caregiver training programs are paid for by the compulsory long term care insurance. Nevertheless there are only very few published national curricula or evaluations of training courses. Therefore we reviewed international evaluations of group support programs for informal caregivers. Electronic databases (Medline and Cinahl) were searched for controlled trials, published in English, German or French from 2000- 2013 inclusive. The authors of this review located and scored 15 studies according to set criteria. There are five studies with more than 200 probands. These studies indicate improvement in the areas of satisfaction from the work, quality of life and level of stress. Nevertheless the admissions for nursing homes increased in one of them. Other studies show some significant findings that could improve the mood of depression, the quality of life, empowerment and the response to behavioral disorders of their family members. It is not always possible to ascertain the indirect effects on strain, distress or social support. As the researchers used different assessments, it is not possible to combine the results of the studies. We lack widely accepted sensitive assessment instruments and assessments, which target the contents of the courses. The studies show how caregiver training programs can be combined with other support offers.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"1 1","pages":"106 - 93"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89979018","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}
Abstract Objective: Measurement of activity and participation related outcomes play an important role in rehabilitation of low back pain. Therefore the „Patient Specific Functional Scale»(PSFS) was developed to assess individual, patient related activities. The aim of this study is the cultural adaptation and validation of the PSFS for German speaking countries. Method: A cultural translation and adaptation process was carried out in accordance with standardized guidelines. The internal and external responsiveness and the construct validity adjustment to the German version pertaining to patients with lumbar back pain was examined in comparison to the «Oswestry Disability Index»(ODI). Results: In both groups the PSFS proved itself to be more sensitive in comparison to the ODI. The internal responsiveness of ODI improved ES= -0.75), (non-improved ES= -0.38). PSFS (improved ES= 1.96), (non-improved ES 0.77). The external responsiveness of ODI (AUC= 0.59), of PSFS (AUC= 0.83) (P= 0.0068). Constructs of both measurement instruments have a weak and a moderate correlation on measuring point 1 (r= -0.28) and 2 (r= -0.58). Conclusion: The German version of PSFS proves itself to be a feasible model and a method of high sensitivity in evaluating changes in the functional ability of patients with lumbar back pain. The instrument can be recommended to be used in clinical practice.
{"title":"Cross-cultural Adaption and Validity of the “Patient Specific Functional Scale” / Kulturelle Adaption und Validierung der deutschen Version der “Patient Specific Functional Scale”","authors":"P. Heldmann, T. Schöttker-Königer, A. Schäfer","doi":"10.1515/ijhp-2015-0002","DOIUrl":"https://doi.org/10.1515/ijhp-2015-0002","url":null,"abstract":"Abstract Objective: Measurement of activity and participation related outcomes play an important role in rehabilitation of low back pain. Therefore the „Patient Specific Functional Scale»(PSFS) was developed to assess individual, patient related activities. The aim of this study is the cultural adaptation and validation of the PSFS for German speaking countries. Method: A cultural translation and adaptation process was carried out in accordance with standardized guidelines. The internal and external responsiveness and the construct validity adjustment to the German version pertaining to patients with lumbar back pain was examined in comparison to the «Oswestry Disability Index»(ODI). Results: In both groups the PSFS proved itself to be more sensitive in comparison to the ODI. The internal responsiveness of ODI improved ES= -0.75), (non-improved ES= -0.38). PSFS (improved ES= 1.96), (non-improved ES 0.77). The external responsiveness of ODI (AUC= 0.59), of PSFS (AUC= 0.83) (P= 0.0068). Constructs of both measurement instruments have a weak and a moderate correlation on measuring point 1 (r= -0.28) and 2 (r= -0.58). Conclusion: The German version of PSFS proves itself to be a feasible model and a method of high sensitivity in evaluating changes in the functional ability of patients with lumbar back pain. The instrument can be recommended to be used in clinical practice.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"11 1","pages":"73 - 82"},"PeriodicalIF":0.0,"publicationDate":"2015-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78752301","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}
A. Koppitz, Veronika Waldboth, J. Dreizler, L. Imhof
Abstract Sensing, observing and interpreting the symptoms of persons suffering from dementia is very challenging. The difficulties lie in their restricted capacity to communicate and irregular transitions from a chronic-stable to an acute-critical condition both in the course of their symptoms and in the slow but continuous process of deterioration. The aim of this integrative literature review was to identify the symptoms dementia patients present in the final twelve months of their lives and to identify instruments for symptom assessment. To this end, a comprehensive literature search within the electronic databases Medline® (PubMed), Cinahl® (EBSCO), PsycINFO® (OVID) and Cochrane Library for systematic reviews® and for clinical trials® in both German and English was performed including publications from January 2000 to July 2012. Six symptoms were identified as frequent and common in the end-of-life phase of people with dementia: respiratory distress, pain, mood swings, restricted mobility, restricted food and fluid intake and behavioural and psychosocial symptoms. Knowledge of atypical symptom manifestation requires critical reflection about perceptions and observations, interpretation of these observations, development of assumptions and location within the context of everyday life in the meaning of clinical reasoning.
{"title":"Dying with dementia: most frequent symptoms. A review of the literature / Sterben mit Demenz: die häufigsten Symptome. Eine Literaturübersicht","authors":"A. Koppitz, Veronika Waldboth, J. Dreizler, L. Imhof","doi":"10.1515/ijhp-2015-0003","DOIUrl":"https://doi.org/10.1515/ijhp-2015-0003","url":null,"abstract":"Abstract Sensing, observing and interpreting the symptoms of persons suffering from dementia is very challenging. The difficulties lie in their restricted capacity to communicate and irregular transitions from a chronic-stable to an acute-critical condition both in the course of their symptoms and in the slow but continuous process of deterioration. The aim of this integrative literature review was to identify the symptoms dementia patients present in the final twelve months of their lives and to identify instruments for symptom assessment. To this end, a comprehensive literature search within the electronic databases Medline® (PubMed), Cinahl® (EBSCO), PsycINFO® (OVID) and Cochrane Library for systematic reviews® and for clinical trials® in both German and English was performed including publications from January 2000 to July 2012. Six symptoms were identified as frequent and common in the end-of-life phase of people with dementia: respiratory distress, pain, mood swings, restricted mobility, restricted food and fluid intake and behavioural and psychosocial symptoms. Knowledge of atypical symptom manifestation requires critical reflection about perceptions and observations, interpretation of these observations, development of assumptions and location within the context of everyday life in the meaning of clinical reasoning.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"2 1","pages":"49 - 63"},"PeriodicalIF":0.0,"publicationDate":"2015-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75314144","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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