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Families' experiences with a novel nurse-led family support intervention in adult intensive care units : a qualitative thematic analysis
Get PDFBackground: Families of critically ill patients face considerable distress during and after their significant others’ intensive care unit (ICU) stay. To better address families’ needs and to mitigate high burden and post-ICU adverse health outcomes, we implemented a novel family support intervention (FSI) in ICUs as part of a clinical trial. The FSI consists of three core components (engaging & liaising, supporting, communicating), delivered by an ICU family nurse from admission to the post-ICU phase and have shown to improve quality of care in the ICU.
Objectives: The aim of this study was to explore and understand families’ experiences with and their perspectives on the benefits of the FSI.
Design: A multi-center, qualitative thematic analysis study, embedded within the Family in Intensive Care UnitS (FICUS) cluster-randomized clinical trial.
Participants: Family members (n = 17) and ICU survivors (n = 2) of 16 families from eight ICUs, allocated to the FICUS intervention group in the German speaking part of Switzerland.
Methods: 16 semi-structured individual (n = 14), dyadic (n = 1) or group (n = 1) interviews were held from October-December 2023, between three and six months after patients’ ICU discharge. Reflexive thematic data analysis with an inductive approach was used.
Results: Three themes and nine subthemes were identified. The three themes included having individual family needs met (information and education, coordinative and practical help, and emotional support), skilled care (authentic interest, skilled communication, and knowledge and expertise) and experiencing benefits (feeling assured and oriented, reduced burden and stress, and ability to manage and cope as a family).
Implications: Findings highlight the importance of individualized, skilled and strengthening ICU care tailored to families’ needs and situations, which follows families into the post-ICU phase. Families experienced the FSI as a beneficial model of care for both individual and family well-being. ICUs should consider building capacity to ensure structured family care
Implementing artificial intelligence in organizations : competencies and emerging roles
Get PDFArtificial Intelligence (AI) is widely regarded as a key technology of the digital age, with the potential to reshape value creation, decision-making, and competitive dynamics across all industries. However, many organizations still struggle to translate this potential into strategic and operational value. AI initiatives are often reactive, fragmented, and poorly aligned with business strategy or internal structures. As a result, companies face organizational resistance, unclear responsibilities, and governance gaps. In this context, the thesis addresses the critical question of which organizational competencies and roles are necessary for AI implementation.
The findings demonstrate that AI transformation goes beyond technology, emphasizing organizational challenges involving people, processes, and alignment. A comprehensive competency perspective emerged, spanning interdependent domains: technical and data capabilities, strategic competencies, governance and ethics, change management with emphasizes on coordination and process expertise. In addition, five role clusters were identified: operational, strategic, hybrid, enabling, and governance-related roles. Especially hybrid roles such as AI translators or AI product owners, which bridge business and technical perspectives and foster cross-functional collaboration, were highlighted.
The study offers both theoretical and practical contributions. Theoretically, it refines and extends existing frameworks such as Dynamic Capabilities Theory and Resource Orchestration Theory by grounding abstract concepts in empirically derived competencies and dynamic role structures. Practically, it provides actionable guidance for organizations by outlining which capabilities and roles are needed, how they evolve, and how they can be embedded in specific organizational contexts. The findings stress the importance of strategic intentionality and organizational agility: AI success is not a one-time milestone, but an ongoing process of learning, adaptation, and structural development. Organizations must build a human-centered and context-sensitive capability architecture to ensure that AI becomes a transformative force, rather than an isolated experiment. Ultimately, this thesis contributes to turning the fragmented and hype-driven discourse on AI into a more structured, practice-oriented, and sustainable transformation process
Dynamics of physiotherapy utilization and costs in Switzerland : insights from claims data and expert interviews (2017–2023)
No full textFamilienbilder in der Pflegekinderhilfe : wie sie uns beeinflussen und wie wir sie reflektieren können
No full textAligning project delivery models with circular economy principles : a scoping analysis
No full textThe construction industry is one of the largest global consumers of resources, accounting for over a third of material consumption, energy‑related CO₂ emissions, and waste in Europe. The transition toward a Circular Economy (CE) is therefore essential to reduce waste, improve resource efficiency, and extend material lifecycles. However, despite growing efforts, CE adoption remains marginal, potentially due to rigid procurement, short‑term cost pressures, and fragmented governance. Project Delivery Models (PDMs) shape the contractual and operational frameworks of construction projects, influencing sustainability incentives and outcomes. Traditional models tend to strongly prioritize cost and schedule, while collaborative approaches may better support circular design and life cycle optimization. This scoping analysis explores how PDMs may support or hinder CE adoption on construction projects, guided by two research questions: (1) which key features of different PDMs align with each of the “10R” strategies for adopting CE, and (2) where the literature shows the largest gaps. This scoping analysis is, to our knowledge, the first to aim to systematically match construction PDMs with the full 10R CE framework
Stillen – gesellschaftlich und politisch im Wandel
Get PDFStillen bietet viele gesundheitliche Vorteile für Mütter und ihre Kinder. Muttermilch ist das optimale Nahrungsmittel für Säuglinge und ermöglicht, den Grundstein für eine langfristige Gesundheit zu legen. Welchen Stellenwert das Stillen gesellschaftlich und politisch in der Schweiz hat und wie es sich in den letzten Jahren veränderte, zeigt eine Analyse von qualitativen Interviews mit Expert*innen
Cap4HP: Collaborative capacity building for health promotion and prevention professionals in Switzerland
Get PDFHealth promotion and prevention professionals play a crucial role in addressing current health challenges such as rising mental health issues. In Switzerland, however, their professional practice remains constrained by limited resources, weak political commitment, fragmented educational pathways, and the absence of clear role conceptualizations. To reinforce health promotion and prevention professional practice in Switzerland, this inter-university initiative aimed to foster a common understanding of systematic and strategic capacity building for health promotion and prevention professionals, based on the international CompHP Core Competency Framework for Health Promotion. This objective was pursued through three key approaches: A) Initiating a collaborative process among relevant educational institutions and decision makers in health promotion in Switzerland. B) Developing a shared understanding of professional competencies and roles of health promotion professionals. C) Disseminating a common product to raise visibility and recognition of health promotion professionals. The project combined qualitative interviews of higher education institutions and decision-makers, followed by two participatory workshops with representatives from education, practice, and policy-making. This process enabled the co-creation of a fact sheet, published via Promotion Santé Suisse, which presents the adapted Swiss CompHP framework, outlines its relevance for education, training, and practice, and formulates recommendations for implementation and dissemination. Findings show that CompHP provides a suitable foundation for defining professional competencies in Switzerland but requires contextual adaptation, including the integration of prevention alongside health promotion and attention to the country’s fragmented educational and policy landscape. Feedback emphasized the need for practical implementation guidelines, differentiated applications across educational levels, and stronger involvement of practice actors. Despite persistent conceptual ambiguities between health promotion, prevention, and public health, the participatory process strengthened mutual understanding, initiated a national network, and laid the groundwork for future collaborations and capacity-building initiatives. The results underscore the importance of collaborative leadership, targeted dissemination, and supportive tools to professionalize health promotion and prevention in Switzerland. Long-term perspectives include the establishment of a professional association and potential national accreditation mechanisms to enhance visibility, quality assurance, and policy recognition of health promotion and prevention professionals
425 Millionen US-Dollar für den heiligen Gral der Krankenversicherung
No full textWie stark reduziert eine Kostenbeteiligung von medizinischen Leistungen deren Inanspruchnahme? Welche Folgen hat eine Kostenbeteiligung wie Franchise oder Selbstbehalt für die Gesundheit von Versicherten? Diese Fragen standen am Ursprung des grössten und teuersten Feldexperiments der Geschichte: Dem RAND Health Insurance Experiment (HIE). Bis heute prägen sie die gesundheitspolitische Debatte, wie etwa in der aktuellen Diskussion um die Anhebung der Mindestfranchise in der Grundversicherung
Partizipation in der Berufsausbildung aus der Perspektive von Auszubildenden : Validierung eines Fragebogens
No full textFragestellung: Der Beitrag verfolgt das Ziel, ein Instrument zur Messung der wahrgenommenen Partizipationsmöglichkeiten von Auszubildenden in der betrieblichen Ausbildung vorzustellen. Im Zentrum steht die Frage, wie Partizipation in unterschiedlichen Dimensionen wahrgenommen wird und wie diese Wahrnehmung mit der Motivation von Auszubildenden in Verbindung steht.
Theoretische Verortung: Partizipation wird als grundlegendes Element demokratischer Bildungsprozesse betrachtet (Negt 2004), das in der Berufsbildung bislang weniger intensiv untersucht wurde (Seeber & Seifried 2022). Sie stellt einen wesentlichen Faktor für die Förderung von Motivation dar. Partizipation umfasst dabei sowohl das Mitwirken an Entscheidungsprozessen als auch die Verantwortung für deren Ergebnisse (Reichenbach 2007).
Methodischer Zugang: Die Daten wurden im Rahmen einer deutschlandweiten Studie mit 713 Auszubildenden erhoben. Ein eigens entwickelter Fragebogen misst verschiedene Dimensionen der wahrgenommenen Partizipation: Qualitäten der Einflussnahme (Selbstbestimmte Teilhabe, Bedingte Mitsprache, Fremdbestimmung) und Felder der Einflussnahme (Ausbildungsinhalte, Ausbildungsziele, Ausbildungsmethoden, Sozialformen/Zusammenarbeit, Bewertungskriterien, Prüfungsformen). Die psychometrischen Eigenschaften des Instruments wurden durch eine faktoranalytische Validierung überprüft (SatorraBentler-korrigierte globale Modelfitwerte: χ 2 = 2222.55, Df = 1356, p < 0.001, CFI = 0.940, TLI = 0.937, RMSEA = 0.033 [0.031;0.036]CI90%, SRMR = 0.051).
Ergebnisse: Die Analyse zeigt, dass die Wahrnehmung von Partizipation innerhalb der Ausbildung differenziert bewertet wird (vergleichsweise viel Partizipation bspw. bei den Ausbildungsmethoden, vergleichsweise wenig bei den Prüfungsformen). Weiterhin konnte ein signifikanter positiver Zusammenhang zwischen der Wahrnehmung von Partizipation und der intrinsischen Motivation (ρ = 0.377 - 0.499) nachgewiesen werden.
Implikationen: Das Instrument bietet eine differenzierte Messmöglichkeit der Partizipationswahrnehmung in der beruflichen Ausbildung. Es ermöglicht Ausbildern und Bildungsorganisationen, Einblicke in die Perspektiven der Auszubildenden zu gewinnen und Ausbildungskonzepte hinsichtlich einer stärkeren Einbindung und Mitbestimmung anzupassen. Dies fördert nicht nur die Motivation der Auszubildenden, sondern trägt auch zur Schaffung einer demokratischen Lernkultur in der Berufsausbildung bei
The role of behavioral heterogeneity in incentivizing the spatial-temporal flexibility of electric vehicle charging
Get PDFControlled electric vehicle (EV) charging has the potential to reduce grid investments while supporting the integration of renewable energy. We investigate how financial incentives affect EV charging load with the goal of leveraging its spatial-temporal flexibility to achieve this potential. While extant research primarily focuses on the technical aspects of controlled charging with uniform and idealized behavioral assumptions, we integrate heterogeneous user behavior, e.g., combining economically irrational with automated reactions to incentives. We develop an agent-based model to simulate charging loads at home, work, and public locations with spatially diverse scenarios of time-of-use tariffs, considering both an energy price component and a power-based capacity price component. Our results show that offering cheap workplace charging and extending time-of-use pricing to public charging locations might be most effective in shifting home charging in the evening to midday, particularly for EV users with limited reactions to financial incentives. To avoid rebound peaks, we find a strong potential across users with different behaviors to charge only at the cheapest opportunity using lower charging power