Aim This study aims to identify key determinants and strategies for effectively implementing a reflection method to support adequate use of the ‘Informal Care’ guideline within community nursing. The SPARK (Self & Peer Assessment to Reflect on Quality Standards) reflection study, is a structured group …

Urbanisation and climate change intensify urban heat stress, threatening public health, urban liveability, and equity (IPCC, 2022; Ebi et al., 2021; Böcker & Thorsson, 2014). Vulnerable populations—such as those with limited mobility, low incomes, or health conditions increasing heat stress susceptibility—bear …

Background: Most studies on older adults' vitality focus on linear connections between determinants and outcomes. To design more comprehensive and impactful approaches to support the vitality of older adults, a better understanding of the interplay among elements that shape their vitality is necessary. …

Background and purpose A generic, structured transitional care pathway dedicated to patients in the academic setting is currently lacking. This study aimed to identify the key factors influencing a successful transition from pediatric to adult care for adolescents and young adults and to develop a generic, …

This article reports the findings of focus-group discussions with healthcare providers concerning the facilitators and barriers they experience when engaging in therapeutic patient education (TPE). Methods: Five focus-group discussions were held with a total of 21 primary and secondary healthcare providers. Discussions …

Introduction High mechanical power is associated with mortality in patients who are critically ill and require invasive ventilation. It remains uncertain which components of mechanical power – volume, pressure or rate – increase mechanical power the most. Methods We conducted a post hoc analysis of a …

Managed realignment (MR) involves repositioning coastal or river flood defenses to re-establish tidal flooding and restore intertidal ecosystems in reclaimed areas. The restoration of intertidal ecosystems contributes to flood risk management and achieving nature conservation objectives. However, MR …

Research on the spatial variation in ‘populist’ and ‘anti-establishment’ voting focuses on the role of ‘left behind places’, where these parties are particularly successful in regions that have been left behind economically or culturally. Applying this perspective to the German case, this paper examines …

Background: Osteoarthritis (OA) is a chronic disease primarily affecting older adults, mainly impacting the hip and knee joints. The increasing prevalence of OA contributes to rising healthcare demands and costs. Current OA treatment guidelines emphasize the importance of self-management education and …

Pregnancy and early parenthood mark a transformative period where women become caregivers and assume a new role with new responsibilities. While often portrayed positively, the transition to motherhood can be overwhelming. This is especially true for women living in adverse circumstances, presenting …