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Prof. Dr. Christian Rester

Faculty of Applied Healthcare Sciences

Professors

Dean

LA 27-0.12

0991/3615-682

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Contribution
  • Christian Rester
  • D. Rester

Apoplex - Pflege und Betreuung nach den Prinzipien des Bobath-Konzeptes.

In: Interne Fortbildung in der Pflege. Schulungsunterlagen für Altenpflege, ambulante Pflege und Krankenhaus

  • Eds.:
  • L. Füg

Spitta-Verl Balingen

  • (2002)
Lecture
  • Christian Rester

Ethik in der Pflege.

In: Tagung "Ethik und Organisation im Krankenhaus"

Evangelische Akademie Tutzing Tutzing

  • 25.09.2003 (2003)
Contribution
  • Christian Rester
  • B. Seeberger

Qualitätsmanagement in der stationären Altenhilfe.

In: Qualitätsmanagement in sozialen Einrichtungen. 3 Tabellen pg. 296-308

  • Eds.:
  • F. Peterander
  • R. Arnold

E. Reinhardt München; Basel

  • (2004)
Lecture
  • Christian Rester

Spiritualität in der Beziehung von Patienten und Pflegenden.

In: Tagung "Heilkraft Glaube"

Katholische Akademie Trier Trier

  • 27.10.2007 (2007)
Lecture
  • Christian Rester

Pflege am Lebensende.

In: Tagung "Dem Leben am Lebensende dienen"

Erzdiözese und Caritasverband Bamberg Bamberg

  • 25.11.2009 (2009)
Lecture
  • Christian Rester

Patientenverfügung - ein Pflegender berichtet.

In: 2. Regensburger Pflege-Recht Symposium "Patientenverfügung"

Universitätsklinikum Regensburg Regensburg

  • 02.12.2009 (2009)
Journal article
  • Christian Rester
  • B. Seeberger

Ehrenamtliches Engagement im Alter und die Auseinandersetzung mit dem Älterwerden - eine qualitative Betrachtung.

In: Zeitschrift für Gerontologie und Ethik pg. 104-125

  • (2011)
Journal article
  • Christian Rester
  • D. Rester
  • B. Städtler-Mach

Biografische Bedeutung ehrenamtlichen Engagements im Alter.

In: HeilberufeScience vol. 2 pg. 128-136

  • (2011)

DOI: 10.1007/s16024-011-0043-6

Journal article
  • Christian Rester
  • B. Seeberger

Volunteering in Later Life: Forms of Reflection about one's own aging.

In: Gerontologica – Interdisciplinary Journal of Aging Sciences vol. 1 pg. 11-28

  • (2012)
Journal article
  • Christian Rester
  • R. Pankofer
  • E. Bauermann
  • Bernhard Bleyer

Die Rolle der Pflegenden in der Ethikberatung.

In: PFLEGEN pg. 18-21

  • (2012)
Journal article
  • Christian Rester
  • B. Seeberger

Long-term Care Consultation für Chronically Ill Senior Citizens.

In: Gerontologica – Interdisciplinary Journal of Aging Sciences vol. 1 pg. 47-57

  • (2012)
Lecture
  • Christian Rester

Vulnerable Gruppen auf der Intensivstation. Pflegewissenschaftliche Aspekte zur Gruppe besonders verletzlicher Menschen in der Hightech-Medizin.

In: 42. Bayerische Anästhesietage, Pflegesymposium

Universität Regensburg Regensburg

  • 05.10.2012 (2012)
Journal article
  • Christian Rester
  • C. Grebe
  • E. Bauermann
  • R. Pankofer
  • Bernhard Bleyer

Klinische Ethikberatung und subjektive Belastungen von Mitarbeitern in der unmittelbaren Patientenversorgung.

In: HeilberufeScience pg. 1-7

  • (2016)
Lecture
  • Bernhard Bleyer
  • Jennifer Huber
  • Raimund Brotsack
  • Herbert Fischer
  • Anna Marquardt
  • Christian Rester
  • Roland Zink

Bildung für nachhaltige Entwicklung an der Technischen Hochschule Deggendorf. Posterpräsentation.

In: Netzwerktreffen Hochschule und Nachhaltigkeit Bayern im Bayerischen Staatsministerium für Umwelt und Verbraucherschutz (StMUV) zum Thema "Bildung für nachhaltige Entwicklung - Wie kann die Implementierung gelingen?"

München

  • 16.07.2018 (2018)
Journal article
  • Mareike Hechinger
  • D. Hentschel
  • Christine Aumer
  • Christian Rester

A Conceptual Model of Experiences With Digital Technologies in Aging in Place: Qualitative Systematic Review and Meta-synthesis.

In: JMIR Aging vol. 5 pg. e34872

  • 09.09.2022 (2022)

DOI: 10.2196/34872

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BACKGROUND Older adults with chronic illnesses or dependency on care who strive to age in place need support and care depending on their illness. Digital technology has enabled the possibility of supporting older adults in their wishes to age in place. However, current studies have mainly focused on the solitary evaluation of individual technologies or on evaluating technologies for specific illnesses. OBJECTIVE This study aimed to synthesize research on the experiences of older people from the Western culture with chronic illnesses or care needs and their families with digital technology for aging in place. From the meta-synthesis, a model was derived that can be useful for the development of assistive devices in old age and that can support health care providers and professionals in their work with affected individuals. METHODS A systematic review and qualitative meta-synthesis was performed using an inductive approach, as proposed by Sandelowski and Barroso. We performed a systematic literature search in 6 databases from 2000 to 2019, with an update in 2021 and, in addition, conducted a hand search in 2 databases, relevant journals, and reference lists. The results of each study were analyzed using initial and axial coding, followed by theoretical coding. A conceptual model was derived. RESULTS A total of 7776 articles were identified. Articles were screened independently by 2 authors based on the eligibility criteria. Finally, of the 7776 studies, 18 (0.23%) were included in the meta-synthesis. The derived conceptual model describes older adults with chronic illnesses or dependency on care and their family members in an individual process of reflection and decision-making, starting with the use of a digital device. Older adults live in times of change. They experience stable and unstable times of illness as they are part of a changing digital world. Hence, older adults and their families consider digital technology a solution to their current situation. As they become familiar with a specific digital technology, they refine their needs and demands, gain confidence in its use, and note its advantages and disadvantages. They weigh hopes, needs, demands, and experiences in a process of reflection to decide on convenience and inconvenience. Independent of their decision, they achieve peace of mind either with or without digital technology. This process can restart repeatedly during the illness trajectory of older adults. CONCLUSIONS This study promotes a differentiated understanding of older adults' experiences with digital technology. The conceptual model can be useful for the development of assistive technology in old age. Moreover, it can guide health care professionals in their work with older adults and their families to provide individual counseling to find the appropriate digital technology for their respective situations.
Journal article
  • Kathrin Steinbeißer
  • L. Schwarzkopf
  • L. Schwettmann
  • M. Laxy
  • E. Grill
  • Christian Rester
  • A. Peters
  • H. Seidl

Association of physical activity with utilization of long-term care in community-dwelling older adults in Germany: results from the population-based KORA-Age observational study.

In: The International Journal of Behavioral Nutrition and Physical Activity vol. 19 pg. 102

  • 08.08.2022 (2022)

DOI: 10.1186/s12966-022-01322-z

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BACKGROUND Physical activity (PA) is a proven strategy to prevent chronic diseases and reduce falls. Furthermore, it improves or at least maintains performance of activities of daily living, and thus fosters an independent lifestyle in older adults. However, evidence on the association of PA with relevant subgroups, such as older adults with utilization of long-term care (LTC), is sparse. This knowledge would be essential for establishing effective, need-based strategies to minimize the burden on healthcare systems due to the increasing need for LTC in old age. METHODS Data originate from the 2011/12 (t1) baseline assessment and 2016 (t2) follow-up of the population-based Cooperative Health Research in the Region of Augsburg (KORA-)Age study in southern Germany. In 4812 observations of individuals ≥65 years, the association between various types of PA (walking, exercise (i. e., subcategory of PA with the objective to improve or maintain one or more components of physical fitness), walking+exercise) and utilization of LTC (yes/no) was analyzed using generalized estimating equation logistic models. Corresponding models stratified by sex (females: 2499 observations; males: 2313 observations) examined sex-specific associations. Descriptive analyses assessed the proportion of individuals meeting the suggested minimum values in the German National Physical Activity Recommendations for older adults (GNPAR). RESULTS All types of PA showed a statistically significant association with non-utilization of LTC in the entire cohort. "Walking+exercise" had the strongest association with non-utilization of LTC in the entire cohort (odds ratio (OR): 0.52, 95% confidence interval (CI): 0.39-0.70) and in males (OR: 0.41, CI: 0.26-0.65), whereas in females it was "exercise" (OR: 0.58; CI: 0.35-0.94). The proportion of individuals meeting the GNPAR was higher among those without utilization of LTC (32.7%) than among those with LTC (11.7%) and group differences were statistically significant (p ≤ 0.05). CONCLUSIONS The GNPAR are rarely met by older adults. However, doing any type of PA is associated with non-utilization of LTC in community-dwelling older adults. Therefore, older adults should be encouraged to walk or exercise regularly. Furthermore, future PA programs should consider target-groups' particularities to reach individuals with the highest needs for support.
Contribution
  • Fritz Sterr
  • Lydia Bauernfeind
  • Philipp Dahlmann
  • Christian Rester
  • R. Palm
  • S. Metzing

Das Erleben der maschinellen Beatmung aus der Sicht von betroffenen Intensivpatienten – ein Literaturreview.

In: Abstractbuch zum 23. Kongress der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin: Interdisziplinarität stärken - Multiprofessionalität leben!. pg. 25-26

  • (2023)
Contribution
  • Lydia Bauernfeind
  • Fritz Sterr
  • Christian Rester

Ein Review zu familiären Belastungen bei der Versorgung beatmeter Kinder im häuslichen Setting.

In: Abstractbuch zum 23. Kongress der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin: Interdisziplinarität stärken - Multiprofessionalität leben!. pg. 148-149

  • (2023)
InternetDocument
  • R. Palm
  • Fritz Sterr
  • Christian Rester
  • Michael Knop
  • S. Metzing
  • Lydia Bauernfeind

Protocol for a scoping review on weaning-associated interventions for invasively ventilated patients.

Open Science Framework Open Science Framework

  • 2023 (2023)

DOI: 10.17605/OSF.IO/4TEYP

show abstract

This protocol relates to the registration of the planned scoping review (https://doi.org/10.17605/OSF.IO/M3X25) and provides an overview of the intended research project.
Contribution
  • M. Mueller
  • Michael Knop
  • Christian Rester

Shedding Light on Resilience in Nursing: The Influence of Digital Technology Use in Clinical Care on Nurses‘ Sense of Coherence.

In: ECIS 2023 Research-in-Progress Papers. 31st European Conference on Information Systems (ECIS 2023).. pg. 91

  • (2023)

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The nursing discipline is increasingly confronted with far-reaching challenges that are a prominent subject in public discourse. Factors such as growing numbers of chronically ill patients and an ongoing decrease in medical personnel impose unprecedented strain on clinical care providers and nurses, which requires high levels of resilience on an individual and organizational level. The introduction of digital information and communication technology (ICT) in the workplace is intended to counteract these challenges and foster resilient everyday care. However, studies that investigate the interplay of digitalization and individual resilience are scarce. Hence, we propose a mixed-method approach to explore how ICT use in a clinical work setting influences nurses’ sense of coherence. This construct has been used as a theoretical foundation to investigate resilience in nursing. Further, the exploration of individual coping strategies in the light of ICT-related disturbances in the workplace and associated job-related outcomes complement the research agenda.
Lecture
  • Fritz Sterr
  • Anna Schindler
  • Karsten Gensheimer
  • Christian Rester

Pflegediagnostik am Beispiel „Fehlangepasstes Trauern – ein Case Report“ [Fallbezogene Posterpräsentation]. Posterpräsentation.

In: 14. DGP-Hochschultag

Deutsche Gesellschaft für Pflegewissenschaft Köln

  • 17.11.2023 (2023)
Contribution
  • Fritz Sterr
  • M. Reintke
  • Lydia Bauernfeind
  • V. Senyol
  • Christian Rester
  • S. Metzing
  • R. Palm

Prädiktoren für das Weaning-Versagen auf der Intensivstation – ein Scoping Review mit systematischer Evidenz-Map. Poster-Abstract.

In: 24. Kongress der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin e. V.. Abstractbuch pg. 238-239

  • (2024)
UnpublishedWork
  • Christian Rester
  • R. Palm
  • Fritz Sterr
  • Lydia Bauernfeind
  • Mareike Hechinger
  • S. Metzing

Experiences of intensive care patients under mechanical ventilation - protocol for a meta-synthesis.

Center for Open Science OSF

  • 2024 (2024)

DOI: 10.17605/OSF.IO/G8Q6X

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Background: Treatment recommendations for patients under mechanical ventilation have changed in recent years. While less sedatives are being used to enable faster weaning, patients on mechanical ventilation are now considerably more alert. Individual studies and syntheses already investigated how and what patients experience when being mechanically ventilated. What is missing, however, is an in-depth synthesis of existing research on the processual experience of conscious and ventilated patients in intensive care units. Objectives: To identify qualitative studies and synthesize their results on the experience of intensive care patients being conscious during their mechanical ventilation. Methods: A qualitative meta-synthesis will be conducted following the methodological recommendations of Sandelowski and Barroso (2007). To this end, we will conduct a systematic literature search in the PubMed (via Medline), Cochrane Library and CINAHL databases. The search will be complemented by a hand search and a backward citation tracking. Three reviewers will then independently screen the results and include suitable studies. The results of the included studies will then be axially and selectively coded (Saldaña, 2021). Subsequently, these will be transferred into a meta-summary and a meta-synthesis. Reporting will follow the ENTREQ guideline (Tong et al., 2012).
Journal article
  • Lydia Bauernfeind
  • Christian Rester
  • Stefan Schoenstein

Pediatric pressure injuries: A systematic review of interventions to prevent hospital-acquired pressure injuries in the pediatric population.

In: Kontakt vol. 26 pg. 276-284

  • (2024)

DOI: 10.32725/kont.2024.038

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Introduction: Pressure injuries have been identified as a problem in adults, but there is increasing recognition that they also occur in pediatric patients. Specific prevention in this population is essential because a high percentage of pressure injuries can be prevented. Objective: To identify interventions that prevent pressure injuries in the clinical pediatric care setting. Methods: Systematic review with a conducted search in CINAHL, PubMed, and Cochrane databases. A total of 301 articles were found, 225 were excluded after reviewing the title and abstract. The remaining papers were subjected to a full-text screening. Eligible studies were those that (a) described interventions to prevent pressure injuries, (b) were specifically aimed at pediatric patients (0-18 years), (c) were published in English or German, and (d) were conducted in a hospital. Results: A total of 37 studies were included. The data on interventions from the studies were extracted and clustered. The following eight categories of interventions for the prevention of pressure injury in pediatric patients were identified: (1) (Skin)Assessments, (2) Medical devices, (3) Positioning, (4) Education, (5) Moisture Management, (6) Nutrition Management, (7) Surfaces, and (8) Intervention bundles. The included studies described various interventions for pressure injury prevention. Most reported a significant reduction in pressure injury rates when intervention bundles were implemented. Conclusion: Nurses have to know about pressure injury causation, risk factors, and prevention strategies to implement the identified interventions and prevent pressure injuries in pediatric patients during hospital stays.
Contribution
  • Lydia Bauernfeind
  • Fritz Sterr
  • Christian Rester
  • Mathias Burgmaier

Editorial - Intensivpflege im Wandel.

In: Tagungsband zum 1. Bayerischen Intensivpflegetag am 05. März 2024. pg. 4-6

  • Eds.:
  • Mathias Burgmaier
  • Fritz Sterr
  • Lydia Bauernfeind
  • Christian Rester

  • (2024)

DOI: 10.25929/eqa5-hh46

Contribution
  • Fritz Sterr
  • Christian Rester
  • Mathias Burgmaier

Pflegegeleitete Beatmungsentwöhnung.

In: Tagungsband zum 1. Bayerischen Intensivpflegetag am 05. März 2024. pg. 11-12

  • Eds.:
  • Mathias Burgmaier
  • Fritz Sterr
  • Lydia Bauernfeind
  • Christian Rester

  • (2024)

DOI: 10.25929/eqa5-hh46

Journal article
  • Fritz Sterr
  • Lydia Bauernfeind
  • Michael Knop
  • Christian Rester
  • S. Metzing
  • R. Palm

Weaning-associated interventions for ventilated intensive care patients: A scoping review.

In: Nursing in Critical Care pg. 1-16

  • 18.08.2024 (2024)

DOI: 10.1111/nicc.13143

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BACKGROUND Mechanical ventilation is a core intervention in critical care, but may also lead to negative consequences. Therefore, ventilator weaning is crucial for patient recovery. Numerous weaning interventions have been investigated, but an overview of interventions to evaluate different foci on weaning research is still missing. AIM To provide an overview of interventions associated with ventilator weaning. STUDY DESIGN We conducted a scoping review. A systematic search of the Medline, CINAHL and Cochrane Library databases was carried out in May 2023. Interventions from studies or reviews that aimed to extubate or decannulate mechanically ventilated patients in intensive care units were included. Studies concerning children, outpatients or non-invasive ventilation were excluded. Screening and data extraction were conducted independently by three reviewers. Identified interventions were thematically analysed and clustered. RESULTS Of the 7175 records identified, 193 studies were included. A total of six clusters were formed: entitled enteral nutrition (three studies), tracheostomy (17 studies), physical treatment (13 studies), ventilation modes and settings (47 studies), intervention bundles (42 studies), and pharmacological interventions including analgesic agents (8 studies), sedative agents (53 studies) and other agents (15 studies). CONCLUSIONS Ventilator weaning is widely researched with a special focus on ventilation modes and pharmacological agents. Some aspects remain poorly researched or unaddressed (e.g. nutrition, delirium treatment, sleep promotion). RELEVANCE TO CLINICAL PRACTICE This review compiles studies on ventilator weaning interventions in thematic clusters, highlighting the need for multidisciplinary care and consideration of various interventions. Future research should combine different interventions and investigate their interconnection.
ConferenceProceedings

Tagungsband zum 1. Bayerischen Intensivpflegetag am 05. März 2024.

  • Eds.:
  • Mathias Burgmaier
  • Fritz Sterr
  • Lydia Bauernfeind
  • Christian Rester

Deggendorf

  • (2024)

DOI: 10.25929/eqa5-hh46

Journal article
  • Fritz Sterr
  • Milena Fels
  • Philipp Dahlmann
  • Christian Rester
  • Lydia Bauernfeind

Advanced nursing practitioners‘ impact on adult patients in acute care – partial results of a literature review.

In: HeilberufeScience (The 20th European Doctoral Conference in Nursing Science – EDCNS) vol. 15 pg. 8-9

  • (2024)

DOI: 10.1007/s16024-024-00418-9

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Introduction: An increasing number of advanced nursing practitioners (ANP) are being introduced to address the existing complexity in acutecare. The impact of their implementation is examined in various studies internationally. The aim of this reviewwas to provide an overvievvof studies evaluating adult acute care patients’ outcomesrelated to ANPs, following the research question: “What impact do ANPs have on patient outcomes and safety in acute care?” Methods: We designed a literature review. lnitially, we conducted a systematic search in Medline (via PubMed), CINAHL, Cochrane Library, and PEDro. Screening of titles, abstracts, and fulltexts was then performed by three independent reviewers. We only included English or German studies reporting on patient outcomes related to advanced practitioners in acute care. Finally, results were thematically analyzed and clustered. This abstract reports on partial results concerning ANPs in adult acute care. Results: The systematic search yielded 4,332 results, of which 67 were included in our primary review. Of these, 47 matched the inclusion criteria of this sub-study ANPs performed diagnostic procedures (e. g. test ordering, X-ray, and ECG interpretation) and treatments (e. g. minor trauma care, analgesia application) equivalent to physicians. Care provided by ANPs resulted in reduced mortality, less adverse events (e. g. infections, pressure injuries), and improved vital signs. Patients were treated faster, had reduced hospital length of stays, and less readmissions. Conclusion: ANPs provide high-quality diagnosis and treatment. Delivered care resulted in various improved patient outcomes. Therefore, the education and implementation of ANPs in adult acute care is highly recommended.
Contribution
  • M. Stirner
  • Christian Rester
  • Lydia Bauernfeind
  • Fritz Sterr

Interventionen gegen die Alarmmüdigkeit von Intensivpflegekräften – ein Scoping Review. Poster-Abstract.

In: 24. Kongress der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin e. V.. Abstractbuch pg. 250

  • (2024)
Contribution
  • Lydia Bauernfeind
  • Fritz Sterr

Die wichtigsten Studien aus der Intensivpflege 2023.

In: Tagungsband zum 1. Bayerischen Intensivpflegetag am 05. März 2024. pg. 20-21

  • Eds.:
  • Mathias Burgmaier
  • Fritz Sterr
  • Lydia Bauernfeind
  • Christian Rester

  • (2024)

DOI: 10.25929/eqa5-hh46

Journal article
  • Lydia Bauernfeind
  • Milena Fels
  • Philipp Dahlmann
  • Christian Rester
  • Fritz Sterr

The impact of advanced practitioners on patients in acute care—A mini review.

In: Frontiers in Disaster and Emergency Medicine vol. 2

  • (2024)

DOI: 10.3389/femer.2024.1399779

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Background: Acute patient care is becoming increasingly complex due to various factors (e.g., demographic changes, multimorbidity, organizational changes). Educating healthcare professionals as advanced practitioners at Master's level is one response to these challenges. Meanwhile, there are several empirical insights into advanced roles. Aim: To provide an overview on the impact of advanced practitioners on acute care patients' outcomes and safety. Methods: We conducted a mini-review. Therefore, a systematic literature search was carried out in the four databases Medline, CINAHL, Cochrane Library, and PEDro. After four researchers screened the results and extracted the data independently, the included studies were analyzed thematically and clustered along patients' outcomes. The results are presented narratively. Results: 4,332 records were identified in the systematic search, and 67 articles were included in our review. Of these, the majority (n = 57) addressed the nursing profession. Advanced practitioners demonstrated an overall positive impact on acute care patients. They improved patients' vital signs, and reduced their mortality and adverse events (e.g., thrombosis, pneumonia, pressure injury). In addition, they shortened patients' length of stay and waiting times, and reduced admission rates. Patient satisfaction also increased after their implementation. When being compared to physicians, advanced practitioners in acute care demonstrated similar to equal patient outcomes and safety. Conclusion: The identified studies highlight the benefits of advanced practitioners for acute care patients. While most studies were conducted in emergency departments or intensive care units, further research concerning other acute settings (e.g., psychiatry) or clinical conditions (e.g., cognitive impairment) is recommended.
UnpublishedWork
  • R. Palm
  • M. Reintke
  • S. Metzing
  • Christian Rester
  • Fritz Sterr
  • Lydia Bauernfeind

Predictors of weaning failure in ventilated ICU patients – protocol for a systematic evidence map.

Center for Open Science OSF

  • 2024 (2024)

DOI: 10.17605/OSF.IO/2KDYU

show abstract

This project includes the protocol for our planned systematic evidence map on predictors of weaning failure and serves as the review registration for further publication.
Journal article
  • Michael Knop
  • M. Mueller
  • S. Kaiser
  • Christian Rester

The impact of digital technology use on nurses' professional identity and relations of power: a literature review.

In: Journal of Advanced Nursing vol. 80 pg. 4346-4360

  • 01.04.2024 (2024)

DOI: 10.1111/jan.16178

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AIM This study seeks to review how the use of digital technologies in clinical nursing affects nurses' professional identity and the relations of power within clinical environments. DESIGN Literature review. DATA SOURCES PubMed and CINAHL databases were searched in April 2023. METHODS We screened 874 studies in English and German, of which 15 were included in our final synthesis reflecting the scientific discourse from 1992 until 2023. RESULTS Our review revealed relevant effects of digital technologies on nurses' professional identity and power relations. Few studies cover outcomes relating to identity, such as moral agency or nurses' autonomy. Most studies describe negative impacts of technology on professional identity, for example, creating a barrier between nurses and patients leading to decreased empathetic interaction. Regarding power relations, technologically skilled nurses can yield power over colleagues and patients, while depending on technology. The investigation of these effects is underrepresented. CONCLUSION Our review presents insights into the relation between technology and nurses' professional identity and prevalent power relations. For future studies, dedicated and critical investigations of digital technologies' impact on the formation of professional identity in nursing are required. IMPLICATIONS FOR THE PROFESSION Nurses' professional identity may be altered by digital technologies used in clinical care. Nurses, who are aware of the potential effects of digitized work environments, can reflect on the relationship of technology and the nursing profession. IMPACT The use of digital technology might lead to a decrease in nurses' moral agency and competence to shape patient-centred care. Digital technologies seem to become an essential measure for nurses to wield power over patients and colleagues, whilst being a control mechanism. Our work encourages nurses to actively shape digital care. REPORTING METHOD We adhere to the JBI Manual for Evidence Synthesis where applicable. EQUATOR reporting guidelines were not applicable for this type of review. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
Contribution
  • Milena Fels
  • Fritz Sterr
  • Lydia Bauernfeind
  • Philipp Dahlmann
  • Christian Rester

Der Einfluss von Advanced Practice Physiotherapists auf Patienten in der Akutversorgung – Teilergebnisse eines Literaturreviews.

In: 24. Kongress der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin e. V.. Abstractbuch pg. 15

  • (2024)
Journal article
  • Fritz Sterr
  • M. Reintke
  • Lydia Bauernfeind
  • V. Senyol
  • Christian Rester
  • S. Metzing
  • R. Palm

Predictors of weaning failure in ventilated intensive care patients: a systematic evidence map.

In: Critical Care (London, England) vol. 28 pg. 366

  • 12.11.2024 (2024)

DOI: 10.1186/s13054-024-05135-3

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BACKGROUND Ventilator weaning is of great importance for intensive care patients in order to avoid complications caused by prolonged ventilation. However, not all patients succeed in weaning immediately. Their spontaneous breathing may be insufficient, resulting in extubation failure and the subsequent need for reintubation. To identify patients at high risk for weaning failure, a variety of potential predictors has already been examined in individual studies and meta-analyses over the last decades. However, an overview of all the predictors investigated is missing. AIM To provide an overview of empirically investigated predictors for weaning failure. METHODS A systematic evidence map was developed. To this end, we conducted a systematic search in the Medline, Cochrane, and CINAHL databases in December 2023 and added a citation search and a manual search in June 2024. Studies on predictors for weaning failure in adults ventilated in the intensive care unit were included. Studies on children, outpatients, non-invasive ventilation, or explanatory factors of weaning failure were excluded. Two reviewers performed the screening and data extraction independently. Data synthesis followed an inductive approach in which the predictors were thematically analyzed, sorted, and clustered. RESULTS Of the 1388 records obtained, 140 studies were included in the analysis. The 112 prospective and 28 retrospective studies investigated a total of 145 predictors. These were assigned to the four central clusters 'Imaging procedures' (n = 22), 'Physiological parameters' (n = 61), 'Scores and indices' (n = 53), and 'Machine learning models' (n = 9). The most frequently investigated predictors are the rapid shallow breathing index, the diaphragm thickening fraction, the respiratory rate, the P/F ratio, and the diaphragm excursion. CONCLUSION Predictors for weaning failure are widely researched. To date, 145 predictors have been investigated with varying intensity in 140 studies that are in line with the current weaning definition. It is no longer just individual predictors that are investigated, but more comprehensive assessments, indices and machine learning models in the last decade. Future research should be conducted in line with international weaning definitions and further investigate poorly researched predictors. Registration, Protocol: https://doi.org/10.17605/OSF.IO/2KDYU.
Contribution
  • C. Abt
  • Lydia Bauernfeind
  • Milena Fels
  • Christian Rester
  • Fritz Sterr

Roboter-assistierte Frühmobilisation auf der Intensivstation – ein Scoping Review. Poster-Abstract.

In: 24. Kongress der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin e. V.. Abstractbuch pg. 251

  • (2024)
Contribution
  • Fritz Sterr
  • Lydia Bauernfeind
  • Michael Knop
  • Christian Rester
  • S. Metzing
  • R. Palm

Interventionen zur Beatmungsentwöhnung von erwachsenen Intensivpatienten – ein Scoping Review.

In: 64. Kongress der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin e. V. (Pneumologie) pg. S40

Georg Thieme Verlag

  • (2024)

DOI: 10.1055/s-0044-1778820

Contribution
  • Lydia Bauernfeind
  • Fritz Sterr
  • Milena Fels
  • Philipp Dahlmann
  • Christian Rester

Advanced nursing practitioners´ impact on pediatric patients in acute care - partial results of a literature review. Poster-Abstract.

In: 10th Congress of the European Academy of Paediatric Societies (EAPS 2024).

  • (2024)
Journal article
  • Lydia Bauernfeind
  • Christian Rester
  • Fritz Sterr

Impact of Caring for Home Mechanically Ventilated Children on Families - A Review of the Literature..

In: American Journal of Biomedical Sciences & Research vol. 21 pg. 371-375

  • (2024)

DOI: 10.34297/AJBSR.2024.21.002853

show abstract

Background: Despite extensive research regarding mechanical ventilation and ventilator weaning, not all patients can be weaned off their mechanical support. This results in an increasing number of mechanically ventilated children being cared for at home. However, this not only has an impact on the children themselves, but also on the families who provide care for the ventilated children. Aim: To explore the impact of caring for a child under home mechanical ventilation on family members. Methods: We conducted a review of the literature. A formative search was carried out in PubMed and CINAHL in July 2023. We only considered original empirical research and reviews that included children under 18 years of age on home mechanical ventilation. Screening and data analysis were independently carried out by two reviewers. Results: A total of 231 studies were obtained, of which 15 were included. The review contains seven qualitative and five quantitative studies as well as three reviews. The analysis revealed a predominantly negative experience of family members in the care for children under home mechanical ventilation. Different burdens were identified and sorted into five main clusters. These are entitled burdens for the entire family system, dependence of the family, different roles of parents, burdens for siblings, and multiple care needs. Discussion: The care for children under home mechanical ventilation is complex and has a major impact on the families, who play a central role as caregivers. While current research and professional caregivers mainly focus on the ventilated child, there is only little evidence and hardly no development of interventions to meet family members’ needs. Conclusion: In order to ensure high-quality care for children under home mechanical ventilation in the future, it is crucial to strengthen and empower families. This also requires increased support from specially qualified healthcare professionals such as advanced practitioners
Lecture
  • Fritz Sterr
  • Lydia Bauernfeind
  • Michael Knop
  • Christian Rester
  • S. Metzing
  • R. Palm

Interventionen zur Beatmungsentwöhnung von erwachsenen Intensivpatienten – ein Scoping Review. Posterpräsentation.

In: 64. Kongress der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin pg. S40

Mannheim

  • 22.03.2024 (2024)

DOI: 10.1055/s-0044-1778820

Lecture
  • Fritz Sterr
  • Milena Fels
  • Philipp Dahlmann
  • Christian Rester
  • Lydia Bauernfeind

Advanced nursing practitioners‘ impact on adult patients in acute care – partial results of a literature review.

In: 20th European Doctoral Conference in Nursing Science

Graz, Austria

  • 20.09.2024 (2024)