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Bielefeld School of Public Health

AG 6: Department of Health Services Research and Nursing Science 

© Universität Bielefeld

förges Q: Promotion of health through the life-course − meanings in the context of user-oriented care models

Duration
04/2018 bis 03/2021

Project management and coordination
Prof. Dr. Kerstin Hämel

Project team members
Dr. Gundula Röhnsch,  Marcus Heumann
Daria Bula (research assistant)

Cooperation partner networked
Evangelisches Klinikum Bethel (EvKB) gGmbH
Caritas Düsseldorf e. V.
Lebenshilfe Brakel Wohnen Bildung Freizeit gGmbH
Arbeiterwohlfahrt Kreisverband e. V. Bielefeld
AWO UB Gelsenkirchen/Bottrop
Prof. Dr. Katja Makowsky, FH Bielefeld, University of Applied Science
Prof. Dr. Änne-Dörte Latteck, FH Bielefeld, University of Applied Science
Prof. Dr. Petra Kolip, Bielefeld University
Prof. Dr. Oliver Razum, Bielefeld University

International Cooperation partner
Prof. Dr. Ligia Giovanella, National School of Public Health (ENSP/Fiocruz), Rio de Janeiro (Brazil)
Prof. Dr. Dirce Stein Backes, Universidade Franciscana (UFN), Santa Maria/Rio Grande do Sul (Brazil)
Daniela Luisi, Scuola universitaria professionale della Svizzera italiana (SUPSI), Lugano (Switzerland)
Prof. Dr. Beatriz Rosana Gonçalves de Oliveira Toso, Western Paraná State University - UNIOESTE, campus Cascavel, Paraná, Brazil
Edurne Zabaleta-del-Olmo, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol), Barcelona (Spanien)

Project funding
Stiftung Wohlfahrtspflege NRW

Background
Although in the recent years many policy reforms were initiated with the purpose of adapting the health care system to the changing health needs of the population, there are still numerous deficits presenting obstacles to a need based health care provision, as is pointed out in scientific literature and various expert reports. Challenges become obvious in the field of nursing as well. Nurses especially are facing a great number of new tasks and requirements due to demographic change, increase in chronic diseases, multimorbidity, and care dependency. The analysis of the possibilities to promote the health of people with chronic diseases and care dependency and the participation of users becomes increasingly important for a need based health care.

Objectives
The aim of the analyses is to develop a conceptual framework for the promotion of health and participation of people with chronic diseases and care dependency as a task/responsibility of nurses. The focus is on the options and conditions of implementation of a user-orientated care in different models of primary and long-term care.

Approach

  1. Research and evaluation of literature for the promotion of health, health literacy and self-management in the case of chronic diseases and care dependency in different health care models.
  2. Analyses of the preconditions and design options of the promotion of health and health literacy as a task of nurses: semi-structured interviews/group discussions with national and international experts from academia and practice for the identification of beneficial and obstructive factors for the implication of user-orientated forms of health care.
  3. Derivation of recommendations for the implementation of user-orientated care models, which put the promotion of health and health literacy and self-management of users at their core.
  4. Review and distribution of the results in presentations, publications and a joint project volume of the research network förges.
"Produktion: -", "Realisation: -", "Film: Jann van Heusen"

Publications

Contributions to Journals and Anthologies

  • Heumann, M., Röhnsch, G., Zabaleta‐del‐Olmo, E., Toso, B. R. G. de O., Giovanella, L., & Hämel, K. (2023). Barriers to and enablers of the promotion of patient and family participation in primary healthcare nursing in Brazil, Germany and Spain: A qualitative study. Health Expectations, 26(6). https://doi.org/10.1111/hex.13843
  • Hämel, K., Röhnsch, G., & Schaeffer, D. (2022). Förderung von Gesundheit und Partizipation bei chronischer Krankheit und Pflegebedürftigkeit im Lebensverlauf - eine Einführung. In Hämel, K., & Röhnsch, G. (Eds.), Förderung von Gesundheit und Partizipation bei chronischer Krankheit und Pflegebedürftigkeit im Lebensverlauf (pp. 7-22). Weinheim, Basel: BeltzJuventa
  • Hämel, K., Röhnsch, G., Heumann, M., Backes, D. S., Toso, B. R. G. de O., & Giovanella, L. (2022). How do nurses support chronically ill clients’ participation and self-management in primary care? A cross-country qualitative study. BMC Primary Care, 23, 85. https://doi.org/10.1186/s12875-022-01687-x
  • Heumann, M., Röhnsch, G., & Hämel, K. (2022). Primary healthcare nurses' involvement in patient and community participation in the context of chronic diseases: An integrative review. Journal of Advanced Nursing, 78, 26-47. https://doi.org/10.111/jan.14955
  • Heumann, M., Zabaleta-del-Olmo, E., Röhnsch, G., & Hämel, K. (2022). “Talking on the Phone Is Very Cold”—Primary Health Care Nurses’ Approach to Enabling Patient Participation in the Context of Chronic Diseases during the COVID-19 Pandemic. Healthcare, 10(12), 2436. https://doi.org/10.3390/healthcare10122436
  • Röhnsch, G., Hämel, K., & Heumann, M. (2022). Förderung von Partizipation in Lebenswelten und Versorgungsbezügen. Wie können Pflegende in der Primär- und Langzeitversorgung beitragen? In Hämel, K., & Röhnsch, G. (Eds.), Förderung von Gesundheit und Partizipation bei chronischer Krankheit und Pflegebedürftigkeit im Lebensverlauf (pp. 24-41). Weinheim, Basel: BeltzJuventa
  • Hämel, K., Toso, B. R. G. de O., Casanova, A., & Giovanella, L. (2020). Advanced Practice Nursing in Primary Health Care in the Spanish National Health System. Ciência & Saúde Coletiva, 25(1), 303-314. https://doi.org/10.1590/1413-81232020251.28332019

Books (Editor)

  • Hämel, K., & Röhnsch, G. (eds.) (2022). Förderung von Gesundheit und Partizipation bei chronischer Krankheit und Pflegebedürftigkeit im Lebensverlauf. Weinheim, Basel: BeltzJuventa

Abstracts

  • Heumann, M., Röhnsch, G., Zabaleta-del-Olmo, E., Gonçalves de Oliveira Toso, B. R., Giovanella, L., & Hämel, K. (2022). Participation and chronic illness: Nurses’ perceptions in primary care in Brazil, Germany, and Spain. European Journal of Public Health, 32(Suppl. 3), ckac129.721. https://doi.org/10.1093/eurpub/ckac129.721
  • Hämel, K., Heumann, M., & Röhnsch, G. (2021). Förderung von Gesundheit und Partizipation in Lebenswelten und Versorgungsbezügen bei chronischer Krankheit, Behinderung und Pflegebedürftigkeit. Abstractband der Gemeinsamen Jahrestagung der Sektion III: Sozial- und verhaltenswissenschaftliche Gerontologie und der Sektion IV: Soziale Gerontologie und Altenarbeit der Deutschen Gesellschaft für Gerontologie und Geriatrie (DGGG) „(Neue) Lebensformen im Alter“, S16-43.
  • Hämel, K., Luisi, D., Heumann, M., & Giovanella, L. (2021). Participation of patients and communities in primary health care . In European Forum for Primary Care (EFPC) (Ed.), Programme Book of the 16th Conference of the European Forum for Primary Care „Primary and long-term care in the age of changing boundaries: Policy, practice and imagination (S. 25).
  • Hämel, K., Röhnsch, G. (2019). Nutzerorientierung und Partizipation im Kontext von chronischer Krankheit, Behinderung und Pflegebedürftigkeit. Kongress Armut und Gesundheit 2019 (14.-15. März. 2019 in Berlin). https://www.armut-und-gesundheit.de/fileadmin/user_upload/Kongress/Kongress_2019/Online-Doku_2019/15__Haemel___Roehnsch.pdf

This project is part of the research network förges.

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