Nadine Scholten

• Dr. rer. medic
• Head of Department at University of Cologne

Background Human milk, especially mother’s own milk (MOM), is vital for newborns and crucial for very low birthweight (VLBW, <1500 g) preterm infants, who face increased vulnerability. As the production of MOM may be impeded due to preterm birth, it is important to provide lactation support and establish human donor milk (HDM) banks to provide HDM...

Introduction Cesarean deliveries account for approximately one-third of all births in Germany, prompting ongoing discussions on cesarean section rates and their connection to medical staffing and birth volume. In Germany, the majority of departments integrate obstetric and gynecological care within a single department. Methods The analysis utilize...

Aim To investigate whether webcam access for parents of infants in neonatal intensive care units influences parental postpartum depression and stress experiences. Methods Parents whose infants had a birth weight below 1500 g and who were admitted to one of the four participating tertiary care hospitals were eligible to participate in the study. Th...

Background The challenging transition to parenthood affects both mothers and fathers; yet, the strain intensifies with a premature birth in the neonatal intensive care unit (NICU), underscoring the importance of acknowledging and addressing potential differences in parental roles. Purpose This paper aimed to investigate how parental role conflicts...

Introduction Considering the inconclusive evidence regarding the clinical benefits of specific birthing positions, emphasis has been placed on adhering to women’s preferences during the second stage of labour. Therefore, the present study aimed to assess the association between birthing position, the freedom to choose a birth position during the se...

Background Digitalization has significantly expanded the possibilities for collecting health data. Besides options such as online surveys, data can be collected through the use of digital applications (apps). Once users have given their consent, contact information from the app registration can be accessed to invite the relevant target group for fu...

Introduction The pelvic floor is exposed to differing stresses and trauma depending on the mode of birth. At the same time, the pelvic floor plays a crucial role in female sexual functioning (FSF). Whereby FSF encompasses different dimensions, from subjective satisfaction to physiological aspects, such as lack of pain and orgasm ability. The aim of...

Background The birth experience plays a pivotal role in the mother´s mental well-being and has a crucial effect on the mother-child bond. Unanticipated medical interventions, including fundal pressure, episiotomy, assisted vaginal delivery (AVD), or unplanned cesarean section (CS) during labor, may adversely affect the birth experience. The objecti...

Background: To promote person-centred care for people with cognitive impairment in hospitals, nurses acting as change agents possessing both clinical expertise and leadership skills are a key factor. In the ENROLE-acute project, we developed and implemented a complex person-centred care intervention for people with cognitive impairment based on adv...

Aim To explore whether and how expressing breast milk is perceived as helpful in coping with negative emotions due to premature birth by mothers of very low birth weight (VLBW) infants. Methods Qualitative interviews and a retrospective cross‐sectional questionnaire with mothers of VLBW infants were conducted and analysed using an exploratory sequ...

Background Outpatient Parenteral Antimicrobial Therapy (OPAT), an alternative to inpatient intravenous antibiotic therapy, has shown benefits in international studies such as increased patient satisfaction. Because OPAT has been used only sporadically in Germany so far, no structured results on patients’ experiences and concerns regarding OPAT have...

Background Establishing successful lactation in mothers of very low birth weight (VLBW, <1500g) infants requires structured lactation support. Little is known about mothers’ perspectives on lactation support in German neonatal intensive care units (NICUs). Methods This paper features a convergent mixed-method approach that includes a retrospective...

Purpose Outpatient parenteral antimicrobial therapy (OPAT) offers several key advantages, including enhanced patient quality of life, reduced healthcare costs, and a potential reduction of nosocomial infections. It is acknowledged for its safety and effectiveness. This study provides the first systematic clinical data for Germany, where OPAT has no...

Background Multimorbid and frail elderly patients often carry a high burden of treatment. Hospitalization due to the onset of an acute illness can disrupt the fragile balance, resulting in further readmissions after hospital discharge. Current models of care in Germany do not meet the needs of this patient group. Rather lack of coordination and int...

Introduction Pelvic floor disorders (PFD) occur in about 40% of women after delivery. Less is known about the intervention and care needs of women with postpartum PFD. The aim of this analysis was to analyze care needs and self-initiated measures to strengthen the pelvic floor in postpartum women in relation to incontinence and sexual dysfunction....

Background Pump-dependent mothers of very low birth weight (VLBW, < 1500g) infants experience specific challenges achieving sufficient milk supply in the neonatal intensive care unit (NICU) and are therefore less frequently able to achieve (exclusive) breast milk feeding. Stress due to the limitations on participating in the infant’s care may contr...

Background For people with cognitive impairment, hospitalisation is challenging and associated with adverse events as well as negative outcomes resulting in a prolonged hospital stay. Person-centred care can improve the quality of care and the experience of people with cognitive impairment during hospitalisation. However, current care processes in...

Aim To describe activities and professional characteristics of nurses in expanded roles in acute care in Germany and achieve a greater understanding of the current situation of advanced practice nursing. Background Advanced practice nursing plays an important role in meeting increased demands in healthcare and promoting high-quality care. Introdu...

Workshops zu deinem sektorenübergreifenden, interprofessionellen Entlassungskonzept mit Hausärzt:innen

• Background: Multimorbid and frail elderly patients often carry a high burden of treatment. Hospitalization due to the onset of an acute illness can disrupt the fragile balance, resulting in further readmissions after hospital discharge. Current models of care in Germany do not meet the needs of this patient group. Rather lack of coordination and...

Objectives During the COVID-19 pandemic, dental appointments were cancelled or postponed by both patients and dentists. This study investigated the associations between German dentists’ concerns on cross infection and their emotional burden due to personal economic impact on dentist-initiated appointment cancellations. Methods Data were collected...

Background The best nutrition for all new-borns and especially vulnerable groups like preterm infants is motheŕs own milk (MOM). Nevertheless, recent research showed that many preterm infants receive formula in neonatal intensive care units (NICU) in Germany. In order to achieve MOM feeding in preterm infants, a MOM-friendly clinical environment is...

Background: The number of patients with cognitive impairment in acute care in Germany is increasing. Many hospitals are insufficiently prepared for the needs of this target group. Psychosocial approaches, such as person-centred care, are promising in enhancing the quality of life of patients with cognitive impairment and reducing the burden on hosp...

The measures taken to contain the COVID-19 pandemic had a major impact on society, affecting medical care as well as the utilization of medical services. We aimed to identify pandemic-related changes in gynaecologic/obstetric care through the personal experience of practitioners in the outpatient sector in Germany. Three consecutive anonymous onlin...

Objectives The rate of outpatient therapeutic curettage is lower in Germany than in other countries, although there are no differences in patient safety between outpatient and inpatient management. In this context, outpatient surgery is economically advantageous and efficient. This study aims to identify organisational and regional factors that det...

Versorgungsqualität an der Schnittstelle der Entlassung aus dem Krankenhaus

hausärztliche Workshops zu einem Entlasskonzept aus dem Krankenhaus

Purpose One-to-one peer supporters called isPO onco-guides (isPO OGs) are an integral part of the new German psycho-oncological form of care ‘integrated, cross-sectoral Psycho-Oncology’ (isPO), additionally to professional care. The isPO OGs are cancer survivors with experiential knowledge, offering information on local support services and answeri...

Hintergrund Das aktuelle Pflegeberufegesetz bietet die Möglichkeit durch primärqualifizierende Pflegestudiengänge Pflegefachpersonen für die direkte Patient:innenversorgung akademisch auszubilden. Dies eröffnet neue Wege zur Verbesserung der Versorgungsqualität in Deutschland sowie neue Karriereoptionen für Pflegefachpersonen [1-5]. Deutschland ste...

Introduction Mother’s own milk is the best nutrition for every newborn and especially for vulnerable infants such as preterm infants with a very low birth weight below 1,500 grams (VLBW). If no MOM is available, human donor milk is the alternative of choice. Mothers of preterm born infants face challenging conditions that impair sufficient milk pro...

Background An increase in regionalization of obstetric services is being observed worldwide. This study investigated factors associated with the closure of obstetric units in hospitals in Germany and aimed to examine the effect of obstetric unit closure on accessibility of obstetric care. Methods Secondary data of all German hospital sites with an...

Hintergrund/Fragestellung: Um den komplexen Anforderungen in der akutstationären Versorgung zu begegnen, bedarf es innovativer Versorgungsformen. Bei einer erweiterten Pflegepraxis nehmen akademisch qualifizierte Pflegefachpersonen mit vertieftem pflegerischen Wissen und fortgeschrittenen klinischen Kompetenzen eine Expert:innenrolle in einem spezi...

Hintergrund & Fragestellung: Advanced Practice Nursing (APN) ist eine Möglichkeit, den komplexen Bedarfen in der Gesundheitsversorgung zu begegnen. Deutschland befindet sich im internationalen Vergleich am Beginn der Einführung. Zumeist liegt bei der Implementierung neuer Rollen noch limitiertes Wissen anderer Professionen über Aufgaben und Verantw...

Zusammenfassung Das Forschungsdatenzentrum (FDZ) Gesundheit nach der Datentransparenzverordnung (DaTraV), angesiedelt am Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM) wird Routinedaten der Gesetzlichen Krankenversicherung für die Forschung bereitstellen. Die Bereitstellung der Daten von knapp 90% der Bevölkerung in Deutschland dient d...

Zusammenfassung Hintergrund Die Arbeitszufriedenheit wie auch das Wohlbefinden der ärztlichen und pflegerischen Mitarbeiter*innen sind zum einen relevant zur Mitarbeiter*innenbindung, aber auch zur Aufrechterhaltung einer qualitativ hochwertigen Patient*innenversorgung. Aufgrund des Personalmangels in der Neonatologie ist es wichtig, mehr über den...

Aim: Strain on couple relationships is associated with a lower well-being. As premature birth is known to pose stress to parents, this study explores whether interparental relationship strain comes to pass within mothers and fathers during their infant's stay in a neonatal intensive care unit. Methods: A retrospective cross-sectional survey was...

Introduction Outpatient parenteral antimicrobial therapy (OPAT) means intravenous administration of antibiotics outside the hospital. The antibiotics are administered at the patient’s home. The advantages are the shortening of the inpatient stay, which means that patients can remain in their familiar environment, the reduction of nosocomial infecti...

Background General practitioners (GPs) are important providers of palliative home care (PHC). To deliver adequate palliative care, cooperation with specialised PHC teams is necessary. Specialised PHC is a type of care for severely ill patients by specialised providers. Little is known about the involvement of German GPs in specialised PHC. Objecti...

Due to demographic change, the number of patients in palliative care (PC) is increasing. General Practitioners (GPs) are important PC providers who often have known their patients for a long time. PC can be demanding for GPs. However, there are few studies on the job stress factors of GPs performing PC and the potential influence of their PC traini...

Background COVID-19 vaccination is recognized as a key component in addressing the COVID-19 pandemic. Physicians’ attitudes toward vaccination are known to play a defining role in the management and dissemination of medical advice to patients. In Germany, outpatient practitioners are predominantly responsible for the dissemination of vaccines. Met...

Background: Hemodialysis (HD) and peritoneal dialysis (PD) are deemed medically equivalent for therapy of end-stage renal disease (ESRD) and reimbursed by the German statutory health insurance (SHI). However, although the home dialysis modality PD is associated with higher patient autonomy than HD, for unknown reasons, PD uptake is low in Germany....

Background Relationship satisfaction is an important predictor of well-being. Few studies address the effects of stress on interparental relationships of parents with preterm infants. However, the experience of a preterm birth represents an extreme, stressful event and therefore may place a strain on a relationship. Our aim is to examine the impact...

Background An increase in regionalization of obstetric services is being observed worldwide. This study investigated factors associated with the closure of obstetric units in hospitals in Germany and aimed to examine the effect of obstetric unit closure on accessibility of obstetric care. Methods Secondary data of all German hospital sites with an...

Introduction This mixed‐method study explores psychological needs, access and barriers in coronary heart disease (CHD) patients with and without mental health issues (MHI) within the German healthcare system. Methods This study was conducted in three different healthcare settings: two hospitals, two rehabilitation clinics and three cardiology prac...

We explored the existence and application of standard operating procedures (SOPs) for pain management (PM) in German neonatal intensive care units (NICUs), and identified the factors associated with their application in practice. This study was part of the Safety4NICU project, a cross‐sectional survey conducted from 2015 to 2016. All 224 German NIC...

Hintergrund/Fragestellung: Die Anzahl von Menschen mit kognitiven Beeinträchtigungen (MmkB) in der akutstationären Versorgung in Deutschland steigt. Krankenhäuser sind konzeptionell oftmals unzureichend auf die Bedürfnisse dieser Personengruppe ausgerichtet. Psychosoziale Ansätze, wie die Person-zentrierte Versorgung (PCC), sind vielversprechend, u...

Background: The prevalence of people with cognitive impairment (PwCI) in hospital varies between 11 and 55 %. Person-centred care concepts are promising to meet the needs of PwCI. Implementing person-centred care is challenging, with local change agents considered essential for the implementation process. This role can be performed within the conte...

Background: Although benefits of advanced nursing roles in acute care are well known, the development in Germany is still in its infancy. Several factors affect the development and implementation of advanced nursing roles. A key issue are the attitudes of other healthcare professionals involved in care processes. However, a comprehensive and valid...

Background Some neonatal intensive care units offer parents webcam systems for times when they cannot be in the ward. Leaving an infant in the ward can be challenging for parents, and trust in the neonatal healthcare professionals mitigates parents’ worries of not knowing how their infant is doing while they are away. If parents lack trust in the n...

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...

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...

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...

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...

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...

Background General practitioners (GPs) are essential for providing and maintaining health care during a pandemic. Pandemic preparedness (PP) of GPs can play a vital role in their management of a pandemic situation. This study aimed to examine the association stockpiled personal protective equipment (PPE) and knowledge of pandemic plans on perceived...

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...

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...

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...

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...

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...

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...

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...

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...

Abstract 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...

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...

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...

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...

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...

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...

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...

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....

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...

Die Datenbasis stellen Abrechnungsdaten zweier Krankenkassen für den Zeitraum 2014-2016 gemäß §295 SGB V dar • Anhand der ICD-10-Diagnose N18.5 für die dialysepflichtige CKD und der Abrechnungsziffern für HD und PD wurden für 2014-2016 9.429 HD-und 465 PD-PatientInnen identifiziert • Mithilfe von Alter, Geschlecht, Charlson Comorbidity Index (CCI)...