Search

Background and status of (inter)national research: Dementia is a major public health concern. Nurses have a key role in caring for patients with dementia and to relieve caregivers. To prepare them for adequate demand-oriented nursing care provision, there is a need for training and education. Due to [for full text, please go to the a.m. URL]

Hintergrund und Stand (inter)nationaler Forschung:In Deutschland waren Ende 2019 mehr als 4.1 Mio. von Pflegebedürftigkeit betroffen. Dabei wird die Mehrheit (80%, 3.3 Mio.) in der Häuslichkeit versorgt. Damit Pflegebedürftige so lange wie möglich zuhause verbleiben können, [zum vollständigen Text gelangen Sie über die oben angegebene URL]

\(\bf Background\) In the healthcare system in Germany, different institutions and actors play specific roles in the discharge and transition of patients from hospitals into primary care (Sachverständigenrat zur Begutachtung der Entwicklung im Gesundheitswesen, Wettbewerb an der Schnittstelle zwischen ambulanter und stationärer Gesundheitsversorgung, 2012). However, there are shortcomings in these intersectoral transitions. Especially in older people with cognitive impairment (PCI), discharge management often lacks coordination and cooperation between healthcare providers. This frequently results in higher rates of unscheduled readmission. The project intersec-CM is a randomised controlled trial (RCT) that aims to explore up to what extent an intersectoral care management (ICM) can improve this transition. This ICM is delivered by nurses with special training in care management. The objective of this paper is to describe a mixed-methods process evaluation of the intersectoral care management intervention and the factors that facilitate and inhibit its implementation. \(\bf Methods\) Different study designs for process evaluations from previous literature were collected and analysed according to the dimension implementation fidelity, satisfaction with the intervention, feasible transfer into routine care, optimum point of time, frequency and execution of the intervention, and context factors. \(\bf Results\) The actor-network theory was chosen as the theoretic framework for the process evaluation. Based on this theory, a mixed-methods design was developed to combine and integrate qualitative and quantitative evaluation methods. The qualitative part includes semi-structured interviews using topic guides (phase 1) and later in-depth interviews with narrative portions (phase 3), which will be analysed by using the qualitative content analysis according to Kuckartz. The quantitative survey (phase 2) is conducted with standardised questionnaires. \(\bf Discussion\) Challenges in data collection include the development of interview guidelines, which require different terminologies depending on every specific actor targeted in the intervention. Conducting the interviews, there is a risk of misunderstanding the older PCI by the interviewer and vice versa. However, the combination of qualitative and quantitative approaches as different techniques of process evaluation may help to capture, integrate and analyse data on different dimensions of the intervention. \(\bf Conclusions\) The results of our process evaluation may serve as an implementation guideline for intersectoral care management in the German healthcare system. Furthermore, the approach to evaluate the process of a complex intervention in health care for older PCI may serve as a stimulus to broaden the evidence base also of other complex intervention studies to improve health care for this vulnerable group. The study was ethically approved by the Ethics Committee of the Ernst-Moritz-Arndt University of Greifswald. The study has been registered at the U.S. National Library of Medicine.

Additional file 1. SPIRIT 2013 checklist.

SPIRIT 2013 checklist: recommended items to address in a clinical trial protocol and related documents. (DOC 121 kb)

Hintergrund: Die Alterung der Bevölkerung in Deutschland führt zu einem Anstieg der Prävalenzen altersassoziierter Erkrankungen und einem steigenden Bedarf an medizinisch-pflegerischen Versorgungsleistungen. Zur Deckung der Versorgungsbedarfe sind innovative Versorgungskonzepte erforderlich,[zum vollständigen Text gelangen Sie über die oben angegebene URL], 16. Deutscher Kongress für Versorgungsforschung (DKVF)

Hintergrund: Die künftige Versorgung der älteren Bevölkerung in Deutschland erfordert innovative Konzepte, die sich u.a. durch eine verstärkte Teamorientierung und verbesserte Zusammenarbeit der Gesundheitsberufe kennzeichnen. Eine gute interprofessionelle Kooperation erfordert spezifische[zum vollständigen Text gelangen Sie über die oben angegebene URL], 16. Deutscher Kongress für Versorgungsforschung (DKVF)

Background: Aging of the population is expected to cause a rapid increase in the prevalence of people with dementia (PWD). According to estimates, prevalence is expected to double every 20 years. Thus, dementia diseases are a healthcare priority. Since causal treatment is still out of sight, there is[for full text, please go to the a.m. URL], 16. Deutscher Kongress für Versorgungsforschung (DKVF)

Objective: While the size and amount of the population aged 65 and older continues to rise, the number of persons with dementia (PwD) in industrialized countries will increase every year. Currently, an estimated 5.4 million Americans and 1.6 million Germans are affected by dementia in 2016. Informal[for full text, please go to the a.m. URL], 16. Deutscher Kongress für Versorgungsforschung (DKVF)

Der Wissenschaftsrat empfiehlt für ca. 20% der Berufsanfänger in den Gesundheitsfachberufen eine akademische Erstausbildung, möglichst an Medizinischen Fakultäten [ref:1]. Ausbildungsziel soll die Befähigung zum evidenzbasierten, kritisch reflektierten Handeln[zum vollständigen Text gelangen Sie über die oben angegebene URL], Klasse statt Masse – wider die wertlose Wissenschaft; 18. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin