Evidence map›Paper›PMID 40581651›Full record

ArticleBMC health services research2025

Multifarious approaches of implementation to transfer gender sensitivity in health care practice: a scoping review.

Judith Mollenhauer, Sophia Sgraja, Ute Seeland, Martina Kloepfer, Volker E Amelung, Clarissa Kurscheid

Abstract readScoping Review
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Judith Mollenhauer *Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Straße 1, Hanover, 30625, Germany. Judith.Mollenhauer@stud.mh-hannover.de.
Sophia Sgraja *Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Straße 1, Hanover, 30625, Germany.
Ute SeelandMedical Faculty University Hospital Magdeburg Otto von Guericke, Leipziger Str. 44, Magdeburg, 39120, Germany.
Martina KloepferInstitute for Gender Health, Wartburgstr. 11, Berlin, 10823, Germany.
Volker E AmelungInstitute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Straße 1, Hanover, 30625, Germany.
Clarissa KurscheidFigus - Research Institute for Health- and System Design, Domstr. 55-73, Cologne, 50668, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGender-sensitive care (GSC+) is part of patient-centered care and necessary for adequate patient outcome. Implementation measures are needed to close the gap between evidence-based medicine and nursing and lacking gender-sensitive daily care. The present scoping review is part of the German Innovation Fund project HeartGap (funding number: 01VSF22030), is registered in the German Register of Clinical Studies (clinical trial registry number: DRKS 00031317, registration date: 24.02.2023), and aims to identify measures, facilitators, and barriers to enhance a sustainable implementation process of GSC+.

methodsLiterature was identified from PubMed, web of science and CINAHL (2008-2023). The relevance of 23,508 articles was assessed and content analyzed. The systematic search, snowball principle, and hand search brought a total of 117 articles. The included articles were subsumed in one of the four derived main dimensions (i) politics, (ii) research/science, (iii) education, and (iv) institutions of care. The implementation of GSC+ in institutions of care (inner setting) is dependent on outer factors such as political decisions, education, or research/science (outer settings).

resultsThe results demonstrate facilitators and barriers, which influence the implementation of GSC+. Key measures regarding main dimensions are described as follows: (i) Politics provides the framework for the implementation of GSC+. Lobbying is a useful instrument to enhance awareness of politics. Learning from international best-practice concepts and promoting career advancement facilitates the implementation. (ii) Generating evidence by conducted studies enables the integration of GSC+ content through professional associations in guidelines. (iii) Educating (future) health care providers through GSC+ training programs, journal clubs and mandatory integration into the curricula enhances awareness of patient´s diversity. (iv) For implementing changes in daily care routine, the implementation process should be accompanied and structured by change agents. A handbook on how to organize quality circles facilitates the change process.

conclusionThe implementation of GSC+ is a cross-dimensional task. There are already many measures that can sustainably improve gender sensitivity in the dimensions. There is still a lack of compulsory requirements for implementation and recommended actions to ensure that GSC+ is considered in practice.

Indexed as

Delivery of Health CarePatient-Centered CareFemaleGermanyHumansMaleBarriersFacilitatorsGender-sensitive careImplementation measuresImplementation researchScoping review

Identifiers

PMID40581651
PMCPMC12206366

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.