Fleischmann, Nina

[["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.artnumber","5"],["dc.bibliographiccitation.firstpage","1-7"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","PADUA"],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Eichner, Ingrid"],["dc.contributor.author","Simmenroth, Anne"],["dc.contributor.author","Zarnack, Frauke"],["dc.contributor.author","Müller, Christiane Annette"],["dc.date.accessioned","2021-11-19T15:22:26Z"],["dc.date.available","2021-11-19T15:22:26Z"],["dc.date.issued","2017"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/93178"],["dc.language.iso","de"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Interprofessionelle Ausbildung in den Gesundheitsberufen. Auszubildende der Gesundheits- und Krankenpflege leiten Medizinstudierende in der curricularen Lehreinheit „Diabetes mellitus“ an."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","451"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","Journal of Advanced Nursing"],["dc.bibliographiccitation.lastpage","457"],["dc.bibliographiccitation.volume","71"],["dc.contributor.author","Mueller, Christiane Annette"],["dc.contributor.author","Tetzlaff, Britta"],["dc.contributor.author","Theile, Gudrun"],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Cavazzini, Christoph"],["dc.contributor.author","Geister, Christina"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Weyerer, Siegfried"],["dc.contributor.author","van den Bussche, Hendrik"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.date.accessioned","2018-11-07T10:01:49Z"],["dc.date.available","2018-11-07T10:01:49Z"],["dc.date.issued","2014"],["dc.description.abstract","Aim. This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication. Background. Rising numbers of residents in nursing homes present a challenge for general practice and nursing in most Western countries. In Germany, general practitioners visit their patients in nursing homes, where nurses work in shifts. This leads to a big variety of contacts with regard to persons involved and ways of communication. Design. Qualitative multicentre study. Methods. Study part 1 explores needs and problems in interprofessional collaboration in interviews with nursing home residents and their relatives, general practitioners and nurses. Simultaneously, general practitioners' visits in nursing homes are observed directly. In study part 2, general practitioners and nurses will discuss findings from study part 1 in focus groups, aiming to develop strategies for the improvement of shortcomings in a participatory way. Based on the results, experts will contribute to the emerging model of collaboration and communication in a multi-professional workshop. Finally, this model will be tested in a small feasibility study. The German Federal Ministry of Education and Research approved funding in March 2011. Discussion. The study is expected to uncover deficits and opportunities in interprofessional collaboration in nursing homes. It provides deeper understanding of the concepts of all involved person groups and adds important clues for the interaction between professionals and older people in this setting."],["dc.identifier.doi","10.1111/jan.12545"],["dc.identifier.isi","000347729100020"],["dc.identifier.pmid","25338930"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/38106"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1365-2648"],["dc.relation.issn","0309-2402"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Interprofessional collaboration and communication in nursing homes: a qualitative exploration of problems in medical care for nursing home residents - study protocol"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["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.artnumber","203"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","BMC Complementary and Alternative Medicine"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Afshar, Kambiz"],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Schmiemann, Guido"],["dc.contributor.author","Bleidorn, Jutta"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Friede, Tim"],["dc.contributor.author","Wegscheider, Karl"],["dc.contributor.author","Moore, Michael"],["dc.contributor.author","Gágyor, Ildikó"],["dc.date.accessioned","2019-07-09T11:45:32Z"],["dc.date.available","2019-07-09T11:45:32Z"],["dc.date.issued","2018"],["dc.description.abstract","BACKGROUND: Uncomplicated urinary tract infections (UTI) are common in general practice and usually treated with antibiotics. This contributes to increasing resistance rates of uropathogenic bacteria. A previous trial showed a reduction of antibiotic use in women with UTI by initial symptomatic treatment with ibuprofen. However, this treatment strategy is not suitable for all women equally. Arctostaphylos uva-ursi (UU, bearberry extract arbutin) is a potential alternative treatment. This study aims at investigating whether an initial treatment with UU in women with UTI can reduce antibiotic use without significantly increasing the symptom burden or rate of complications. METHODS: This is a double-blind, randomized, and controlled comparative effectiveness trial. Women between 18 and 75 years with suspected UTI and at least two of the symptoms dysuria, urgency, frequency or lower abdominal pain will be assessed for eligibility in general practice and enrolled into the trial. Participants will receive either a defined daily dose of 3 × 2 arbutin 105 mg for 5 days (intervention) or fosfomycin 3 g once (control). Antibiotic therapy will be provided in the intervention group only if needed, i.e. for women with worsening or persistent symptoms. Two co-primary outcomes are the number of all antibiotic courses regardless of the medical indication from day 0-28, and the symptom burden, defined as a weighted sum of the daily total symptom scores from day 0-7. The trial result is considered positive if superiority of initial treatment with UU is demonstrated with reference to the co-primary outcome number of antibiotic courses and non-inferiority of initial treatment with UU with reference to the co-primary outcome symptom burden. DISCUSSION: The trial's aim is to investigate whether initial treatment with UU is a safe and effective alternative treatment strategy in women with UTI. In that case, the results might change the existing treatment strategy in general practice by promoting delayed prescription of antibiotics and a reduction of antibiotic use in primary care."],["dc.identifier.doi","10.1186/s12906-018-2266-x"],["dc.identifier.pmid","29970072"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/15242"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59254"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.relation.orgunit","Institut für Medizinische Statistik"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Reducing antibiotic use for uncomplicated urinary tract infection in general practice by treatment with uva-ursi (REGATTA) – a double-blind, randomized, controlled comparative effectiveness 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.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.firstpage","118"],["dc.bibliographiccitation.journal","Applied Nursing Research"],["dc.bibliographiccitation.lastpage","125"],["dc.bibliographiccitation.volume","35"],["dc.contributor.author","Fleischmann, Nina"],["dc.contributor.author","Geister, Christina"],["dc.contributor.author","Hoell, Andreas"],["dc.contributor.author","Hummers-Pradier, Eva"],["dc.contributor.author","Mueller, Christiane Annette"],["dc.date.accessioned","2018-11-07T10:23:11Z"],["dc.date.available","2018-11-07T10:23:11Z"],["dc.date.issued","2017"],["dc.description.sponsorship","German Federal Ministry of Education and Research [01GY1124]"],["dc.identifier.doi","10.1016/j.apnr.2017.02.021"],["dc.identifier.isi","000402784500022"],["dc.identifier.pmid","28532718"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/42410"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","PUB_WoS_Import"],["dc.relation.issn","1532-8201"],["dc.relation.issn","0897-1897"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Interprofessional collaboration in nursing homes (interprof): A grounded theory study of nurse experiences of general practitioner visits"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["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"]]