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Book ; Online: Skill-mix Innovation, Effectiveness and Implementation

Maier, Claudia B. / Kroezen, Marieke / Busse, Reinhard / Wismar, Matthias

Improving Primary and Chronic Care

(Social Sciences)

2022

Series title	Social Sciences
Keywords	Public finance ; health systems ; health policies ; health administration ; health economics ; health management ; healthcare employment ; primary care ; chronic diseases ; health workforce
Language	0\|e
Size	1 Online-Ressource
Publisher	Cambridge University Press
Document type	Book ; Online
Note	English ; Open Access
HBZ-ID	HT021618741
ISBN	9781009013758 ; 1009013750
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article: [No title information]

Maier, Claudia B

Pflege

2023 Volume 37, Issue 2, Page(s) 57–58

Title translation	Berufsbild „Advanced Practice Nurse“ etablieren: Internationale Erfahrungen.
MeSH term(s)	Humans ; Advanced Practice Nursing
Language	German
Publishing date	2023-05-10
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	645005-2
ISSN	1664-283X ; 1012-5302
ISSN (online)	1664-283X
ISSN	1012-5302
DOI	10.1024/1012-5302/a000988
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Transformational nurse leadership attributes in German hospitals pursuing organization-wide change via Magnet® or Pathway® principles: results from a qualitative study.

Kleine, Joan / Köppen, Julia / Gurisch, Carolin / Maier, Claudia B

BMC health services research

2024 Volume 24, Issue 1, Page(s) 440

Abstract: Background: Budget constraints, staff shortages and high workloads pose challenges for German hospitals. Magnet® and Pathway® are concepts for implementing organization-wide change and redesigning work environments. There is limited research on the key ... ...

Abstract	Background: Budget constraints, staff shortages and high workloads pose challenges for German hospitals. Magnet® and Pathway® are concepts for implementing organization-wide change and redesigning work environments. There is limited research on the key elements that characterize nurse leaders driving the implementation of Magnet®/Pathway® principles outside the U.S. We explored the key attributes of nurse leaders driving organization-wide change through Magnet®/Pathway® principles in German hospitals. Methods: Using a qualitative study design, semi-structured interviews (n = 18) were conducted with nurse leaders, managers, and clinicians, in five German hospitals known as having started implementing Magnet® or Pathway® principles. The interviews were recorded and transcribed verbatim. Data were analyzed in Atlas.ti using content analysis. For the analysis, a category system was created using a deductive-inductive approach. Results: Five leadership attributes and eleven sub-attributes were identified as main themes and sub-themes: Visionary leaders who possess and communicate a strong vision and serve as role models to inspire change. Strategic leaders who focus on strategic planning and securing top management support. Supportive leaders who empower, emphasizing employee motivation, individualized support, and team collaboration. Stamina highlights courage, assertiveness, and resilience in the face of challenges. Finally, agility which addresses a leader's presence, accessibility, and rapid responsiveness, fostering adaptability. Conclusions: The study demonstrates leadership attributes explicitly focusing on instigating and driving organization-wide change through Magnet®/Pathway® principles in five German hospitals. The findings suggest a need for comprehensive preparation and ongoing development of nurse leaders aimed at establishing and sustaining a positive hospital work environment.
MeSH term(s)	Humans ; Leadership ; Hospitals ; Qualitative Research ; Organizational Innovation ; Motivation ; Nurse Administrators
Language	English
Publishing date	2024-04-08
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-024-10862-y
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Nurse prescribing of medicines in 13 European countries.

Maier, Claudia B

Human resources for health

2019 Volume 17, Issue 1, Page(s) 95

Abstract: Background: Nurse prescribing of medicines is increasing worldwide, but there is limited research in Europe. The objective of this study was to analyse which countries in Europe have adopted laws on nurse prescribing.: Methods: Cross-country ... ...

Abstract	Background: Nurse prescribing of medicines is increasing worldwide, but there is limited research in Europe. The objective of this study was to analyse which countries in Europe have adopted laws on nurse prescribing. Methods: Cross-country comparative analysis of reforms on nurse prescribing, based on an expert survey (TaskShift2Nurses Survey) and an OECD study. Country experts provided country-specific information, which was complemented with the peer-reviewed and grey literature. The analysis was based on policy and thematic analyses. Results: In Europe, as of 2019, a total of 13 countries have adopted laws on nurse prescribing, of which 12 apply nationwide (Cyprus, Denmark, Estonia, Finland, France, Ireland, Netherlands, Norway, Poland, Spain, Sweden, United Kingdom (UK)) and one regionally, to the Canton Vaud (Switzerland). Eight countries adopted laws since 2010. The extent of prescribing rights ranged from nearly all medicines within nurses' specialisations (Ireland for nurse prescribers, Netherlands for nurse specialists, UK for independent nurse prescribers) to a limited set of medicines (Cyprus, Denmark, Estonia, Finland, France, Norway, Poland, Spain, Sweden). All countries have regulatory and minimum educational requirements in place to ensure patient safety; the majority require some form of physician oversight. Conclusions: The role of nurses has expanded in Europe over the last decade, as demonstrated by the adoption of new laws on prescribing rights.
MeSH term(s)	Drug Prescriptions/statistics & numerical data ; Europe ; Humans ; Nurse Practitioners/legislation & jurisprudence ; Nurse Practitioners/statistics & numerical data ; Nurse's Role ; Nurses/legislation & jurisprudence ; Nurses/statistics & numerical data
Language	English
Publishing date	2019-12-09
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1478-4491
ISSN (online)	1478-4491
DOI	10.1186/s12960-019-0429-6
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Regulating the health workforce in Europe: implications of the COVID-19 pandemic.

Panteli, Dimitra / Maier, Claudia B

Human resources for health

2021 Volume 19, Issue 1, Page(s) 80

Abstract: In the European free movement zone, various mechanisms aim to harmonize how the competence of physicians and nurses is developed and maintained to facilitate the cross-country movement of professionals. This commentary addresses these mechanisms and ... ...

Abstract	In the European free movement zone, various mechanisms aim to harmonize how the competence of physicians and nurses is developed and maintained to facilitate the cross-country movement of professionals. This commentary addresses these mechanisms and discusses their implications during the COVID-19 pandemic, drawing lessons for future policy. It argues that EU-wide regulatory mechanisms should be reviewed to ensure that they provide an adequate foundation for determining competence and enabling health workforce flexibility during health system shocks. Currently, EU regulation focuses on the automatic recognition of the primary education of physicians and nurses. New, flexible mechanisms should be developed for specializations, such as intensive or emergency care. Documenting new skills, such as the ones acquired during rapid training in the pandemic, in a manner that is comparable across countries should be explored, both for usual practice and in light of outbreak preparedness. Initiatives to strengthen continuing education and professional development should be supported further. Funding under the EU4Health programme should be dedicated to this endeavour, along with revisiting the scope of necessary skills following the experience of COVID-19. Mechanisms for cross-country sharing of information on violations of good practice standards should be maintained and strengthened to enable agile reactions when the need for professional mobility becomes urgent.
MeSH term(s)	COVID-19/epidemiology ; Education, Continuing/standards ; Europe/epidemiology ; Guideline Adherence/standards ; Health Workforce/standards ; Humans ; Information Dissemination ; International Cooperation ; Pandemics ; Professional Competence/standards ; SARS-CoV-2
Language	English
Publishing date	2021-07-10
Publishing country	England
Document type	Letter
ISSN	1478-4491
ISSN (online)	1478-4491
DOI	10.1186/s12960-021-00624-w
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Article ; Online: Web-Based Public Reporting as a Decision-Making Tool for Consumers of Long-Term Care in the United States and the United Kingdom: Systematic Analysis of Report Cards.

Kast, Kristina / Otten, Sara-Marie / Konopik, Jens / Maier, Claudia B

JMIR formative research

2023 Volume 7, Page(s) e44382

Abstract: Background: Report cards can help consumers make an informed decision when searching for a long-term care facility.: Objective: This study aims to examine the current state of web-based public reporting on long-term care facilities in the United ... ...

Abstract	Background: Report cards can help consumers make an informed decision when searching for a long-term care facility. Objective: This study aims to examine the current state of web-based public reporting on long-term care facilities in the United States and the United Kingdom. Methods: We conducted an internet search for report cards, which allowed for a nationwide search for long-term care facilities and provided freely accessible quality information. On the included report cards, we drew a sample of 1320 facility profiles by searching for long-term care facilities in 4 US and 2 UK cities. Based on those profiles, we analyzed the information provided by the included report cards descriptively. Results: We found 40 report cards (26 in the United States and 14 in the United Kingdom). In total, 11 of them did not state the source of information. Additionally, 7 report cards had an advanced search field, 24 provided simplification tools, and only 3 had a comparison function. Structural quality information was always provided, followed by consumer feedback on 27 websites, process quality on 15 websites, prices on 12 websites, and outcome quality on 8 websites. Inspection results were always displayed as composite measures. Conclusions: Apparently, the identified report cards have deficits. To make them more helpful for users and to bring public reporting a bit closer to its goal of improving the quality of health care services, both countries are advised to concentrate on optimizing the existing report cards. Those should become more transparent and improve the reporting of prices and consumer feedback. Advanced search, simplification tools, and comparison functions should be integrated more widely.
Language	English
Publishing date	2023-12-14
Publishing country	Canada
Document type	Journal Article
ISSN	2561-326X
ISSN (online)	2561-326X
DOI	10.2196/44382
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Health workforce response to Covid-19: What pandemic preparedness planning and action at the federal and state levels in Germany?: Germany's health workforce responses to Covid-19.

Köppen, Julia / Hartl, Kimberly / Maier, Claudia B

The International journal of health planning and management

2021 Volume 36, Issue S1, Page(s) 71–91

Abstract: Introduction: The Covid-19 pandemic has required countries to prepare their health workforce for a rapid increase of patients. This research aims to analyse the planning and health workforce policies in Germany, a country with a largely decentralised ... ...

Abstract	Introduction: The Covid-19 pandemic has required countries to prepare their health workforce for a rapid increase of patients. This research aims to analyse the planning and health workforce policies in Germany, a country with a largely decentralised workforce governance mechanism. Methods: Systematic search between 18 and 31 May 2020 at federal and 16 states on health workforce action and planning (websites of ministries of health, public health authorities), including pandemic preparedness plans and policies. The search followed World Health Organisation (WHO) Europe's health workforce guidance on Covid-19. Content analysis was performed, informed by the themes of WHO. Results: The pandemic preparedness plans consisted of no or limited information on how to expand and prepare the health workforce during pandemics. The 16 states varied considerably regarding implementing strategies to expand health workforce capacities. Only one state adopted a policy on task-shifting despite a federal law on task-shifting during pandemics. Conclusions: Planning on the health workforce, its capacity and skill-mix during pandemics was limited in the pandemic response plans. Actions during the peak of the pandemic varied considerably across states, were implemented ad hoc and with limited planning. Future action should focus on integrated planning and evaluation of workforce policies.
MeSH term(s)	COVID-19 ; Databases, Factual ; Germany ; Health Policy ; Health Workforce/organization & administration ; Humans ; Pandemics ; Public Health ; SARS-CoV-2 ; World Health Organization
Language	English
Publishing date	2021-03-18
Publishing country	England
Document type	Journal Article
ZDB-ID	632786-2
ISSN	1099-1751 ; 0749-6753
ISSN (online)	1099-1751
ISSN	0749-6753
DOI	10.1002/hpm.3146
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Article ; Online: The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia.

Maier, Claudia B

Health policy (Amsterdam, Netherlands)

2015 Volume 119, Issue 12, Page(s) 1627–1635

Abstract: Task-shifting from physicians to nurses is increasing worldwide; however, research on how it is governed is scarce. This international study assessed task-shifting governance models and implications on practice, based on a literature scoping review; and ... ...

Abstract	Task-shifting from physicians to nurses is increasing worldwide; however, research on how it is governed is scarce. This international study assessed task-shifting governance models and implications on practice, based on a literature scoping review; and a survey with 93 country experts in 39 countries (response rate: 85.3%). Governance was assessed by several indicators, regulation of titles, scope of practice, prescriptive authority, and registration policies. This policy analysis focused on eleven countries with task-shifting at the Advanced Practice Nursing/Nurse Practitioner (APN/NP) level. Governance models ranged from national, decentralized to no regulation, but at the discretion of employers and settings. In countries with national or decentralized regulation, restrictive scope of practice laws were shown as barrier, up-to-date laws as enablers to advanced practice. Countries with decentralized regulation resulted in uneven levels of practice. In countries leaving governance to individual settings, practice variations existed, moreover data availability and role clarity was limited. Policy options include periodic reviews to ensure laws are up to date, minimum harmonization in decentralized contexts, harmonized educational and practice-level requirements to reduce practice variation and ensure quality. From a European Union (EU) perspective, regulation is preferred over non-regulation as a first step toward the recognition of qualifications in countries with similar levels of advanced practice. Countries early on in the process need to be aware that different governance models can influence practice.
MeSH term(s)	Advanced Practice Nursing/trends ; Australasia ; Delivery of Health Care/legislation & jurisprudence ; Delivery of Health Care/organization & administration ; Europe ; Global Health ; Government Regulation ; Nurse Practitioners/legislation & jurisprudence ; Nurse Practitioners/organization & administration ; Nurse Practitioners/standards ; Nurse's Role ; Physicians/supply & distribution ; United States
Language	English
Publishing date	2015-12
Publishing country	Ireland
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	605805-x
ISSN	1872-6054 ; 0168-8510
ISSN (online)	1872-6054
ISSN	0168-8510
DOI	10.1016/j.healthpol.2015.09.002
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Article: Advanced Practice Nurses (APN) in der Primärversorgung

Maier, Claudia B.

Die Schwester, der Pfleger : die Fachzeitschrift für Pflegeberufe

2017 Volume 56, Issue 11, Page(s) 60–63

Keywords	Advanced Nursing Practice ; Primäre Gesundheitsversorgung ; Gesundheitspolitik ; Deutschland
Language	German
Document type	Article
ZDB-ID	800280-0
ISSN	0340-5303
ISSN	0340-5303
Database	bibnet.org

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Article ; Online: Time trends in the regional distribution of physicians, nurses and midwives in Europe.

Winkelmann, Juliane / Muench, Ulrike / Maier, Claudia B

BMC health services research

2020 Volume 20, Issue 1, Page(s) 937

Abstract: Background: Country-level data suggest large differences in the supply of health professionals among European countries. However, little is know about the regional supply of health professionals taking a cross-country comparative perspective. The aim of ...

Abstract	Background: Country-level data suggest large differences in the supply of health professionals among European countries. However, little is know about the regional supply of health professionals taking a cross-country comparative perspective. The aim of the study was to analyse the regional distribution of physicians, nurses and midwives in the highest and lowest density regions in Europe and examine time trends. Methods: We used Eurostat data and descriptive statistics to assess the density of physicians, nurses and midwives at national and regional levels (Nomenclature of Territorial Units for Statistics (NUTS) 2 regions) for 2017 and time trends (2005-2017). To ensure cross-country comparability we applied a set of criteria (working status, availability over time, geographic availability, source). This resulted in 14 European Union (EU) countries and Switzerland being available for the physician analysis and eight countries for the nurses and midwives analysis. Density rates per population were analysed at national and NUTS 2 level, of which regions with the highest and lowest density of physicians, nurses and midwives were identified. We examined changes over time in regional distributions, using percentage change and Compound Annual Growth Rate (CAGR). Results: There was a 2.4-fold difference in the physician density between the highest and lowest density countries (Austria national average: 513, Poland 241.6 per 100,000) and a 3.5-fold difference among nurses (Denmark: 1702.5, Bulgaria: 483.0). Differences by regions across Europe were higher than cross-country variations and varied up to 5.5-fold for physicians and 4.4-fold for nurses/midwives and did not improve over time. Capitals and/or major cities in all countries showed a markedly higher supply of physicians than more sparsely populated regions while the density of nurses and midwives tended to be higher in more sparsely populated areas. Over time, physician rates increased faster than density levels of nurses and midwives. Conclusions: The study shows for the first time the large variation in health workforce supply at regional levels and time trends by professions across the European region. This highlights the importance for countries to routinely collect data in sub-national geographic areas to develop integrated health workforce policies for health professionals at regional levels.
MeSH term(s)	Europe ; Health Workforce/trends ; Humans ; Midwifery/statistics & numerical data ; Nurses/supply & distribution ; Physicians/supply & distribution
Language	English
Publishing date	2020-10-12
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-020-05760-y
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