Papers by Eva-Maria Schwienhorst-Stich
Pre–post evaluation of the emotions and motivations for transformative action of medical students in Germany after two different planetary health educational interventions
The Lancet. Planetary health, Apr 1, 2024
Visions for planetary health: Results from open-ended questions of survey participants after a virtual planetary health lecture series
Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, Apr 1, 2024
Zeitschrift für Allgemeinmedizin, Jan 4, 2024
Die so genannten planetaren Krisen Klimawandel, Biodiversitätsverlust und Verschmutzung führen zu... more Die so genannten planetaren Krisen Klimawandel, Biodiversitätsverlust und Verschmutzung führen zu schwerwiegenden gesundheitlichen und gesellschaftlichen Folgen, von denen vulnerable Gruppen besonders betroffen sind. Dies hat zur Weiterentwicklung von Public-und Global-zu Planetary Health geführt. Im Fokus stehen die Zusammenhänge zwischen Umwelt, Gesellschaft und der Gesundheit aller Lebewesen. Das breit aufgegriffene Konzept versteht sich transdisziplinär und auch als sozialgesellschaftliche Bewegung. Dieser Artikel zeigt die durch Umweltveränderungen hervorgerufenen Probleme und Handlungsfelder im Gesundheitssystem insbesondere für die Allgemeinmedizin auf und möchte zur Diskussion anregen. Die Integration von Planetary Health wird in der Allgemeinmedizin wichtiger, da hier umweltbedingte Gesundheitsfolgen unmittelbar spürbar sind und gleichzeitig in der Stärkung der Primärversorgung große Chancen für Adaptation und Mitigation liegen. Mehrere Ansätze von Planetary Health und Allgemeinmedizin decken sich in Bezug auf die Anpassung an Umweltfolgen, die Vorbereitung auf weitere Krisen sowie die Stärkung von Gesundheitsförderung und Prävention. Allerdings entstehen durch die allgemeinmedizinische Versorgung selbst hohe Umweltbelastungen. Eine auf Nachhaltigkeit ausgerichtete Praxisführung ist deshalb notwendig. Mit der Integration von Planetary Health in Leitlinien könnten zukünftig wichtige Aspekte in den allgemeinmedizinischen Alltag einziehen. Besonderen Stellenwert haben hier die klima-und umweltsensible Gesundheitsberatung und Prävention. Um den notwendigen Wandel in Medizin und Gesellschaft voranzubringen, sind Wissensvermittlung zu Planetary Health sowie weitere gesellschaftlich-politische Impulse aus der Medizin heraus notwendig.
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
ZusammenfassungPatient*innen mit Migrationsgeschichte stoßen im deutschen Gesundheitssystem vielf... more ZusammenfassungPatient*innen mit Migrationsgeschichte stoßen im deutschen Gesundheitssystem vielfach auf Zugangsbarrieren, die die Qualität der ihnen zugänglichen Versorgung mindern und ihre Gesundheit beeinträchtigen. Diese Barrieren haben einerseits politische Ursachen, sind jedoch auch auf einen Mangel an migrations- und diversitätsbezogenen Inhalten im Medizinstudium und in anderen gesundheitsbezogenen Studien- und Ausbildungsgängen zurückzuführen. Obwohl die Versorgung von Patientinnen und Patienten mit eigener oder familiärer Migrationsgeschichte zum Alltag gehört, sind dafür relevante Inhalte bislang nicht in den Curricula verankert und werden bestenfalls in Form von Wahlpflichtfächern oder anderen fakultativen Lehrangeboten vermittelt.Um diese Situation zu verbessern und eine menschenrechtsbasierte, diversitätssensible und Equity-orientierte Weiterentwicklung der Curricula voranzutreiben, hat sich das „Lehrnetzwerk Migration und Gesundheit“ gegründet. Es zielt darauf ab, 1) ...
Zeitschrift für Allgemeinmedizin
ZusammenfassungDie negativen Auswirkungen des Klimawandels auf die Gesundheit werden zunehmend sp... more ZusammenfassungDie negativen Auswirkungen des Klimawandels auf die Gesundheit werden zunehmend spürbar. Zudem liegt im Klimaschutz großes Potenzial für die Gesundheitsförderung. Im Praxisalltag können Themen zu Klimawandel und Gesundheit in die Beratung von Patient:innen integriert werden. Ziele sind der Schutz und die Förderung der individuellen und öffentlichen Gesundheit sowie weitere klima- und gesundheitsrelevante Aspekte. Inhalte einer solchen „klimasensiblen Gesundheitsberatung“ (KSGB) können Informationen über gesundheitliche Auswirkungen des Klimawandels und entsprechende Schutzmaßnahmen, Aufklärung zu gesunden und klimafreundlichen Lebensstilen oder seltener auch gesellschaftliche Aspekte sein. Bei der Integration von KSGB in Sprechstunde und Praxisabläufe finden bekannte Strategien aus der Gesundheits- und Klimawandelkommunikation Anwendung, v. a. patient:innenzentrierte Kommunikation, motivierende Gesprächsführung oder der differenzierte und offene Umgang mit klimabezoge...
Initiatives promoting planetary health education in Germany: An overview
PubMed, 2023
Planetary health education focuses on the climate and ecological crises and their adverse health ... more Planetary health education focuses on the climate and ecological crises and their adverse health effects. Given the acceleration of these crises, nationwide integration of planetary health education into undergraduate and graduate education, postgraduate training and continuing education for all health professionals has repeatedly been called for. Since 2019, planetary health education has been promoted by several national initiatives in Germany that are summarized in this commentary: 1. National Working Group Planetary Health Education, 2. Manual for planetary health education, 3. Catalog of National Planetary Health Learning Objectives in the National Competency-Based Catalog of Learning Objectives for Medical Education, 4. Working Group Climate, Environment and Health Impact Assessment at the Institute for Medical and Pharmaceutical Examinations, 5. Planetary Health Report Card, and 6. PlanetMedEd study: planetary health education in medical schools in Germany. We hope these initiatives promote collaboration across institutions involved in educating and training health professionals, inter-professional cooperation as well as rapid implementation of planetary health education.
Concept and implementation of the longitudinal mosaic curriculum planetary health at the Faculty of Medicine in Würzburg, Germany
PubMed, 2023
Background of the project: Stakeholders in healthcare and science increasingly demand the rapid i... more Background of the project: Stakeholders in healthcare and science increasingly demand the rapid integration of teaching content on planetary health (PIH) into the curricula of all the healthcare professions. In medical education, such topics are currently only covered inadequately and are mostly limited to elective courses. Why was the project initiated?: In order to reach all medical students in the sense of a learning spiral and promote an interdisciplinary understanding of planetary health, a longitudinal mosaic curriculum is being developed that introduces aspects of planetary health throughout the entire course of study. We share the first experiences of the start of this project as an example to inspire similar activities elsewhere. Implementation of the project: We mapped all the courses at the Faculty of Medicine in Würzburg and compared them with existing learning objectives on planetary health topics from the National Competency-Based Catalog of Learning Objectives for Medical Education. We then identified curricular injection points and held consultations with teaching staff and course coordinators from 26 different specialities in order to integrate the respective contents into the courses and, if necessary, develop new content. An overview of all curricular injection points with the corresponding topics, learning objectives, and teaching and examination methods is under development. Evaluation of the project: The lecturers exchanged ideas with the project team of the teaching clinic of the Faculty of Medicine; further networking meetings to coordinate a learning spiral are to follow. The lecturers were asked to provide structured learning objectives in the categories "knowledge", "attitudes", "skills", and "confidence" on the topics integrated into the courses. Oral as well as written evaluations using Evasys® questionnaires among students and lecturers are planned. Final overall assessment outlook: Planetary Health topics have been introduced in several courses following our intervention. In the context of a learning spiral, teaching staff from further medical disciplines will be contacted so that more perspectives can be highlighted at different points in the curriculum. In addition, interdisciplinary teaching formats will be developed in order to take the complexity of the interrelationships into account.
Planetare Gesundheit – Lehr- und Lernformate für die medizinische Ausbildung
Springer eBooks, 2023
Pflegebildung für planetare Gesundheit
Pflegezeitschrift
International Journal for Equity in Health
Background Research on the needs of people with disability is scarce, which promotes inadequate p... more Background Research on the needs of people with disability is scarce, which promotes inadequate programs. Community Based Inclusive Development interventions aim to promote rights but demand a high level of community participation. This study aimed to identify prioritized needs as well as lessons learned for successful project implementation in different Latin American communities. Methods This study was based on a Community Based Inclusive Development project conducted from 2018 to 2021 led by a Columbian team in Columbia, Brazil and Bolivia. Within a sequential mixed methods design, we first retrospectively analyzed the project baseline data and then conducted Focus Group Discussions, together with ratings of community participation levels. Quantitative descriptive and between group analysis of the baseline survey were used to identify and compare sociodemographic characteristics and prioritized needs of participating communities. We conducted qualitative thematic analysis on Focu...
Climate sensitive health counselling as a component of travel counselling for families
Monatsschrift Kinderheilkunde
Challenges
A new network of over 72 organizations from 12 countries was activated during a convening at ARTI... more A new network of over 72 organizations from 12 countries was activated during a convening at ARTIS in Amsterdam on 26–27 September 2022. Representatives are aligned with the transdisciplinary field and social movement of Planetary Health, which analyzes and addresses the impacts of human disruptions to natural systems on human health and all life on Earth. The new European Planetary Health Hub consists of organizations from various sectors, including universities, healthcare, youth, business, and civil society. The Convening, co-organized by the Planetary Health Alliance (PHA), the European Environment and Sustainable Development Advisory Councils Network (EEAC), and Natura Artis Magistra (ARTIS), aimed to develop Planetary Health Working Groups for Education, Policy Engagement, Research, and Movement Building. The Convening resulted in an outline for each of the Working Group’s aims, visions, missions, priorities, and activities, and set the framework for sustaining their activitie...
Kinder- und Jugendmedizin, 2019
ZusammenfassungNach Fernreisen in die Tropen und Subtropen finden sich als Grund für einen Arztbe... more ZusammenfassungNach Fernreisen in die Tropen und Subtropen finden sich als Grund für einen Arztbesuch neben den klassischen vektorübertragenen Erkrankungen wie Malaria oder Denguefieber und der Reisediarrhö auch zu ca. 20 % neu aufgetretene dermatologische Erkrankungen. Ursächlich ist meistens der Kontakt der Haut und Schleimhäute mit Insekten durch Biss oder Stich mit einer meist juckenden Lokalreaktion und der Gefahr einer bakteriellen Superinfektion. Einige Insektenarten dienen als Vektoren für systemische Infektionen sowie lokale Hautparasitosen, andere zeigen sich als Ektoparasitosen. Die Erregerspezies von nach Fernreisen neu aufgetretenen Hautveränderungen sind vielfältig, oft ist das Spektrum der Erreger weltweit verbreitet und somit nicht speziell auf Fernreisen bezogen. Es finden sich aber auch Infektionen, die je nach Reisestil, Reisedauer, und vor allem Reiseregion in unterschiedlicher Häufung und Wahrscheinlichkeit auftreten können. Die Hautinfektionen bei Kindern unter...
Ten characteristics of high-quality planetary health education—Results from a qualitative study with educators, students as educators and study deans at medical schools in Germany
Frontiers in Public Health
AimThe climate and ecological crises are considered fundamental threats to human health. Healthca... more AimThe climate and ecological crises are considered fundamental threats to human health. Healthcare workers in general and doctors in particular can contribute as change agents in mitigation and adaptation. Planetary health education (PHE) aims to harness this potential. This study explores perspectives among stakeholders involved in PHE at German medical schools on the characteristics of high-quality PHE and compares them to existing PHE frameworks.MethodsIn 2021, we conducted a qualitative interview study with stakeholders from German medical schools involved in PHE. Three different groups were eligible: faculty members, medical students actively involved in PHE, and study deans of medical schools. Recruitment was performed through national PHE networks and snowball sampling. Thematic qualitative text analysis according to Kuckartz was used for the analysis. Results were systematically compared to three existing PHE frameworks.ResultsA total of 20 participants (13 female) from 15 ...
National Planetary Health learning objectives for Germany: A steppingstone for medical education to promote transformative change
Frontiers in Public Health
Physicians play an important role in adapting to and mitigating the adverse health effects of the... more Physicians play an important role in adapting to and mitigating the adverse health effects of the unfolding climate and ecological crises. To fully harness this potential, future physicians need to acquire knowledge, values, skills, and leadership attributes to care for patients presenting with environmental change-related conditions and to initiate and propel transformative change in healthcare and other sectors of society including, but not limited to, the decarbonization of healthcare systems, the transition to renewable energies and the transformation of transport and food systems. Despite the potential of Planetary Health Education (PHE) to support medical students in becoming agents of change, best-practice examples of mainstreaming PHE in medical curricula remain scarce both in Germany and internationally. The process of revising and updating the Medical Licensing Regulations and the National Competency-based Catalog of Learning Objectives for Medical Education in Germany pro...
Frontiers in Public Health
Education for planetary health could be one of the key levers of the much-needed civilizational t... more Education for planetary health could be one of the key levers of the much-needed civilizational turn toward a sustainable and healthy future. Education goes beyond information provision and passing on of knowledge and includes competencies to transfer knowledge from one decision situation to another. There are a range of different literacy concepts from various research perspectives that aim to improve such competencies. While many contain aspects highly relevant for planetary health, there is still no comprehensive and integrative planetary health approach. To fill this research gap, we present a conceptual model of planetary health literacy. By zooming into the model, further details on the necessary core competencies of accessing, understanding, appraising, and applying information in order to make judgements and take decisions regarding planetary health can be found. Zooming out of the model allows a holistic planetary health perspective and shows the potential and opportunities...
Durch Vektoren übertragene Erkrankungen
Kinder- und Jugendmedizin, 2018
Der folgende Artikel fokussiert auf Erkrankungen, deren Erreger von Vektoren (Insekten, Spinnenti... more Der folgende Artikel fokussiert auf Erkrankungen, deren Erreger von Vektoren (Insekten, Spinnentieren) aktiv auf den Menschen übertragen werden. Sie spielen in tropischen und subtropischen Regionen der Erde eine erhebliche Rolle und sind auch im Rahmen der Differenzialdiagnose bei kranken Reiserückkehrern von großer Bedeutung. Am wichtigsten ist die Malaria, insbesondere die lebensbedrohliche Malaria tropica durch Plasmodium falciparum. Jede fieberhafte Erkrankung aus den Tropen erfordert eine zeitnahe Malaria-Diagnostik. Tropische Viruserkrankungen durch Dengue-, West-Nil-, Chikungunya- oder Zika-Viren haben sich in den vergangenen Jahrzehnten massiv ausgebreitet und stellen auch eine zunehmende Bedrohung für den europäischen Raum dar. Andere Vektor-übertragene Erkrankungen sind zwar von großer lokaler Relevanz in endemischen Regionen, aber als importierte Infektionen in Deutschland relativ selten. Bei der Betreuung der Patienten empfiehlt sich eine enge Kooperation mit Tropenmediz...
The Lancet Planetary Health
The planetary crises require health professionals to understand the interlinkages between health ... more The planetary crises require health professionals to understand the interlinkages between health and environmental changes, and how to reduce ecological harm (ie, ecological footprint) and promote positive change (ie, ecological handprint). However, health professions' education and training are mostly lacking these aspects. In this Viewpoint, we report findings from the evaluation of the Planetary Health Academy, the first open online lecture series for transformative planetary health education in Germany. In a retrospective online survey, 458 of 3656 Planetary Health Academy participants reported on their emotions towards climate change, attitudes towards health professionals' responsibilities, self-efficacy, and the contribution of the Planetary Health Academy to their knowledge and actions. Additionally, motivators and barriers to acting were assessed. Our findings provide insights that can inform future efforts for transformative education. Combined with network and movement building, education could act as a social tipping element toward actions to mitigate global environmental changes.
Frontiers in Public Health
Planetary Health connects human health with the natural and anthropogenic systems on which it dep... more Planetary Health connects human health with the natural and anthropogenic systems on which it depends. Planetary Health education has been growing in a wide range of health-related disciplines, yet not been widely implemented in health-related university curricula. This cross-sectional study focused on students' knowledge of and interest in Planetary Health education in order to assess the relevance of Planetary Health and Planetary Health topics for university students and their fields of study. We surveyed 1,303 students enrolled in health-related programmes in Bavaria, Germany. Data was collected on students' previous knowledge of and interest in Planetary Health, as well as the relevance of different Planetary Health topics and students' willingness to select a Planetary Health elective within their study programmes. Descriptive statistics were calculated. The majority of participants (73.8%) had not yet heard of Planetary Health but were interested in learning more ...
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Papers by Eva-Maria Schwienhorst-Stich