TY - JOUR A1 - Büscher, Andreas A1 - Faatz, Andreas A1 - Metzing, Sabine T1 - Which need characteristics influence healthcare service utilization in home care arrangements in Germany? JF - BMC Health Services Research N2 - Background: We see a growing number of older adults receiving long-term care in industrialized countries. The Healthcare Utilization Model by Andersen suggests that individual need characteristics influence utilization. The purpose of this study is to analyze correlations between need characteristics and service utilization in home care arrangements. Methods: 1,152 respondents answered the questionnaire regarding their integration of services in their current and future care arrangements. Care recipients with high long-term care needs answered the questionnaire on their own, the family caregiver assisted the care recipient in answering the questions, or the family caregiver responded to the questionnaire on behalf of the care recipient. They were asked to rank specific needs according to their situation. We used descriptive statistics and regression analysis. Results: Respondents are widely informed about services. Nursing services and counseling are the most used services. Short-term care and guidance and training have a high potential for future use. Day care, self-help groups, and mobile services were the most frequently rejected services in our survey. Women use more services than men and with rising age utilization increases. Long waiting times and bad health of the primary caregiver increases the chance of integrating services into the home care arrangements. Conclusion: The primary family caregiver has a high impact on service utilization. This indicates that the whole family should be approached when offering services. Professionals should react upon the specific needs of care dependents and their families. Y1 - 2020 U6 - http://dx.doi.org/10.1186/1472-6963-14-233 IS - 14 ER - TY - JOUR A1 - Büscher, Andreas A1 - Metzing, Sabine T1 - Erholungszeiten für Familien von Schwerpflegebedürftigen : Inanspruchnahme und Potenzial von Tages- und Kurzzeitpflege JF - Pflege & Gesellschaft N2 - Hintergrund und Fragestellung: Die Pflege eines schwerpflegebedürftigen Angehörigen stellt eine häufig längerfristige und in vielerlei Hinsicht herausfordernde Aufgabe dar. Dieser Artikel beschäftigt sich mit der Kenntnis, der Nutzung und dem Potenzial von zwei Angeboten, die Erholungszeiten für Angehörige ermöglichen: der Tages- und der Kurzzeitpflege. Aktuell ist ein Anstieg der Nutzung dieser Unterstützungsangebote zu verzeichnen. Die Fragestellung ist, welches Angebot wie von Schwerpflegebedürftigen und ihren Familien angenommen wird und welche Faktoren die Entscheidung zur Nutzung der Tages- oder Kurzzeitpflege beeinflussen. Methode: Grundlage für die Analyse sind Primärerhebungsdaten aus dem Gesundheitsmonitor. Neben einer deskriptiven Analyse werden logistische Regressionen verwendet. Ergebnis: Jeder zweite Antwortende lehnt die Tagespflege ab, gleiches gilt für mehr als jeden Vierten in Bezug auf die Kurzzeitpflege. Die Kenntnis über die beiden Unterstützungs-angebote ist weit verbreitet. Das Potenzial beider Angebote übersteigt die bisherige Nutzung. Die Regressionen zeigen unter anderem, dass die Chance für die zukünftige Inanspruchnahme der Tages- und Kurzzeitpflege signifikant häufiger in den Pflegearrangements besteht, in denen der Gesundheitszustand des Angehörigen schlecht ist. Gleiches trifft für die bisherige Inanspruchnahme der Kurzzeitpflege zu. Y1 - 2020 VL - 19 IS - 1 SP - 59 EP - 75 ER - TY - JOUR A1 - Büscher, Andreas T1 - Soziale Ungleichheit in der ambulanten Pflege JF - Zeitschrift für Gerontologie und Geriatrie N2 - Soziale Ungleichheit wird in Deutschland vor allem dann thematisiert, wenn es um Bildungschancen oder die Gewährleistung sozialer Grundsicherung geht. Politisch herrscht weitgehend Einigkeit darüber, dass in diesen Bereichen Handlungsbedarf besteht, um der Bevölkerung möglichst gleiche Lebensvoraussetzungen zu ermöglichen. Im Pflegesektor stehen entsprechende Überlegungen noch aus. Hier fehlt es an wissenschaftlichen Untersuchungen zur Thematik. Der stetige Anstieg der Pflegebedürftigkeit wird eine Auseinandersetzung mit sozialer Ungleichheit in der Pflege jedoch notwendig machen, was die in diesem Beitrag vorgestellten Ergebnisse einer qualitativen Untersuchung auf der Basis von 16 Interviews mit Pflegekräften ambulanter Pflegedienste verdeutlichen. Das Ergebnis zeigt zum einen, dass sich viele pflegebedürftige Menschen zahlreichen Anforderungen stellen müssen, die allein kaum zu bewältigen sind und sie in eine sozial benachteiligte Lage drängen. Zum anderen nehmen ambulant Pflegende soziale Ungleichheit immer häufiger wahr, was sie nicht nur moralisch belastet, sondern auch ihren Arbeitsalltag negativ beeinflusst. Y1 - 2020 U6 - http://dx.doi.org/10.1007/s00391-013-0500-1 VL - 46 IS - 4 SP - 312 EP - 316 ER - TY - JOUR A1 - Büscher, Andreas A1 - Stehling, Heiko T1 - Overcoming synecdoche: why practice development and quality improvement approaches should be better integrated JF - International practice development journal N2 - Commentary on: Lavery, G. (2016) Quality improvement – rival or ally of practice development? International Practice Development Journal. Vol. 6. No. 1. Article 15 Y1 - 2020 U6 - http://dx.doi.org/10.19043/ipdj.71.012 VL - 7 IS - 1 ER - TY - JOUR A1 - Büscher, Andreas T1 - Wohnungslos und krank : welche Rolle spielt die Familie? JF - Dr. med. Mabuse Y1 - 2020 IS - 3 SP - 27 EP - 29 ER - TY - JOUR A1 - Büscher, Andreas T1 - Visiting hospices in Germany and United Kingdom from the JF - Escola Ana Nery Revista de Enfermagem N2 - Report on visits in hospices located in Osnabrück/Germany and the Saint Cristopher’s Hospice in London/United Kingdom; and present a discussion about the care mode. Methods: Experience report based on a post-doctoral research period in Germany between November 2013 and October 2014, funded by the CAPES Foundation (Coordination for the Improvement of Higher Education Personnel). Results: The structure, operation mode of the institutions and the main labor force were discussed, especially the nursing staff and volunteers’ participation, the main care activities and challenges. These issues were very similar at the hospices, highlighting the hospice responsible for spreading this moviment worldwide. Conclusion: The hospice may be the place of death, but it provides a pleasant environment that preserves the person’s individuality and autonomy. It relies on the participation of volunteers, dissemination of its idea and training programs, which ensure the strengthening of this movement. Y1 - 2020 UR - https://www.scielo.br/pdf/ean/v19n2/en_1414-8145-ean-19-02-0369.pdf VL - 19 IS - 2 SP - 369 EP - 375 ER - TY - JOUR A1 - Böhmer, Nicole A1 - Schinnenburg, Heike T1 - Career Decisions of Indian Female Talent: Implications for Gender-sensitive Talent Management JF - Employee Relations: The International Journal N2 - Purpose: Talent scarcity in emerging economies such as India poses challenges for companies,and limited labour market participation among well-educated women has been observed. The reasons that professionals decide not to pursue a further corporate career remain unclear. By investigating career decision making, this article aims to highlight (1) the contextual factors that impact those decisions, (2) individuals’ agency to handle them, and (3) the implications for talent management (TM). Design/methodology/approach: Following a qualitative research design, computer-aided analysis was conducted on interviews with 24 internationally experienced Indian business professionals. A novel application of neo-institutionalism in the Indian context was combined with the family-relatedness of work decisions (FRWD) model. Findings: Career decisions indicate that rebellion against Indian societal and family expectations is essential to following a career path, especially for women. TM as part of the current institutional framework serves as a legitimising façade veiling traditional practices that hinder females’ careers. Research limitations: Interviewees adopted a retrospective perspective when describing their career decisions; therefore, different views might have existed at the moment of decision making. Practical implications: Design and implementation of gender-sensitive TM adjusted to fit the specific Indian context can contribute to retaining female talent in companies and the labour market. Originality/value: The importance of gender-sensitive TM can be concluded from an empirical study of the context-based career decision making of experienced business professionals from India. The synthesis of neo-institutionalism, the FRWD model and the research results provides assistance in mapping talent experiences and implications for overcoming the challenges of talent scarcity in India. KW - Gender KW - India KW - Talent management KW - Neo-institutionalism KW - Family-relatedness of work decisions Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bsz:959-opus-17141 SN - 0142-5455 N1 - Author Accepted Manuscript (AAM). To reuse the AAM for commercial purposes, permission should be sought by contacting permissions@emeraldinsight.com PB - Emerald Publishing Limited ER - TY - JOUR A1 - Jahns, Katrin A1 - Krupp, Ulrich T1 - Formation of corrosion pockets in FeNiCrAl at high temperatures investigated by 3D FIB‐SEM tomography JF - Materials and Corrosion N2 - A recently published study of high temperature nitridation of iron chromium aluminum alloys (FeCrAl) at 900°C in N2–H2 has redundantly shown the formation of locally confined corrosion pockets reaching several microns into the alloy. These nitrided pockets form underneath chromia islands laterally surrounded by the otherwise protective alumina scale. Chromia renders a nitrogen‐permeable defect under the given conditions and the presence of aluminum in the alloy. In light of these findings on FeCrAl, a focused ion beam–scanning electron microscope tomography study has been undertaken on an equally nitrided FeNiCrAl sample to characterize its nitridation corrosion features chemically and morphologically. The alloy is strengthened by a high number of chromium carbide precipitates, which are also preferential chromia formation sites. Besides the confirmation of the complete encapsulation of the corrosion pocket from the alloy by a closed and dense aluminum nitride rim, very large voids have been found in the said pockets. Furthermore, metallic particles comprising nickel and iron are deposited on top of the outer oxide scale above such void regions. KW - FeNiCrAl KW - FIB-SEM tomography KW - nitridation KW - void formation Y1 - 2019 U6 - http://dx.doi.org/10.1002/maco.201911386 SN - 1521-4176 (online); 0947-5117 (print) N1 - Open Access PB - WILEY-VCH Verlag GmbH & Co. KGaA CY - Weinheim ER - TY - JOUR A1 - Büscher, Andreas A1 - Schnepp, Wilfried T1 - Auswirkung einer fortgeschrittenen Brustkrebserkrankung auf die Familie JF - Pflegewissenschaft N2 - Familienmitglieder sind zwar mit der fortgeschrittenen Brustkrebserkrankung von Frauen konfrontiert, jedoch sind sie auf andere Art und Weise betroffen, als die Patientinnen selbst. Die vorliegende Literaturstudie geht den Fragen nach, welchen Einfluss eine fortgeschrittene Brustkrebserkrankung auf das Familienleben hat, welche Bedürfnisse in Familien in diesem Zusammenhang entstehen und auf welche Ressourcen die Familien zurückgreifen. Die hier dargelegten Studien stellen die einzelnen Perspektiven eines – oder zweier Familienmitglieder dar, jedoch ist eine tiefergehende Reflexion über andere Personen, die an dem Prozess beteiligt sind, nur bedingt möglich. Allerdings verweisen die vorhandenen Ergebnisse darauf, dass die Krankheit eine dauerhafte Bedrohung für die betroffenen Familien darstellt. Der Umgang mit dieser Bedrohung in der Gegenwart und seine Projektion in die Zukunft, ist eines der wichtigsten Themen, mit denen sich die Familien konfrontiert sehen. Y1 - 2020 VL - 17 IS - 1 SP - 28 EP - 35 ER - TY - JOUR A1 - Thye, Johannes A1 - Hübner, Ursula T1 - Professionalism of Information Management in Health Care: Development and Validation of the Construct and Its Measurement JF - Methods of Information in Medicine N2 - Background Against the background of a steadily increasing degree of digitalization in health care, a professional information management (IM) is required to successfully plan, implement, and evaluate information technology (IT). At its core, IM has to ensure a high quality of health data and health information systems to support patient care. Objectives The goal of the present study was to define what constitutes professional IM as a construct as well as to propose a reliable and valid measurement instrument. Methods To develop and validate the construct of professionalism of information management (PIM) and itsmeasurement, a stepwise approach followed an established procedure from information systems and behavioral research. The procedure included an analysis of the pertaining literature and expert rounds on the construct and the instrument, two consecutive and comprehensive surveys at the national and international level, exploratory and confirmatory factor analyses as well as reliability and validity testing. Results Professionalism of information management was developed as a construct consisting of the three dimensions of strategic, tactical, and operational IMas well as of the regularity and cyclical phases of IM procedures as the two elements of professionalism. The PIM instrument operationalized the construct providing items that incorporated IM procedures along the three dimensions and cyclical phases. These procedures had to be evaluated against their degree of regularity in the instrument. The instrument proved to be reliable and valid in two consecutive measurement phases and across three countries. Conclusion It can be concluded that professionalism of information management is a meaningful construct that can be operationalized in a scientifically rigorous manner. Both science and practice can benefit from these developments in terms of improved self-assessment, benchmarking capabilities, and eventually, obtaining a better understanding of health IT maturity. KW - information management KW - professionalism KW - health information technology KW - construct KW - validation Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bsz:959-opus-16969 SN - 2511-705X VL - 59 IS - S 01 SP - e1 EP - e12 PB - Georg Thieme Verlag KG CY - Stuttgart ER -