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Eine evidenzbasierte Gestaltung von Studium und Lehre, wie sie heute normativ eingefordert wird, bedarf des integrierten Zusammenwirkens von Qualitätsmanagement und Hochschuldidaktik – aber gibt es dieses in der Praxis? Mit Blick auf die allgemeine Befundlage, aber auch anhand einer eigenen empirischen Untersuchung zeigt der Beitrag diesbezüglich auf, dass Qualitätsmanagement und Hochschuldidaktik als weitgehend desintegrierte Funktionsbereiche wahrgenommen werden und Evidenzbasierung in der Praxis folglich keinen sehr hohen Stellenwert genießt. Ausgehend von einer Ursachenanalyse wird auf die dysfunktionalen, aber auch auf die funktionalen Auswirkungen dieser Separierung aufmerksam gemacht.
The sequence of isomorphism—
(2022)
Isomorphism has been widely used to describe why trends penetrate entire organizational fields. However, research so far has neglected the temporal aspects of such diffusion processes and the organizational reasons underlying the introduction of new management tools. We argue that during reform waves, the reasons for adopting the new tools differ over time. Using comparative data from two surveys on quality management in the field of higher education and the health sector, we show that early adopters are more likely to be motivated by instrumental reasons, while late adopters will more likely be motivated by institutional reasons.
Strength of weakness
(2020)
The paper investigates quality management in teaching and learning in higher education institutions from a principal-agent perspective. Based on data gained from semi-structured interviews and from a nation-wide survey with quality managers of German higher education institutions, the study shows how quality managers position themselves in relation to their perception of the interests of other actors in higher education institutions. The paper describes the various interests and discusses the main implications of this constellation of actors. It argues that quality managers, although they may be considered as rather weak actors within the higher education institution, may be characterised as having a strength of weakness due to diverging interests of their principals.
Strength of weakness
(2020)
The paper investigates quality management in teaching and learning in higher education institutions from a principal-agent perspective. Based on data gained from semi-structured interviews and from a nation-wide survey with quality managers of German higher education institutions, the study shows how quality managers position themselves in relation to their perception of the interests of other actors in higher education institutions. The paper describes the various interests and discusses the main implications of this constellation of actors. It argues that quality managers, although they may be considered as rather weak actors within the higher education institution, may be characterised as having a strength of weakness due to diverging interests of their principals.
Die Wissenschaftsfreiheit ist ein Grundrecht, dessen Sinn und Auslegung im Rahmen von Reformen des Hochschulsystems nicht nur der Justiz, sondern auch der Wissenschaft selbst immer wieder Anlass zur Diskussion geben, so auch im Zuge der Einführung des so genannten Qualitätsmanagements von Studium und Lehre an deutschen Hochschulen. Die vorliegende Dissertationsschrift stellt die Ergebnisse einer empirischen Studie vor, die mit einer soziologischen Betrachtung des Qualitätsmanagements unterschiedlicher Hochschulen zu dieser Diskussion beiträgt.
Auf Grundlage der Prämisse, dass Verlauf und Folgen einer organisationalen Innovation nur verstanden werden können, wenn der alltägliche Umgang der Organisationsmitglieder mit den neuen Strukturen und Prozessen in die Analyse einbezogen wird, geht die Studie von der Frage aus, wie Akteurinnen und Akteure an deutschen Hochschulen die Qualitätsmanagementsysteme ihrer Organisationen nutzen. Die qualitative inhaltsanalytische Auswertung von 26 Leitfaden-Interviews mit Prorektorinnen und -rektoren, Qualitätsmanagement-Personal und Studiendekaninnen und -dekanen an neun Hochschulen ergibt, dass die Strategien der Akteursgruppen an den Hochschulen im Zusammenspiel mit strukturellen Aspekten unterschiedliche Dynamiken entstehen lassen, mit denen Implikationen für die Lehrfreiheit verbunden sind: Während die Autonomie der Lehrenden durch das Qualitätsmanagement an einigen Hochschulen unterstützt wird, sind sowohl Autonomie als auch Verantwortung für Studium und Lehre an anderen Hochschulen Gegenstand andauernder Konflikte, die auch das Qualitätsmanagement einschließen.
Die vorliegende Arbeit beschäftigt sich mit Qualitätsmanagementsystemen in Nonprofit-Organisationen. Sie stellt dabei das Spannungsfeld verschiedener Akteursinteressen innerhalb von Nonprofit-Organisationen in den Vordergrund. Dies erfolgt anhand des mikropolitischen Ansatzes, der allen Akteuren innerhalb einer Organisation eigene Interessen zugesteht, die sie durch Taktiken und Strategien in Machtkämpfen versuchen durchzusetzen.
Untersucht wird der Prozess der Entstehung und Evaluation von konkreten Maßnahmen, den sogenannten Qualitätszielen, und den Einfluss von pädagogischen Mitarbeitenden auf deren Formulierung. Dies erfolgt anhand einer Einzelfallstudie. Mithilfe von qualitativen Interviews wurde untersucht, inwieweit pädagogische Mitarbeitende die Einflussmöglichkeiten des Qualitätsmanagementsystems zur strategischen Organisationsentwicklung und Durchsetzung eigener Interessen nutzen.
Die Ergebnisse zeigen, dass es zwei Typen von Mitarbeitenden gibt, aktive und passive, die entweder einen Machtgewinn oder -verlust erleben. Aufgrund der kooperativen Art der Kommunikation und Entscheidungsfindung sowie kaum divergierenden Interessen zwischen den verschiedenen Akteuren bleiben die vorhandenen Einflussmöglichkeiten im Sinne von organisationsinternen Machtkämpfen und mikropolitischen Taktiken bisher jedoch weitestgehend ungenutzt. Diese Falleigenschaften erklären, wieso der mikropolitische Ansatz bei der Analyse nicht zu den antizipierten Resultaten geführt hat.
Quality management of sport psychology care in competitive sports - (no) effect without acceptance?!
(2011)
In the past decade quality management (QM) has grown to be one of the most important topics in the area of applied sport psychology. There we discuss structures, processes, and results concerning QM, considering the QM model of the European Foundation of Quality Management (EFQM). In terms of results, quality can be defined in three areas: the coaching process itself (e. g., satisfaction and well-being of coach and client), psychological skills (e. g., efficacy of techniques used by the client), and health, personality, as well as sport performance (e. g., client's motor behavior in training and competition). Measures and processes to improve and ensure quality in these three areas are discussed as being dependent on four types of determinants: associated institutions, sport psychologists (i.e., individual competence and valence of tasks), coaching character, and socio-economic factors. As key processes of QM in this complex structure, both orientation to stakeholders and communication about quality and QM measures are identified.
Background
Outcome quality management requires the consecutive registration of defined variables. The aim was to identify relevant parameters in order to objectively assess the in-patient rehabilitation outcome.
Methods
From February 2009 to June 2010 1253 patients (70.9 ± 7.0 years, 78.1% men) at 12 rehabilitation clinics were enrolled. Items concerning sociodemographic data, the impairment group (surgery, conservative/interventional treatment), cardiovascular risk factors, structural and functional parameters and subjective health were tested in respect of their measurability, sensitivity to change and their propensity to be influenced by rehabilitation.
Results
The majority of patients (61.1%) were referred for rehabilitation after cardiac surgery, 38.9% after conservative or interventional treatment for an acute coronary syndrome. Functionally relevant comorbidities were seen in 49.2% (diabetes mellitus, stroke, peripheral artery disease, chronic obstructive lung disease). In three key areas 13 parameters were identified as being sensitive to change and subject to modification by rehabilitation: cardiovascular risk factors (blood pressure, low-density lipoprotein cholesterol, triglycerides), exercise capacity (resting heart rate, maximal exercise capacity, maximal walking distance, heart failure, angina pectoris) and subjective health (IRES-24 (indicators of rehabilitation status): pain, somatic health, psychological well-being and depression as well as anxiety on the Hospital Anxiety and Depression Scale).
Conclusion
The outcome of in-patient rehabilitation in elderly patients can be comprehensively assessed by the identification of appropriate key areas, that is, cardiovascular risk factors, exercise capacity and subjective health. This may well serve as a benchmark for internal and external quality management.
Background: Outcome quality management requires the consecutive registration of defined variables. The aim was to identify relevant parameters in order to objectively assess the in-patient rehabilitation outcome.
Methods: From February 2009 to June 2010 1253 patients (70.9 +/- 7.0 years, 78.1% men) at 12 rehabilitation clinics were enrolled. Items concerning sociodemographic data, the impairment group (surgery, conservative/interventional treatment), cardiovascular risk factors, structural and functional parameters and subjective health were tested in respect of their measurability, sensitivity to change and their propensity to be influenced by rehabilitation.
Results: The majority of patients (61.1%) were referred for rehabilitation after cardiac surgery, 38.9% after conservative or interventional treatment for an acute coronary syndrome. Functionally relevant comorbidities were seen in 49.2% (diabetes mellitus, stroke, peripheral artery disease, chronic obstructive lung disease). In three key areas 13 parameters were identified as being sensitive to change and subject to modification by rehabilitation: cardiovascular risk factors (blood pressure, low-density lipoprotein cholesterol, triglycerides), exercise capacity (resting heart rate, maximal exercise capacity, maximal walking distance, heart failure, angina pectoris) and subjective health (IRES-24 (indicators of rehabilitation status): pain, somatic health, psychological well-being and depression as well as anxiety on the Hospital Anxiety and Depression Scale).
Conclusion: The outcome of in-patient rehabilitation in elderly patients can be comprehensively assessed by the identification of appropriate key areas, that is, cardiovascular risk factors, exercise capacity and subjective health. This may well serve as a benchmark for internal and external quality management.
Introduction: Cardiac rehabilitation is designed for patients suffering from cardiovascular diseases or functional disabilities. The aim of a cardiac rehabilitation is to improve overall physical health, psychological well-being, physical function, the ability to participate in social life and help patients to change their habits. Regarding the heterogeneity of these aims measuring of the effect of cardiac rehabilitation is still a challenge. This study recommends a concept to assess the effects of cardiac rehabilitation regarding the individual change of relevant quality indicators.
Methods: With EVA-Reha; cardiac rehabilitation the Medical Advisory Service of Statutory Health Insurance Funds in Rhineland-Palatinate, Alzey (MDK Rheinland-Pfalz) developed a software to collect data set including sociodemographic and diagnostic data and also the results of specific assessments. The project was funded by the Techniker Krankenkasse, Hamburg, and supported by participating rehabilitation centers. From 01. July 2010 to 30. June 2011 1309 patients (age 71.5 years, 76.1% men) from 13 rehabilitation centers were consecutively enrolled. 13 quality indicators in 3 scales were developed for evaluation of cardiac rehabilitation: 1) cardiovascular risk factors (blood pressure, LDL cholesterol, triglycerides), 2) exercise capacity (resting heart rate, maximal exercise capacity, maximal walking distance, heart failure [NYHA classification], and angina pectoris [CCS classification]) and 3) subjective health (IRES-24: pain, somatic health, psychological wellbeing and depression as well as anxiety on the HADS). The study was prospective; data of patients were assessed at entry and discharge of rehabilitation. To measure the success of rehabilitation each parameter was graded in severity classes at entry and discharge. For each of the 13 quality indicators changes of severity class were rated in a rating matrix. For indicators without a requirement for medical care neither at entry nor at discharge no rating was performed.
Results: The grading into severity classes as well as the minimal important differences were given for the 13 quality indicators. The result of rehabilitation can be demonstrated in suitable form by means of rating of the 13 quality indicators according to a clinical population. The rating model differs well between clinically changed and unchanged patients for the quality indicators.
Conclusion: The result of cardiac rehabilitation can be assessed with 13 quality indicators measured at entry and discharge of the rehabilitation program. If a change into a more favorable category at the end of rehabilitation could be achieved it was counted as a success. The 13 quality indicators can be used to assess the individual result as well as the result of a population - e.g. all patients of a clinic in a specific time period. In addition, the assessment and rating of relevant quality indicators can be used for comparisons of rehabilitation centers.