Holger Pfaff
Dados Biográficos
| ID | 332941 |
|---|---|
| NOME | Holger Pfaff |
| PRENOMES | Holger |
| SOBRENOME | Pfaff |
| ASSINATURA | PFAFF H |
| AFILIAÇÕES | University of Cologne |
| ORCID | 0000-0001-9154-6575 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 48 |
| TOTAL DE CITAÇÕES | 31 |
| TOTAL COMO AUTOR | 48 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1987 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 3 |
Safety Culture Through Patient Voice
OBJECTIVE: The 11-item Patients' Perception of Safety Culture Scale (PaPSC) measures patients' perceptions of the safety culture within healthcare organizations. While patients can respond to these items, factors such as limited knowledge, unclear roles and insufficient information may influence their assessments. Despite previous research on the PaPSC, no qualitative validation has been conducted. This study addresses this gap by exploring patie…
Language matters
Language barriers remain a critical but under-recognized determinant of cancer care quality in Germany. In the absence of standardized protocols for care of patients with language barriers, hospitals treating more linguistically diverse populations appear better equipped to navigate these challenges. These results point to an urgent need for national standards and targeted hospital-based strategies that systematically address language discordance…
Barriers and facilitators to seeking psychological support among healthcare professionals
The behaviour of healthcare professionals seeking psychological support is complex and influenced by the interaction of multiple factors. The findings highlight the need for targeted interventions that enhance mental health literacy, address stigma, provide accessible psychological support resources, and cultivate a supportive organisational culture to improve their well-being
Emotional or informational? Understanding cancer patients' multifaceted help-seeking behaviors in online health communities
Where to after Covid-19? Systems thinking for a human-centred approach to pandemics
The COVID-19 pandemic was the biggest public health crisis that the world experienced on a global scale in recent history. It exposed systemic weaknesses and fragilities in health, economic, political, environmental and social systems (Haley, Paucar-Caceres, and Schlindwein, 2021 ). Since the early days of the crisis, governments around the world sought evidence-based management strategies, turning to science to inform decisions (Yu et al., 2021 …
Quality of health care for patients with coronary heart disease and comorbid mental disorders
German clinical trials register (Deutsches Register Klinischer Studien, DRKS) Registration Number: ID DRKS00022154, date of registration: 02.11.2021
Working from home during Covid-19
The study design and methodology were approved by the Ethics Committee of the University of Cologne and the study was prospectively registered (Ref No. 21-1417_1)
Effects of a Primary Care-Based Intervention on the Identification and Management of Patients with Coronary Heart Disease and Mental or Cognitive Comorbidity—A Study Protocol
Mental and cognitive disorders (MCD) negatively affect the incidence and prognosis of coronary heart disease (CHD). Medical guidelines recommend the appropriate management of comorbid MCD in patients with CHD, yet there is evidence that the implementation in primary care is not always adequate. We present the protocol for a pilot study that aims to develop a minimally invasive intervention and evaluate its feasibility in the primary care setting …
Salutogenesis at Work as a Facilitator for Implementation? An Explorative Study on the Relationship of Job Demands, Job Resources and the Work-Related Sense of Coherence within a Complex Healthcare Pr…
We found that Work-SoC could be used to assess SPs' work environment, and therefore programme feasibility. It may be worthwhile to use Work-SoC as an implementation outcome or as an indicator for possible programmes
The Role of Psychological Wellbeing in a Cross-Provider Worksite Healthcare Management Program for Employees with Musculoskeletal Disorders
Background: Musculoskeletal and mental disorders are often comorbid, with complex correlations of pain, impairment due to pain, disability, and psychological wellbeing. This study investigates the role of psychological wellbeing in a worksite healthcare program for employees within a German randomized controlled trial. Methods: For our analyses we used data of the module for minor musculoskeletal complaints (N = 180). The intervention included a …
I’ll leave that to the case managers.” Healthcare Service Providers‘ Perceptions of Organizational Readiness for Change in a Randomized Controlled Trial—A Qualitative Analysis Exploring Implementation…
Up to 50% of unsuccessful implementations of organizational change are due to a lack of organizational readiness for change (ORC). This qualitative study aims to investigate the experiences of occupational physicians (OPs) and staff of test and training centers (ETTCs) with team effectiveness in the context of ORC. The change setting is the implementation of a new occupational health program in a multicentric randomized controlled trial for muscu…
Having a Break or Being Imprisoned
Boredom has been identified as one of the greatest psychological challenges when staying at home during quarantine and isolation. However, this does not mean that the situation necessarily causes boredom. On the basis of 13 explorative interviews with bored and non-bored persons who have been under quarantine or in isolation, we explain why boredom is related to a subjective interpretation process rather than being a direct consequence of the obj…
Is the Systemic Agency Capacity of Long-Term Care Organizations Enabling Person-Centered Care during the Covid-19 Pandemic? A Repeated Cross-Sectional Study of Organizational Resilience
The COVID-19 pandemic has strained long-term care organization staff and placed new demands on them. This study examines the role of the general ability and power of a long-term care organization to act and react collectively as a social system, which is called systemic agency capacity, in safeguarding the provision of person-centered care during a crisis. The question of how the systemic agency capacity of long-term care organizations helps to e…
Employees’ Resources, Demands and Health While Working from Home during Covid-19 Pandemic—A Qualitative Study in the Public Sector
(1) Background: The COVID-19 pandemic changed the working environment in Europe in March 2020, leading to an increase in working from home. In the German public sector, many employees experienced working from home for the first time. Despite the impact on employees' daily working life, we know little about employees' resources, demands and health while working from home. The aim of this study is to investigate how working from home is implemented…
Optimizing Patient Information Material for a New Psycho-Oncological Care Program Using a Participatory Health Research Approach in Germany
High-quality patient information material (PIM) is essential for patients ́ informed decision-making, and its quality may influence a care program's acceptance. In the new psycho-oncological care program, isPO, the initial PIM was developed top-down and required optimization. In this paper, we report on the process and experiences of optimizing PIM's quality bottom-up by applying a Participatory Health Research (PHR) approach. Cancer-patient repr…
Transformational Leadership and Employees’ Psychological Wellbeing
Managers play a key role in realizing a humane organization of work. Transformational leadership aims to identify and examine leadership behaviors that strengthen employees' awareness of the importance and values of task outcomes by articulating a vision for the future, providing a realistic action plan, and giving individualized support. Previous studies have revealed associations between transformational leadership and the psychological wellbei…
Dualized Labor Market and Polarized Health
This study analyzes the longitudinal association between precarious employment and physical and mental health in a dualized labor market by disaggregating between-employee and within-employee effects and considering mobility in precariousness of employment. Analyses were based on the German Socio-Economic Panel from 2002 to 2018 considering all employees ages 18 to 67 years (n = 38,551). Precariousness of employment was measured as an additive in…
The Organic Turn
The COVID-19 pandemic has posed an extraordinary challenge for public health and health policy. Questions have arisen concerning the main strategies to cope with this situation and the lessons to be learned from the pandemic. This conceptual paper aims to clarify these questions via sociological concepts. Regarding coping strategies used during the pandemic, there is a strong tendency for health policymakers to rely on expert knowledge rather tha…
Does social support mediate the effect of multimorbidity on mental wellbeing in the German working population? A longitudinal mediation analysis using structural equation modelling
This study provides insights into the longitudinal relation between multimorbidity, mental wellbeing, and social support. The analysis used the German Sociomedical Panel of Employees, a study of the German working population aged 40 to 54. In the context of multimorbidity, this population has been little studied. Multimorbidity is significantly associated with reduced mental wellbeing and social support, whereas social support increases mental we…
Early Referral to Nephrological Care and the Uptake of Peritoneal Dialysis. An Analysis of German Claims Data
ER of patients with CKD to a nephrologist increases PD uptake. It gives both nephrologists and patients enough time for patient education about different treatment options and can contribute to informed decisions about the dialysis treatment
Hospital Processes and the Nurse-Patient Interaction in Breast Cancer Care. Findings from a Cross-Sectional Study
(1) Background: Evidence suggests that organizational processes of hospitals have an impact on patient-professional interactions. Within the nurse-patient interaction, nurses play a key role providing social support. Factors influencing the nurse-patient interaction have seldomly been researched. We aimed to examine whether the process organization in hospitals is associated with breast cancer patients' perceived social support from nurses.; (2) …
Participatory Development and Preliminary Psychometric Properties of the User-Friendly Patient Information Material Checklist (Upim-Check)
The aims of this study were (1) to design a user-friendly instrument to assess and optimize patient information material (PIM), (2) to develop an English version, and (3) to test its psychometric properties. The instrument was needed to optimize the top-down developed PIM of the psycho-oncological care programme isPO. First, a literature-based PIM checklist was developed by a team of patient representatives, cancer care experts and professional r…
How Managers Perceive and (Do Not) Participate in Health Promotion Measures—Results from a Cross-Sectional Mixed-Methods Survey in a Large ICT Company
Managers often face stress and high work demands. Yet they have received limited attention as targets of workplace health promotion measures (HPMs). This study's primary objective (1) is to examine managers' self-reported participation in HPMs and factors associated with HPM participation. The secondary objective (2) is to examine managers' perceptions of their working conditions. A cross-sectional mixed-methods online survey was conducted with a…
A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders
Musculoskeletal disorders (MSDs) are among the most common cause for reduced work capacity and sick leave. Workplace health promotion programs are often neither tailored to the workplace nor the individual needs of the employees. To counteract lacking intersectional care, this four-year randomized controlled trial (RCT) aimed to investigate the effects of modular coordinating case management (treatment group) compared to supported self-management…
Homeoffice-und Präsenzkultur im öffentlichen Dienst in Zeiten der Covid-19-Pandemie
Mit dem Ausbruch der Covid-19-Pandemie in Deutschland wurden im März 2020 eine Reihe von Maßnahmen zur Eindämmung des Infektionsrisikos eingeführt, die vielfache Auswirkungen auf das Privat- und Arbeitsleben vieler Menschen haben. Hierzu gehören die Einführung von Kontaktbeschränkungen, die Schließung von Kindertagesstätten und Schulen und der damit verbundene Wegfall von Betreuungsmöglichkeiten sowie das verstärkte Arbeiten im Homeoffice. Viele …
Marriage and the psychological consequences of a heart attack
Why we are bored
The experience of boredom is strongly connected to our well-being. It can be a powerful driver toward a meaningful life and a great source of creativity. However, it can also pose a severe risk to our health. In recognition of its importance, in recent years, more and more researchers have begun to investigate the topic of boredom. However, while the psychological factors influencing boredom have been studied extensively, its social conditions ar…
The Role of Welfare State Characteristics for Health and Inequalities in Health from a Cross-National Perspective
Trends in the association of different forms of precarious employment and self-rated health in Germany. An analysis with the German Socio-Economic Panel between 1995 and 2015
BACKGROUND: Precarious employment has increased in Germany by means of labour market flexibilisation throughout the 1990s and 2000s. In this study, trends in the association of self-rated health (SRH) with different dimensions of precarious employment by gender in Germany between 1995 and 2015 were assessed considering different periods of labour market reforms and the Great Recession. METHODS: Analyses were conducted using the German Socio-Econo…
Leben mit dem Herzinfarkt
Marriage and the psychological consequences of a heart attack
Das Sozialkapital der Krankenhäuser — wie es gemessen und gestärkt werden kann
The Worksite Health Promotion Capacity Instrument (WHPCI)
Our findings indicate preliminary evidence for the validity and reliability of both subscales of the WHPCI. The goodness of each cut-off score suggests that the scales are appropriate for determining companies' levels of health promotion capacity. Support in implementing (systematic) worksite health promotion can then be tailored to each company's needs based on their current capacity level
The relationship between social capital in hospitals and emotional exhaustion in clinicians
Background: About 30% of doctors working in inpatient and outpatient departments suffer from burnout, characterized, for example, by emotional exhaustion. The prevention of burnout constitutes a great challenge for those responsible for the healthcare system. Aims: Research into the relationship between social capital in hospitals and the occurrence of emotional exhaustion in clinicians is still at an early stage. The aim of the current study is …
The association between transformational leadership in German hospitals and the frequency of events reported as perceived by medical directors
This paper aimed to evaluate how transformational leadership behaviour is associated with patient safety culture in a hospital context. In line with findings from other high-hazard industries, we predicted that in hospitals, executives’ perceived emphasis on transformational behaviour would positively influence the frequency of events reported by staff on the front line of service provision. Our hypothesis was confirmed by fitting a multivariable…
Patients Feeling Severely Affected by Multiple Sclerosis
Eleven months after being interviewed in a study on unmet needs of severely affected multiple sclerosis patients, one participant died by assisted suicide. We reanalyzed the data to find out if our 15 study patients might have brought up the topic of death and dying during episodic interviews that had not primarily addressed this issue. Secondary analysis with regard to the thematic field of death and dying revealed that patients unsolicited brou…
Perceived Psychotherapist's Empathy and Therapy Motivation as Determinants of Long-Term Therapy Success—Results of a Cohort Study of Short Term Psychodynamic Inpatient Psychotherapy
Objective: Outcome predictors and determinants for treatment outcome of inpatient psychotherapy will be assessed in a follow-up-study. Sociodemographic factors and the level of depressiveness at admission, the perceived psychotherapist's empathy rated by patients and the therapy motivation as possible moderators of treatment outcome (reduction of depressive symptoms) are analyzed. Methods: In a cohort study, the outcome of inpatient multimodal ps…
Health literacy of commercial industry managers
Managers have been neglected in health literacy research. There still is little known about the health-literacy status and needs of commercial industry managers. This article reduces the existing knowledge gap by presenting findings of an exploratory qualitative study. We conducted 23 separate semi-structured interviews of managers from all management levels (low, middle and top) and experts in the field of health management and/or personnel mana…
Influence of Health Literacy on the Physical Activity of Working Adults
Studies show that high health literacy (HL) can support the promotion and maintenance of healthy behavior such as physical activity (PA). However, most studies rely on subjective data. The aim of the present study is to investigate the relationship between HL and PA, not only with subjectively but also with objectively measured PA data. The present study is a pooled analysis of baseline data from the research association TRISEARCH (2015-2018), wh…
Digital Leadership Skills and Associations with Psychological Well-Being
Due to increasing digitalisation, today's working world is changing rapidly and provides managers with new challenges. Digital leadership is an important factor in managing these challenges and has become a key concept in the discussion about what kinds of skills managers need for digital transformation. The main research question our study explored was if digital leadership is associated with psychological well-being in upper-level managers. Bas…
Managers’ Well-Being in the Digital Era
Due to the current digital transition, companies are under pressure to pursue digitalization and often initiate far-reaching transformation processes. As a result, managers must drive change within a company and are involved in important decision-making processes. In the present study, we focused on two cognitive job demands in managers related to change due to digital transformation: perceived choice overload and pressure from digitalization. We…
Differences in Perceived Waiting Time by Health Insurance Type in the Inpatient Sector
Although the relationship between health insurance and waiting time has been established in the ambulatory sector in Germany, research in the inpatient sector is limited. This study aims to contribute to previous work through analyzing differences in perceived waiting time by health insurance type during the inpatient stays of patients with breast cancer in Germany. This study utilizes cross-sectional data from 2017 of patients with breast cancer…
Trends in the association of different forms of precarious employment and self-rated health in Germany. An analysis with the German Socio-Economic Panel between 1995 and 2015
BACKGROUND: Precarious employment has increased in Germany by means of labour market flexibilisation throughout the 1990s and 2000s. In this study, trends in the association of self-rated health (SRH) with different dimensions of precarious employment by gender in Germany between 1995 and 2015 were assessed considering different periods of labour market reforms and the Great Recession. METHODS: Analyses were conducted using the German Socio-Econo…
The Role of Welfare State Characteristics for Health and Inequalities in Health from a Cross-National Perspective
What Really Matters? Organizational Versus Regional Determinants of Hospitals Providing Medical Service Centres
Nursing Home Residents Aged over 80—A Cross-Sectional Analysis on Which Activity Traits Correlate to Positive Affect
Admission to a care facility is assumed to enhance depressive symptoms and dependent behavior in old age. In this context, the relevance of participation in activities that make everyday life in a care facility more pleasant has been pointed out. This study examines if there is a relationship between participation in different activities as well as the frequency of this participation and the positive affect of nursing home residents aged over 80.…
Occupational Physicians’ Perspectives on Determinants of Employee Participation in a Randomized Controlled Musculoskeletal Health Promotion Measure
Occupational physicians (OPs) are key figures for advising employees and employers about prevention and health at the workplace. However, knowledge of their views on participation in health promotion measures is sparse. This qualitative study aims to explore occupational physicians' experiences with employee participation in a randomized controlled workplace measure for musculoskeletal disorders (MSDs) in Germany. We conducted eight semi-structur…
Is Organizational Communication Climate a Precondition for Patient-Centered Care? Insights from a Key Informant Survey of Various Health and Social Care Organizations
Health and social care organizations are under pressure of organizing care around patients' needs and preferences while complying with regulatory frameworks and constraint resources. To implement patient-centered care in health and social care organizations successfully, particular organizational preconditions need to be considered. Findings on the implementation of patient-centered care and its preconditions are rare and insufficiently account f…
A Parsonian Approach to Patient Safety
The purpose of this study is to investigate the role of the combination of transformational leadership and social capital in safety capacity building. Drawing on the A-G-I-L concept of Talcott Parsons, we test a model for patient safety. The hypothesis is, that good safety management needs a combination of goal attainment (G) and integration (I), here called the GI factor. We tested this hypothesis by using transformational leadership as a surrog…
Why we are bored
The experience of boredom is strongly connected to our well-being. It can be a powerful driver toward a meaningful life and a great source of creativity. However, it can also pose a severe risk to our health. In recognition of its importance, in recent years, more and more researchers have begun to investigate the topic of boredom. However, while the psychological factors influencing boredom have been studied extensively, its social conditions ar…
The Organic Turn
The COVID-19 pandemic has posed an extraordinary challenge for public health and health policy. Questions have arisen concerning the main strategies to cope with this situation and the lessons to be learned from the pandemic. This conceptual paper aims to clarify these questions via sociological concepts. Regarding coping strategies used during the pandemic, there is a strong tendency for health policymakers to rely on expert knowledge rather tha…
Does social support mediate the effect of multimorbidity on mental wellbeing in the German working population? A longitudinal mediation analysis using structural equation modelling
This study provides insights into the longitudinal relation between multimorbidity, mental wellbeing, and social support. The analysis used the German Sociomedical Panel of Employees, a study of the German working population aged 40 to 54. In the context of multimorbidity, this population has been little studied. Multimorbidity is significantly associated with reduced mental wellbeing and social support, whereas social support increases mental we…
Early Referral to Nephrological Care and the Uptake of Peritoneal Dialysis. An Analysis of German Claims Data
ER of patients with CKD to a nephrologist increases PD uptake. It gives both nephrologists and patients enough time for patient education about different treatment options and can contribute to informed decisions about the dialysis treatment
Hospital Processes and the Nurse-Patient Interaction in Breast Cancer Care. Findings from a Cross-Sectional Study
(1) Background: Evidence suggests that organizational processes of hospitals have an impact on patient-professional interactions. Within the nurse-patient interaction, nurses play a key role providing social support. Factors influencing the nurse-patient interaction have seldomly been researched. We aimed to examine whether the process organization in hospitals is associated with breast cancer patients' perceived social support from nurses.; (2) …
Medicine (39 obras) · Psychology (29 obras) · Health care (17 obras) · Nursing (17 obras) · Social Psychology (15 obras) · Political science (14 obras) · Social Psychology (13 obras) · Sociology (12 obras) · Business (11 obras) · Workplace Health and Well-being (11 obras)