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«Leo XIV. kann sich in säkulare Gesellschaften vielleicht besser hineindenken als Franziskus» : Der Dogmatiker Benjamin Dahlke erklärt, warum der neue Papst nur bedingt für den Katholizismus in den USA steht
No full textIst der Tourismus noch zukunftsfähig? : Evolution oder Revolution
No full textIn Zeiten von Klimawandel, Pandemien und weltweiter Ungleichheit polarisieren Reisen und Tourismus stark - während deren wirtschaftliche Bedeutung weiter steigt. Dieser Dienstleistungszweig kommt daher nicht umhin, sich an veränderte Bedürfnisse sowie ökologische Ziele adäquat anzupassen, damit er als "Agent of Change" mit nachhaltigen Lebensentwürfen beispielhaft vorangehen kann. Daraus folgende, mitunter schmerzhafte Konsequenzen sind evident, denn langfristiger Nutzen im Sinne von Nachhaltigkeit kommt vor kurzfristiger Wirtschaftlichkeit - was ein gesamtgesellschaftliches Umdenken erfordert. Die Beiträge befinden sich im Spannungsfeld zwischen Wirtschaft, Gesellschaft sowie Politik und diskutieren facettenreiche Ideen hinsichtlich der transformativen Kraft eines zukunftsfähigen Tourismus
Defining ecosystems in person-centred integrated long-term care : a scoping review
No full textA-443
Defining ecosystems in person-centred integrated long-term care: a scoping review
Mehler-Klamt, A., Schneider, M., Zerth, J.
Catholic University of Eichstätt-Ingolstadt, Professorship for Management in Social and Health Care Institutions, Faculty of Social Work,
Eichstätt, Germany
Background and Objectives
This scoping review aims to derive a comprehensive understanding of existing ecosystems in long-term care (LTC) associated with
approaches to person-centred (PC) integrated care (IC). The review addresses the research question of which factors and attributes
can be ascribed to such an ecosystem. Specifically, it seeks to explore the role of social, regulatory, and technical factors and attributes
within this context.
Design and Methods
To explore and delineate the factors and attributes of ecosystems for PC-IC, we conducted a scoping review [2] in alignment with
PRISMA-ScR guidelines [1]. Using a defined PCC scheme [3], we searched for evidence defining ecosystems of IC for LTC across six
databases: Medline via PubMed, Cinahl, Cochrane Library, Web of Science, Scopus, and EconLit. The literature search, conducted
from May to August 2024, focused on publications from 2014 to the present.
Results
Out of 1862 publications, 37 were included in the review. The scoping review indicates that ecosystems for person-centred integrated
long-term care can be represented through various contextual factors. Key internal factors include organisational and structural items,
as well as items referring to technical and digital infrastructures. External factors encompass regulatory requirements within and beyond
the healthcare sector, market conditions, as well as societal norms and social care systems. The preliminary findings further underscore
the importance of interdisciplinary collaboration, considering the diverse perspectives of care recipients and both formal and informal
caregivers.
Conclusions
The analysis of contextual factors demonstrates that person-centred integrated care in LTC is shaped by the interplay of adequate
internal and external factors. The combined influence of internal structures and external requirements is crucial to ensuring person�centred integrated care in LTC. Further research is needed to address a specific mode of interplay between those factors.
References:
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[1] Moher D, Liberati A, Tetzlaff J, et al., (2009), Preferred reporting items for systematic reviews and meta-analyses: the PRISMA
statement., PLoS Med, 6(7), doi:10.1371/journal.pmed.1000097
[2] Munn, Z., Peters, M, Stern, C., et al., (2018), ystematic review or scoping review? Guidance for authors when choosing between a
systematic or scoping review approach, Medical Research Methodology , 18 (143)
[3] Pollock, D, Peters, M, Khalil, H et al., (2023), Recommendations for the extraction, analysis, and presentation of results in scoping
reviews, JBI evidence synthesis , 520–532, 21 (3), doi: 10.11124/JBIES-22-0012
Tradinik, Ernst: Inklusive Medienarbeit : Menschen mit Behinderung in Journalismus, Radio, Moderation und Film. Köln, 2024
No full textForgiveness in Poland : Rye Forgiveness Scale adaptation and its longitudinal impact on mental health in HIV-positive individuals
No full textWithin psychological research, the concept of forgiveness has gained recognition for its potential impact on health, underlining the need for culturally adapted assessment tools and longitudinal studies to substantiate its effects. In this two-phase research project, we initially adapted the Rye Forgiveness Scale (RFS) to measure state forgiveness in the Polish context with 740 participants. Reliability analysis and confirmatory factor analysis confirmed the RFS's structure and internal consistency (absence of negative α = 0.87, presence of positive α = 0.86, full scale α = 0.84). Positive associations with other measures of forgiveness, religiosity, connection to nature, and mental well-being validated the scale's efficacy. The second phase evaluated the impact of state forgiveness on the mental health of 214 HIV-positive Polish individuals across three 6-month intervals. Utilizing the stress-and-coping model, this phase investigated forgiveness as a protective factor against negative mental health outcomes. The findings indicated that forgiveness could positively influence mental health, underscoring its importance in promoting well-being among vulnerable groups. This research provides a culturally validated tool for measuring forgiveness and illuminates its health benefits, emphasizing its significance for diverse populations
Culture Wars : Religion und Politik in den USA
No full textIn den Vereinigten Staaten haben sich zwei eindeutig voneinander getrennte kulturelle Lager herausgebildet. Sie konkurrieren nicht nur um Einfluss auf die öffentliche Meinung, sondern versuchen aktiv, ihre Überzeugungen in Exekutive, Legislative und Judikative durchzusetzen. Benjamin Dahlke, Professor für Dogmatik und Dogmengeschichte an der Katholischen Universität Eichstätt-Ingolstadt, zeichnet die Geschichte des US-amerikanischen Kulturkampfes bis zum zweiten Wahlsieg Donald Trumps am 5. November nach und analysiert dabei die Rolle der christlichen Kirchen
States’ Interactions with Their National Communities Abroad
No full textStates interact with their national communities abroad in very different ways. In some cases, they actively support and protect them. In other cases, they co-opt and exploit their national communities abroad in that they reach out to them in order to tap into, thus benefitting domestically, from their economic and financial potentials or to garner political support. In still other cases, they repress or coerce their communities abroad, thus conceiving the latter not as an asset but as a possible challenge or threat that needs to be controlled. Against this background, the chapter first explores the general motivations and objectives as to why states interact with their national communities abroad, in the form of “support,” “co-optation,” and “repression.” Then, it discusses key practices that states employ in this interaction, along three substantive dimensions, namely: diplomacy and consular, economy and social, and security. Next, possible drivers that condition whether, how, and for what reason states interact with their communities abroad are presented. This is followed by a discussion on how the countries covered in this volume were selected. The concluding section presents the plan of the book and briefly summarizes the individual chapters
Sanctifying suffering and fostering self-forgiveness : Exploring pathways to well-being in chronic pain management
No full textThis study investigated the mediating role of self-forgiveness in the relationship between the sanctification of suffering and mental well-being in individuals with chronic pain, aiming to integrate psychological and religious/spiritual coping strategies into pain management. Utilizing a three-wave longitudinal design, the study tracked changes in the sanctification of suffering, self-forgiveness, and mental well-being among American Christians experiencing chronic pain across three time points. A total of 147 participants were involved, completing measures online designed to assess each variable and elucidate causal relationships and mediating effects. Sanctification of suffering demonstrated positive correlations with self-forgiveness and well-being across three time points. Furthermore, analyses using a latent variable cross-lagged panel model indicated that initial sanctification of suffering significantly predicted increases in self-forgiveness, which subsequently contributed to enhanced well-being. These findings underscore the mediating role of self-forgiveness in the association between sanctification of suffering and well-being. The study supports the idea that viewing suffering as sacred can promote self-forgiveness, which in turn enhances mental well-being among American Christians with chronic pain. These findings highlight the importance of integrating spiritual and psychological approaches in the therapeutic management of chronic pain, suggesting that such integrative strategies can significantly enhance patient outcomes
Resilient transportation network design with disruption uncertainty and lead times
No full textCost-efficient and reliable transports are needed to supply products competitively. Thus, particularly in increasingly complex and global supply chains, identifying the optimal transportation mode is a critical decision. Transportation modes, however, are prone to disruptions, such as hurricanes, low water levels, or port shutdowns, resulting in transportation stops and cost increases. To counteract these disruptions, different resilience strategies are studied to increase the capability of a network to withstand, adapt, and recover from disruptions. For a cost-optimal use, it is necessary to determine the optimal mix of strategic, tactical, and operational strategies.
We provide a decision-support model that decides on the optimal mix of resilience strategies, such as multi-sourcing, inventory, or operational re-routing, for a supply chain with transportation disruption uncertainty to minimize total expected costs. The problem is formulated as a two-stage stochastic mixed-integer linear program that explicitly considers lead times. To handle large instances, we propose a Benders decomposition approach enhanced through lower-bound lifting and valid inequalities, branch-and-benders-cut, and a warm-start heuristic. Computational experiments show that large instances can be solved to near-optimality, whereas a commercial solver does not find feasible solutions.
We present a case study for a company’s inbound supply chain design with recurring transportation cost uncertainty. Considering disruption and lead time effects, a mix of resilience strategies from strategic to operational level leads to cost improvements of up to 50%. Furthermore, we show that the ability to predict disruptions can further reduce resilience-related costs by 10% if sufficient operational re-routing capacities are available