Kultursensibilität im Krankenhaus

Blum, Karl; Steffen, Petra

doi:10.1515/pubhef-2015-0035

Cited by 10 publications

(12 citation statements)

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“…With all the limitations and deficiencies of the German Quality Assurance in Colorectal Cancer Project, it is the only available clinical quality assessment in Germany. As 42% of German hospitals ended the year 2013 in financial deficit and 38.7% expected a further deterioration in the future [ 18 ], there is no reason to believe that hospitals will be in a position to make the additional effort to establish audit programmes, especially owing to their cost and the shortage of doctors. Some years ago the German Cancer Society initiated a project of “certified bowel cancer centers” [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?

Dziki

Otto

Lippert

et al. 2018

Gastroenterology Research and Practice

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Purpose Countries with nationwide quality programmes in colorectal cancer report an improved outcome. In Germany, a self-organized and self-financed observational quality assurance project exists, based on voluntary participation. The object of the present study was to ascertain whether this nationwide project also improves the outcome of colorectal cancer. Methods The German Quality Assurance in Colorectal Cancer Project started in 2000 and by 2012 contained 85,000 patients. Inclusion criteria for the study were participation for the entire period of 13 years and treatment of rectal cancer. The following parameters were analysed: (1) patient related: age, gender, ASA classification, T-stage, and N-stage, (2) system related: frequency of preoperative CT and MRI, and (3) outcome related: CRM status, complications, and hospital mortality. Results Forty-one of the 345 hospitals treating 11,597 patients fulfilled the inclusion criteria. The median age increased from 67 to 69 years (p = 0.002). ASA stages III and IV increased from 32.0% to 37.6% (p = 0.005) and from 2.0% to 3.3% (p = 0.022), respectively. The use of CT rose from 67.2% to 88.8% (p < 0.001) and that of MRI from 5.0% to 35.2% (p < 0.001). The proportion of patients suffering from complications decreased from 7.9% to 5.3% (p < 0.001) for intraoperative and from 28.0% to 18.6% (p < 0.001) for postoperative surgical complications, but general postoperative complications increased from 25.8% to 29.5% (p = 0.006). The distribution of histopathological stage, anastomotic leakage, and in-hospital mortality did not change significantly. Conclusion Participation in a quality assurance project improves compliance with treatment standards, especially for diagnostic procedures. An improvement of surgical results will require further investment in training.

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Section: Discussionmentioning

confidence: 99%

Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?

Dziki

Otto

Lippert

et al. 2018

Gastroenterology Research and Practice

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“…In aktuellen Diskussionen, Presseberichten und politischen Entscheidungen werden der Fachkräftemangel und die personelle Unterversorgung v. a. im Krankenhaussektor und in Pflegeheimen diskutiert [6,7].…”

Section: Introductionunclassified

Arbeitszufriedenheit und Burnout-Risiko bei nicht ärztlichem Endoskopiefachpersonal in deutschen Kliniken und Praxen: Ergebnisse einer bundesweiten Umfrage

Adarkwah

Labenz

Beilenhoff³

et al. 2021

Endo-Praxis

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Zusammenfassung Hintergrund Arbeitskräfte im medizinischen Bereich sind mit immer größer werdenden Herausforderungen konfrontiert. Zudem besteht vielerorts ein Fachkräftemangel, sodass immer mehr auch das Endoskopiefachpersonal dem Risiko ausgesetzt ist, Burnout-Symptome zu entwickeln. Über die Arbeitszufriedenheit und Burnout-Prävalenz bei Endoskopiefachpersonal ist bislang wenig bekannt. Die vorliegende Studie untersucht das Burnout-Risiko sowie die Arbeitszufriedenheit unter Fachpersonal in deutschen Endoskopieabteilungen und -Praxen. Methodik Es wurde ein Online-Survey unter Endoskopiefachpersonal durchgeführt, das zu einem nennenswerten Anteil in der DEGEA (Deutsche Gesellschaft für Endoskopiefachberufe e. V.) organisiert ist. Neben allgemeinen demografischen Variablen wurde die Arbeitszufriedenheit mit Hilfe des Kurzfragebogens zur Erfassung von Allgemeiner und Facettenspezifischer Arbeitszufriedenheit (KAFA), und das Burnout-Risiko mithilfe des Maslach Burnout Inventory (MBI-D) ermittelt und mit Strukturmerkmalen korreliert. Ergebnisse Es nahm eine repräsentative Stichprobe an der Befragung teil (n = 674). Es zeigte sich insgesamt ein hohes Maß an Arbeitszufriedenheit bei eher höheren Burnout-Risiken, wobei Personal in leitenden Funktionen insgesamt besser abschnitt. Kollegialität und zumeist flache Hierarchien wurden von dem überwiegenden Teil der Befragten als positive Aspekte ihrer Tätigkeit angeführt. Dennoch bezeichneten 65 % ihre Entwicklungsmöglichkeiten als nicht leistungsgerecht, 20 % als quasi nicht vorhanden. Über 30 % der Befragten empfanden ihre Vergütung als nicht adäquat. Schlussfolgerung Es konnten repräsentative Daten für die Situation in deutschen Endoskopieabteilungen erhoben werden. Trotz der Tatsache, dass im Mittel die Arbeitszufriedenheitswerte hoch sind bei geringem Burnout-Risiko, v. a. im Vergleich zu anderen Berufsgruppen, sollten gerade die oft benannten Kritikpunkte bzgl. fehlender Entwicklungsmöglichkeiten und einer nicht leistungsgerechten Bezahlung ernst genommen und Maßnahmen dagegen entwickelt werden, um langfristig nicht die Versorgung im Bereich der Endoskopie zu gefährden.

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“…4 The increasing need for highly qualified medical staff to be present in pediatric intensive care units (PICUs) poses a great challenge to hospitals in recruiting staff, as the number of applicants for this psychologically and physically demanding work is very limited. 2 5 6 7 To counteract this staff shortage and to make jobs as attractive as possible for applicants, it is necessary to understand the needs and expectations of colleagues who are interested in training in this field. This study deals with the expectations of residents in pediatrics, fellows in training for pediatric cardiology, pediatric intensive care, and neonatology working on intensive care units (ICUs) regarding the framework conditions of their workplace.…”

Section: Introductionmentioning

confidence: 99%

National Survey Regarding Motivation and Conditions of Physicians Working in a Pediatric Cardiac Intensive Care Unit

Hanser

Hofbeck

Knies

et al. 2021

Thorac Cardiovasc Surg

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Background The professional demands on the expertise in pediatric intensive care have continuously increased in recent years. Due to a lack of applicants, the staffing of a continuous shift service with qualified medical staff poses major challenges to the hospitals. Methods A web-based questionnaire with 27 predominantly matrix questions on working conditions and motivation for working in this area was sent to pediatric hospitals throughout Germany. Results 165 doctors responded to the survey. The average age of the participants was 35.2 years. The average weekend work load reported by 79% of the respondents was 2 weekends per month, 70% of the study participants performed five to seven night shifts per month. 92% of the respondents stated that they basically enjoyed working in the intensive care unit (ICU). When asked to prioritize the working conditions, an appreciative working atmosphere in the team was named as priority 1 by 57%, followed by good guidance in the independent performance of interventions (25%) and good working conditions (19%). Discussion The survey result shows that neither aspects of work–life balance nor payments are the key issues selecting the interesting, but physically and emotionally demanding job in pediatric ICU. Conclusion When evaluating vocational training in pediatric intensive care medicine, the immediate working atmosphere in the team with mutual respect and understanding and the guidance in training are more important than the general conditions.

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Kultursensibilität im Krankenhaus

Cited by 10 publications

References 0 publications

Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?

Surgical Quality in Rectal Cancer Management: What Can Be Achieved by a Voluntary Observational Study?

Arbeitszufriedenheit und Burnout-Risiko bei nicht ärztlichem Endoskopiefachpersonal in deutschen Kliniken und Praxen: Ergebnisse einer bundesweiten Umfrage

National Survey Regarding Motivation and Conditions of Physicians Working in a Pediatric Cardiac Intensive Care Unit

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