Erna Schönthaler, P. Schwab, Monika Zettel-Tomenendal, Valentin Ritschl
Abstract Evidence-based practice (EBP) aims at optimal fulfilment of clients´ needs, but also plays an essential role in establishing an effective and efficient health care system. It is no longer a question whether EBP is essential and valued, but rather how to sustainably implement it into clinical practice. A new implementation strategy of an EBP workshop in combination with a CAT (critically appraised topic) service was established and investigated. The aim of this study was to explore post EBP Service Centre consultation effects regarding occupational therapists’ changes in service provision, professional viewpoints and attitudes and job satisfaction. The second aim was receiving feedback on the EBP Service Centre for its further development. For the evaluation of the EBP Service Centre the qualitative approach of content analysis by Gläser and Laudel was chosen. Two focus group discussions with 13 participants were conducted. The combination of an EBP workshop and a CAT service, as provided by the EBP Service Centre, seems to be an effective tool to facilitate EBP implementation. The service was used intensively. Participants reported changes in service provision, e.g. increased client-centredness and occupation-based practice and changed professional attitudes like increased reflection and critical questioning. A division of resources and strengths between research staff and practitioners seems to be reasonable. Hence research staff takes over literature search and appraisal and produces CATs, whereas practitioners focus on asking clinical questions and integrating the knowledge from the CAT into their clinical decisions.
{"title":"Supporting evidence-based practice: Changes in service provision and practitioners’ attitudes following EBP Service Centre consultation – a qualitative study / Evidenzbasierte Praxis unterstützen: Veränderungen der Arbeitsweise und der Einstellungen von Ergotherapeuten/-innen durch die Nutzung eines","authors":"Erna Schönthaler, P. Schwab, Monika Zettel-Tomenendal, Valentin Ritschl","doi":"10.1515/ijhp-2017-0007","DOIUrl":"https://doi.org/10.1515/ijhp-2017-0007","url":null,"abstract":"Abstract Evidence-based practice (EBP) aims at optimal fulfilment of clients´ needs, but also plays an essential role in establishing an effective and efficient health care system. It is no longer a question whether EBP is essential and valued, but rather how to sustainably implement it into clinical practice. A new implementation strategy of an EBP workshop in combination with a CAT (critically appraised topic) service was established and investigated. The aim of this study was to explore post EBP Service Centre consultation effects regarding occupational therapists’ changes in service provision, professional viewpoints and attitudes and job satisfaction. The second aim was receiving feedback on the EBP Service Centre for its further development. For the evaluation of the EBP Service Centre the qualitative approach of content analysis by Gläser and Laudel was chosen. Two focus group discussions with 13 participants were conducted. The combination of an EBP workshop and a CAT service, as provided by the EBP Service Centre, seems to be an effective tool to facilitate EBP implementation. The service was used intensively. Participants reported changes in service provision, e.g. increased client-centredness and occupation-based practice and changed professional attitudes like increased reflection and critical questioning. A division of resources and strengths between research staff and practitioners seems to be reasonable. Hence research staff takes over literature search and appraisal and produces CATs, whereas practitioners focus on asking clinical questions and integrating the knowledge from the CAT into their clinical decisions.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"7 1","pages":"66 - 78"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77769352","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. Schäfer, Katrin Jettkowski, Julia Kretschmann, M. Wurg, C. Stukenborg-Colsmann, C. Plaass
Abstract Background and objective Foot and ankle surgery is increasing due to demographic and lifestyle changes. Most often, patients are required to unload their foot postoperatively, resulting in signifcant impairment of activities of daily living without adequate preparation for this situation. The aim of the study was the development and evaluation of a preoperative patient education intervention. Methods Based on current research, a patient education intervention was developed. To investigate immediate effects, a longitudinal study with two points of measurement before and after the education session was conducted. Outcomes were increase in knowledge, satisfaction and preoperative anxiety, which were measured with a selfdeveloped questionnaire. Additionally, five short interviews were conducted. Results 56 patients (63% female) with a mean age of 56,7 (SD=14,8) years were included. Patients had a signifcant increase in knowledge following the intervention from mean 3,93 (SD=1,78) to 5,48 (SD=2,29) correctly answered questions (out of 10). Patients felt that they were better informed and more satisfied with the information provided. Patients evaluated the way of information delivery, the content of information, the group and the location as positive.The expectations of patients relating to postoperative load-bearing capacity and coping with everyday life as well as preoperative anxiety did not change following the intervention. Conclusion The education intervention could be implemented in the clinical routine and showed positive effects. However, regarding realistic expectations and preoperative anxiety no change was observed. Long-term post operative effectivity and effciency of patient education should be further examined within a randomized controlled trial.
{"title":"Development and evaluation of interdisciplinary preoperative patient education in foot and ankle surgery: immediate effects on knowledge, satisfaction and anxiety / Entwicklung und erste Evaluation eines präoperativen interdisziplinären Schulungskonzeptes für Patienten/-innen der Fußchirurgie: unmit","authors":"A. Schäfer, Katrin Jettkowski, Julia Kretschmann, M. Wurg, C. Stukenborg-Colsmann, C. Plaass","doi":"10.1515/ijhp-2017-0005","DOIUrl":"https://doi.org/10.1515/ijhp-2017-0005","url":null,"abstract":"Abstract Background and objective Foot and ankle surgery is increasing due to demographic and lifestyle changes. Most often, patients are required to unload their foot postoperatively, resulting in signifcant impairment of activities of daily living without adequate preparation for this situation. The aim of the study was the development and evaluation of a preoperative patient education intervention. Methods Based on current research, a patient education intervention was developed. To investigate immediate effects, a longitudinal study with two points of measurement before and after the education session was conducted. Outcomes were increase in knowledge, satisfaction and preoperative anxiety, which were measured with a selfdeveloped questionnaire. Additionally, five short interviews were conducted. Results 56 patients (63% female) with a mean age of 56,7 (SD=14,8) years were included. Patients had a signifcant increase in knowledge following the intervention from mean 3,93 (SD=1,78) to 5,48 (SD=2,29) correctly answered questions (out of 10). Patients felt that they were better informed and more satisfied with the information provided. Patients evaluated the way of information delivery, the content of information, the group and the location as positive.The expectations of patients relating to postoperative load-bearing capacity and coping with everyday life as well as preoperative anxiety did not change following the intervention. Conclusion The education intervention could be implemented in the clinical routine and showed positive effects. However, regarding realistic expectations and preoperative anxiety no change was observed. Long-term post operative effectivity and effciency of patient education should be further examined within a randomized controlled trial.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"236 1","pages":"25 - 32"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76835569","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}
B. Schüßler, A. Abel, M. Holzer, Ruth Meise, S. Voigt-Radloff, A. Schäfer
Abstract Health problem The prevalence of low back pain ranges from 74 to 85%, almost everybody in Germany suffers from low back pain once in his or her life. The recurrence rate within twelve months is 62%, which often leads to inability to work and reduction in earning capacity. The rate of chronic manifestation of low back pain is 5%. Subsequent loss of mobility and functional disability lowers quality of life and participation in private life and at work. Evidence A recent Cochrane review (Kamper et al., 2014) analysed six (outcome disability) and seven (outcome pain) studies with 722 and 821 participants respectively and showed that multidisciplinary rehabilitation compared to usual care has a small, but clinically relevant effect (pain: SMD -0,21 [CI 95% -0,37; -0,04]; disability: SMD -0,23 [CI 95% -0,4; -0,06]). There is a lack of evidence about the intervention conception, patient-centred outcomes and the cost effectiveness. Implication for research Prior to a randomised controlled trial a feasibility study about individualised multidisciplinary biopsychosocial rehabilitation compared to usual care considering people with chronic low back pain at employable age in Germany is needed. The applicability of available manuals, patient-centred outcomes and cost effectiveness should be explored.
{"title":"Potential analysis of multidisciplinary biopsychosocial rehabilitation for patients with chronic low back pain / Potentialanalyse der multidisziplinären biopsychosozialen Rehabilitation für Patienten/-innen mit chronischen Rückenschmerzen","authors":"B. Schüßler, A. Abel, M. Holzer, Ruth Meise, S. Voigt-Radloff, A. Schäfer","doi":"10.1515/ijhp-2017-0004","DOIUrl":"https://doi.org/10.1515/ijhp-2017-0004","url":null,"abstract":"Abstract Health problem The prevalence of low back pain ranges from 74 to 85%, almost everybody in Germany suffers from low back pain once in his or her life. The recurrence rate within twelve months is 62%, which often leads to inability to work and reduction in earning capacity. The rate of chronic manifestation of low back pain is 5%. Subsequent loss of mobility and functional disability lowers quality of life and participation in private life and at work. Evidence A recent Cochrane review (Kamper et al., 2014) analysed six (outcome disability) and seven (outcome pain) studies with 722 and 821 participants respectively and showed that multidisciplinary rehabilitation compared to usual care has a small, but clinically relevant effect (pain: SMD -0,21 [CI 95% -0,37; -0,04]; disability: SMD -0,23 [CI 95% -0,4; -0,06]). There is a lack of evidence about the intervention conception, patient-centred outcomes and the cost effectiveness. Implication for research Prior to a randomised controlled trial a feasibility study about individualised multidisciplinary biopsychosocial rehabilitation compared to usual care considering people with chronic low back pain at employable age in Germany is needed. The applicability of available manuals, patient-centred outcomes and cost effectiveness should be explored.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"80 1","pages":"33 - 42"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83836753","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}
Liv Solveig Wittberger, K. Albermann, J. Pehlke-Milde, A. Koppitz
Abstract Introduction Up to 40% of families are faced with a fussy, inconsolable high need infant in the first three months postpartum. A major reason for parents to seek professional help is the trying aspect of the situation with these children. The supportive role of health professionals has the greatest potential to reduce the parent’s stress and burden. To our knowledge, there are no studies on inpatient treatment for families with such infants so far. Aim The aim of this study is to show how an inpatient setting may reduce the stress and burden of parents with an inconsolably crying infant. Method A grounded theory approach (Charmaz) was used to analyse semi-structured interviews of 13 parents from a total of 9 families. Results Two core categories emerged from the data: “To get out of hand” describes how parents lose the ability to control and direct family life. “To find one’s way into daily routine” describes how they once again gain confidence and develop coping strategies. Conclusion An inpatient treatment reduces the burden on families with inconsolably crying infants. The change in the environment is helpful. Guidance and support enhance the parents’ skill and ability to handling the infant. The stress on the parents can increase again upon hospital discharge. Therefore, improvement is needed in treatment planning and parental support at the conclusion of the hospital stay as well as upon hospital discharge.
{"title":"The effect of inpatient treatment on the stress experienced by parents with an excessively crying infant / Die Auswirkungen eines Spitalaufenthaltes auf die Belastung von Eltern mit einem exzessiv schreienden Kind","authors":"Liv Solveig Wittberger, K. Albermann, J. Pehlke-Milde, A. Koppitz","doi":"10.1515/ijhp-2017-0003","DOIUrl":"https://doi.org/10.1515/ijhp-2017-0003","url":null,"abstract":"Abstract Introduction Up to 40% of families are faced with a fussy, inconsolable high need infant in the first three months postpartum. A major reason for parents to seek professional help is the trying aspect of the situation with these children. The supportive role of health professionals has the greatest potential to reduce the parent’s stress and burden. To our knowledge, there are no studies on inpatient treatment for families with such infants so far. Aim The aim of this study is to show how an inpatient setting may reduce the stress and burden of parents with an inconsolably crying infant. Method A grounded theory approach (Charmaz) was used to analyse semi-structured interviews of 13 parents from a total of 9 families. Results Two core categories emerged from the data: “To get out of hand” describes how parents lose the ability to control and direct family life. “To find one’s way into daily routine” describes how they once again gain confidence and develop coping strategies. Conclusion An inpatient treatment reduces the burden on families with inconsolably crying infants. The change in the environment is helpful. Guidance and support enhance the parents’ skill and ability to handling the infant. The stress on the parents can increase again upon hospital discharge. Therefore, improvement is needed in treatment planning and parental support at the conclusion of the hospital stay as well as upon hospital discharge.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"14 1","pages":"14 - 24"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83676325","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 Psychosocial resources of parents are vital for the health and development of their children. Families in stressful circumstances should receive early seamless care to strengthen their parental resources. Independent midwives provide ambulant postpartum care in most families in Switzerland, and hence could play an important role in the early assessment and care of families at risk. Methods Comprehensive routine data of Swiss independent midwives were used for secondary analysis. Frequencies of known psychosocial risk factors were derived and compared to other data sources. Group comparisons were made with respect to family characteristics and midwifery care. Results Only some of the considered risk factors are representable in the midwives‘ data. 18.6% of all families have one and 6.25% have multiple such representable risk factors. Immigrant mothers from developing and emerging countries, very young or older mothers and large families are thereby particularly often affected. Burdened families receive more home visits, but have a later onset of ambulant postpartum care. They suffer more often from breast-feeding problems and are more frequently referred to other disciplines. Discussion Independent midwives in Switzerland document some of the known psychosocial risk factors and adapt their care in routine practice. The collection of data with a better coverage of the known psychosocial risk factors, ideally using validated assessment instruments, is recommended, and further research is required for a more in-depth understanding of the current interdisciplinary collaboration and the needs of families and care providers.
{"title":"Postpartum midwifery care and familial psychosocial risk factors in Switzerland: A secondary data analysis / Hebammenbetreuung im Wochenbett und familiäre psychosoziale Risikofaktoren in der Schweiz: eine Sekundäranalyse","authors":"R. Erdin, Irina Iljuschin, J. Pehlke-Milde","doi":"10.1515/ijhp-2017-0002","DOIUrl":"https://doi.org/10.1515/ijhp-2017-0002","url":null,"abstract":"Abstract Introduction Psychosocial resources of parents are vital for the health and development of their children. Families in stressful circumstances should receive early seamless care to strengthen their parental resources. Independent midwives provide ambulant postpartum care in most families in Switzerland, and hence could play an important role in the early assessment and care of families at risk. Methods Comprehensive routine data of Swiss independent midwives were used for secondary analysis. Frequencies of known psychosocial risk factors were derived and compared to other data sources. Group comparisons were made with respect to family characteristics and midwifery care. Results Only some of the considered risk factors are representable in the midwives‘ data. 18.6% of all families have one and 6.25% have multiple such representable risk factors. Immigrant mothers from developing and emerging countries, very young or older mothers and large families are thereby particularly often affected. Burdened families receive more home visits, but have a later onset of ambulant postpartum care. They suffer more often from breast-feeding problems and are more frequently referred to other disciplines. Discussion Independent midwives in Switzerland document some of the known psychosocial risk factors and adapt their care in routine practice. The collection of data with a better coverage of the known psychosocial risk factors, ideally using validated assessment instruments, is recommended, and further research is required for a more in-depth understanding of the current interdisciplinary collaboration and the needs of families and care providers.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"6 1","pages":"1 - 13"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80398490","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}
Einleitung: Elterliche psychosoziale Ressourcen sind grundlegend wichtig fur eine gesunde kindliche Entwicklung. Familien in belastenden Umstanden sollten fruh und nahtlos Unterstutzung zur Starkung ihrer elterlichen Ressourcen erhalten. Frei praktizierende Hebammen betreuen die meisten Familien in der Schweiz zu Hause im Wochenbett und konnten deshalb eine wichtige Rolle spielen fur die Erfassung und Betreuung belasteter Familien. Methode: Umfassende Daten der schweizerischen frei praktizierenden Hebammen wurden fur eine Sekundaranalyse herangezogen. Die Haufigkeiten bekannter psychosozialer Risikofaktoren anhand dieser Daten wurden mit denen anderer Datenquellen verglichen und Gruppenvergleiche in Bezug auf Familienmerkmale und Merkmale der Hebammenbetreuung angestellt. Resultate: Nur ein Teil der untersuchten Risikofaktoren ist in den Daten der Hebammen abbildbar. 18,6% aller Familien weisen einen, 6,25% mehrere solche abbildbare Risikofaktoren auf. Mutter aus Entwicklungs- und Schwellenlandern, sehr fruhe oder spate Mutter sowie grosse Familien sind dabei besonders oft belastet. Belastete Familien erhalten mehr Hausbesuche, aber zeigen einen spateren Beginn der ambulanten Nachsorge. Zudem leiden sie ofters unter Stillproblemen und werden haufiger an andere Fachpersonen uberwiesen. Diskussion: Frei praktizierende Hebammen in der Schweiz dokumentieren in ihrer taglichen Arbeit einige der bekannten psychosozialen Risikofaktoren und passen die Betreuung beim Vorliegen solcher Risikofaktoren an. Das Erheben von Daten mit einer umfassenderen Abdeckung der bekannten psychosozialen Risikofaktoren, idealerweise mithilfe von validierten Instrumenten, wird empfohlen und weiterfuhrende Forschung ist erforderlich fur ein vertieftes Verstandnis der aktuellen interdisziplinaren Zusammenarbeit und der Bedurfnisse von betroffenen Familien und Fachpersonen.
{"title":"Postpartum midwifery care and familial psychosocial risk factors in Switzerland : a secondary data analysis","authors":"R. Springer, Irina Iljuschin, J. Pehlke-Milde","doi":"10.21256/ZHAW-1209","DOIUrl":"https://doi.org/10.21256/ZHAW-1209","url":null,"abstract":"Einleitung: \u0000Elterliche psychosoziale Ressourcen sind grundlegend wichtig fur eine gesunde kindliche Entwicklung. Familien in belastenden Umstanden sollten fruh und nahtlos Unterstutzung zur Starkung ihrer elterlichen Ressourcen erhalten. Frei praktizierende Hebammen betreuen die meisten Familien in der Schweiz zu Hause im Wochenbett und konnten deshalb eine wichtige Rolle spielen fur die Erfassung und Betreuung belasteter Familien. \u0000Methode: \u0000Umfassende Daten der schweizerischen frei praktizierenden Hebammen wurden fur eine Sekundaranalyse herangezogen. Die Haufigkeiten bekannter psychosozialer Risikofaktoren anhand dieser Daten wurden mit denen anderer Datenquellen verglichen und Gruppenvergleiche in Bezug auf Familienmerkmale und Merkmale der Hebammenbetreuung angestellt. \u0000Resultate: \u0000Nur ein Teil der untersuchten Risikofaktoren ist in den Daten der Hebammen abbildbar. 18,6% aller Familien weisen einen, 6,25% mehrere solche abbildbare Risikofaktoren auf. Mutter aus Entwicklungs- und Schwellenlandern, sehr fruhe oder spate Mutter sowie grosse Familien sind dabei besonders oft belastet. Belastete Familien erhalten mehr Hausbesuche, aber zeigen einen spateren Beginn der ambulanten Nachsorge. Zudem leiden sie ofters unter Stillproblemen und werden haufiger an andere Fachpersonen uberwiesen. \u0000Diskussion: \u0000Frei praktizierende Hebammen in der Schweiz dokumentieren in ihrer taglichen Arbeit einige der bekannten psychosozialen Risikofaktoren und passen die Betreuung beim Vorliegen solcher Risikofaktoren an. Das Erheben von Daten mit einer umfassenderen Abdeckung der bekannten psychosozialen Risikofaktoren, idealerweise mithilfe von validierten Instrumenten, wird empfohlen und weiterfuhrende Forschung ist erforderlich fur ein vertieftes Verstandnis der aktuellen interdisziplinaren Zusammenarbeit und der Bedurfnisse von betroffenen Familien und Fachpersonen.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80547966","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}
Adrian Roesner, Frauke Ackenhausen, R. Eberhardt, U. Gundlach, J. Marquardt, S. Voigt-Radloff, A. Schäfer
Abstract Health problem Recent health insurance statistics show that low back pain (LBP) takes the first place in individual diagnoses according to sick leave statistics. As stated by the German back pain study of 2003/2006, long-term prevalence amounts to a total of 74 % to 85 %. In the case of acute unspecific LRS guidelines, recommend the use of non-steroidal anti-inflammatory drugs and patient education in order to motivate the patient to retain an active lifestyle, to stay physically active and to inform the patient about the background of the symptoms. Studies about the current medical supply situation in Germany show injections and passive therapy methods are part of the standard care, whereas educational measures are generally not applied. Evidence A Cochrane Review indicates the effectiveness of educational measures that have a duration of 2 hours. Education in the recommended intensity can probably not be realized by health care practitioners within the time framework set aside for treatment and advice. Because of their range of services and their professional competence physical and occupational therapists appear to be predestined for this type of education as intervention. Research recommendations In order to assess the potential of such an intervention for a later more extensive efficacy study a feasibility study should be carried out first. The focus is on assessing the feasibility and the evaluation of intervention education.
{"title":"Potential analysis for patient education in acute non-specific low back pain / Potenzialanalyse zur Patienten/-innenedukation bei akuten unspezifischen lumbalen Rückenschmerzen","authors":"Adrian Roesner, Frauke Ackenhausen, R. Eberhardt, U. Gundlach, J. Marquardt, S. Voigt-Radloff, A. Schäfer","doi":"10.1515/ijhp-2016-0022","DOIUrl":"https://doi.org/10.1515/ijhp-2016-0022","url":null,"abstract":"Abstract Health problem Recent health insurance statistics show that low back pain (LBP) takes the first place in individual diagnoses according to sick leave statistics. As stated by the German back pain study of 2003/2006, long-term prevalence amounts to a total of 74 % to 85 %. In the case of acute unspecific LRS guidelines, recommend the use of non-steroidal anti-inflammatory drugs and patient education in order to motivate the patient to retain an active lifestyle, to stay physically active and to inform the patient about the background of the symptoms. Studies about the current medical supply situation in Germany show injections and passive therapy methods are part of the standard care, whereas educational measures are generally not applied. Evidence A Cochrane Review indicates the effectiveness of educational measures that have a duration of 2 hours. Education in the recommended intensity can probably not be realized by health care practitioners within the time framework set aside for treatment and advice. Because of their range of services and their professional competence physical and occupational therapists appear to be predestined for this type of education as intervention. Research recommendations In order to assess the potential of such an intervention for a later more extensive efficacy study a feasibility study should be carried out first. The focus is on assessing the feasibility and the evaluation of intervention education.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"44 1","pages":"107 - 121"},"PeriodicalIF":0.0,"publicationDate":"2016-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75624776","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}
Martina Schlüter-Cruse, W. Schnepp, F. Sayn-Wittgenstein
Abstract The central objective of early prevention in Germany is an improved cooperation between professional groups of the health services and child and youth welfare in interprofessional networks. This objective derives from the realisation that proper care for families with infants can only be achieved if the various groups act in close integration. The ‘Federal Initiative early prevention’ explicitly calls for freelance midwives to be integrated in this context. However, only a few scientific findings on midwives’ cooperation in networks of early prevention have been published to date. This integrative review aims to identify the central themes of interprofessional cooperation of midwives in out-of-hospital obstetrical care from national and international research literature. A systematic search of five research databases for publications between 2005 and 2015 was performed, complemented by a manual search. 25 studies were identified describing various contexts where midwives in out-of-hospital obstetrical care cooperate with other professional groups. Four key themes were analysed: contexts of cooperation, benefits of cooperation, facilitating and restrictive factors of cooperation, and competencies of cooperation. The studies show that there is only limited research coverage of the midwives’ perspective regarding interprofessional cooperation. The existing studies examine the cooperation of midwives primarily with health care professionals, and secondarily with professionals in the social services. In order to expand knowledge on the cooperation of freelance midwives in the networks of early prevention, future research should focus on the perspective of midwives regarding cooperation with other professional groups, both in the health care sector and in the field of social services.
{"title":"Interprofessional cooperation by midwives in the field of out-of-hospital obstetrical care: an integrative review / Interprofessionelle Kooperation von Hebammen im Handlungsfeld der ambulanten geburtshilflichen Versorgung: ein integratives Review","authors":"Martina Schlüter-Cruse, W. Schnepp, F. Sayn-Wittgenstein","doi":"10.1515/ijhp-2016-0025","DOIUrl":"https://doi.org/10.1515/ijhp-2016-0025","url":null,"abstract":"Abstract The central objective of early prevention in Germany is an improved cooperation between professional groups of the health services and child and youth welfare in interprofessional networks. This objective derives from the realisation that proper care for families with infants can only be achieved if the various groups act in close integration. The ‘Federal Initiative early prevention’ explicitly calls for freelance midwives to be integrated in this context. However, only a few scientific findings on midwives’ cooperation in networks of early prevention have been published to date. This integrative review aims to identify the central themes of interprofessional cooperation of midwives in out-of-hospital obstetrical care from national and international research literature. A systematic search of five research databases for publications between 2005 and 2015 was performed, complemented by a manual search. 25 studies were identified describing various contexts where midwives in out-of-hospital obstetrical care cooperate with other professional groups. Four key themes were analysed: contexts of cooperation, benefits of cooperation, facilitating and restrictive factors of cooperation, and competencies of cooperation. The studies show that there is only limited research coverage of the midwives’ perspective regarding interprofessional cooperation. The existing studies examine the cooperation of midwives primarily with health care professionals, and secondarily with professionals in the social services. In order to expand knowledge on the cooperation of freelance midwives in the networks of early prevention, future research should focus on the perspective of midwives regarding cooperation with other professional groups, both in the health care sector and in the field of social services.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"8 1","pages":"136 - 152"},"PeriodicalIF":0.0,"publicationDate":"2016-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85420389","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 So far, few studies exist concerning the professional contribution and effects of occupational therapy in people with depression. This contrasts the practical and quantitative contribution of this form of therapy. Aim To reconstruct the specific contribution of occupational therapy in treating people with depression from a patient perspective. Method Half-standardized interviews with 10 patients of a Swiss day clinic before and after their stay were evaluated with a qualitative content analysis. Results The analysis resulted in three phases that are traversed by the persons concerned in the course of the occupational therapy process. The dimensions considered as essential of occupational therapy namely activity, group, and therapist fulfilled different functions in each phase. Conclusion Occupational therapy plays a central role in the treatment of people with depression. While at the beginning of the depression activities within occupational therapy have a more distracting character, activities related to everyday life are more important later in the therapy process. The differentiated perception of different stages in people with depression allows the development of symptom-specific, user-oriented services.
{"title":"Contribution of occupational therapy for patients with depression / Beitrag der Ergotherapie in der Wahrnehmung von Menschen mit Depression","authors":"Y. Treusch, Nadine Saxer, T. Witschi, J. Page","doi":"10.1515/IJHP-2016-0026","DOIUrl":"https://doi.org/10.1515/IJHP-2016-0026","url":null,"abstract":"Abstract Introduction So far, few studies exist concerning the professional contribution and effects of occupational therapy in people with depression. This contrasts the practical and quantitative contribution of this form of therapy. Aim To reconstruct the specific contribution of occupational therapy in treating people with depression from a patient perspective. Method Half-standardized interviews with 10 patients of a Swiss day clinic before and after their stay were evaluated with a qualitative content analysis. Results The analysis resulted in three phases that are traversed by the persons concerned in the course of the occupational therapy process. The dimensions considered as essential of occupational therapy namely activity, group, and therapist fulfilled different functions in each phase. Conclusion Occupational therapy plays a central role in the treatment of people with depression. While at the beginning of the depression activities within occupational therapy have a more distracting character, activities related to everyday life are more important later in the therapy process. The differentiated perception of different stages in people with depression allows the development of symptom-specific, user-oriented services.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"56 4 1","pages":"189 - 199"},"PeriodicalIF":0.0,"publicationDate":"2016-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77867973","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}
Christine Rungg, Aloisia Angermair, Ursula Costa, S. Neururer, Markus Moosbrugger, Waltraud Buchberger, Melanie Kriegseisen-Peruzzi, Susanne Perkhofer
Abstract This pilot study at the University Hospital of Innsbruck aimed to interview employees in order to optimise the treatment of patients with dementia. Available data concerning prevalence of dementia in this hospital were analysed and show a slight increase in numbers. Nurses at one inpatient department and one outpatient clinic completed a standardized questionnaire developed by the German Institute for Applied Nursing Research (dip, 2012). Dementia is a highly relevant topic for the participating nursing staff. Results show potential for improvement in pain management, assurance of continuity of services, and communication skills. Nursing staff responded questions about emotional burden, based in their work with this group of patients. The emotional burden was rated as being higher in the inpatient department. Participants from both departments expressed their wish for better involvement of dementia clients’ relatives in the clinical work. Finally, the nursing staff’s needs for educational support was surveyed. Additionally, six members of the patient transport service participated in a focus group interview. Specific types of burden related to handling patients with dementia, as well as wishes and requirements for improvement related to the patient transport for persons with dementia were expressed. The survey shows both, the current state and further potential for improvement of the treatment of patients with dementia at the University Hospital of Innsbruck. Based on the results of this survey a continuing education programme meeting staff needs was developed as one of the measures resulting in the project aiming to improve the treatment of patients with dementia.
{"title":"Staff survey on the care for persons with dementia / Mitarbeiter/-innenbefragung zum Umgang mit Menschen mit Demenz","authors":"Christine Rungg, Aloisia Angermair, Ursula Costa, S. Neururer, Markus Moosbrugger, Waltraud Buchberger, Melanie Kriegseisen-Peruzzi, Susanne Perkhofer","doi":"10.1515/ijhp-2016-0021","DOIUrl":"https://doi.org/10.1515/ijhp-2016-0021","url":null,"abstract":"Abstract This pilot study at the University Hospital of Innsbruck aimed to interview employees in order to optimise the treatment of patients with dementia. Available data concerning prevalence of dementia in this hospital were analysed and show a slight increase in numbers. Nurses at one inpatient department and one outpatient clinic completed a standardized questionnaire developed by the German Institute for Applied Nursing Research (dip, 2012). Dementia is a highly relevant topic for the participating nursing staff. Results show potential for improvement in pain management, assurance of continuity of services, and communication skills. Nursing staff responded questions about emotional burden, based in their work with this group of patients. The emotional burden was rated as being higher in the inpatient department. Participants from both departments expressed their wish for better involvement of dementia clients’ relatives in the clinical work. Finally, the nursing staff’s needs for educational support was surveyed. Additionally, six members of the patient transport service participated in a focus group interview. Specific types of burden related to handling patients with dementia, as well as wishes and requirements for improvement related to the patient transport for persons with dementia were expressed. The survey shows both, the current state and further potential for improvement of the treatment of patients with dementia at the University Hospital of Innsbruck. Based on the results of this survey a continuing education programme meeting staff needs was developed as one of the measures resulting in the project aiming to improve the treatment of patients with dementia.","PeriodicalId":91706,"journal":{"name":"International journal of health professions","volume":"4 1","pages":"200 - 215"},"PeriodicalIF":0.0,"publicationDate":"2016-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84069075","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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