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The main aim of the article is to determine the performance of M&A and its impact on higher educational system in Germany. This includes the literature review on the issue and analysis focused on M&A and its impact on higher education. Currently, there is no research that fully and logically investigates the subject. Especially, with the concentration of organizational analysis and wide dimensions, it is necessary to conduct valid research on the subject matter. In this research, the current situation of the society will be described without any interference. Therefore, this research can be considered as descriptive research. Also, since the questionnaire tool will be used in the field to measure research variables, research can be considered as survey and causal. The statistical population included all active institutions listed in Germany from 2020 to 2023. The sample consisted of blocked trading data related to mergers and acquisitions in the Germany. As a result, the final sample will include 100 listed M&A institutions, and SPSS software will be used to analyze descriptive and inferential statistics. In Germany, Mergers and acquisitions in the higher education area (including universities and institutions) have gained very wide dimensions, so that some consider it related to the macroeconomic field, in other words, when two institutions merge together, it affects not only their field of activity but also the entire educational system. [ABSTRACT FROM AUTHOR]

The Emergency Departments of German hospitals have faced a steadily increasing number of patients for several years as well as growing patients' expectations regarding hospital services. While pain is the main reason for patients to visit a hospital's emergency department (ED), it is a hardly explored phenomenon in this context. Moreover, while effective pain management is the most important dimension of patient satisfaction in EDs, there is a lack of studies in Central Europe which can be used for optimizing the deficient pain management in these units. This study will clarify whether the implementation of an interdisciplinary structured pain management improves the care of patients in the emergency room and whether its use improves patient satisfaction. Additionally, it investigates whether the implementation of such a structured pain management system will also bring advantages for the work of personnel employed in the emergency room. To this end, a multimethod approach was chosen, in which both the patients treated in the emergency room and the staff working there were interviewed by a written survey during a two-week examination period before and after the implementation. Included were all patients of the somatic departments who met the ethical criteria, as well as all doctors and nurses. Data analysis and processing was carried out using Microsoft Excel. It was found that the use of a structured pain management system leads to better, more effective pain treatment of the patients in the emergency department and increases their overall satisfaction with their treatment. Furthermore, it is easy to use by the staff and reduces their workload so that they have more time to spend on patient care. [ABSTRACT FROM AUTHOR]