Publications by authors named "Dichter M"

Background: The importance of social health is increasingly recognized in dementia research. For most people living with dementia, their social environment changes as the disease progresses, especially when they move into a long-term care facility. However, maintaining social interactions in the new living environment contributes significantly to health and quality of life.

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Article Synopsis
  • A systematic review was conducted to assess and synthesize studies on sleep-related measurements for evaluating sleep disturbances in people living with dementia in nursing homes.* -
  • Out of 5169 studies reviewed, 15 were included, focusing on various measurement types, but none met acceptable psychometric standards according to the COSMIN criteria.* -
  • The review concludes that current measurements are inadequate for use without adaptation, emphasizing the need for future research to follow strict quality criteria to improve assessments.*
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Introduction: Group-based cognitive stimulation has shown short-term benefits for the cognitive outcomes of people with dementia living in nursing homes (NH). However, group participation can be a barrier for people with advanced dementia, bedridden people or isolated people. The CogStim24 project seeks to develop and implement a new psychosocial intervention based on cognitively stimulating (CS) activities integrated into daily nursing care.

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Background: Intimate partner violence (IPV) is a significant public health problem with far-reaching consequences. The health care system plays an integral role in the detection of and response to IPV. Historically, the majority of IPV screening initiatives have targeted women of reproductive age, with little known about men's IPV screening experiences or the impact of screening on men's health care.

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Article Synopsis
  • The Veterans Health Administration (VHA) used implementation facilitation (IF) to increase intimate partner violence (IPV) screening in primary care, examining its effectiveness a year later.
  • A mixed-methods evaluation revealed that seven out of nine sites maintained or improved their screening rates, with successful sites showing strong medical leadership, ongoing clinician training, and clear referral processes.
  • Barriers such as staff shortages and lack of support from leadership hindered sustainment in some sites, highlighting the need for tailored strategies to overcome these challenges in health care settings.
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Introduction: Based on the available evidence, cognitive stimulation is recommended as an intervention for people with dementia (PwD). Currently, cognitive stimulation is regularly offered as a group programme in care facilities. However, some residents, such as those who are bedridden, cannot participate.

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Objectives: The Health Resources and Services Administration (HRSA) began collecting data on intimate partner violence (IPV) and human trafficking (HT) in the 2020 Uniform Data System (UDS). We examined patients affected by IPV and HT served by HRSA-funded health centers in medically underserved US communities during the COVID-19 pandemic.

Methods: We established a baseline and measured trends in patient care by analyzing data from the 2020 (N = 28 590 897) and 2021 (N = 30 193 278) UDS.

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Background/aim: Evidence-based practice (EBP) provides an important basis for improving both the quality of care and patient safety. Formulating a research question, searching the literature, and critical appraisal are crucial to developing evidence-based practice. The aim of this survey was to provide an overview of how these topics are integrated into bachelor's degree programs in nursing in Austria, Germany, and the German-speaking part of Switzerland.

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Critical care nurses' decision-making regarding verification of blindly inserted gastric tubes: A cross-sectional questionnaire study The placement and verification of the correct position of blindly applied gastric tubes is regularly performed by nurses in clinical practice. International guidelines recommend a radiological verification as a "first-line" method or if pH measurement is not possible. For Germany, neither evidence-based recommendations nor current data are available.

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Background: Person-centredness is considered as best practice for people living with dementia. A frequently used instrument to assess person-centredness of a care environment is the Person-centred Climate Questionnaire (PCQ). The questionnaire comprises of 14 items with the three subscales a climate of safety, a climate of everydayness and a climate of community.

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Objective: Women represent 15% of veteran callers to the Veterans Crisis Line (VCL); there has been little research identifying the experiences and needs of women veterans who use the VCL. The objective of this study was to identify women veterans' experiences with and recommendations for strengthening VCL services for women.

Method: We conducted qualitative interviews with 26 women veterans across the United States who had contacted the VCL in the preceding year.

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Background: Elder abuse (EA) is common and has devastating health consequences yet is rarely detected by healthcare professionals. While EA screening tools exist, little is known about if and how these tools are implemented in real-world clinical settings. The Veterans Health Administration (VHA) has experience screening for, and resources to respond to, other forms of interpersonal violence and may provide valuable insights into approaches for EA screening.

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Objective: To reduce sleep problems in people living with dementia using a multi-component intervention.

Design: Cluster-randomized controlled study with two parallel groups and a follow-up of 16 weeks.

Setting: Using external concealed randomization, 24 nursing homes (NH) were allocated either to the intervention group (IG, 12 clusters, 126 participants) or the control group (12 clusters, 116 participants).

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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 German hospitals are rarely person-centred.

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Background: Many patients with chronic heart failure (CHF) are critically ill and experience increased thirst. Study aims are to develop and evaluate a nurse-based counselling intervention to promote self-care competencies related to thirst in hospitalised patients with advanced CHF eligible or listed for heart transplantation.

Methods: A mixed-methods approach will be adapted with three study phases: (1) development of the nurse-based counselling intervention, (2) feasibility testing and training of nurses, and (3) implementation of the intervention and, evaluation of initial effects and process measures.

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Article Synopsis
  • * Using a Matrixed Multiple Case Study approach, researchers analyzed qualitative and quantitative data to identify multilevel factors affecting the program’s implementation, guided by the i-PARIHS framework.
  • * A total of fifteen factors were identified, categorized into three groups: enabling factors present at all sites, critical elements for implementation success, and additional influences impacting screening rates.
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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.

Introduction: In Germany, advanced practice nursing is still at an early stage with a lack of studies describing the scope of practice of nurses in expanded roles.

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Article Synopsis
  • Collaborative research helps connect care practice with research to improve long-term dementia care.
  • This study involved interviews with nursing professionals, people with dementia, and nursing researchers to understand their views on working together.
  • Key themes show that care workers want help using research findings, researchers should guide the teamwork, and everyone should be involved in the process.
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Prevalence of neuropsychiatric symptoms of people with dementia in long-term care units: A secondary analysis In a progress of dementia, most people develop neuropsychiatric symptoms. However, there is little knowledge about the prevalence of these symptoms and their specific characteristics in long-term care. A differentiated investigation of the prevalence and characteristics of neuropsychiatric symptoms in people with dementia in a long-term care setting.

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