Nadine Scholten

Nadine Scholten
University of Cologne | UOC · Department of Health Services Research

Dr. rer. medic

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74
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191
Citations

Publications

Publications (74)
Article
Full-text available
Background The use of webcam technology in neonatal intensive care units (NICUs) enables parents to see their child when the parents cannot be present at the NICU. The webcam’s use has been gaining increasing attention. Lead physicians and lead nursing staff play a key role in the decision of whether to implement webcams. This study investigates fa...
Article
Full-text available
Background In the wake of the coronavirus disease 2019 (COVID-19) pandemic, administrative barriers to the use of telemedicine have been reduced in Germany. The study focused on the analysis of use and assessment of telemedicine by physicians working in the outpatient sector, considering the perspective of different disciplines during the COVID-19...
Article
Full-text available
Background Evaluating the development phase of a complex intervention programme can be challenging. A prospective evaluation approach is presented based on the example of the new complex psycho-oncological care programme isPO (integrated, cross-sectoral Psycho-Oncology). Prior to programme implementation, we examined (1) if isPO was developed as in...
Article
Full-text available
Background If infants with a very low birth weight (VLBW) are to be fed exclusively with human milk, it is essential to focus on lactation initiation. The aim of the study is to learn more about the current state of lactation initiation and human milk provision in neonatal intensive care units in Germany from the mothers' perspective. Methods Writ...
Article
Aim: To examine parents' perceptions of stress and their trust in physicians and nursing staff and to investigate whether trust influences the parental perceptions of potential stressors resulting from their infant’s hospitalization in a neonatal intensive care unit. Methods: Parents of very and extremely low birth weight infants were surveyed in...
Presentation
Hintergrund und Stand (inter)nationaler Forschung: Für Eltern von Frühgeborenen, die nicht dauerhaft bei ihrem Kind sein können, bieten einige neonatologische (Intensiv-)Stationen (NICUs) ein Webcamsystem an, mit denen die Eltern ihr Kind auch von zuhause aus sehen können. Die Studie Neo-CamCare evaluiert den Einsatz von Webcams auf NICUs aus Sicht...
Conference Paper
Hintergrund Eine chronische Niereninsuffizienz und deren symptomatische Behandlung, die Dialyse, gehen mit verschiedenen Einschränkungen einher. Diese können die körperliche Leistungsfähigkeit und Ernährung betreffen, aber auch die Autonomie in Alltag und Freizeitgestaltung. Dadurch können psychosoziale Belastungen bei Betroffenen entstehen, welche...
Article
Full-text available
Background To bridge the physical distance between parents and children during a neonatal intensive care unit (NICU) stay, webcams are used in few German NICUs. They allow parents to view their infant even when they cannot be present on the ward. The aim of the study was to explore the factors for and against webcam use that parents with or without...
Article
Background In Germany, general practitioners (GPs) provide basic and primary care in the ambulatory sector and refer patients to other specialists when necessary. Often, GPs present the first point of contact for patients in the German healthcare system. During the COVID-19 pandemic, GPs and other medical specialists in the ambulatory setting sudde...
Article
Full-text available
The aims of this study were (1) to design a user-friendly instrument to assess and optimize patient information material (PIM), (2) to develop an English version, and (3) to test its psychometric properties. The instrument was needed to optimize the top-down developed PIM of the psycho-oncological care programme isPO. First, a literature-based PIM...
Article
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Background The COVID-19 pandemic significantly changed the work of general practitioners (GPs). At the onset of the pandemic in March 2020, German outpatient practices had to adapt quickly. Pandemic preparedness (PP) of GPs may play a vital role in their management of a pandemic. Objectives The study aimed to examine the association in the stock o...
Article
Full-text available
Background: Hemodialysis (HD) and peritoneal dialysis (PD) are medically equivalent alternatives for symptomatic therapy of end-stage renal disease (ESRD). An early referral (ER) of patients with chronic kidney disease (CKD) to a nephrological specialist is associated with a higher proportion of patients choosing PD. Germany historically shows a l...
Article
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Aim To analyse the associations between a nurse's psychological safety and her/his additional training. Design A cross-sectional survey conducted between September 2015 and August 2016. Methods A multi-level modelling approach was used considering unit membership. We used data from 1,239 questionnaires completed by nurses on 75 different German n...
Article
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Background: Hemodialysis (HD) and peritoneal dialysis (PD) are equivalent treatment alternatives for patients with end stage renal disease. In Germany, there is a legal obligation to inform every patient about all treatment alternatives and their possible harms and benefits. However, there is a low utilization of PD. Therefore, the question arises...
Article
Full-text available
Background The separation of parents and their prematurely born children during care in a neonatal intensive care unit (NICU) can have far-reaching consequences for the well-being of the parents and also of the children. The aim of this study is to evaluate the use of webcams on NICUs and to conduct a systematic assessment of their possible effects...
Article
Full-text available
Background Although most patients are suitable for both hemodialysis (HD) and peritoneal dialysis (PD), there seem to be differences in the outlook of patients who choose one modality over the other. There is currently limited literature about the impact of patients’ personal attitudes on the decision for PD or HD. In this study, we tried to find o...
Article
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Objective: People with cancer are often confronted not only with the burdens of medical treatment but also with psychological strain, which can lead to mental disorders (MD). To date, the prevalence of MD in newly diagnosed cancer patients and their utilization of mental health services (MHS) are mainly estimated through data of primary studies tha...
Article
Zusammenfassung Ziel Die wissenschaftliche Nutzung von GKV Routinedaten hat v. a. auch im Bereich der Versorgungsforschung immer mehr zugenommen. Dadurch ergeben sich auch neue Fragen in Bezug auf den Aufbau von krankenkassenübergreifenden Datenbanken, die eine längerfristige Speicherung dieser Daten für längsschnittliche Analysen möglich machen so...
Article
Full-text available
PurposeInternational and national studies have shown unmet information needs regarding nutrition in breast cancer patients. An intervention study has examined the question of the extent to which a fact sheet on the topic of nutrition is suitable to cover the need for information of breast cancer patients.Method The fact sheet with basic information...
Article
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Objectives To set up a pragmatic Plan–Do–Study–Act cycle by analysing patient experiences and determinants of satisfaction with care in the last year of life. Design Cross-sectional postbereavement survey. Setting Regional health services research and development structure representing all health and social care providers involved in the last yea...
Article
Full-text available
The data linkage of different data sources for research purposes is being increasingly used in recent years. However, generally accepted methodological guidance is missing. The aim of this article is to provide methodological guidelines and recommendations for research projects that have been consented to across different German research societies....
Presentation
Hintergrund und Stand (inter)nationaler Forschung Die Förderung durch den Innovationsfonds des Gemeinsamen Bundesausschuss (G-BA) hat das Ziel, die medizinische Versorgung in der gesetzlichen Krankenversicherung weiterzuentwickeln. So wurde auch ein Projekt gefördert, in dem von 2017 bis 2020 die Ursachen der niedrigen Prävalenz der Peritonealdialy...
Article
By adding medical service centres (MSCs) to their range of services, hospitals can participate in the outpatient sector. The aim of the MSC guideline (2004) was to ensure high quality health care in rural areas. It is unknown if organisational or regional factors influence hospitals providing services via MSCs. Our analyses focus on the identificat...
Article
Background General practitioners (GPs) are important providers and coordinators of palliative home care (PHC). Through this double role, their perspectives and their treatment decisions influence PHC fundamentally. This study aims to gain deeper insights into GPs’ perspectives regarding PHC in North Rhine, Germany. Methods An explorative, semistru...
Article
Full-text available
Introduction International standards of care require the complete integration of psycho-oncological care into biomedical cancer treatment. The structured integrated, cross-sectoral psycho-oncological programme ‘isPO’ is aiming to ensure a provision of care in inpatient and outpatient settings according to a stepped-care approach. Up to now, psycho-...
Poster
Zielsetzung Nach § 630e Abs. 1 BGB ist in Deutschland jeder Arzt verpflichtet, über alle zur Wahl stehenden Behandlungsmethoden aufzuklären. Im Bereich der Nierenersatzverfahren sind dies die überwiegend im Zentrum durchgeführte Hämodialyse (HD) und die Peritonealdialyse (PD), welche hauptsächlich von dem Patienten selbst zuhause durchgeführt wird....
Poster
Hintergrund Heimdialyseverfahren werden weltweit immer mehr eingesetzt, da sie die Lebensqualität der Patienten verbessern können [1, 2]. Gleichzeitig erfordern sie jedoch vom Patienten, eine gewisse Verantwortung für die eigene medizinische Behandlung zu übernehmen. Im Rahmen der MAU-PD Studie (Multidimensionale Analyse der Ursachen für die niedri...
Presentation
Hintergrund: Fokusgruppen als Form der qualitativen Datenerhebung kommen in der empirischen Sozialforschung häufig zur Anwendung. Die empfohlene Teilnehmeranzahl variiert zumeist zwischen sechs bis zwölf Personen [1]. Zudem wird eine Akquise über Gatekeeper, die Ansprache einer großen Anzahl möglicher Teilnehmer und eine Vorlaufzeit von 2-3 Monaten...
Conference Paper
Hintergrund: Seit Mai 2018 arbeiten 23 Forschende der Arbeitsgruppe Erhebung und Nutzung von Sekundärdaten (AGENS) der Deutschen Gesellschaft für Sozialmedizin und Prävention e.V. (DGSMP) und der Deutschen Gesellschaft für Epidemiologie e.V. (DGEpi), der Arbeitsgruppe Validierung und Linkage von Sekundärdaten des Deutschen Netzwerkes Versorgungsfor...
Presentation
Hintergrund: Shared Decision-Making (SDM) beschreibt den interaktiven Prozess, bei dem der Arzt und der informierte Patient gemeinsam Entscheidungen über die weitere medizinische Behandlung treffen. Im klinischen Alltag, vor allem in Notfällen, kann dies nicht immer umgesetzt werden. SDM sollte vor allem zum Einsatz kommen, wenn zwei medizinisch gl...
Conference Paper
Hintergrund: Bislang liegen für Deutschland nur wenige publizierte Daten zur Prävalenz psychischer Störungen bei neuerkrankten Krebspatienten vor. Um diese Forschungslücke unter Berücksichtigung des Versorgungsalltags zu schließen, wurden GKV-Daten ausgewertet um mehr über die Versorgung von Krebspatienten mit psychischer Komorbidität zu erfahren.Z...
Article
Full-text available
Zusammenfassung Das personenbezogene Verknüpfen verschiedener Datenquellen (Datenlinkage) für Forschungszwecke findet in den letzten Jahren in Deutschland zunehmend Anwendung. Jedoch fehlen hierfür konsentierte methodische Standards. Ziel dieses Beitrages ist es, solche Standards für Forschungsvorhaben zu definieren. Eine weitere Intention ist es,...
Article
Nach wie vor dialysieren deutlich über 90 % aller Dialysepatienten in einem per Hämodialyse (HD). Trotz einiger Bemühungen und Initiativen verharrt die Rate der Peritonealdialyse (PD) in Deutschland weiterhin auf niedrigem Niveau. Für das Jahr 2017 wurde laut Qualitätsbericht Dialyse eine Quote von 6,09 Prozent ermittelt [1]. Das Projekt MAU-PD (Mu...
Conference Paper
Background If an individual interprets an event as the consequence of luck, chance or fate, it is labelled as an external locus of control (ELC). Conversely, if the person expects this event to be the result of his or her own behaviour, it is called an internal locus of control (ILC). The literature shows differences between haemodialysis and perit...
Conference Paper
Background: General practitioners (GPs) and oncologists are important providers of outpatient palliative care (PC) in Germany. Nevertheless, to deliver good medical care a multidisciplinary approach in PC is needed. Little is known about the GP’s perspective towards multidisciplinary cooperation in outpatient PC. Methods: Data collection proceeded...
Conference Paper
Objectives The literature shows differences between the haemodialysis and peritoneal dialysis patient populations in terms of autonomy preference and sociodemographic factors. PD patients tend to be younger, female, higher educated and show a stronger autonomy preference. The aim of this study was to investigate these differences. Methods A nation...
Article
Full-text available
Introduction: Patients with end-stage kidney failure can be treated either by transplant or by dialysis, which can be administered as haemodialysis (HD) or peritoneal dialysis (PD). Although they are equivalent therapeutic options in terms of mortality, the percentage of patients in Germany treated with PD is currently very low (∼6%) compared with...
Article
Full-text available
Background: Safety climate research suggests that a corresponding climate in work units is crucial for patient safety. Intensive care units are usually co-led by a nurse and a physician, who are responsible for aligning an interprofessional workforce and warrant a high level of safety. Yet, little is known about whether and how these interprofessi...
Article
Aim This study assessed the cost consciousness of nurses and physicians in German neonatal intensive care units (NICUs) and identified factors affecting cost consciousness. Methods This study on cost‐consciousness was part of the German Safety4NICU study, a cross‐sectional survey conducted from 2015 to 2016. All 224 German NICUs were invited to ta...
Conference Paper
Full-text available
Hintergrund: CoRe-Net ist ein BMBF gefördertes Kompetenznetzwerk (FKZ: 01GY1606) mit dem Ziel die Forschung und Versorgungspraxis in Köln näher zusammen zu bringen. Hierzu werden Strukturen geschaffen, die den Austausch untereinander fördern und darüber neue, innovative Versorgungs(forschungs)projekte für den Raum Köln ermöglichen. CoRe-Net ist inh...
Article
Zusammenfassung Im Rahmen der BMBF-Ausschreibung „Strukturaufbau in der Versorgungsforschung“ wird das Kölner Kompetenznetzwerk CoRe-Net von verschiedenen Partnern aus der Versorgungspraxis und der Versorgungsforschung aufgebaut. Der Fokus des Netzwerkes liegt auf der Versorgungsentwicklung nach dem Konzept der lernenden Organisationen. Anhand drei...
Article
Objective To examine the association between whether physicians discuss the possibility of seeking a second opinion (SO) with patients and the patients’ decision to seek an SO. We also investigated the impact of seeking such an opinion on patients’ trust in physicians. Methods Newly diagnosed breast cancer patients were surveyed postoperatively wi...
Article
Zusammenfassung: Das Gesetz zur Verbesserung der Versorgungsstrukturen in der gesetzlichen Krankenversicherung (GKV-VStG) zielt auf die Sicherung einer wohnortnahen, flächendeckenden und bedarfsgerechten medizinischen Versorgung. Das Ziel ist somit, das Versorgungsangebot am Bedarf auszurichten. Der Begriff „Bedarf“ wird im Bereich der Gesundheitsv...
Article
Full-text available
Background No data exist on the size of the population potentially in need of palliative care in Germany. The aim of this study is to estimate the size of the German population that may benefit from palliative care. Method Based on existing population-based methods (Rosenwax and Murtagh), German death registration data were analyzed and contrasted...
Article
Einleitung: Durch Datenlinkage ist es möglich unterschiedliche Datenquellen, z. B. Befragungsdaten mit Routinedaten der gesetzlichen Krankenversicherung (GKV) zusammenzuführen, um von den jeweiligen Vorteilen zu profitieren. Da es sich dabei um personenbezogene Daten handelt, ist es notwendig, hierfür das Einverständnis der betroffenen Personen ein...
Conference Paper
Hintergrund: Was die intensivmedizinische Versorgung von Neugeborenen angeht, so ist die Zusammenarbeit in interprofessionellen Teams von besonderer Bedeutung. Neben der guten Zusammenarbeit innerhalb und zwischen den Professionen wird das Sicherheitsklima immer wieder als relevanter Einflussfaktor für die Versorgungsqualität gesehen. Ziel dieser S...
Article
Full-text available
Background Since 2000, systemic thrombolysis has been the only approved curative and causal treatment for acute ischemic stroke. In 2009, the guidelines of the German Society for Neurology were updated and the therapeutic window for performing thrombolysis was extended. The implementation of new therapies is influenced by many factors. We analyzed...
Chapter
Der Zusammenhang zwischen Sozialkapital und Patientensicherheit ist bisher nur in wenigen Studien untersucht worden. Das Ziel des Betrags ist es daher, diesen Zusammenhang aus der Perspektive des Krankenhausmanagements zu analysieren. Dazu werden Daten einer 2008 durchgeführten standardisierten schriftlichen Befragung mit insgesamt 1 224 Ärztlichen...
Article
Background: This study aims at investigating ischaemic stroke therapy in Germany by using secondary data. The focus lies on the performance of thrombolysis. Methods: Statutory quality report data for 2010 were obtained. All hospitals (n = 1302) treating patients suffering from an ischaemic stroke either on a neurological, internal, geriatric or...
Article
Introduction: Patient questionnaires are a frequently used instrument within the framework of quality management in in- and outpatient care. Often such questionnaires enable a comparison of care suppliers with the consequence that one turns out to be visibly better or poorer than another. This process, in turn, makes it necessary to check whether...

Projects

Projects (7)
Project
COVID-GAMS is a health care research study that examines the impact of the COVID-19 pandemic on the outpatient sector in Germany. It investigates organisational, economical and interpersonal challenges as well as the direct effects on patient care from the perspective of general practitioners and other medical specialists. www.covid-gams.de
Project
Aim of the 3-year-project with a multidimensional approach (public funding) is to identify structural factors for the low PD rate in Germany (2017: 7%). Several data sources should provide further insights to the variation in the usage of PD and HD. Administrative data (ambulatory physicians’ claim data, statutory health insurance claim data) was analysed and empirical data collected. Besides, quantitative surveys with patients and providers were performed. Here, focus was on the decision-making as well as on organizational questions regarding ambulatory dialysis. One of the key questions was: Which factors in everyday practice inhibit or support the decision to implement PD?
Project
Neo-CamCare is a publicly funded study which aims to evaluate the use of webcams in neonatal intensive care units. The study will follow a mixed-methods-approach and contains qualitative and quantitative forms of data collection. The results will empower a structured, scientifically sound use of webcams in NICUs in Germany and adress the needs of both parents and the clinical staff involved.