Article
Oncology
Josee Savard, Catherine Filion, Marie-Pierre Gagnon, Aude Caplette-Gingras, Lynda Belanger, Charles M. Morin
Summary: This qualitative study explores the current practices in assessing and managing insomnia in cancer care and identifies the barriers and facilitators to implementing a stepped care CBT-I. The study found that sleep difficulties are not systematically addressed and pharmacological treatment is often the preferred option. However, the study suggests that implementing a stepped care CBT-I is feasible, with key factors including accessibility, training, involving stakeholders, and providing support.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Health Care Sciences & Services
Amanda D. Peeples, Anjana Muralidharan, Sharon McCarthy, Richard Goldberg, Lorrianne Kuykendall, Natalie Vineyard, Matthew Chinman
Summary: This study aimed to characterize the barriers and enablers to implementing peer specialists (PSs) in primary care settings. Through interviews with PSs and supervisors from 25 Veterans Health Administration (VHA) primary care settings, it was found that PS role clarity and constraints, provider buy-in, supervision, leadership support, and primary care culture were barriers and enablers to PS integration in primary care. These findings contribute to improving future efforts to embed PSs in primary care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Primary Health Care
Markus Schichtel, John MacArtney, Bee Wee, Anne-Marie Boylan
Summary: This study explored the views of primary care HCPs on how to improve their engagement with ACP in HF, revealing that many HCPs saw ACP as integral to holistic care and suggesting improved clinician-patient dialogue and enhanced shared decision-making approaches.
BRITISH JOURNAL OF GENERAL PRACTICE
(2021)
Article
Geriatrics & Gerontology
Chetna Malhotra, Chandrika Ramakrishnan
Summary: This study evaluated the implementation challenges of Singapore's national advance care planning (ACP) program in various clinical settings. The findings revealed variations in ACP implementation and identified multiple challenges within the healthcare system. Recommendations were made to simplify ACP processes, strengthen training frameworks, engage physicians, and cultivate a supportive ACP culture.
Article
Medicine, General & Internal
Srivalli Vilapakkam Nagarajan, Virginia Lewis, Elizabeth J. Halcomb, Joel Rhee, Jennifer Tieman, Josephine M. Clayton
Summary: The Advance Project training and resources led to behavior changes and increased awareness of ACP/PC discussion among general practice participants, resulting in benefits for patients such as increased awareness of ACP, engagement with families/carers, and peace of mind. Key facilitators for successful implementation included a team-based approach, the role of the PHN, practice champions, training facilitators, and mentoring support, while barriers included issues related to workplace culture, cost, time/workload, patients, and the health system.
Article
Health Care Sciences & Services
Katherine Ann Gielissen, Emily Pinto Taylor, David Vermette, Benjamin Doolittle
Summary: This study identified factors contributing to career satisfaction and life satisfaction among primary care physicians through qualitative interviews. The findings revealed that intrinsic factors such as love for work and value-oriented beliefs, as well as extrinsic factors like fulfilling social networks, play critical roles in physician thriving. The study proposed a model for physician thriving based on the identified critical themes and discussed barriers and opportunities for wider application in the physician community.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Nursing
Svenja Nielsen, Sina Langensiepen, Murielle Madi, Maurice Elissen, Astrid Stephan, Gabriele Meyer
Summary: This study aims to explore the ethical risks and requirements of robotics in nursing care. Through focus groups and individual interviews with professional nurses, patients, and relatives, as well as analysis of existing literature, different ethical issues were identified, and a general open-mindedness towards the use of robots was observed among nurses, patients, and relatives.
Article
Primary Health Care
Christie Cabral, Kathryn Curtis, Vasa Curcin, Jesus Dominguez, Vibhore Prasad, Anne Schilder, Nicholas Turner, Scott Wilkes, Jodi Taylor, Sarah Gallagher, Paul Little, Brendan Delaney, Michael Moore, Alastair D. Hay, Jeremy Horwood
Summary: Recruitment to primary care trials is challenging, and software automation is key to improving efficiency; GPs desire software that automatically captures patient data, but installation within limited and complex IT infrastructure poses challenges.
BMC FAMILY PRACTICE
(2021)
Article
Nursing
Klara Geltmeyer, Dries Neyrinck, Dominique Benoit, Simon Malfait, Hilde Goedertier, Veerle Duprez
Summary: This study aims to gain insights into the perspectives and experiences of an intensive care team working in a new nursing-care delivery model during the COVID-19 waves. The implementation of the new model posed several challenges for the care team, leading them to develop coping mechanisms. Clarifying roles, sharing responsibility, and clinical leadership are important considerations when implementing mixed nursing-care teams.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Health Care Sciences & Services
Shashi N. Kapadia, Judith L. Griffin, Justine Waldman, Nicolas R. Ziebarth, Bruce R. Schackman, Czarina N. Behrends
Summary: This study examined the implementation of buprenorphine treatment using a harm reduction approach at REACH Medical Center in the USA. Findings showed that the center provided low-threshold, low-stigma healthcare services, offering a way to reduce stigma for people who use drugs.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Medicine, General & Internal
Apichai Wattanapisit, Waluka Amaek, Sanhapan Wattanapisit, Titiporn Tuangratananon, Sunton Wongsiri, Prasert Pengkaew
Summary: The study investigated the feasibility and challenges of implementing the newly developed PAC app for personalized physical activity counseling, demonstrating its potential. However, its use in primary health care settings requires consideration of the background of service delivery, challenges faced by providers and patients, and impact on services.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Midori Matthew, Daryl Bainbridge, Valerie Bishop, Christina Sinding, Samantha Winemaker, Frances Kilbertus, Katherine Kortes-Miller, Hsien Seow
Summary: This study is a qualitative assessment of the virtual palliative care education program CAPACITI, aiming to evaluate its effectiveness and understand the challenges and enablers faced by the participating teams. The findings indicate that participants were satisfied with the multifaceted approach of CAPACITI and reported improved confidence and competence in applying palliative care.
BMC PALLIATIVE CARE
(2023)
Article
Multidisciplinary Sciences
Gary Bloch, Linda Rozmovits
Summary: This study examines the experiences and lessons learned from Canadian primary care leaders in implementing social interventions. The findings highlight the importance of understanding community needs, improving access to care, creating safe client care spaces, involving stakeholders in program design, building partnerships, assimilating practical tools, and driving institutional change for successful social intervention programs.
Article
Public, Environmental & Occupational Health
Melanie Eugenie Hoste, Elien Colman, Marta Wanat, Gail Hayward, Jean-Louis Tissier, Maarten Postma, Herman Goossens, Sibyl Anthierens, Sarah Tonkin-Crine, V. A. L. U. E. Dx Study Team VALUE Dx Study Team
Summary: In this study, stakeholders' views and experiences regarding the implementation of POCTs for respiratory tract infections were explored. Stakeholders believed that a combination of top-down and bottom-up approaches is crucial for successful implementation. They emphasized the importance of engaging clinicians as champions and generating evidence on test usage. Concerns were raised about the practical use of tests and the need for national effectiveness data.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Health Care Sciences & Services
Joseph E. Glass, Theresa E. Matson, Catherine Lim, Andrea L. Hartzler, Kilian Kimbel, Amy K. Lee, Tara Beatty, Rebecca Parrish, Ryan M. Caldeiro, Angela Garza McWethy, Geoffrey M. Curran, Katharine A. Bradley
Summary: This study found that patients with drug use disorders prefer receiving clinician support when using app-based treatments, desire discussions about apps during existing care visits, and value convenience and support both within and outside of appointments. Health systems implementing treatment apps for drug use disorders in primary care need to consider patients' preferences for structure, support, and convenience in workflow design.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Psychology, Developmental
Rinske M. van den Heuvel, Michel Wensing, Hilde M. Geurts, Jan-Pieter Teunisse
Summary: This study used the Network in Action-Questionnaire (NiA-Q) to explore the social network of individuals with Autism Spectrum Condition (ASC) and found two factors: positive social support and interpersonal distress. The results showed that self- and proxy-report on the social network were mostly similar.
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
(2023)
Article
Oncology
Rosa Klotz, Magdalena Holze, Colette Doerr-Harim, Erich Grohmann, Barbara Nied, Burkhard Lebert, Susanne Weg-Remers, Claudia Lutz, Karin Meissler, Patrick Schloss, Charlotte Ullrich, Susanne Frankenhauser, Heidi Lutter, Diedrich Buehler, Azaz Ahmed, Toto Gronlund, Andre L. Mihaljevic
Summary: This study aimed to identify and prioritize unresolved research questions related to colorectal cancer through collaboration with relevant stakeholders. Through nationwide surveys and a consensus workshop, the top 10 research topics were determined to provide researchers and funding bodies with directions for patient-relevant research projects.
JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
(2023)
Article
Thermodynamics
Konstantin Huber, Felix Gackstatter, Tim Roediger, Michael Wensing
Summary: In this study, a fast-response Atomic Layer Thermopile (ALTP) based heat flux measurement system was used to determine the wall heat-flux in the combustion chamber of a commercially available SI-gasoline combustion engine. The ALTP system provided additional process variables that supplemented conventional cylinder pressure data with highly resolved data in time and location. The newly developed sensor modules were precision calibrated and compared to other measurement techniques. The results demonstrated the benefits of ALTPs for detecting engine, combustion, and flow characteristics.
INTERNATIONAL JOURNAL OF ENGINE RESEARCH
(2023)
Article
Thermodynamics
Tim Russwurm, Andreas Peter, Lukas Strauss, Sebastian Riess, Michael Wensing
Summary: Pre-chamber ignition systems enable homogeneous lean or dilute combustion and significantly improve the efficiency of spark ignition engines. The combustion in the pre-chamber propagates much faster than spark ignition, both in the direction of the transfer port and radially. The disrupted flame front of a pre-chamber jet enhances turbulence and flame propagation.
INTERNATIONAL JOURNAL OF ENGINE RESEARCH
(2023)
Article
Nursing
Selina von Schumann, Charlotte Ullrich, Aline Weis, Michel Wensing, Nicola Litke
Summary: The number of mechanically ventilated patients is increasing worldwide, and the use of Weaning Boards can support the weaning process and enhance knowledge sharing between healthcare professionals. This study aimed to explore the design and implementation of future Weaning Boards, and identified key factors for successful implementation. However, the current COVID-19 pandemic and difficulties in interprofessional interaction may affect the implementation of Weaning Boards.
RESEARCH IN NURSING & HEALTH
(2023)
Article
Environmental Sciences
Olga Amberger, Angelina Mueller, Dorothea Lemke, Hardy Mueller, David Schwappach, Peter Wendt, Michel Wensing, Maria-Sophie Brueckle, Beate S. Mueller
Summary: A nationwide survey conducted in Germany from 2019 to 2021 showed that the majority of respondents considered medical treatment to involve risks to patient safety, but this proportion decreased during the COVID-19 pandemic. Self-efficacy and knowledge regarding patient safety increased during the pandemic. About one third of respondents suspected they had experienced errors in their treatment, and the reported errors remained steady.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2023)
Article
Thermodynamics
Hamidreza Fajri, Sebastian Riess, Rafael Clemente Mallada, Ilona Ruoff, Michael Wensing
Summary: In this study, a constant volume/constant pressure combustion chamber was used to measure the major parameters of vapour/liquid phases and combustion of fuel spray introduced by two heavy-duty, large-diameter diesel injectors. The results show that the conical nozzle and cylindrical nozzle have notable impacts on the formation of the mixture, air entrainment process, and combustion behavior. Various parameters were combined to describe the spray characteristics in an inert background gas and explain the combustion trend of the nozzles in a reactive gas background. Optical techniques were employed to observe the spray and combustion behaviors under different conditions. The findings provide insights into the jet and liquid spray behaviors, as well as the combustion characteristics of the nozzles.
ENERGY CONVERSION AND MANAGEMENT
(2023)
Article
Thermodynamics
Bastian Lehnert, Lukas Weiss, Edouard Berrocal, Michael Wensing
Summary: In this work, the high-speed Diffuse Back Illumination Extinction Imaging (DBI-EI) technique is used to obtain quantitative information on the projected liquid volume (PLV) in a highly transient GDI process. By using a LED-Panel as the light source and a constant volume chamber, measurements are conducted under real-world engine conditions. A simulation-based method is presented to correct the OD for scattering effects, allowing the use of DBI-EI in all spray regions and obtaining three-dimensional data of the liquid volume fraction.
INTERNATIONAL JOURNAL OF ENGINE RESEARCH
(2023)
Review
Health Care Sciences & Services
Michel Wensing, Catharina Roth, Katja Krug
EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH
(2023)
Article
Infectious Diseases
Gregor Feldmeier, Christin Loeffler, Attila Altiner, Anja Wollny, Katharina Garbe, Dorothea Kronsteiner, Martina Koeppen, Joachim Szecsenyi, Mirko Leyh, Arwed Voss, Martina Kamradt, Regina Poss-Doering, Michel Wensing, Petra Kaufmann-Kolle
Summary: The CHANGE-3 study aimed to reduce antibiotic prescribing for non-complicated acute respiratory tract infections to a reasonable level. The results showed a general trend towards restrained antibiotic use in German primary care, but higher prescribing in routine care with only a public campaign.
Editorial Material
Health Care Sciences & Services
Michel Wensing, Paul Wilson
Summary: Implementation researchers often work as research partners in practice improvement projects, clinical trials, or other applied health studies. These projects can make supportive, descriptive, or explanatory contributions to implementation science. This commentary reflects on the potential contributions of such projects to implementation science.
IMPLEMENTATION SCIENCE
(2023)
Article
Primary Health Care
Valeska Fehrer, Regina Poss-Doering, Aline Weis, Michel Wensing, Joachim Szecsenyi, Nicola Litke
Summary: The German healthcare system contributes 5.2% of the national greenhouse gases emissions, making it crucial to implement mitigation actions to reduce its carbon footprint. However, there is a lack of approaches to achieve this in German primary care. This study aimed to identify environmental impact-reducing strategies in German primary care practices.
EUROPEAN JOURNAL OF GENERAL PRACTICE
(2023)
Article
Medicine, General & Internal
Anika Mitzkat, Johanna Mink, Christine Arnold, Cornelia Mahler, Andre L. Mihaljevic, Andreas Moeltner, Birgit Trierweiler-Hauke, Charlotte Ullrich, Michel Wensing, Jan Kiesewetter
Summary: This study aimed to evaluate individual competencies and team performance shown in ward rounds by medical and nursing undergraduates. The results showed significant changes in individual competencies and positive trends in team performance during the study period.
FRONTIERS IN MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Johanna Forstner, Jasmin Mangold, Nicola Litke, Aline Weis, Joachim Szecsenyi, Michel Wensing, Charlotte Ullrich
Summary: The study aimed to explore the role of Care Assistants in General Practice (VERAH) in primary care practices. The analysis of data revealed that VERAHs are involved in software-supported case management and their tasks contribute to strengthening their role.
Article
Respiratory System
Sabrina Keller, Johanna Forstner, Aline Weis, Elena Biehler, Franziska Trudzinski, Julia Michels, Benjamin Neetz, Felix Herth, Armin Schneider, Alessandro Ghiani, Joachim Szecsenyi, Michel Wensing, Regina Poss-Doering
Summary: The PRiVENT project aims to improve the care of invasively ventilated patients and reduce the number of long-term ventilated patients. The study found that interprofessional collaboration between ICU and weaning centers can improve the care of invasively ventilated patients, and strategies to involve nurses should be discussed and developed.