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Introduction
I am interested in clinical and epidemiological research on participation in older people and their families in need for nursing care and in transitional care, as well as in improvements of knowledge translation in acute care.
Current institution
Additional affiliations
October 2015 - present
Position
- Professor
Description
- Professor for Nursing Science and Nursing Research
May 2012 - September 2022
May 2012 - September 2015
Education
February 2012 - September 2013
February 2009 - January 2012
September 2002 - July 2006
Publications
Publications (174)
Background
Joint contractures are frequent conditions in individuals in geriatric care settings and are associated with activity limitations and participation restrictions. As such, relevant intervention programs should address these aspects, and the effectiveness of such programs should be determined by assessing improvement in activities and par...
Background:
Robots in healthcare are gaining increasing attention; however, their implementation is challenging due to the complexity of both interventions themselves and the contexts in which they are implemented. The objective of this integrative review is to identify barriers to and facilitators of the implementation of robotic systems in nursi...
Objective
This study aims to examine the effects of the individually tailored complex intervention Participation Enabling Care in Nursing (PECAN) on activities and participation of residents with joint contractures.
Design
Multicentre pragmatic cluster-randomised controlled trial.
Setting
35 nursing homes in Germany (August 2018–February 2020)....
Background/research question: Vertigo, dizziness, and balance disorders (VDB) impair mobility and participation of many older adults and are among the most common reasons for visiting a general practitioner. Diagnosis and treatment are challenging for health professionals due to multifactorial causes. Therefore, an evidence-based interprofessional...
Hintergrund/Fragestellung: Evidenzbasierte Praxis ist essenziell für eine hochwertige Pflegeversorgung im Akutkrankenhaus. In Deutschland fehlt jedoch die direkte Anbindung der Pflegewissenschaft an die Praxis, was die Wissenszirkulation erschwert. Modelle, wie z. B. das niederländische Living Lab [1], ermöglichen nachhaltige Kooperationen zwischen...
Hintergrund/Fragestellung: Eine qualitativ hochwertige pflegerische Versorgung im Akutkrankenhaus erfordert evidenzbasierte Praxis. In Deutschland fehlt jedoch eine unmittelbare Anbindung der universitären Pflegewissenschaft an die Versorgungspraxis. Die Wissenszirkulation, insbesondere bei der Identifikation klinisch relevanter Forschungsfragen, i...
Hintergrund/Fragestellung: Delir ist ein multifaktoriell bedingtes, akut auftretendes neuropsychiatrisches Syndrom, das häufig bei hospitalisierten Patient:innen über 65 Jahren auftritt und bei nicht adäquater Erkennung und Umgang zu potenziell lebensbedrohlichen Konsequenzen führen kann. Im akutstationären Versorgungsprozess kommt dabei insbesonde...
The demand for nursing home care is expected to increase. Robotic systems are discussed to address the nursing workforce shortage and maintain the quality of care by taking over service tasks. The KoBo34 project aimed to develop a service robot for nursing home care. A key aspect of successful robot development is to involve all potential future us...
Zusammenfassung: Hintergrund: Die Covid-19-Pandemie brachte Priorisierungs- und Rationierungsentscheidungen von Versorgungsressourcen auf die gesundheitspolitische Agenda. Unklar sind die Auswirkungen auf die Allokation pflegerischer Ressourcen in der klinischen Praxis. Ziel: Um Implikationen für zukünftige Pandemien abzuleiten, wurde untersucht, i...
Background
Older people with joint contractures in nursing homes often experience severe restrictions in their activities and participation. The effectiveness of an individually tailored complex intervention to improve residents’ activities and participation by incorporating the biopsychosocial perspective into nursing care using a structured facil...
Hintergrund und Ziele ▪ Eine hochwertige pflegerische Versorgung im Akutkrankenhaus erfordert eine evidenzbasierte Praxis. ▪ Die universitäre Pflegewissenschaft ist jedoch unzureichend in die Versorgungspraxis eingebunden, was die Identifikation relevanter Forschungsfragen erschwert. ▪ Vernetzungsmodelle wie das niederländische Living Lab-Modell [1...
Hintergrund/Fragestellung: Im Projekt TRADE (TRAnsport und DElir bei älteren Menschen) wurden Bezugspersonen älterer Patient:innen mit einem Risiko für Delir in den Entlassungs-/Verlegungsprozess einbezogen. In der Mixed-methods-Prozessevaluation der Pilotstudie wurden die Umsetzung der Implementierung und beeinflussende Faktoren untersucht.
Ziel...
Hintergrund/Fragestellung Der Übergang von Zuhause in ein Pflegeheim ist ein emotional und organisatorisch herausfordernder Prozess für die sog. Versorgungstriade, bestehend aus Einziehenden, ihren Zugehörigen und professionellen Versorger*innen. Ein Scoping Review ergab, dass systematisch entwickelte und evidenzbasierte Strategien für die Gestaltu...
Objective
The presence and intensity of symptoms vary in patients with unilateral vestibular hypofunction. We aimed to determine which saccadic and vestibulo-ocular reflex parameters best predict the presence of symptoms in unilateral vestibular hypofunction in order to better understand vestibular compensation and its implications for rehabilitati...
Background
Many patients in physiotherapy practice have gait impairments, and the aim is to maintain or improve their activity level. Physical activity can be quantified by measuring step count. Activity trackers (AT) are suitable for this purpose as they can be worn during daily activities or various sports. In addition, they offer the opportunity...
Zusammenfassung
Hintergrund Schwindel und/oder Gleichgewichtsstörungen (S/G) sind komplexe Gesundheitsprobleme bei älteren Menschen und häufige Beratungsanlässe in der Hausarztpraxis. Physiotherapie kann einen positiven Einfluss auf das Gleichgewicht und Sturzrisiko bei Patient*innen mit S/G haben. In der S3-DEGAM-Leitlinie „Akuter Schwindel in der...
Objective
The objective of this study was to determine the impact of obtaining a second opinion consultation on time to knee arthroplasty (KA). We further examined the frequency of KA and the determinants of KA following the second opinion.
Design
Prospective cohort study.
Setting
The second opinion programme was implemented at the Ludwig Maximil...
https://doi.org/10.1007/s00391-023-02223-x
Hintergrund: Im Projekt TRADE (TRAnsport und DElir bei älteren Menschen) wurde eine komplexe Intervention zur Delirprävention mit aktivem Einbezug von Bezugspersonen (BP) älterer Patient* innen (PAT) in den
Entlassungs-/Verlegungsprozess entwickelt. Diese wurde im Rahmen einer cluster-randomisierten kont...
Background:
We developed a complex intervention to prevent delirium during discharge from acute hospital. The intervention was tested in a cluster-randomized controlled pilot study with a stepped-wedge design and a mixed-methods process evaluation (PE).
Objectives:
Examination of the feasibility of (I) the study design, and (II) intervention compo...
Background: The COVID-19 pandemic had a strong impact on healthcare and nursing practice, but research focused on the effects of vaccinations and treatment options. An overview on COVID-19- related nursing research in Germany is lacking. Objectives: To describe the characteristics of COVID-19-related nursing research in Germany. Design and Methods:...
Hintergrund/Fragestellung
Im Projekt TRADE (TRAnsport und DElir bei älteren Menschen) wurde eine komplexe Intervention zur Delirprävention mit aktivem Einbezug von Bezugspersonen (BP) älterer Patient*innen (PAT) in den Entlassungs-/Verlegungsprozess entwickelt. Diese wurde im Rahmen einer cluster-randomisierten kontrollierten Pilotstudie im Stepped...
Background:
The first wave of the COVID-19 pandemic reached Germany between March and May 2020. In order to contain the spread of the virus and particularly protect vulnerable people, the government imposed a lockdown in March 2020. In addition to infection control measures, such as hygiene and social distancing requirements, a general ban on acce...
Der Beitrag erhielt den 3. Platz beim Posterwettbewerb des EbM-Kongresses
https://www.ebm-netzwerk.de/de/veroeffentlichungen/nachrichten/posterwettbewerb-2023
Vorstellung der Methode einer Metaanalyse auf Grundlage der Bland-Altman-Analyse im Kontext der Genauigkeit von Aktivitätstrackern zur Messung der Schrittzahl.
Background
Vertigo, dizziness or balance disorders (VDB) are common leading symptoms in older people, which can have a negative impact on their mobility and participation in daily live, yet, diagnosis is challenging and specific treatment is often insufficient. An evidence-based, multidisciplinary care pathway (CPW) in primary care was developed an...
Background
The admission to a nursing home is a critical life-event for affected persons as well as their families. Admission related processes are lacking adequate participation of older people and their families. To improve transitions to nursing homes, context- and country-specific knowledge about the current practice is needed. Hence, our aim w...
Background
Vertigo, dizziness or balance disorders (VDB) are common leading symptoms in older people, which can have a negative impact on their mobility and participation in daily live, yet, diagnosis is challenging and specific treatment is often insufficient. An evidence-based, multidisciplinary care pathway (CPW) in primary care was developed an...
Hintergrund und Stand der Forschung: Schwindel- und/oder Gleichgewichtsstörungen (vertigo, dizziness and balance disorders - VDB) gehören zu den häufigsten Beschwerden bei älteren Menschen in der klinischen Praxis und beeinflussen die Mobilität und Teilhabe der Betroffenen. Aufgrund der multifaktoriellen Ursachen von VDB sind sowohl Diagnostik als...
Hintergrund und Stand der Forschung: Schwindel und/oder Gleichgewichtsstörungen (vertigo, dizziness and balance disorders - VDB) zählen zu den häufigsten Beratungsanlässen in der Hausarztpraxis. Es sind komplexe Gesundheitsprobleme, welche die Alltagsaktivität, Teilhabe und Mobilität älterer Patient*innen stark einschränken. Aktuelle Behandlungsans...
Don't believe the hype? Editorial about the state and challenges of robotics in the context of nursing care.
Hintergrund: Schwindel- und/oder Gleichgewichtsstörungen (S/G) bei älteren Menschen sind komplexe Gesundheitsprobleme und häufige Beratungsanlässe in der Hausarztpraxis. Leitlinienbasierte Behandlungsansätze umfassen Beratung, medikamentöse Maßnahmen und Physiotherapie. Studien zeigen, dass Physiotherapie einen positiven Einfluss auf das Gleichgewi...
Hintergrund/Fragestellung: Die individuelle Lebenserwartung und damit auch die Zahl älterer Menschen steigen. Gleichzeitig kann der Alternsprozess den Verlust von Mobilität und sozialer Teilhabe und damit Unterstützungsbedarf bedingen. Diskutiert wird, inwiefern Assistenzroboter als Unterstützung für ältere und hilfebedürftige Menschen fungieren kö...
Hintergrund/Fragestellung: Im Projekt TRADE wurde eine komplexe Intervention gemäß der Empfehlungen des UK Medical Research Council [1] entwickelt. Im letzten Schritt der Entwicklungsphase einer komplexen Intervention wird empfohlen, dessen Prozess und Ergebnisse zu modellieren. Hierfür können deskriptive oder grafische Methoden wie z. B. Logic Mod...
Background
The first wave of the COVID-19 pandemic reached Germany between March and May 2020. In order to contain the spread of the virus and particularly protect vulnerable people, the government imposed a lockdown in March 2020. In addition to infection control measures, such as hygiene and social distancing requirements, a general ban on access...
![Framework of process evaluation, adapted from Moore et al. [57]....](publication/356271180/figure/fig5/AS:11431281118906608@1675914910055/Framework-of-process-evaluation-adapted-from-Moore-et-al-57-Legend-Grey-boxes_Q320.jpg)
Background
Among potentially modifiable risk factors for delirium, transfers between wards, hospitals and other facilities have been mentioned with low evidence. TRADE (TRAnsport and DElirium in older people) was set up to investigate i) the impact of transfer and/or discharge on the onset of delirium in older adults and ii) feasibility and accepta...
Abstracts:
Background: A complex intervention was developed according to the Medical Research Council (MRC) guidance for complex interventions, with the aim to improve discharge management by involving relatives in the prevention of delirium during transitional care in older hospitalized patients (TRAnsport und DElirium of older people, TRADE study...
![Flowchart describing the WHO translation and pre-testing process [11]....](publication/355424866/figure/fig1/AS:1080858245115905@1634708095117/Flowchart-describing-the-WHO-translation-and-pre-testing-process-11-Legend-R_Q320.jpg)
Background
Implementation frameworks may support local implementation strategies with a sound theoretical foundation. The Consolidated Framework for Implementation Research (CFIR) facilitates identification of contextual barriers and facilitators, and the Expert Recommendations for Implementing Change (ERIC) allows identifying adequate implementati...
Die Pflegewissenschaft in Deutschland steht vor der Herausforderung, wissenschaftliche Strukturen und Karrierewege auszubilden. Erschwert wird dies durch einen Mangel an wissenschaftlichem Nachwuchs, der das Potential hat, pflegewissenschaftliche Professuren mit wissenschaftlicher Exzellenz und praktischer Erfahrung zu füllen.
Ziel dieses Beitrags...
Abstract:
Hintergrund: Es wurde gemäß dem „Medical Research Council (MRC) Guidance for complex interventions“ eine komplexe Intervention mit aktivem Einbezug von Angehörigen oder Vertrauenspersonen älterer PatientInnen in den Entlassungsprozess (TRAnsport und DElir von älteren Menschen, TRADE- Studie) entwickelt. Prozessevaluationen zielen darauf a...
Abstract:
Background: A high incidence and prevalence of delirium is observed in older acute hospital patients. Several factors, like moving from one place to another and the absence of relatives as orientation, are known to increase the risk for delirium.
Objective: The objective of the study is to develop a complex intervention to improve dischar...
Background
Vertigo, dizziness and balance disorders (VDB) are common in older people and cause restrictions in mobility and social participation. Due to a multifactorial aetiology, health care is often overutilised, but many patients are also treated insufficiently in primary care. The purpose of this study was to develop a care pathway as a comple...
Für den sicheren Einsatz von Digitalen Assistenzsystemen für die Pflege (DiAP) ist eine Evaluation von Nutzen und Schaden er forderlich. Im deutschsprachigen Raum (DACH-Raum) sind mehrere Förderprogramme zur Entwicklung und Evaluation von DiAP mit öffentlichen Mitteln etabliert worden. Ziel dieser Studie ist es, eine Übersicht über Evaluationsmetho...
Background
Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a care pathway (CPW) to improve their mobility and participation by offering standardized approaches for general practitioners (GPs) and physical therapists (PTs). We aimed to assess the feasibility of the in...
Background: Implementation frameworks may support local implementation strategies with a sound theoretical foundation. The Consolidated Framework for Implementation Research (CFIR) facilitates identification of contextual barriers and facilitators, and the Expert Recommendations for Implementation Change (ERIC) allows selecting adequate implementat...
Background: Vertigo, dizziness and balance disorders (VDB) are common in older individuals and cause restrictions in mobility and participation. Due to a multifactorial aetiology, health care is often overutilitised, but many patients are also treated insufficiently in primary care. The purpose of this study was to develop a care pathway as a compl...
Background
Vertigo, dizziness and balance disorders (VDB) are among the most relevant contributors to the burden of disability among older adults living in the community and associated with immobility, limitations of activities of daily living and decreased participation. The aim of this study was to identify the quality of evidence of physical the...
Background: The COVID-19-pandemic is an unprecedented, exceptional situation and necessitates numerous adaptations
of structures and processes in the acute inpatient setting.
Aim: The aim of this study was to explore how acute inpatient
care was influenced by the pandemic and which implications may result for the future from nursing managers' and...
Im Rahmen des Bund-Länder-Programms „FH-Personal“ wurde im Projekt „HiPo Health“ der TH Rosenheim an einem Konzept zur Förderung wissenschaftlicher Nachwuchskräfte für die Pflege gearbeitet, um diesen einen gangbaren Weg bis zur Professur zu ermöglichen. Dieses Konzept beruht auf einer empirisch gestützten SWOT-Analyse, für die leitfadengestützte E...
Background
Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a Care Pathway (CPW) to improve their mobility and participation by offering standardised approaches for general practitioners (GPs) and physical therapists (PTs). We aimed to assess the feasibility of the in...
![Characteristics of nursing homes (adapted from Saal et al. 2019) [21]](publication/343474561/figure/tbl1/AS:921509379969025@1596716365918/Characteristics-of-nursing-homes-adapted-from-Saal-et-al-2019-21_Q320.jpg)
Background
Joint contractures in frail older people are associated with serious restrictions in participation. We developed the Participation Enabling CAre in Nursing (PECAN) intervention, a complex intervention to enable nurses to promote participation in nursing home residents with joint contractures. The aim of this study was to examine the feas...
![Fig. 2 Risk of bias graph of RCTs and cRCTs (designed by using RevMan [44])](publication/342323614/figure/fig2/AS:905882355367936@1592990592035/Risk-of-bias-graph-of-RCTs-and-cRCTs-designed-by-using-RevMan-44_Q320.jpg)
Background:
Care pathways (CPWs) are complex interventions that have the potential to reduce treatment errors and optimize patient outcomes by translating evidence into local practice. To design an optimal implementation strategy, potential barriers to and facilitators of implementation must be considered. The objective of this systematic review i...
Background
Vertigo, dizziness and balance disorders (VDB) are among the most relevant contributors to the burden of disability among older adults living in the community and associated with immobility, limitations of activities of daily living and decreased participation. The aim of this study was to identify the quality of evidence of physical the...
Background: Vertigo, dizziness and balance disorders (VDB) are among the most relevant contributors to the burden of disability among older adults living in the community and associated with immobility, limitations of activities of daily living and decreased participation. The aim of this study was to identify the quality of evidence of physical th...
Background: Vertigo, dizziness and balance disorders (VDB) are among the most relevant contributors to the burden of disability among older adults living in the community and associated with immobility, limitations of activities of daily living and decreased participation. The aim of this study was to identify the quality of evidence of physical th...
Background: Joint contractures in frail older people are associated with serious restrictions in participation. We developed the Participation Enabling CAre in Nursing (PECAN) intervention, a complex intervention to enable nurses to promote participation in nursing home residents with joint contractures. The aim of this study was to examine the fea...
Background : Care pathways (CPWs) are complex interventions that have the potential to reduce treatment errors and optimize patient outcomes by translating evidence into local practice. To design an optimal implementation strategy, potential barriers to and facilitators of implementation must be considered. The objective of this systematic review i...
Background : Care pathways (CPWs) are complex interventions that have the potential to reduce treatment errors and optimize patient outcomes by translating evidence into local practice. To design an optimal implementation strategy, potential barriers to and facilitators of implementation must be considered. The objective of this systematic review i...
Abstract:
Hintergrund/Fragestellung: Ein deutlicher Anstieg der Prävalenz und Inzidenz von Delir bei älteren Menschen im Akutkrankenhaus ist zu verzeichnen. Delir ist assoziiert mit Komplikationen, längerem Krankenhausaufenthalt und erhöhtem Pflegebedarf. Ortswechsel, wie Entlassung oder Verlegung, stellen besondere Risikofaktoren für Delir dar. E...
Background: Joint contractures in frail older people are associated with serious restrictions in participation. We developed the Participation Enabling CAre in Nursing (PECAN) intervention, a complex intervention to enable nurses to promote participation in nursing home residents with joint contractures. The aim of this study was to examine the fea...
Background Joint contractures in frail older people are associated with serious restrictions in participation. We developed the Participation Enabling CAre in Nursing (PECAN) intervention, a complex intervention to enable nurses to promote participation in nursing home residents with joint contractures. The aim of this study was to examine the feas...
Background: Joint contractures in frail older people are associated with serious restrictions in participation. We developed the Participation Enabling CAre in Nursing (PECAN) intervention, a complex intervention to enable nurses to promote participation in nursing home residents with joint contractures. The aim of this study was to examine the fea...
Background:
Acquired joint contractures have a significant impact on functioning and quality of life in nursing home residents. There is very limited evidence on measures for prevention and treatment of disability due to joint contractures. We have developed the PECAN intervention (Participation Enabling CAre in Nursing) to improve social particip...
Barriers and Facilitators of multi-disciplinary care pathways in primary care
![Fig. 4 Process evaluation adapted from Grant et al. [49] for c-RCTs and...](publication/333460566/figure/fig3/AS:764094877532160@1559185823466/Process-evaluation-adapted-from-Grant-et-al-49-for-c-RCTs-and-from-the-MRC-guidance_Q320.jpg)
Background: Nursing home residents are frequently affected by joint contractures, which impacts their participation and daily activities. A complex intervention, the Participation Enabling Care in Nursing (PECAN), was previously developed and pilot tested to address their needs. Its effectiveness and safety will be evaluated in the
present study.
M...
In order to inform the development and feasibility testing of a CPW to improve mobility and participation of older individuals with vertigo, dizziness and balance disorders, individual and focus group interviews were carried out to explore the health-care professionals’ and the consumers’ perspective
Objective: The video head impulse test (vHIT) has become a common examination in the work-up for dizziness and vertigo. However, recent studies suggest a number of pitfalls, which seem to reduce vHIT usability. Within the framework of a population-based prospective study with naïve examiners, we investigated the relevance of previously described te...
Background:
As clinical practice guidelines represent the most important evidence-based decision support tool, several strategies have been applied to improve their implementation into the primary health care system. This study aimed to evaluate the effect of intervention methods on the guideline adherence of primary care providers (PCPs).
Method...
Background:
A multitude of different rehabilitation interventions and other specific health care services are offered for individuals with disorders of consciousness in long-term care settings. To investigate the association of those services and patient-relevant outcomes, a specific instrument to document the utilization of those services is need...
