Müller, Christiane Annette

[["dc.bibliographiccitation.firstpage","811"],["dc.bibliographiccitation.journal","Patient Preference and Adherence"],["dc.bibliographiccitation.lastpage","820"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Junius-Walker, Ulrike"],["dc.contributor.author","Wiese, Birgitt"],["dc.contributor.author","Klaassen-Mielke, Renate"],["dc.contributor.author","Theile, Gudrun"],["dc.contributor.author","Mueller, Christiane Annette"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2018-11-07T10:03:11Z"],["dc.date.available","2018-11-07T10:03:11Z"],["dc.date.issued","2015"],["dc.description.abstract","Background: Older patients often experience the burden of multiple health problems. Physicians need to consider them to arrive at a holistic treatment plan. Yet, it has not been systematically investigated as to which personal burdens ensue from certain health conditions. Objective: The objective of this study is to examine older patients' perceived burden of their health problems. Patients and methods: The study presents a cross-sectional analysis in 74 German general practices; 836 patients, 72 years and older (mean 79 +/- 4.4), rated the burden of each health problem disclosed by a comprehensive geriatric assessment. Patients rated each burden using three components: importance, emotional impact, and impact on daily activities. Cluster analyses were performed to define patterns in the rating of these components of burden. In a multilevel logistic regression analysis, independent factors that predict high and low burden were explored. Results: Patients had a median of eleven health problems and rated the burden of altogether 8,900 health problems. Four clusters provided a good clustering structure. Two clusters describe a high burden, and a further two, a low burden. Patients attributed a high burden to social and psychological health problems (especially being a caregiver: odds ratio [OR] 10.4, 95% confidence interval [CI] 4.4-24.4), to specific symptoms (eg, claudication: OR 2.3, 95% CI 1.3-4.0; pain: OR 2.3, 95% CI 1.6-3.1), and physical disabilities. Patients rated a comparatively low burden for most of their medical findings, for cognitive impairment, and lifestyle issues (eg, hypertension: OR 0.2, 95% CI 0.2-0.3). Conclusion: The patients experienced a relatively greater burden for physical disabilities, mood, or social issues than for diseases themselves. Physicians should interpret these burdens in the individual context and consider them in their treatment planning."],["dc.description.sponsorship","Federal Ministry of Education and Research [01ET0722]"],["dc.identifier.doi","10.2147/PPA.S81348"],["dc.identifier.isi","000356499300001"],["dc.identifier.pmid","26124648"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13600"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/38401"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1177-889X"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC 3.0"],["dc.rights.uri","https://creativecommons.org/licenses/by-nc/3.0"],["dc.title","Older patients' perceived burdens of their health problems: a cross-sectional analysis in 74 German general practices"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","123"],["dc.bibliographiccitation.journal","BMC Family Practice"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Tetzlaff, Britta"],["dc.contributor.author","Werle, Jochen"],["dc.contributor.author","Geister, Christina"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Weyerer, Siegfried"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Mueller, Christiane Annette"],["dc.date.accessioned","2018-11-07T10:10:01Z"],["dc.date.available","2018-11-07T10:10:01Z"],["dc.date.issued","2016"],["dc.description.abstract","Background: Interprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in nursing homes will challenge medical care and the interaction across professions, especially nurses and general practitioners (GPs). The nursing home visit, a key element of medical care, has been underrepresented in research. This study explores GP perspectives on interprofessional collaboration with a focus on their visits to nursing homes in order to understand their experiences and expectations. This research represents an aspect of the interprof study, which explores medical care needs as well as the perceived collaboration and communication by nursing home residents, their families, GPs and nurses. This paper focusses on GPs' views, investigating in particular their visits to nursing homes in order to understand their experiences. Methods: Open guideline-interviews covering interprofessional collaboration and the visit process were conducted with 30 GPs in three study centers and analyzed with grounded theory methodology. GPs were recruited via postal request and existing networks of the research partners. Results: Four different types of nursing home visits were found: visits on demand, periodical visits, nursing home rounds and ad-hoc-decision based visits. We identified the core category \"productive performance\" of home visits in nursing homes which stands for the balance of GPs' individual efforts and rewards. GPs used different strategies to perform a productive home visit: preparing strategies, on-site strategies and investing strategies. Conclusion: We compiled a theory of GPs home visits in nursing homes in Germany. The findings will be useful for research, and scientific and management purposes to generate a deeper understanding of GP perspectives and thereby improve interprofessional collaboration to ensure a high quality of care."],["dc.identifier.doi","10.1186/s12875-016-0522-z"],["dc.identifier.isi","000383330900002"],["dc.identifier.pmid","27576357"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13874"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/39771"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1471-2296"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Interprofessional collaboration in nursing homes (interprof): a grounded theory study of general practitioner experiences and strategies to perform nursing home visits"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","785"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Family Practice"],["dc.bibliographiccitation.lastpage","790"],["dc.bibliographiccitation.volume","36"],["dc.contributor.author","Schmalstieg-Bahr, Katharina"],["dc.contributor.author","Müller, Christiane A."],["dc.contributor.author","Hummers, Eva"],["dc.date.accessioned","2020-12-10T18:19:10Z"],["dc.date.available","2020-12-10T18:19:10Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.1093/fampra/cmz018"],["dc.identifier.eissn","1460-2229"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17190"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/75147"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.notes.intern","Merged from goescholar"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by-nc/4.0"],["dc.title","General practitioners’ concepts on issuing out-of-pocket prescriptions for hypnotics and sedatives in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.journal","Therapeutic Advances in Drug Safety"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Thiem, Ulrich"],["dc.contributor.author","Wilm, Stefan"],["dc.contributor.author","Greiner, Wolfgang"],["dc.contributor.author","Rudolf, Henrik"],["dc.contributor.author","Trampisch, Hans–Joachim"],["dc.contributor.author","Müller, Christiane"],["dc.contributor.author","Theile, Gudrun"],["dc.contributor.author","Thürmann, Petra A."],["dc.date.accessioned","2021-04-14T08:26:31Z"],["dc.date.available","2021-04-14T08:26:31Z"],["dc.date.issued","2020"],["dc.description.abstract","Potentially inappropriate medication (PIM) is considered to have potentially more harmful than beneficial health effects in elderly patients. A German example for a PIM list is the PRISCUS list that has been available since 2010. PIMs are associated with an increased risk of hospitalisation and adverse health outcomes. Furthermore, drug-drug interactions (DDI) may pose additional risks to patients. It is not yet clear how numbers of PIM and DDI can be reduced in community-dwelling seniors in primary care; nor is it clear whether patients would benefit from such deprescribing."],["dc.identifier.doi","10.1177/2042098620918459"],["dc.identifier.pmid","32435445"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81979"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/112293"],["dc.identifier.url","https://publications.goettingen-research-online.de/handle/2/81979"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","2042-0994"],["dc.relation.issn","2042-0986"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY-NC 4.0"],["dc.title","Reduction of potentially inappropriate medication in the elderly: design of a cluster-randomised controlled trial in German primary care practices (RIME)"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["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"]]

[["dc.bibliographiccitation.firstpage","8864"],["dc.bibliographiccitation.issue","16"],["dc.bibliographiccitation.journal","International Journal of Molecular Sciences"],["dc.bibliographiccitation.volume","23"],["dc.contributor.affiliation","Poloni, Alana; 1Department for Molecular Biology of Plant-Microbe Interaction, Albrecht-von-Haller Institute for Plant Sciences, Georg-August-University Göttingen, Julia-Lermontowa-Weg 3, 37077 Göttingen, Germany"],["dc.contributor.affiliation","Garde, Ravindra; 3Department of Genetics, Matthias-Schleiden-Institute, Friedrich-Schiller-University Jena, Philosophenweg 12, 07743 Jena, Germany"],["dc.contributor.affiliation","Dittiger, Lukas Dorian; 3Department of Genetics, Matthias-Schleiden-Institute, Friedrich-Schiller-University Jena, Philosophenweg 12, 07743 Jena, Germany"],["dc.contributor.affiliation","Heidrich, Theresa; 1Department for Molecular Biology of Plant-Microbe Interaction, Albrecht-von-Haller Institute for Plant Sciences, Georg-August-University Göttingen, Julia-Lermontowa-Weg 3, 37077 Göttingen, Germany"],["dc.contributor.affiliation","Müller, Christian; 2Department of Microbial Genetics, Institute of Applied Microbiology, RWTH Aachen University, Worringerweg 1, 52074 Aachen, Germany"],["dc.contributor.affiliation","Drechsler, Frank; 2Department of Microbial Genetics, Institute of Applied Microbiology, RWTH Aachen University, Worringerweg 1, 52074 Aachen, Germany"],["dc.contributor.affiliation","Zhao, Yulei; 1Department for Molecular Biology of Plant-Microbe Interaction, Albrecht-von-Haller Institute for Plant Sciences, Georg-August-University Göttingen, Julia-Lermontowa-Weg 3, 37077 Göttingen, Germany"],["dc.contributor.affiliation","Mazumdar, Tilottama; 3Department of Genetics, Matthias-Schleiden-Institute, Friedrich-Schiller-University Jena, Philosophenweg 12, 07743 Jena, Germany"],["dc.contributor.affiliation","Schirawski, Jan; 1Department for Molecular Biology of Plant-Microbe Interaction, Albrecht-von-Haller Institute for Plant Sciences, Georg-August-University Göttingen, Julia-Lermontowa-Weg 3, 37077 Göttingen, Germany"],["dc.contributor.author","Poloni, Alana"],["dc.contributor.author","Garde, Ravindra"],["dc.contributor.author","Dittiger, Lukas Dorian"],["dc.contributor.author","Heidrich, Theresa"],["dc.contributor.author","Müller, Christian"],["dc.contributor.author","Drechsler, Frank"],["dc.contributor.author","Zhao, Yulei"],["dc.contributor.author","Mazumdar, Tilottama"],["dc.contributor.author","Schirawski, Jan"],["dc.contributor.editor","Skriver, Karen"],["dc.date.accessioned","2022-09-01T09:51:13Z"],["dc.date.available","2022-09-01T09:51:13Z"],["dc.date.issued","2022"],["dc.date.updated","2022-11-11T13:15:03Z"],["dc.description.abstract","The biotrophic fungus Sporisorium reilianum exists in two host-adapted formae speciales that cause head smut in maize (S. reilianum f. sp. zeae; SRZ) and sorghum (S. reilianum f. sp. reilianum; SRS). In sorghum, the spread of SRZ is limited to the leaves. To understand the plant responses to each forma specialis, we determined the transcriptome of sorghum leaves inoculated either with SRS or SRZ. Fungal inoculation led to gene expression rather than suppression in sorghum. SRZ induced a much greater number of genes than SRS. Each forma specialis induced a distinct set of plant genes. The SRZ-induced genes were involved in plant defense mainly at the plasma membrane and were associated with the Molecular Function Gene Ontology terms chitin binding, abscisic acid binding, protein phosphatase inhibitor activity, terpene synthase activity, chitinase activity, transmembrane transporter activity and signaling receptor activity. Specifically, we found an upregulation of the genes involved in phospholipid degradation and sphingolipid biosynthesis, suggesting that the lipid content of the plant plasma membrane may contribute to preventing the systemic spread of SRZ. In contrast, the colonization of sorghum with SRS increased the expression of the genes involved in the detoxification of cellular oxidants and in the unfolded protein response at the endoplasmic reticulum, as well as of the genes modifying the cuticle wax and lipid composition through the generation of alkanes and phytosterols. These results identified plant compartments that may have a function in resistance against SRZ (plasma membrane) and susceptibility towards SRS (endoplasmic reticulum) that need more attention in the future."],["dc.description.sponsorship","German Initiative of Excellence"],["dc.description.sponsorship","Deutsche Forschungsgemeinschaft"],["dc.identifier.doi","10.3390/ijms23168864"],["dc.identifier.pii","ijms23168864"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/113908"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-597"],["dc.publisher","MDPI"],["dc.relation.eissn","1422-0067"],["dc.rights","Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/)."],["dc.title","Transcriptome Analysis Reveals Contrasting Plant Responses of Sorghum bicolor upon Colonization by Two Formae Speciales of Sporisorium reilianum"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","4"],["dc.bibliographiccitation.journal","BMC Family Practice"],["dc.bibliographiccitation.volume","16"],["dc.contributor.author","Barkhausen, Tanja"],["dc.contributor.author","Junius-Walker, Ulrike"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Mueller, Christiane Annette"],["dc.contributor.author","Theile, Gudrun"],["dc.date.accessioned","2018-11-07T10:02:01Z"],["dc.date.available","2018-11-07T10:02:01Z"],["dc.date.issued","2015"],["dc.description.abstract","Background: Geriatric assessments are established tools in institutional care since they enable standardized detection of relevant age-related disorders. Geriatric assessments could also be helpful in general practice. However, they are infrequently used in this setting, mainly due to their lengthy administration. The aim of the study was the development of a \"manageable geriatric assessment -MAGIC\", specially tailored to the requirements of daily primary care. Methods: MAGIC was developed based on the comprehensive Standardized Assessment for Elderly People in Primary Care (STEP), using four different methodological approaches: We relied on A) the results of the PRISCUS study by assessing the prevalence of health problems uncovered by STEP, the importance of the respective problems rated by patients and general practitioners, as well as the treatment procedures initiated subsequently to the assessment. Moreover, we included findings of B) a literature analysis C) a review of the STEP assessment by experienced general practitioners and D) focus groups with general practitioners. Results: The newly created MAGIC assessment consists of 9 items and covers typical geriatric health problems and syndromes: function, falls, incontinence, cognitive impairment, impaired ears and eyes, vaccine coverage, emotional instability and isolation. Conclusions: MAGIC promises to be a helpful screening instrument in primary care consultations involving elderly multimorbid patients. Applicable within a minimum of time it still covers health problems highly relevant with regard to a potential loss of autonomy. Feasibility will be tested in the context of a large, still ongoing randomized controlled trial on \"reduction of potentially inadequate medication in elderly patients\" (RIME study; DRKS-ID: DRKS00003610) in general practice."],["dc.description.sponsorship","German Federal Ministry of Education and Research (BMBF) [01ET1005C]"],["dc.identifier.doi","10.1186/s12875-014-0215-4"],["dc.identifier.isi","000349342500001"],["dc.identifier.pmid","25608946"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/11596"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/38144"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1471-2296"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","\"It's MAGIC\" - development of a manageable geriatric assessment for general practice use"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Trials"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Müller, Christiane"],["dc.contributor.author","Hesjedal-Streller, Berit"],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Tetzlaff, Britta"],["dc.contributor.author","Mallon, Tina"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Köpke, Sascha"],["dc.contributor.author","Balzer, Katrin"],["dc.contributor.author","Gärtner, Linda"],["dc.contributor.author","Maurer, Indre"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","König, Hans-Helmut"],["dc.contributor.author","Hummers, Eva"],["dc.date.accessioned","2021-04-14T08:31:19Z"],["dc.date.available","2021-04-14T08:31:19Z"],["dc.date.issued","2020"],["dc.description.sponsorship","Open-Access-Publikationsfonds 2021"],["dc.identifier.doi","10.1186/s13063-020-04736-x"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/17642"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/83558"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.notes.intern","Merged from goescholar"],["dc.relation","interprof ACT - Strategien zur Förderung ärztlich-pflegerischer Zusammenarbeit in Pflegeheimen und Ihre Wirksamkeit auf Krankenhausaufnahmen von Bewohnern"],["dc.relation.eissn","1745-6215"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Effects of strategies to improve general practitioner-nurse collaboration and communication in regard to hospital admissions of nursing home residents (interprof ACT): study protocol for a cluster randomised controlled 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","14"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Family Practice"],["dc.bibliographiccitation.volume","19"],["dc.contributor.author","Müller, Christiane A."],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Cavazzini, Christoph"],["dc.contributor.author","Heim, Susanne"],["dc.contributor.author","Seide, Svenja"],["dc.contributor.author","Geister, Christina"],["dc.contributor.author","Tetzlaff, Britta"],["dc.contributor.author","Hoell, Andreas"],["dc.contributor.author","Werle, Jochen"],["dc.contributor.author","Weyerer, Siegfried"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Hummers, Eva"],["dc.date.accessioned","2019-07-09T11:45:10Z"],["dc.date.available","2019-07-09T11:45:10Z"],["dc.date.issued","2018"],["dc.description.abstract","BACKGROUND: Given both the increase of nursing home residents forecast and challenges of current interprofessional interactions, we developed and tested measures to improve collaboration and communication between nurses and general practitioners (GPs) in this setting. Our multicentre study has been funded by the German Federal Ministry of Education and Research (FK 01GY1124). METHODS: The measures were developed iteratively in a continuous process, which is the focus of this article. In part 1 \"exploration of the situation\", interviews were conducted with GPs, nurses, nursing home residents and their relatives focusing on interprofessional interactions and medical care. They were analysed qualitatively. Based on these results, in part 2 \"development of measures to improve collaboration\", ideas for improvement were developed in nine focus groups with GPs and nurses. These ideas were revisited in a final expert workshop. We analysed the focus groups and expert workshop using mind mapping methods, and finally drew up the compilation of measures. In an exploratory pilot study \"study part 3\" four nursing homes chose the measures they wanted to adopt. These were tested for three months. Feasibility and acceptance of the measures were evaluated via guideline interviews with the stakeholders which were analysed by content analyses. RESULTS: Six measures were generated: meetings to establish common goals, main contact person, standardised pro re nata medication, introduction of name badges, improved availability of nurse/GP and standardised scheduling/ procedure for nursing home visits. In the pilot study, the measures were implemented in four nursing homes. GPs and nurses reviewed five measures as feasible and acceptable, only the designation of a \"main contact person\" was not considered as an improvement. CONCLUSIONS: Six measures to improve collaboration and communication could be compiled in a multistep qualitative process respecting the perspectives of involved stakeholders. Five of the six measures were positively assessed in an exploratory pilot study. They could easily be transferred into the daily routine of other nursing homes, as no special models have to exist in advance. Impact of the measures on patient oriented outcomes should be examined in further research. TRIAL REGISTRATION: Not applicable."],["dc.description.sponsorship","Open-Access-Publikationsfonds 2018"],["dc.identifier.doi","10.1186/s12875-017-0678-1"],["dc.identifier.pmid","29325541"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/15119"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59174"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.notes.intern","In goescholar not merged with http://resolver.sub.uni-goettingen.de/purl?gs-1/15050 but duplicate"],["dc.relation.issn","1471-2296"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 4.0"],["dc.rights.access","openAccess"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject.ddc","610"],["dc.title","Interprofessional collaboration in nursing homes (interprof): development and piloting of measures to improve interprofessional collaboration and communication: a qualitative multicentre study."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]