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Book ; Thesis: Evaluation eines systemischen Behandlungsmodells in der stationären Kinder- und Jugendpsychiatrie

Zander, Britta

1999

Author's details	vorgelegt von Britta Zander
Keywords	Systemische Therapie ; Kinderpsychiatrie ; Stationäre Behandlung ; Evaluation ; Jugendpsychiatrie
Subject	Stationäre Versorgung ; Stationäre ärztliche Versorgung ; Stationäre Therapie ; Stationäre Krankenversorgung ; Jugend ; Kind ; Evaluierung ; Systemische Psychotherapie
Language	German
Size	Getr. Zählung
Edition	1. Aufl.
Publisher	Cuvillier
Publishing place	Göttingen
Publishing country	Germany
Document type	Book ; Thesis
Thesis / German Habilitation thesis	Hamburg, Univ., Diss., 2000
HBZ-ID	HT012942980
ISBN	3-89712-996-5 ; 978-3-89712-996-2
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Is there enough research output of EU projects available to assess and improve health system performance? An attempt to understand and categorise the output of EU projects conducted between 2002 and 2012.

Zander, Britta / Busse, Reinhard

Health research policy and systems

2017 Volume 15, Issue 1, Page(s) 13

Abstract: Background: Adequate performance assessment benefits from the use of disaggregated data to allow a proper evaluation of health systems. Since routinely collected data are usually not disaggregated enough to allow stratified analyses of healthcare needs, ...

Abstract	Background: Adequate performance assessment benefits from the use of disaggregated data to allow a proper evaluation of health systems. Since routinely collected data are usually not disaggregated enough to allow stratified analyses of healthcare needs, utilisation, cost and quality across different sectors, international research projects could fill this gap by exploring means to data collection or even providing individual-level data. The aim of this paper is therefore to (1) study the availability and accessibility of relevant European-funded health projects, and (2) to analyse their contents and methodologies. Methods: The European Commission Public Health Projects Database and CORDIS were searched for eligible projects, which were then analysed by information openly available online. Results: Overall, only a few of the 39 identified projects produced data useful for proper performance assessment, due to, for example, lacking available or accessible data, or poor linkage of health status to costs and patient experiences. Other problems were insufficient databases to identify projects and poor communication of project contents and results. Conclusions: A new approach is necessary to improve accessibility to and coverage of data on outcomes, quality and costs of health systems enabling decision-makers and health professionals to properly assess performance.
MeSH term(s)	Biomedical Research/economics ; Biomedical Research/statistics & numerical data ; European Union/economics ; European Union/statistics & numerical data ; Health Information Systems/statistics & numerical data ; Health Services/economics ; Health Services/standards ; Health Services Research/economics ; Health Services Research/statistics & numerical data ; Humans ; Patient Care/economics ; Patient Care/statistics & numerical data ; Research Support as Topic/statistics & numerical data
Language	English
Publishing date	2017-02-22
Publishing country	England
Document type	Journal Article
ISSN	1478-4505
ISSN (online)	1478-4505
DOI	10.1186/s12961-016-0165-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Entlastung für die Pflege?

Zander, Britta / Busse, Reinhard

CNE Pflegemanagement

2018 Volume 05, Issue 01, Page(s) 6–9

Abstract: In Deutschlands Kliniken gelten ab 2019 verbindliche : Untergrenzen für die Personalausstattung in „pflegesensitiven Bereichen“: Dass in den Krankenhäusern eine prekäre Situation erreicht ist, zeigt auch die ...

Abstract	In Deutschlands Kliniken gelten ab 2019 verbindliche Untergrenzen für die Personalausstattung in „pflegesensitiven Bereichen“: Dass in den Krankenhäusern eine prekäre Situation erreicht ist, zeigt auch die Neuauflage der RN4Cast-Studie.
Language	German
Publishing date	2018-02-01
Publisher	© Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ISSN	2626-6229 ; 2196-9310
ISSN (online)	2626-6229
ISSN	2196-9310
DOI	10.1055/s-0044-100580
Database	Thieme publisher's database

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Article: Untergrenzen für Deutschland

Zander, Britta / Busse, Reinhard

CNE Pflegemanagement

2018 Volume 05, Issue 01, Page(s) 10–13

Abstract: Einen Vorschlag zur : Ausgestaltung der Personaluntergrenzen: machen Forscher des Hamburg Center for Health Economics (HCHE). Aktuell wird er als Entscheidungsgrundlage diskutiert. Lesen Sie mehr über die Hintergründe. ...

Abstract	Einen Vorschlag zur Ausgestaltung der Personaluntergrenzen: machen Forscher des Hamburg Center for Health Economics (HCHE). Aktuell wird er als Entscheidungsgrundlage diskutiert. Lesen Sie mehr über die Hintergründe. Außerdem: Ein Blick ins Ausland.
Language	German
Publishing date	2018-02-01
Publisher	© Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ISSN	2626-6229 ; 2196-9310
ISSN (online)	2626-6229
ISSN	2196-9310
DOI	10.1055/s-0044-100582
Database	Thieme publisher's database

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Book: Systemische Praxis der Erziehungs- und Familienberatung

Zander, Britta

2003

Author's details	Britta Zander und Michael Knorr (Hg.)
MeSH term(s)	Family Therapy
Language	German
Size	212 p. :, ill.
Publisher	Vandenhoeck & Ruprecht
Publishing place	Göttingen
Document type	Book
ISBN	9783525461617 ; 3525461615
Database	Catalogue of the US National Library of Medicine (NLM)

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Article ; Online: Health workforce planning: which countries include nurse practitioners and physician assistants and to what effect?

Maier, Claudia B / Batenburg, Ronald / Birch, Stephen / Zander, Britta / Elliott, Robert / Busse, Reinhard

Health policy (Amsterdam, Netherlands)

2018 Volume 122, Issue 10, Page(s) 1085–1092

Abstract: Background: An increasing number of countries are introducing new health professions, such as Nurse Practitioners (NPs) and Physician Assistants (PAs). There is however limited evidence, on whether these new professions are included in countries' ... ...

Abstract	Background: An increasing number of countries are introducing new health professions, such as Nurse Practitioners (NPs) and Physician Assistants (PAs). There is however limited evidence, on whether these new professions are included in countries' workforce planning. Methods: A cross-country comparison of workforce planning methods. Countries with NPs and/or PAs were identified, workforce planning projections reviewed and differences in outcomes were analysed, based on a review of workforce planning models and a scoping review. Data on multi-professional (physicians/NPs/PAs) vs. physician-only models were extracted and compared descriptively. Analysis of policy implications was based on policy documents and grey literature. Results: Of eight countries with NPs/PAs, three (Canada, the Netherlands, United States) included these professions in their workforce planning. In Canada, NPs were partially included in Ontario's needs-based projection, yet only as one parameter to enhance efficiency. In the United States and the Netherlands, NPs/PAs were covered as one of several scenarios. Compared with physician-only models, multi-professional models resulted in lower physician manpower projections, primarily in primary care. A weakness of the multi-professional models was the accuracy of data on substitution. Impacts on policy were limited, except for the Netherlands. Conclusions: Few countries have integrated NPs/PAs into workforce planning. Yet, those with multi-professional models reveal considerable differences in projected workforce outcomes. Countries should develop several scenarios with and without NPs/PAs to inform policy.
MeSH term(s)	Canada ; Health Planning ; Health Policy ; Health Services Needs and Demand/standards ; Health Workforce/organization & administration ; Humans ; Netherlands ; Nurse Practitioners/supply & distribution ; Physician Assistants/supply & distribution ; Physicians/supply & distribution ; United States
Language	English
Publishing date	2018-08-11
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	605805-x
ISSN	1872-6054 ; 0168-8510
ISSN (online)	1872-6054
ISSN	0168-8510
DOI	10.1016/j.healthpol.2018.07.016
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Article ; Online: Implizite Rationierung von Pflegeleistungen in deutschen Akutkrankenhäusern - Ergebnisse der internationalen Pflegestudie RN4Cast.

Zander, Britta / Dobler, L / Bäumler, M / Busse, R

Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

2014 Volume 76, Issue 11, Page(s) 727–734

Abstract: Background: Implicit rationing of nursing care - likewise as in medical care - has never been empirically measured in German hospitals. Thus, little is known about prevalence and patterns of nursing care left undone as well as its association with nurse ...

Title translation	Nursing tasks left undone in German acute care hospitals - results from the international study RN4Cast.
Abstract	Background: Implicit rationing of nursing care - likewise as in medical care - has never been empirically measured in German hospitals. Thus, little is known about prevalence and patterns of nursing care left undone as well as its association with nurse work environment and staffing. Methodology: We surveyed 1,511 registered nurses from 49 German acute hospitals participating in the multi-country cross-sectional study RN4CAST. Analyses were made by descriptive statistics as well as multilevel regression analysis to calculate predictors from the nurse work environment and staffing. Results: On average 4.7 out of 13 nursing tasks were rationed. The range was between 82% for "comfort/talk with patients" and 15% for "treatments and procedures". The analysis revealed that hospital work environments and staffing ratios were significantly associated with the level of nursing care left undone. Further significant associations were found between poor leadership, inadequate organisation of nursing work as well as high emotional exhaustion and rationing. Discussion: The phenomenon of nursing care left undone was prevalent in German hospitals. Those tasks which are most likely to have negative consequences for patients (e. g., pain management and medication on time) seem to receive higher priority than tasks whose potential effects are less immediate or direct (e. g., psychosocial care). With regard to the measured correlation with the nurse work environment, it is recommend to invest in a good environment before (or simultaneously) investing in nurse staffing.
MeSH term(s)	Adult ; Burnout, Professional/epidemiology ; Female ; Germany/epidemiology ; Health Care Rationing/utilization ; Health Care Surveys ; Humans ; Internationality ; Leadership ; Male ; Nurses/statistics & numerical data ; Nursing Care/statistics & numerical data ; Personnel Staffing and Scheduling/statistics & numerical data ; Practice Patterns, Nurses'/statistics & numerical data ; Prevalence ; Professional Competence/statistics & numerical data ; Quality of Health Care/statistics & numerical data ; Workload/statistics & numerical data
Language	German
Publishing date	2014-11
Publishing country	Germany
Document type	English Abstract ; Journal Article ; Multicenter Study
ZDB-ID	1101426-x
ISSN	1439-4421 ; 0941-3790 ; 0949-7013
ISSN (online)	1439-4421
ISSN	0941-3790 ; 0949-7013
DOI	10.1055/s-0033-1364016
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Article: Hat die Arbeitssituation einen Effekt auf Pflege- und Patientenergebnisse? : Pflege im Krankenhaus

Zander, Britta / Busse, Reinhard

Die Schwester, der Pfleger : die Fachzeitschrift für Pflegeberufe

2011 Volume 50, Issue 6, Page(s) 580–582

Keywords	Personalmangel ; Pflegequalität ; Arbeitszufriedenheit
Language	German
Document type	Article
ZDB-ID	800280-0
ISSN	0340-5303
ISSN	0340-5303
Database	bibnet.org

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Article ; Online: The introduction of DRG funding and hospital nurses' changing perceptions of their practice environment, quality of care and satisfaction: comparison of cross-sectional surveys over a 10-year period.

Zander, Britta / Dobler, Lydia / Busse, Reinhard

International journal of nursing studies

2013 Volume 50, Issue 2, Page(s) 219–229

Abstract: Background: As other countries which have introduced diagnosis-related groups (DRGs) to pay their hospitals Germany initially expected that quality of care could deteriorate. Less discussed were potential implications for nurses, who might feel the ... ...

Abstract	Background: As other countries which have introduced diagnosis-related groups (DRGs) to pay their hospitals Germany initially expected that quality of care could deteriorate. Less discussed were potential implications for nurses, who might feel the efficiency-increasing effects of DRGs on their daily work, which in turn may lead to an actual worsening of care quality. Objective: To analyze whether the DRG implementation in German acute hospitals (as well as other changes over the 10-year period) had measurable effects on (1) the nurse work environment (including e.g. an adequate number of nursing staff to provide quality patient care), (2) quality of patient care and safety (incl. confidence into patients' ability to manage care when discharged), and (3) whether the effects from (1) and (2)--if any--impacted on the nurses themselves (satisfaction with their current job and their choice of profession as well as emotional exhaustion). Design and data sources: Two rounds of nurse surveys with the Practice Environment Scale of the Nursing Work Index (PES-NWI), five years before DRG implementation (i.e. in 1998/1999; n=2681 from 29 hospitals) and five years after (i.e. in 2009/2010; n=1511 from 49 hospitals). The analysis utilized 15 indicators as outcomes for (1) practice environment, (2) quality of patient care and safety, as well as (3) nurses' satisfaction and emotional exhaustion. Multivariate analyses were performed for all three sets of outcomes using SPSS version 20. Results: Aspects of the practice environment (especially adequate staffing and supportive management) worsened within the examined time span of 10 years, which as a consequence had significant negative impact on the nurse-perceived quality of care (except for patient safety, which improved). Both the aspects of the practice environment and the quality aspects impacted substantially on satisfaction and emotional exhaustion among nurses. Conclusions: The DRG implementation in Germany has apparently had measurable negative effects on nurses and nurse-perceived patient outcomes, however, not as distinct as often assumed.
MeSH term(s)	Cross-Sectional Studies ; Diagnosis-Related Groups ; Female ; Humans ; Job Satisfaction ; Male ; Nursing Staff, Hospital/psychology ; Patient Safety ; Quality of Health Care ; Workplace
Language	English
Publishing date	2013-02
Publishing country	England
Document type	Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80148-3
ISSN	1873-491X ; 0020-7489
ISSN (online)	1873-491X
ISSN	0020-7489
DOI	10.1016/j.ijnurstu.2012.07.008
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Article ; Online: Nurse migration in Europe--can expectations really be met? Combining qualitative and quantitative data from Germany and eight of its destination and source countries.

Zander, Britta / Blümel, Miriam / Busse, Reinhard

International journal of nursing studies

2013 Volume 50, Issue 2, Page(s) 210–218

Abstract: Background: While nurse migration has received considerable political attention since the EU enlargements in 2004 and 2007, most research concentrated on the specific migration motives and the impact on health care systems, while little research focused ...

Abstract	Background: While nurse migration has received considerable political attention since the EU enlargements in 2004 and 2007, most research concentrated on the specific migration motives and the impact on health care systems, while little research focused on the experiences of nurses abroad or combined these experiences with research on working conditions in hospitals. Objectives: To test whether the combination of qualitative and quantitative data on motives to migrate and to leave the current hospital, respectively, provides sufficient information (1) to analyse working conditions in Germany compared to five destination and three source countries, (2) to verify or falsify the assumption that working conditions in destination countries are better than in source countries, and (3) to identify sound strategies for workforce planning. Design and data sources: (a) Relevant push factors for migrating from Germany were identified via an online survey, focus groups, and telephone interviews. (b) Eight factors were operationalised using items selected from the revised Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Maslach Burnout Inventory (MBI). (c) The impact of these push factors on the stated "intention-to-leave" of 1508 hospital nurses in Germany was assessed using multivariate data analysis. (d) Descriptive statistics were used to illustrate comparisons across all countries using a total sample of 27,451 nurses from 328 hospitals. Results: (1) All push factors show a positive association with the risk for nurses to leave their current jobs, with "poor working environment" having the most pronounced relationship (OR 3.235, 95% CI 2.434-4.301). (2) On average, four out of five destination countries receive better ratings than Germany (with 5/5 for "sufficient nursing staff", "recognition", "decision-making power", and "collaboration between nurses and physicians" but only 1/5 for "advanced training prospects"), while two out of three source countries receive worse ratings than Germany. (3) Results suggest that the way to retain and attract nurses on the short-term is to invest in better working environments. Conclusions: By successfully linking qualitative and quantitative research, new insights about factors for the movement of nurses can be gained. German nurses would indeed find more satisfying conditions abroad in most cases-findings which encourages a revision of work-related aspects in German hospitals.
MeSH term(s)	Burnout, Professional ; Germany ; Internationality ; Nursing Staff ; Travel
Language	English
Publishing date	2013-02
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80148-3
ISSN	1873-491X ; 0020-7489
ISSN (online)	1873-491X
ISSN	0020-7489
DOI	10.1016/j.ijnurstu.2012.11.017
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