Hummers, Eva

[["dc.bibliographiccitation.artnumber","770"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Trials"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Götze, Kornelia"],["dc.contributor.author","Bausewein, Claudia"],["dc.contributor.author","Feddersen, Berend"],["dc.contributor.author","Fuchs, Angela"],["dc.contributor.author","Hot, Amra"],["dc.contributor.author","Icks, Andrea"],["dc.contributor.author","Kirchner, Änne"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Klosterhalfen, Stephanie"],["dc.contributor.author","Kolbe, Henrike"],["dc.contributor.author","Laag, Sonja"],["dc.contributor.author","Langner, Henriette"],["dc.contributor.author","Lezius, Susanne"],["dc.contributor.author","Meyer, Gabriele"],["dc.contributor.author","Montalbo, Joseph"],["dc.contributor.author","Reisinger, Christine"],["dc.contributor.author","Rieder, Nicola"],["dc.contributor.author","Schildmann, Jan"],["dc.contributor.author","Schunk, Michaela"],["dc.contributor.author","Vogel, Christiane"],["dc.contributor.author","Wegscheider, Karl"],["dc.contributor.author","Marckmann, Georg"],["dc.contributor.author","in der Schmitten, Jürgen"],["dc.contributor.author","Albert, Annika"],["dc.contributor.author","Alheid, Cornelia"],["dc.contributor.author","Bausewein, Claudia"],["dc.contributor.author","Bruene, Manuela"],["dc.contributor.author","Calles, Christian"],["dc.contributor.author","Camci, Havva"],["dc.contributor.author","Daubmann, Anne"],["dc.contributor.author","Dahlke, Sophie"],["dc.contributor.author","Enger, Stephanie"],["dc.contributor.author","Feddersen, Berend"],["dc.contributor.author","Felder, Gerd"],["dc.contributor.author","Fluck, Carsten"],["dc.contributor.author","Freienstein, Andreas"],["dc.contributor.author","Freytag, Theresa"],["dc.contributor.author","Fuchs, Angela"],["dc.contributor.author","Icks, Andrea"],["dc.contributor.author","in der Schmitten, Jürgen"],["dc.contributor.author","Hensel, Lena"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Hot, Amra"],["dc.contributor.author","Kirchner, Änne"],["dc.contributor.author","Kleinert, Evelyn"],["dc.contributor.author","Klosterhalfen, Stephanie"],["dc.contributor.author","Kolbe, Henrike"],["dc.contributor.author","Laag, Sonja"],["dc.contributor.author","Langner, Henriette"],["dc.contributor.author","Lezius, Susanne"],["dc.contributor.author","Marckmann, Georg"],["dc.contributor.author","Meyer, Gabriele"],["dc.contributor.author","Montalbo, Jospeh"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Nguyen, Thuy"],["dc.contributor.author","Nowak, Andre"],["dc.contributor.author","Ossenberg, Malte"],["dc.contributor.author","Reisinger, Christine"],["dc.contributor.author","Reuter, Sophia"],["dc.contributor.author","Rieder, Nicola"],["dc.contributor.author","Riester, Tanja"],["dc.contributor.author","Rosu, Irina"],["dc.contributor.author","Rösgen, Holger"],["dc.contributor.author","Salanta, Katharina"],["dc.contributor.author","Sassi, Zeinep"],["dc.contributor.author","Schildmann, Jan"],["dc.contributor.author","Schulenberg, Thomas"],["dc.contributor.author","Schunk, Michaela"],["dc.contributor.author","Sommer, Daniela"],["dc.contributor.author","Stanze, Henrikje"],["dc.contributor.author","Stöhr, Andreas"],["dc.contributor.author","Theuerkauf, Anke"],["dc.contributor.author","Thilo, Nancy"],["dc.contributor.author","Tönjann, Jessica"],["dc.contributor.author","Partowinia-Peters, Mahnaz"],["dc.contributor.author","Prommersberger, Sebastian"],["dc.contributor.author","Przybylla, Susanne"],["dc.contributor.author","Vogel, Christiane"],["dc.contributor.author","Vomhof, Markus"],["dc.contributor.author","Wilken, Janka"],["dc.contributor.author","Zapf, Antonia"],["dc.contributor.author","Zimprich, Jennifer"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Stanze, Henrikje"],["dc.contributor.author","Zapf, Antonia"],["dc.date.accessioned","2022-09-12T11:00:43Z"],["dc.date.available","2022-09-12T11:00:43Z"],["dc.date.issued","2022"],["dc.date.updated","2022-09-18T03:12:10Z"],["dc.description.abstract","Abstract\r\nBackground: According to recent legislation, facilitated advance care planning (ACP) for nursing home (NH) resi-\r\ndents is covered by German sickness funds. However, the effects of ACP on patient-relevant outcomes have not been studied in Germany yet. This study investigates whether implementing a complex regional ACP intervention improves care consistency with care preferences in NH residents.\r\nMethods: This is a parallel-group cluster-randomized controlled trial (cRCT) with 48 NHs (≈ 3840 resident beds)\r\nbetween 09/2019 and 02/2023. The intervention group will receive a complex, regional ACP intervention aiming at sustainable systems redesign at all levels (individual, institutional, regional). The intervention comprises comprehensive training of ACP facilitators, implementation of reliable ACP processes, organizational development in the NH and other relevant institutions of the regional healthcare system, and education of health professionals caring for the residents. Control group NHs will deliver care as usual.Primary outcome is the hospitalization rate during the 12-months observation period. Secondary outcomes include\r\nthe rate of residents whose preferences were known and honored in potentially life-threatening events, hospital days,\r\nindex treatments like resuscitation and artificial ventilation, advance directives, quality of life, psychological burden on\r\nbereaved families, and costs of care.\r\nThe NHs will provide anonymous, aggregated data of all their residents on the primary outcome and several second-\r\nary outcomes (data collection 1). For residents who have given informed consent, we will evaluate care consistency\r\nwith care preferences and further secondary outcomes, based on chart reviews and short interviews with residents,\r\nsurrogates, and carers (data collection 2). Process evaluation will aim to explain barriers and facilitators, economic\r\nevaluation the cost implications.\r\nDiscussion: This study has the potential for high-quality evidence on the effects of a complex regional ACP intervention on NH residents, their families and surrogates, NH staff, and health care utilization in Germany. It is the first cRCT investigating a comprehensive regional ACP intervention that aims at improving patient-relevant clinical outcomes, addressing and educating multiple institutions and health care providers, besides qualification of ACP facilitators. Thereby, it can generate evidence on the potential of ACP to effectively promote patient-centered care in the vulnerable population of frail and often chronically ill elderly.\r\n\r\nTrial registration: Clini calTrials. gov ID NCT04 333303. Registered 30 March 2020.\r\n\r\nKeywords: Advance care planning, Nursing homes, ACP facilitation, Complex intervention, Cluster-randomized\r\ncontrolled trial, Study protocol, Patient-centered care"],["dc.identifier.citation","Trials. 2022 Sep 12;23(1):770"],["dc.identifier.doi","10.1186/s13063-022-06576-3"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/114205"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/114250"],["dc.language.iso","en"],["dc.relation","BEVOR Patienten-relevante Auswirkungen von Behandlung im Voraus planen: cluster-randomisierte Interventionsstudie in Seniorenpflegeeinrichtungen"],["dc.relation.doi","10.1186/s13063-022-06576-3"],["dc.relation.issn","1745-6215"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","Advance care planning"],["dc.subject","Nursing homes"],["dc.subject","ACP facilitation"],["dc.subject","Complex intervention"],["dc.subject","Cluster-randomized controlled trial"],["dc.subject","Study protocol"],["dc.subject","Patient-centered care"],["dc.title","Effectiveness of a complex regional advance care planning intervention to improve care consistency with care preferences: study protocol for a multi-center, cluster-randomized controlled trial focusing on nursing home residents (BEVOR trial)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","561"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Trials"],["dc.bibliographiccitation.volume","23"],["dc.contributor.author","Steyer, Linda"],["dc.contributor.author","Kortkamp, Christian"],["dc.contributor.author","Müller, Christiane"],["dc.contributor.author","Tetzlaff, Britta"],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Weber, Clarissa E."],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Kühn, Anja"],["dc.contributor.author","Jarchow, Anne-Marei"],["dc.contributor.author","Lüth, Frederike"],["dc.contributor.author","Köpke, Sascha"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","König, Hans-Helmut"],["dc.contributor.author","Hummers, Eva"],["dc.contributor.author","Maurer, Indre"],["dc.contributor.author","Balzer, Katrin"],["dc.date.accessioned","2022-08-04T12:05:45Z"],["dc.date.available","2022-08-04T12:05:45Z"],["dc.date.issued","2022-07-08"],["dc.date.updated","2022-07-25T11:18:57Z"],["dc.description.abstract","Background To improve interprofessional collaboration between registered nurses (RNs) and general practitioners (GPs) for nursing home residents (NHRs), the interprof ACT intervention package was developed. This complex intervention includes six components (e.g., shared goal setting, standardized procedures for GPs\\’ nursing home visits) that can be locally adapted. The cluster-randomized interprof ACT trial evaluates the effects of this intervention on the cumulative incidence of hospital admissions (primary outcome) and secondary outcomes (e.g., length of hospital stays, utilization of emergency care services, and quality of life) within 12 months. It also includes a process evaluation which is subject of this protocol. The objectives of this evaluation are to assess the implementation of the interprof ACT intervention package and downstream effects on nurse–physician collaboration as well as preconditions and prospects for successive implementation into routine care. Methods This study uses a mixed methods triangulation design involving all 34 participating nursing homes (clusters). The quantitative part comprises paper-based surveys among RNs, GPs, NHRs, and nursing home directors at baseline and 12 months. In the intervention group (17 clusters), data on the implementation of preplanned implementation strategies (training and supervision of nominated IPAVs, interprofessional kick-off meetings) and local implementation activities will be recorded. Major outcome domains are the dose, reach and fidelity of the implementation of the intervention package, changes in interprofessional collaboration, and contextual factors. The qualitative part will be conducted in a subsample of 8 nursing homes (4 per study group) and includes repeated non-participating observations and semistructured interviews on the interaction between involved health professionals and their work processes. Quantitative and qualitative data will be descriptively analyzed and then triangulated by means of joint displays and mixed methods informed regression models. Discussion By integrating a variety of qualitative and quantitative data sources, this process evaluation will allow comprehensive assessment of the implementation of the interprof ACT intervention package, the changes induced in interprofessional collaboration, and the influence of contextual factors. These data will reveal expected and unexpected changes in the procedures of interprofessional care delivery and thus facilitate accurate conclusions for the further design of routine care services for NHRs. Trial registration ClinicalTrials.gov NCT03426475 . Registered on 07/02/2018."],["dc.identifier.citation","Trials. 2022 Jul 08;23(1):561"],["dc.identifier.doi","10.1186/s13063-022-06476-6"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112648"],["dc.language.iso","en"],["dc.rights","CC BY 4.0"],["dc.rights.holder","The Author(s)"],["dc.subject","Process evaluation"],["dc.subject","Nursing homes"],["dc.subject","Interprofessional collaboration"],["dc.subject","Mixed methods"],["dc.title","Implementation, mechanisms of change and contextual factors of a complex intervention to improve interprofessional collaboration and the quality of medical care for nursing home residents: study protocol of the process evaluation of the interprof ACT intervention package"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]