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Mareike Hechinger, MScN

Faculty of Applied Healthcare Sciences

Academic Staff

Academic Staff

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0991/3615-156

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Journal article
  • Mareike Hechinger
  • A. Kobleder

Förderung der Adhärenz kardiologischer Rehabilitation.

In: Cochrane Pflege Corner. Krankenpflege vol. 8 pg. 36-37

  • (2015)

show abstract

Die kardiologische Rehabilitationist eine Komponente zur Unterstützung von Patientinnen und Patienten bei der Erholung nach koronaren Ereignissen und zielt darauf ab, die Wahrscheinlichkeit für weitere Erkrankungen zu senken. Die Anzahl Teilnehmender an Rehabilitationsprogrammen ist aber oft gering und teilnehmende Personen halten sich mitunter nicht an das empfohlene Programm. Mit diesem Cochrane Review wird ein bereits bestehender Review aus dem Jahr 2013 aktualisiert. Die Wissenschaftlerinnen und Wissenschaftler suchten in den Datenbanken MEDLINE, EMBASE, CI-NAHL und PsycINFO. Zudem wurden die Datenbanken des Central Register of Controlled Trials (CENTRAL) und die Conference Proceedings on Web of Science (ISI Proceedings) durchsucht. Um auf weitere Studien aufmerksam zu werden, wurden auch die Datenbanken des National Health Service (NHS) und des Centre for Reviews and Dissemination (CRD) berücksichtigt. Neben der Suche in Datenbanken wurden die Referenzlisten eingeschlossener Studien nachweiteren relevanten Studien durch-gesehen. Es gab keine Einschrän-kung hinsichtlich der Sprache.Eingeschlossen wurden randomi-sierte kontrollierte Studien (RCT’s),Quasi-RCT’sund Crossover-Stu-dien. Personen über 18 JahremitMyokardinfarkt, Koronararterien-bypass-Operation, perkutanertransluminaler Koronarangioplastie (PTCA), Herzversagen, Angina oder anderen koronaren Herzerkrankungen galten als relevante Population, sofern sie berechtigt und geeignet waren, an einer kardialen Rehabilitation teilzunehmen. Zur Messung der Adhärenz wurden solche Teilnehmende als relevant angesehen, die bereits zugestimmt hatten, an einer Rehabilitation teilzunehmen. Ausgeschlos-sen wurden Personen mit Herztransplantation oder Herzschrittmachern bzw. Studien mit Interventionen, die lediglich pharmakologische Behandlungen betrafen.
Journal article
  • Mareike Hechinger

Vielfalt an Qualifikationen nutzen. Skill- und Grademix in der ambulanten Pflege.

In: Die Schwester/Der Pfleger vol. 54 pg. 72-74

  • (2015)
Journal article
  • A. Kobleder
  • N. Nikolic
  • Mareike Hechinger
  • K. Denhaerynck
  • M. Hampl
  • M. Müller
  • B. Senn

Perceived Health-Related Quality of Life in Women with Vulvar Neoplasia: A Cross Sectional Study.

In: International Journal of Gynecological Cancer vol. 26 pg. 1313-1319

  • (2016)

DOI: 10.1097/IGC.0000000000000770

show abstract

Objective The aim of the study was to determine health-related quality of life (HRQoL) of women with surgically treated vulvar intraepithelial neoplasia (VIN) and vulvar cancer (VC) during the first week after hospital discharge. Further objectives were to investigate differences between women with VIN and VC as well as to examine whether correlations exist between women’s symptom experience and HRQoL. Methods This cross-sectional study was conducted in 8 hospitals in Germany and Switzerland. Women with VIN and VC rated HRQoL with the validated German Short-Form 36. Differences between HRQoL in women with VIN and VC were tested with Wilcoxon rank-sum score. The WOMen with vulvAr Neoplasia (WOMAN) - Patient reported Outcome (PRO) self-report instrument was used to measure women’s symptom experience. Correlations between symptoms and HRQoL were calculated using Spearman correlation coefficient. Results Women with VIN and VC (n = 65) reported lower HRQoL in physical aspects (Physical Component Summary [PCS], 34.9) than that in mental aspects (Mental Component Summary, 40.5). Women with VC had lower HRQoL than women with VIN, as manifested by significant differences concerning the dimensions of “physical functioning” and “role-physical.” “Difficulties in daily life” as a distressing symptom correlated with MCS and PCS. Wound-related symptoms correlated with PCS and psychosocial symptoms/issues with MCS. Conclusions Analysis showed that women with vulvar neoplasia reported lower HRQoL in the physical and mental dimensions 1 week after discharge than comparable studies referring to months or years after surgery. Health-related quality of life is influenced by physical impairment because physical symptoms are prevalent 1 week after discharge. Patient education should focus on symptom management in an early postsurgical phase to enhance women’s HRQoL.
Journal article
  • A. Fringer
  • Mareike Hechinger
  • F. Wolfensberger
  • R. Steiner
  • W. Schnepp

Transitions as experienced by persons in palliative care circumstances and their families - a qualitative meta-synthesis.

In: BMC Palliative Care vol. 17 pg. 1-15

  • https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0275-7 (2018)

DOI: 10.1186/s12904-018-0275-7

show abstract

Background When receiving palliative care, patients and their families experience altered life situations in which they must negotiate challenges in daily life, increased care and new roles. With limited time, they also experience emotional changes that relate to their uncertain future. Transitions experienced in such situations are often studied by focusing on individual aspects, which are synthesized in the following study. The aim was to conduct a qualitative meta-synthesis to explore the experiences patients and their families gain during transitions in palliative care circumstances. Methods A qualitative meta-synthesis was conducted following an inductive approach as proposed by Sandelowski and Barroso. Inclusion criteria were studies with adult persons in palliative situations and articles published in English or German. Relevant articles were identified by researching the Pubmed and Cinahl databases, as well as by hand searches in journals and reference lists for the period 2000–2015. The findings of each study were analyzed using initial coding, followed by axial and selective coding in this order. Consequently, a conceptual model was derived from the categories. Results In total 2225 articles were identified in the literature search. Finally, 14 studies were included after the selection process. The central phenomenon observed among palliative care patients and their families was maintaining normality during transitions. Transitions are initially experienced unconsciously until a crisis occurs and responsive actions are necessary, which encourages patients and families to perceive the situation consciously and develop strategies for its negotiation. Patients remain caught between hopelessness and valuing their remaining time alive. As the illness progresses, informal caregivers reprioritize and balance their roles, and after death, family members inevitably find themselves in changed roles. Conclusions In palliative care situations, transitions are experienced differently by patients and their families in a constant phenomenon that oscillates between unconscious and conscious perceptions of transitions. The derived conceptual model offers an additional perspective to existing models and helps to clarify the phenomenon in practical settings. The study promotes a differentiated conceptual view of transitions and emphasizes patients’ and families’ perspectives.
UnpublishedWork
  • H. Kaspar
  • E. Arrer
  • F. Berger
  • Mareike Hechinger
  • J. Sellig
  • S. Stängle
  • U. Otto
  • A. Fringer

Unterstützung für betreuende Angehörige in Einstiegs-, Krisen- und Notfallsituationen. Im Auftrag des Bundesamts für Gesundheit (BAG). Schlussbericht.

  • 2019 (2019)
Journal article
  • Mareike Hechinger
  • A. Büscher

Pflegerische Beziehung im ambulanten Pflegesetting.

In: QuPuG - Journal für Qualitative Forschung in Pflege- und Gesundheitswissenschaft vol. 6 pg. 82-91

  • (2019)

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Die Beziehungsgestaltung zwischen Pflegenden und pflegebedürftigen Menschen ist ein wichtiger Aspekt der ambulanten Pflege, der bislang kaum erforscht ist. In einer qualitativen Studie wurde die pflegerische Beziehungsgestaltung im deutschen, ambulanten Pflegesetting untersucht. Die Studie orientierte sich an den Prinzipien der Grounded-Theory nach Strauss und Corbin. Acht Interviews mit beruflich Pflegenden und 24 teilnehmende Beobachtungen wurden durchgeführt. Dem Ergebnis zufolge investieren Pflegende zu Beginn in den Beziehungsaufbau, um einen Zugang zum Gegenüber zu erhalten und förderliche sowie hinderliche Einflussfaktoren auf die Beziehung auszubalancieren. Die Ausrichtung der Beziehung auf dieser Ebene ist funktional in enger Anlehnung an pflegerische Tätigkeiten. Ausgehend von einem erfolgreichen Beziehungsaufbau auf der funktionalen Ebene können Pflegende optional die Beziehung auf einer menschlich-privaten Ebene gestalten. Diese ist geprägt von Reziprozität, dem Zeigen von Gefühlen und verstärktem Sich privat involvieren. Die Ergebnisse zeigen, dass es einer Sensibilisierung der Pflegepraxis für Beziehungsentwicklung bedarf. Es gilt, bereits in der Ausbildung Fähigkeiten zur Reflexion und Abgrenzung zu fördern, damit Pflegende Beziehungen bewusst gestalten lernen.
Contribution
  • A. Fringer
  • Mareike Hechinger
  • S. Stängle
  • V. Waldboth

Projekt BLICK: Eine Einführung..

In: Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK). Analysen, Werkzeuge und Empfehlungen zur Krisenintervention pg. 19-26

  • Eds.:
  • A. Fringer

Hogrefe Bern

  • (2019)
Journal article
  • Mareike Hechinger
  • H. Mayer
  • A. Fringer

Kenneth Gergen’s concept of multi-being: an application to the nurse-patient relationship.

In: Medicine, Health Care and Philosophy vol. 22 pg. 599-611

  • https://link.springer.com/article/10.1007/s11019-019-09897-4 (2019)

DOI: 10.1007/s11019-019-09897-4

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The nurse–patient relationship is of great significance for both nurses and patients. The purpose of this article is to gain an understanding of how the individual is constituted through a focus on the execution of the patient’s and nurse’s role in the joint relationship. The article represents a social-constructionist consideration using Kenneth Gergen’s concept of multi-being. Gergen’s notions of the self as a multi-being focuses on the individual’s relational character through former relationships and social interactions. Gergen’s concept is applied onto nurses and patients as individuals to gain an understanding of the broader institutional and social context of each role and their interactions within the nurse–patient relationship. The article focuses on the nurse–patient relationship in general with regard to specific challenges in the home care setting. Various demands and experiences from a myriad of past relationships merge as potential actions for nurses and patients during the forming of a relationship. Nurses as multi-beings see themselves confronted with guidelines and legal conditions, their own as well as the patients’ expectations and the actual possible forming of a relationship in the light of daily nursing care. Patients as multi-beings experience an extended social environment that comprises the nurse–patient relationship while simultaneously having to cope with illness and increasing care dependency within their own homes. Discrepancies can be observed in the relationship with regard to the inherent human qualities, the demands of forming a relationship, and the actual relationship arising due to framework conditions.
Contribution
  • Mareike Hechinger
  • A. Fringer

Krisen in der Häuslichkeit: Eine Annäherung.

In: Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK). Analysen, Werkzeuge und Empfehlungen zur Krisenintervention pg. 27-32

  • Eds.:
  • A. Fringer

Hogrefe Bern

  • (2019)
Contribution
  • Mareike Hechinger
  • F. Domeisen Benedetti
  • S. Stängle
  • V. Waldboth
  • D. Kroh
  • E. Arrer
  • A. Fringer

Buchser Pflegeinventar für häusliche Krisen.

In: Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK). Analysen, Werkzeuge und Empfehlungen zur Krisenintervention pg. 65-210

  • Eds.:
  • A. Fringer

Hogrefe Bern

  • (2019)
Contribution
  • Mareike Hechinger
  • A. Fringer

Häusliche Krisensituation: Eine Literaturübersicht.

In: Das Buchser Pflegeinventar für häusliche Krisensituationen (BLiCK). Analysen, Werkzeuge und Empfehlungen zur Krisenintervention pg. 33-48

  • Eds.:
  • A. Fringer

Hogrefe Bern

  • (2019)
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.
Lecture
  • Daniel Schümann
  • Christine Aumer
  • Stefan Schoenstein
  • Franziska Killinger
  • Mareike Hechinger

Erfahrungen von Senior:innen mit digitaler Unterstützung Zuhause – Erste Ergebnisse der DeinHaus 4.0 Studie. Posterpräsentation.

In: Pflegekongress Wien 2023

Wien, Österreich

  • 12.10.2023 (2023)
Lecture
  • Christine Aumer
  • Alexander Pflieger
  • Mareike Hechinger

Mit digitalen Schulungen länger leben Zuhause fördern – Entwicklung, Testung und Evaluation. Posterpräsentation.

In: Konferenz DeinHaus 4.0 - Niederbayern

Technische Hochschule Deggendorf Deggendorf

  • 26.10.2023 (2023)
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

show abstract

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
  • Fritz Sterr
  • Mareike Hechinger
  • Lydia Bauernfeind
  • Christian Rester
  • R. Palm
  • S. Metzing

Being an observer of one's own life-a meta-synthesis on the experience of mechanically ventilated patients in intensive care units.

In: Critical Care (London, England) vol. 29 pg. 105

  • 08.03.2025 (2025)

DOI: 10.1186/s13054-025-05326-6

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BACKGROUND The experience of patients under mechanical ventilation in the intensive care unit is described as complex and multifaceted, but an overarching and in-depth understanding of the experience is still missing. AIM To provide an in-depth analysis and synthesis of patients' experience when being mechanically ventilated in intensive care units. METHODS We conducted a meta-synthesis according to the methodological recommendations of Sandelowski and Barroso. Our systematic literature search in Medline, CINAHL, and Cochrane was complemented by hand and citation searches. We included only qualitative studies with a rich description of conscious patients' experience under mechanical ventilation. Studies on children, step-down units, noninvasive ventilation and non-scientific journal articles were excluded. After the title, abstract and full-text screening by three reviewers, we performed initial, axial and selective coding and in-depth analysis in MAXQDA. The synthesis was supported by multiple discussion rounds. RESULTS Of the 2,563 records identified, 20 studies were included in our synthesis. This revealed the central phenomenon of patients being observers of their own lives. They are yearning for a stable picture of reality and developing various situation-specific needs. Finally, patients are finding ways to deal with the situation. These concepts are interwoven in time and are experienced repeatedly in different dimensions. CONCLUSION Patients under mechanical ventilation are highly perceptive. Healthcare professionals are particularly responsible for patients. They should reflect on their role in intensive care and must be sensitized to patients' differentiated experience. Registration, Protocol: https://doi.org/10.17605/OSF.IO/G8Q6X.