Publications by authors named "Martin Dichter"

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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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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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: 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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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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  • Many people with dementia in nursing homes have trouble sleeping, which can lead to other health problems.
  • A study talked to 15 people with dementia and 15 nurses in Germany about their thoughts on sleep and what makes it good or bad.
  • The findings showed that both the patients and nurses agreed on important factors that affect sleep and suggested that more attention should be given to these factors to help improve sleep for everyone.
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Background: Sleep disturbances are common in nursing home residents and challenging for their nurses. Knowledge about sleep and sleep promoting factors is essential to provide adequate sleep management, where nurses play a key role. Therefore, nurses' knowledge and attitudes towards sleep and sleep promoting interventions is important as enabling or inhibiting factor for successful sleep management.

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  • The COVID-19 pandemic hit Germany in early 2020, leading the government to impose strict lockdown measures, including banning visits to nursing homes to protect vulnerable people.
  • To understand how nursing homes in Germany managed during this time, researchers interviewed 78 managers from various homes about their experiences and challenges.
  • They found both difficulties, like increased stress and communication demands, and some positive outcomes, such as better teamwork and support systems among managers.
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Background: Quality of life (QoL) of people with dementia (PwD) is an important indicator of quality of care. Studying the impact of acute hospital settings on PwD's QoL requires assessment instruments that consider environmental factors. Until now, dementia-specific QoL instruments have not yet demonstrated their feasibility in acute hospitals because their use takes up too much time or their validity depends on observation periods that usually exceed the average length of hospital stays.

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Role understanding of expert nurses in primary and acute care in Germany: A descriptive cross-sectional study Innovative care concepts are necessary to cope with the increase in complex care situations due to a rising number of older people with chronic diseases and a simultaneous shortage of nursing and medical staff. In the context of the implementation and development of new, innovative nursing roles, an unclear role understanding is considered a barrier. Description of expert nurses' (EN) role understanding in primary and acute care in Germany.

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Background: Sleep disturbances occur frequently in people with dementia with a reported prevalence of up to 40%. Common problems are increased number and duration of awakenings and increased percentage of light sleep. Sleep disturbances are associated with a number of problems for people with dementia, their relatives, and carers.

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  • Some doctors use antipsychotic medications to help people with dementia who are feeling very anxious or confused, but it's unclear if these medications really help and they might cause other problems.
  • Researchers wanted to find out if these medications are safe and effective for treating agitation and psychosis specifically in people with Alzheimer's and vascular dementia.
  • They looked through many studies and carefully picked which ones to include in their review, focusing on trials where people were either given the medication or a placebo (fake medicine) to see how they reacted.
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  • 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: Sleep problems are highly prevalent in people with dementia. Nevertheless, there is no "gold standard" intervention to prevent or reduce sleep problems in people with dementia. Existing interventions are characterized by a pronounced heterogeneity as well as insufficient knowledge about the possibilities and challenges of implementation.

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Background: Sleep disturbances are common in people with dementia. In nursing homes, this is frequently associated with residents' challenging behavior and potentially with nurses' burden. This study examined nurses' burden associated with nursing home residents' sleep disturbances.

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