Research – Department of Health Sciences

In many countries, midwives are experts in caring for healthy pregnant women. Studies have demonstrated that continuous midwifery-led and evidence-based care models are safer and more effective than traditional obstetric care models. However, to achieve this, it is essential that midwives know, interpret, and put into practice the latest research findings. This ensures safe, transparent, effective and efficient healthcare and that the standards of midwifery care meet the expectations of pregnant women, their families and society.

The implementation of evidence-based midwifery practice in Austria continues to be a professional challenge. It has been suggested that many health professionals find it difficult to implement evidence into their daily work, as they have to come to terms with competing priorities. Numerous organisational and individual barriers influence the implementation and acceptance of evidence-based practice. Studies indicate that barriers include a lack of resources and skills as the most common obstacles to the implementation and use of evidence in midwifery practice.

Our aim was to provide SMEs providing midwifery services with the skills and resources to overcome the reported barriers to implementing the principles of evidence-based practice. We developed a teaching and learning concept tailored for practicing midwives, which enabled them to acquire the necessary skills to develop practical, sustainable, and successful strategies for the implementation of research findings in their daily practice. After completing a 40-hour qualification seminar, all participating midwives reported that they felt more confident in interpreting and using research evidence. They also stated that this was a complex process and that they would need more practice to master the newly acquired skills. In addition, they commented that the newly acquired skills and knowledge will assist them in their decision-making process, when advsing women during pregnancy, labour and the postnatal period.

The project is funded by the Austrian Research Promotion Agency.

The Josef Ressel Centre runs from September 2016 to August 2021.

The JRZ is dedicated to creating the basis for research in "real-world settings" to assess the real and individual therapy process. The research centre develops new methodological approaches for evidence-based and personalised music therapy in neurological rehabilitation in phase C. (See www.neuroreha.at/phasenmodell.html)

The international research team of the JRC interprets "personalisation" from a humanistic-anthropological point of view and is methodologically oriented - among other things - to principles of social neuroscience, with the central question of how people interact.

Clinical case reports often contain descriptions of interpersonal resonance experiences. The research team interprets these descriptions as expressions of the existential need to understand and be understood.

One research goal is to find out under which conditions such resonance can be fostered in the therapeutic context and how therapists can train their compassion for it.

Another special feature is to bring the laboratory to the bedside in "real world settings" and synchronise different data (videography, ECG, EEG, biomarkers, etc.).

Three coordinated projects are being carried out

Project 1: Right Period: Patients need recovery periods between therapies; how can this be recognised? How can they be planned?

Aim: more precise individualised therapy planning based on chronobiological rhythms and questionnaires developed within the framework of the JRZ for self-assessment and assessment by others.

Perspective: more efficient therapies - better outcomes - cost savings.

Project 2: Right Moment: in every therapy there are special moments that are crucial for therapy progress.

Aim: To recognise and induce therapeutically special moments as a basis for therapy progress.

Perspective: Insights into the neurobiological mechanisms of successful therapeutic interaction. Achieve the status of one of the leading research teams in the field of music therapy and social neuroscience.

Project 3: Empathy: Therapists need special sensitivity & training for such moments of encounter.

Aim: Development of valid measurement methods, as well as targeted training of empathy in MT.

Perspective: valid training & maintenance of empathy in all GESWISS professional groups.

The project is funded by Josef Ressel Centre Programme of the Christian Doppler Research Association, by NÖGUS, ProMente Reha and by s-team solutions GmbH.

Over the last decade personalised medicine has become increasingly important in the fields of pharmacogenetics, pharmacogenomics, clinical diagnostics, and in particular chronopharmacology, which is concerned with the optimal point in time for drug delivery. However, with respect to therapeutic interventions (in a clinical context), there has been virtually no inquiry into the most beneficial time to give therapy in relation to a patient’s chronobiological rhythms. This project focused on the question of the ideal time to administer therapy in relation to individual biological rhythms, measured using heart rate variability (HRV).

The primary aim was to establish how individual circadian and ultradian rhythms could be represented most effectively by means of HRV analysis.

The project was financed by the Science and Research Department (K 3) of the Province of Lower Austria.

Ability for empathy applies in therapeutic work as essential factor of the relationship between patient and therapist and as crucial component during recovery. It is seen as a key factor in (musica-)therapeutic work to establish a confident, therapeutic relationship between patient and therapist. Within this framework the therapist’s empathic care leads to a reduction of the opponent’s anxiety or rather stress reaction and enables a transformation into relaxation. In order to understand these processes it is necessary to explore empathy phenomenon. The focus of this project was the change of oxytocin-level in organisms in consequence of a empathic reaction caused by video sequences from clinic-therapeutic context.

The Project was co-funded by the NÖGUS.

Brain injuries bring about a variety of physical and psychological complaints. The site and severity of the brain lesion is always a decisive factor for the patient’s outlook in terms of disability.

Additionally, damage to the pathways between the brain centres can cause dysfunction in communication between them, and therefore secondary functional loss and processing problems. This results in neurological disorders such as poor concentration, attention and alertness.

Music therapy can establish new communication paths in the brain and is therefore a promising form of therapy for rebuilding communication structures between brain centres. This process is of central importance in every course of neuro- rehabilitation therapy.

The primary aim of the research was to determine the changes in brain activity (frontal lobe, hippocampus and cerebellum) and behaviour that can be brought about in vegetative state patients by means of music therapy. The project also examined if there are any links between changes in brain activity and behaviour.

The project was co-financed by Niederösterreichischer Gesundheits- und Sozialfonds (NÖGUS).