Publications by authors named "Astrid Stephan"

Introduction: Nursing research is an integral part of nursing science and essential for evidence-based nursing practice. Research conducted by nursing scientists employed at university hospitals is shaped by the specific prevailing conditions. It is largely unclear to what extent these nursing scientists are engaged in research and which difficulties they have to face.

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Objective: The quality of the relationship between persons with dementia and family carers influences health and quality-of-life outcomes. Little is known regarding those at higher risk of experiencing a decline in relationship quality, who could potentially benefit the most from interventions. We aimed to identify these risk profiles and explore the underlying factors.

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Background: The reference frameworks that have been developed for the first time by the Specialist Committee in accordance with Sect. 53 of the German Nursing Professions Act follow a new didactic-curricular structure and are intended to support the nursing schools in creating their own curricular documents.

Research Question/objective: The commissioned study investigated hindering and promoting factors in the implementation of reference frameworks at nursing schools.

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Purpose: Pain is a common symptom following proximal femoral fractures (PFF), however, information on its treatment in terms of agents and type of use (scheduled vs. pro re nata [PRN]) is scarce. The main objective of this study was to examine pain medication regimens according to pain intensity following PFF.

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Proximal femoral fracture is common in older people. Beyond a long recovery process and significant permanent functional limitations, older people often experience subsequent Fear of Falling. The phenomenon of Fear of Falling is not fully understood; qualitative research is underrepresented but can provide insights into the experience of those affected.

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Background: The end-users' acceptance is a core concept in the development, implementation and evaluation of new systems like robotic systems in daily nursing practice. So far, studies have shown various findings concerning the acceptance of systems that are intended to assist people with support or care needs. Not much has been reported on the acceptance of robots that provide direct physical assistance to nurses in bedside care.

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Artificial intelligence (AI) in the domain of healthcare is increasing in prominence. Acceptance is an indispensable prerequisite for the widespread implementation of AI. The aim of this integrative review is to explore barriers and facilitators influencing healthcare professionals' acceptance of AI in the hospital setting.

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User-oriented needs assessment of the potential use of assistive robots in direct nursing care: A mixed methods study So far, hardly any robots have been used in nursing that take over patient-related activities and thereby reduce the physical strain on the caregivers. Using user-centered design approaches, the interdisciplinary project "PfleKoRo" was therefore developing a robotic assistance system that can be used in the direct care of bedridden patients requiring intensive or very intensive care. The aim of this study was to identify nursing activities with the greatest support potential for an assistant robot for the direct care of bedridden patients.

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Background: Fear of falling (FoF) affects a large number of older people, whether they have a history of falls or not. This has an impact on their lives. FoF is a potentially modifiable factor, which has been identified as one of the most important threats to older people's autonomy.

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Background: As robotics in nursing care is still in an early explorative research phase, it is not clear which changes robotic systems will ultimately bring about in the long term. According to the approach of "Responsible Research and Innovation", the research project "PfleKoRo" aims to anticipate and mitigate ethical risks that might be expected when starting to develop a robot. The robot under investigation is intended to be a hands-on support in nursing care in due course.

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Background: Focus groups are used in qualitative research and increasingly so in the health and nursing sciences. There has been no previous research on how focus groups are used and reported in this context. A scoping review was conducted to address this question.

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Objectives: Relationship quality (RQ) between a person with dementia and a family carer may influence their health and quality of life. However, evidence regarding its course and influencing factors is limited. We aimed to explore RQ trajectories in dementia, and identify predictors of change.

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Aims: The purpose of this systematic review and meta-summary was the aggregation of the empirical qualitative literature on patients' experiences of delirium in order to support the development and implementation of patient-oriented delirium management and to guide future research.

Design: We conducted a systematic literature review of qualitative research published between January 1980 and June 2019.

Data Sources: In June 2019, we searched in Medline, CINAHL, SSCI and PsycInfo to identify relevant reports.

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Objectives: To examine prospectively the association between unmet needs for daytime activities and company and behavioural and psychological symptoms of dementia.

Methods: We included 451 people with mild or moderate dementia, from eight European countries, who were assessed three times over 12 months. Unmet needs were measured with the Camberwell Assessment of Need for the Elderly.

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Article Synopsis
  • The ICECAP-O is a tool designed to measure quality of life capabilities in older individuals, particularly those with dementia and their informal carers, but it lacks proper linguistic validation.
  • A study involving 15 people with dementia and 23 informal carers from Germany and Portugal revealed issues in understanding the translated items of ICECAP-O, with misinterpretations and difficulties in differentiating between items.
  • The findings suggest that revisions to the translations are needed to ensure clarity and capturing of capability dimensions, highlighting the necessity for larger studies to validate these insights further.
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Background: Evidence is lacking on the differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency of hospital admission among people with dementia in eight European countries living in nursing homes or in the community, 2) to examine the factors associated with hospitalisation in each setting, and 3) to evaluate the costs associated with it.

Methods: The present study is a secondary data analysis of the RightTimePlaceCare European project.

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Purpose: The Quality of Life Alzheimer's Disease Scale (QoL-AD) is commonly used to assess disease specific health-related quality of life (HRQoL) as rated by patients and their carers. For cost-effectiveness analyses, utilities based on the EQ-5D are often required. We report a new mapping algorithm to obtain EQ-5D indices when only QoL-AD data are available.

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Article Synopsis
  • * A Delphi consensus process was used, involving 48 professionals, 14 individuals with dementia, and 20 informal carers, who evaluated the importance of 72 statements on community care services.
  • * The results identified 62 consensus statements that focus on key areas such as appointing a contact person, enhancing service coordination and flexibility, and emphasizing training for healthcare personnel and person-centered care.
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Objective: To investigate the cross-sectional associations between depression in people with dementia and both caregiver burden and quality of life in 8 European countries, and to test these associations compared with the presence of other neuropsychiatric symptoms.

Design: Cross-sectional study.

Setting And Participants: In total, 1223 dyads comprised of informal caregivers and people with dementia living in a community-dwelling setting, recruited from the Right Time Place Care study, a cohort survey from 8 European countries.

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Article Synopsis
  • The study uses the Anderson model to assess equitable access to dementia care across Europe, focusing on factors such as predisposing, enabling, and need variables.
  • It involved 451 individuals with middle-stage dementia and their caregivers from eight countries, aiming to identify predictors for various types of formal care services.
  • Key findings highlight that disease severity, unmet needs, informal care hours, and demographic factors like age and gender are significant predictors of access to dementia care, suggesting that these elements should be addressed to improve service availability.
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This paper reports on qualitative data from the Actifcare study investigating experiences, attitudes, barriers and facilitators concerning access to and use of formal care. A total of 85 semi-structured in-depth interviews were conducted in eight European countries. Results were analysed with a deductive content analysis, first within country and then integrated in a cross-national analysis.

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Following publication of the original article [1], the authors opted to revise Table 1. Below is the updated version of the table.

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Introduction: Proximal femoral fractures (PFF) are among the most frequent fractures in older people. However, the situation of people with a PFF after hospital discharge is poorly understood. Our aim is to (1) analyse healthcare provision, (2) examine clinical and patient-reported outcomes (PROs), (3) describe clinical and sociodemographic predictors of these and (4) develop an algorithm to identify subgroups with poor outcomes and a potential need for more intensive healthcare.

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