Startseite Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility

  • Sherry Dahlke EMAIL logo , Kathleen F. Hunter , Matthew Pietrosanu und Maya R. Kalogirou
Veröffentlicht/Copyright: 20. Juli 2021
International Journal of Nursing Education Scholarship
Aus der Zeitschrift International Journal of Nursing Education Scholarship Band 18 Heft 1

Abstract

Objectives

The aim of this study was to test if the e-learning activity that we developed could improve student nurses’ knowledge of continence and mobility and whether or not students would find the style of learning beneficial.

Methods

A quasi-experimental pre-post-test design was used to test if the continence and mobility e-learning activity could improve student nurses’ knowledge about assessing and managing the needs of continence and mobility. An 18-item true/false knowledge of continence quiz was completed by 116 student nurses and a Likert style feedback learning survey was completed by 135 nursing students.

Results

There was a statistically significant increase in students’ knowledge about continence and its relationship to mobility following the e-learning activity. The e-learning activity also enhanced students’ knowledge, confidence and perceptions about older people.

Conclusions

The e-learning activity we developed has the potential to improve nursing students’ knowledge about continence and mobility in an enjoyable manner.

Keywords: continence; e-learning activity; mobility; student nurses
Corresponding author: Sherry Dahlke, PhD, RN, GNC(C), Associate Professor, Faculty of Nursing, University of Alberta, Edmonton, Alberta, T69 1C9, Canada, E-mail:

Funding source: McCalla Teaching Professorship Award

  1. Research funding: Funding from the McCalla Teaching Professorship Award.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Ethical approval was received from the University on Record’s research ethics board.

References

Abrams, P., Cardozo, L., Khoury, S., & Wein, A. (Eds.) (2013). Incontinence. Retrieved from https://www.ics.org/Publications/ICI_5/INCONTINENCE.pdf.Suche in Google Scholar

Bandura, A. (1971). Social learning theory. New York, NY: General Learning Press.Suche in Google Scholar

Brady, M. C., Jamieson, K., Bugge, C., Hagen, S., McClurg, D., Chalmers, C. & Langhorne, P (2016). Caring for continence in stroke care settings: A qualitative study of patients’ and staff perspectives on the implementation of a new continence care intervention. Clinical Rehabilitation, 30, 481–494. https://doi.org/10.1177/0269215515589331.Suche in Google Scholar PubMed

Brown, C. J., Williams, B. R., Woodby, L. L., Davis, L. L., & Allman, R. M. (2007). Barriers to mobility during hospitalization from the perspectives of older patients and their nurses and physicians. Journal of Hospital Medicine, 2(5), 305–313. https://doi.org/10.1002/jhm.209.Suche in Google Scholar PubMed

Brull, S., & Finlayson, S. (2016). Importance of gamification in increasing learning. The Journal of Continuing Education in Nursing, 47(8), 372–375. Retrieved from https://pdfs.semanticscholar.org/fe6b/c81592d63cab8821a95e39a274ed594ff232.pdf. https://doi.org/10.3928/00220124-20160715-09.Suche in Google Scholar PubMed

Canadian Institute for Health Information (2017). Regulated nurses, 2017. Ottawa, ON: Author. Retrieved from https://www.cihi.ca/en/regulated-nurses-2017.Suche in Google Scholar

Canadian Institute of Health Information (2021). National health expenditure trends, 2020. Ottawa, ON: Author. Retrieved from https://www.cihi.ca/sites/default/files/document/nhex-trends-2020-narrative-report-en.pdf.Suche in Google Scholar

Chiu, A. F., Huang, M. H., Hsu, M. H., Liu, J. L., & Chiu, J. F. (2015). Association of urinary incontinence with impaired functional status among older people living in a long-term care setting. Geriatrics & Gerontology, 15, 296–301. https://doi.org/10.1111/ggi.12272.Suche in Google Scholar PubMed

Continence Foundation of Australia (2020). Functional incontinence. Retrieved from https://www.continence.org.au/types-incontinence/urinary-incontinence/functional-incontinence.Suche in Google Scholar

Cook, D. A., Levinson, A. J., Garside, S., Dupras, D. M., Erwin, P. J., & Montori, V. M. (2010). Instructional design variations in internet-based learning for health professions education: A systematic review and meta-analysis. Academic Medicine, 85, 909–922. https://doi.org/10.1097/ACM.0b013e3181d6c319.Suche in Google Scholar PubMed

Cooper, G., & Watt, E. (2003). An exploration of acute care nurses’ approach to assessment and management of people with urinary incontinence. Journal of Wound Ostomy and Continence Nursing, 15, 305–312. https://doi.org/10.1016/mjw.203.157.Suche in Google Scholar

Dahlke, S., Hunter, K. F., Kalogirou, M. R., Negrin, K., Fox, M., & Wagg, A. (2019). Nursing staffs’ educational needs related to working with hospitalized older people. Journal of Clinical Nursing, 28, 221–234. https://doi.org/10.1111/jocn.14631.Suche in Google Scholar PubMed

Dermondy, G., & Kovach, C. R. (2017). Nurses’ experience with and perceptions of barriers to promoting mobility in hospitalized older adults: A descriptive study. Journal of Gerontological Nursing, 43(11), 22–29. https://doi.org/10.3928/00989134-20170518-01.Suche in Google Scholar PubMed

Deterding, S., Dixon, D., Khaled, R., & Nacke, L. (2011). From game design elements to gamefulness: Defining “gamification”. MindTrek, 11.10.1145/2181037.2181040Suche in Google Scholar

Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail and mixed-mode surveys: The tailored design method (4th ed.). Hoboken, NJ: John Wiley.10.1002/9781394260645Suche in Google Scholar

Dingwall, L., & McLafferty, E. (2006). Do nurses promote urinary continence in hospitalized older people?: An exploratory study. Journal of Clinical Nursing, 15, 1276–1286. https://doi.org/10.1111/j.1365-2702.2006.01381.x.Suche in Google Scholar PubMed

Doherty-King, B., & Bowers, B. (2011). How nurses decide to ambulate older adults: Development of a conceptual model. The Gerontologist, 51(6), 786–797. https://doi.org/10.1093/geront/gnr044.Suche in Google Scholar PubMed

Doherty-King, B., & Bowers, B. J. (2013). Attributing the responsibility for ambulating patients: A qualitative study. International Journal of Nursing Studies, 50(Special Issue Improving the Care of Older Persons), 1240–1246. https://doi.org/10.1016/j.ijnurstu.2013.02.007.Suche in Google Scholar PubMed PubMed Central

Drolet, A., Dejuilie, P., Harkless, S., Henricks, S., Kamin, E., Leddy, E. A., … Williams, S. (2013). Move to improve: The feasibility of using an early mobility protocol to increase ambulation in the intensive and intermediate care settings. Physical Therapy, 93(2), 197–207. https://doi.org/10.2522/ptj.20110400.Suche in Google Scholar PubMed

Dubovsky, S. L., Antonius, D., Ellis, D. G., Ceusters, W., Sugarman, R., Roberts, R., … Richard Braen, G. (2017). A preliminary study of a novel emergency department nursing triage simulation for research applications. BioMed Central, 10(1), 15. https://doi.org/10.1186/s13104-016-2337-3.Suche in Google Scholar PubMed PubMed Central

Ferdinand, S. (2018). Continence care education: Views of students and registered nurses. British Journal of Nursing, 27(15), 852–859. https://doi.org/10.12968/bjon.2018.27.15.852.Suche in Google Scholar PubMed

Fontaine, G., Cossette, S., Maheu-Cadotte, M., Maihot, T., Deschenes, M. F., & Mathieu-Dupruis, G. (2017). Effectiveness of adaptive ELearning environments on knowledge competence and behaviours in health professionals and students: Protocol for a systematic review and meta-analysis. JMIR Publications, 6(7), e128. https://doi.org/10.2196/resprot.8085.Suche in Google Scholar PubMed PubMed Central

Gibson, W., Hunter, K. F., Camicioli, R., Booth, J., Skelton, D. A., Dumoulin, C., … Wagg, A. (2018). The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda. Neurourology and Urodynamics, 37, 501–509. https://doi.org/10.1002/nau.23295.Suche in Google Scholar PubMed

Gibson, W., & Wagg, A. (2014). New horizons: Urinary incontinence in older people. Age and Aging, 43(2), 157–162. https://doi.org/10.1093/ageing/aft214.Suche in Google Scholar PubMed

Govranos, M., & Newton, J. M. (2014). Exploring ward nurses’ perceptions of continuing education in clinical settings. Nurse Education Today, 34(4), 655–660. https://doi.org/10.1016/j.nedt.2013.07.003.Suche in Google Scholar PubMed

Hartley, P., DeWitt, A. L., Forsyth, F., Romero-Ortuno, R., & Deaton, C. (2020). Predictors of physical activity in older adults early in an emergency hospital admission: A prospective cohort study. BMC Geratrics, 20(177), 1–7. https://doi.org/10.1186/s12877-020-01562-3.Suche in Google Scholar PubMed PubMed Central

Health and Social Care Information Centre (2016). Hospital inpatient activity, 2015–2016. Retrieved from http://digital.nhs.uk/pubs/apc1516.Suche in Google Scholar

Henderson, J. S., & Kashka, M. S. (2000). Effect of knowledge, attitude and belief on nurses’ practice regarding urinary incontinence in adults. Urologic Nursing, 20, 291–298.Suche in Google Scholar

Holroyd-Leduc, J. M., Lyder, C. H., & Tannenbaum, C. (2006). Practical management of urinary incontinence in the long-term care setting. Annals of Long-Term Care, 14, 30–37.Suche in Google Scholar

Hunter, K. F., & Dahlke, S. (accepted manuscript). Examining nurses understanding of continence issues and management with hospitalized older people. Journal of Wound Continence Care.Suche in Google Scholar

Hunter, K. F., & Wagg, A. (2018). Improving nurse engagement in continence care. Nursing: Research and Reviews, 8, 1–7. https://www.dovepress.com/getfile.php?fileID=43474. https://doi.org/10.2147/nrr.s144356.Suche in Google Scholar

Irwin, B., Patterson, A., Boag, P., & Power, M. (2001). Management of urinary incontinence in a UK trust. Nursing Standards, 16, 33–37. Retrieved from https://www.proquest.com/openview/85a1d01b80dd9203d1f3ad9ac8e8fa5c/1?pq-origsite=gscholar&cbl=30130. https://doi.org/10.7748/ns.16.15.33.s53.Suche in Google Scholar

Kadir, F. S. (2004). The “pamper” generation: An explorative study into the use for incontinence aids in a local acute peripheral care setting. Sinapore Nursing Journal, 31, 34–38. https://doi.org/10.1111/j.1362-1017.2004.0051.x.Suche in Google Scholar

King, B. J., Steege, L. M., Winsor, K., VanDenbergh, S., & Brown, C. J. (2016). Getting patients walking: A pilot study of mobilizing older adult patients via a nurse-driven intervention. Journal of the American Geriatrics Society, 64(1), 2088–2094. https://doi.org/10.1111/jgs.14364.Suche in Google Scholar PubMed

Kneafsey, R., Clifford, C., & Greenfield, S. (2013). What is the nursing team involvement in maintaining and promoting the mobility of older adults in hospital? A grounded theory study. International Journal of Nursing Studies, 50, 1617–1629. https://doi.org/10.1016/j.ijnurstu.2013.04.007.Suche in Google Scholar PubMed

Kristiansen, L., Bjork, A., Kock, V. V., Nilsson, A., Ronngren, Y., Smedberg, A., & Trille, A. (2011). Urinary incontinence and newly invented pad technique: Patients’ close relatives’ and nursing staffs experiences and beliefs. International Journal of Urological Nursing, 5, 21–30. https://doi.org/10.1111/j.1749-771x.2011.01110.x.Suche in Google Scholar

Liaw, S. Y., Chng, D. Y. J., Wong, L. F., Ho, J. T. Y., Mordiffi, S. Z., Cooper, S., … Ang, N. A. (2017). The impact of web-based educational program on the recognition and management of deteriorating patients. Journal of Clinical Nursing, 26, 4848–4856. https://doi.org/10.1111/jocn.13955.Suche in Google Scholar PubMed

Liaw, S. Y., Wong, L. F., Lim, E. Y. P., Ang, S. B. L., Mujamdar, S., Ho, J. T. Y., … Nur, D. (2016). Effectiveness of a web-based simulation in improving workplace practice with deteriorating ward patients: A pre and post intervention study. Journal of Medical Internet Research, 18(2), e37–45. https://doi.org/10.2196/jmir.5294.Suche in Google Scholar PubMed PubMed Central

Liu, B., Moore, J.E., Almaawiy, U., Chan, W.H., Khan, S., Ewusie, J., … Straus, S.E. (2018). Outcomes of mobilisation of vulnerable elders in Ontario (MOVE ON): A multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation. Age and Ageing, 47, 112–119. https://doi.org/10.1093/ageing/afx128.Suche in Google Scholar PubMed PubMed Central

Mallette, C., Duff, M., McPhee, C ., Pollex, H., & Wood, A. (2011). Workbooks to virtual worlds: A pilot study comparing educational tools to foster a culture of safety and respect in Ontario. Nursing Research, 24(4), 44–64. https://doi.org/10.12927/cjnl.2012.22714.Suche in Google Scholar PubMed

Moore, J., Mascarenhas, A., Marquez, C., Almaawiy, U., Chan, W., D’Souza, J., … Straus, S. (2014). Mapping barriers and intervention activities to behaviours change theory for Mobilization of Vulnerable Elders inn Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals. Implementation Science, 9, 160. https://doi.org/10.1186/s13012-014-0160-6.Suche in Google Scholar PubMed PubMed Central

Ostaszkiewicz, J., O’Connell, B., & Dunning, T. (2016). ‘We just do the dirty work’: Dealing with incontinence, courtesy stigma and the low occupational status of carework in long-term aged care facilities. Journal of Clinical Nursing, 25, 2528–2541. https://doi.org/10.1111/jocn.13292.Suche in Google Scholar PubMed

Ostaszkiewicz, J., O’Connell, B., & Millar, L. (2008). Incontinence: Managed or mismanaged in hospital settings? International Journal of Nursing Practice, 14, 495–502. https://doi.org/10.1111/j.1440-172x.2008.00725.x.Suche in Google Scholar

Padula, C., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331. https://doi.org/10.1097/NCQ.0b013e3181a4f79b.Suche in Google Scholar PubMed

R Core Team (2020). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Retrieved from https://www.R-project.org/.Suche in Google Scholar

Revelle, W. (2018). psych: Procedures for psychological, psychometrics, and personality research. Retrieved from https://CRAN.R-project.org/package=psych.Suche in Google Scholar

Sepulveda-Pacsi, A., Soderman, M., & Kertesz, L. (2016). Nurses’ perceptions of their knowledge and barriers to ambulating hospitalized patients in acute settings. Applied Nursing Research ANR, 32, 117–121. https://doi.org/10.1016/j.apnr.2016.06.001.Suche in Google Scholar PubMed

Vinsnes, A. G., Harkless, G. E., Haltbakk, J., Bohn, J., & Hunskaar, S. (2001). Healthcare personnel’s attitudes towards patients with urinary incontinence. Journal of Clinical Nursing, 10, 455–461. https://doi.org/10.1046/j.1365-2702.2001.00513.x.Suche in Google Scholar PubMed

Wagg, A., Chen, L. K., Johnson, T., Kirschner-Hermanns, R., Kuchel, G., Markland, A., … Wyman, J. (2016). Incontinence in frail older persons. In P. Abrams, L. Cardozo, A. Wagg, & A. Wein (Eds.), 6th International Consultation on Incontinence. ICUD/ICS (pp. 1309–1441).Suche in Google Scholar

World Health Organization (2021). Health workforce. Retrieved from https://www.who.int/health-topics/health-workforce#tab=tab_1.Suche in Google Scholar

Zisberg, A., Shadmi, E., Gur‐Yaish, N., Tonkikh, O., & Sinoff, G. (2015). Hospital‐associated functional decline: The role of hospitalization processes beyond individual risk factors. Journal of the American Geriatrics Society, 63, 55–62. https://doi.org/10.1111/jgs.13193.Suche in Google Scholar PubMed

Zisberg, A., Shadmi, E., Sinoff, G., Gur‐Yaish, N., Srulovici, E., & Admi, H. (2011). Low mobility during hospitalization and functional decline in older adults. Journal of the American Geriatrics Society, 59, 266–273. https://doi.org/10.1111/j.1532-5415.2010.03276.x.Suche in Google Scholar PubMed

Received: 2021-03-01
Accepted: 2021-07-06
Published Online: 2021-07-20

© 2021 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Editorial
  2. Global inequity in nursing education: a call to action
  3. Research Articles
  4. Nursing students’ experiences and perceptions of an innovative graduate level healthcare grand challenge course: a qualitative study
  5. Quality of life and academic resilience of Filipino nursing students during the COVID-19 pandemic: a cross-sectional study
  6. Nursing students’ adverse childhood experience scores: a national survey
  7. Depression, anxiety and stress among Australian nursing and midwifery undergraduate students during the COVID-19 pandemic: a cross-sectional study
  8. Development and psychometric evaluation of the motivation for nursing student scale (MNSS): a cross sectional validation study
  9. The assessment and exploration of forensic nursing concepts in undergraduate nursing curricula: a mixed-methods study
  10. New nurse graduates and rapidly changing clinical situations: the role of expert critical care nurse mentors
  11. Nursing students’ experiences of virtual simulation when using a video conferencing system – a mixed methods study
  12. A mixed-methods assessment of the transition to a dedicated educational unit: nursing students’ perceptions and achievements
  13. Nursing student and faculty attitudes about a potential genomics-informed undergraduate curriculum
  14. Factors that influence the preceptor role: a comparative study of Saudi and expatriate nurses
  15. Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility
  16. Incivility among Arabic-speaking nursing faculty: testing the psychometric properties of the Arabic version of incivility in nursing education-revised
  17. Understanding clinical leadership behaviors in practice to inform baccalaureate nursing curriculum: a comparative study between the United States and Australia novice nurses
  18. A deep learning approach to student registered nurse anesthetist (SRNA) education
  19. Developing teamwork skills in baccalaureate nursing students: impact of TeamSTEPPS® training and simulation
  20. Preparing ABSN students for early entry and success in the clinical setting: flipping both class and skills lab with the Socratic Method
  21. Virtual clinical simulation in nursing education: a concept analysis
  22. COVID-19 pandemic and remote teaching: transition and transformation in nursing education
  23. Development and validation of the nursing clinical assessment tool (NCAT): a psychometric research study
  24. Becoming scholars in an online cohort of a PhD in nursing program
  25. Senior BSN students’ confidence, comfort, and perception of readiness for clinical practice: the impacts of COVID-19
  26. Relational and caring partnerships: (re)creating equity, genuineness, and growth in mentoring faculty relationships
  27. Comparison of simulation observer tools on engagement and maximising learning: a pilot study
  28. Gamification in nursing literature: an integrative review
  29. A conceptual framework of student professionalization for health professional education and research
  30. Writing a compelling integrated discussion: a guide for integrated discussions in article-based theses and dissertations
  31. Teaching evidence-based practice piece by PEACE
  32. Educational Process, Issue, Trend
  33. Increasing student involvement in research: a collaborative approach between faculty and students
  34. Capacity building in nurse educators in a Global Leadership Mentoring Community
  35. Psychiatric mental health nurse practitioner student perceptions of integrated collaborative care
  36. Igniting the leadership spark in nursing students: leading the way
  37. Quilting emergent advanced practice nursing educator identity: an arts-informed approach
  38. The expanding role of telehealth in nursing: considerations for nursing education
  39. Literature Reviews
  40. What do novice faculty need to transition successfully to the nurse faculty role? An integrative review
  41. Reflective writing pedagogies in action: a qualitative systematic review
  42. Appraisal of disability attitudes and curriculum of nursing students: a literature review
https://doi.org/10.1515/ijnes-2021-0033
Schlagwörter für diesen Artikel
continence; e-learning activity; mobility; student nurses

Artikel in diesem Heft

  1. Editorial
  2. Global inequity in nursing education: a call to action
  3. Research Articles
  4. Nursing students’ experiences and perceptions of an innovative graduate level healthcare grand challenge course: a qualitative study
  5. Quality of life and academic resilience of Filipino nursing students during the COVID-19 pandemic: a cross-sectional study
  6. Nursing students’ adverse childhood experience scores: a national survey
  7. Depression, anxiety and stress among Australian nursing and midwifery undergraduate students during the COVID-19 pandemic: a cross-sectional study
  8. Development and psychometric evaluation of the motivation for nursing student scale (MNSS): a cross sectional validation study
  9. The assessment and exploration of forensic nursing concepts in undergraduate nursing curricula: a mixed-methods study
  10. New nurse graduates and rapidly changing clinical situations: the role of expert critical care nurse mentors
  11. Nursing students’ experiences of virtual simulation when using a video conferencing system – a mixed methods study
  12. A mixed-methods assessment of the transition to a dedicated educational unit: nursing students’ perceptions and achievements
  13. Nursing student and faculty attitudes about a potential genomics-informed undergraduate curriculum
  14. Factors that influence the preceptor role: a comparative study of Saudi and expatriate nurses
  15. Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility
  16. Incivility among Arabic-speaking nursing faculty: testing the psychometric properties of the Arabic version of incivility in nursing education-revised
  17. Understanding clinical leadership behaviors in practice to inform baccalaureate nursing curriculum: a comparative study between the United States and Australia novice nurses
  18. A deep learning approach to student registered nurse anesthetist (SRNA) education
  19. Developing teamwork skills in baccalaureate nursing students: impact of TeamSTEPPS® training and simulation
  20. Preparing ABSN students for early entry and success in the clinical setting: flipping both class and skills lab with the Socratic Method
  21. Virtual clinical simulation in nursing education: a concept analysis
  22. COVID-19 pandemic and remote teaching: transition and transformation in nursing education
  23. Development and validation of the nursing clinical assessment tool (NCAT): a psychometric research study
  24. Becoming scholars in an online cohort of a PhD in nursing program
  25. Senior BSN students’ confidence, comfort, and perception of readiness for clinical practice: the impacts of COVID-19
  26. Relational and caring partnerships: (re)creating equity, genuineness, and growth in mentoring faculty relationships
  27. Comparison of simulation observer tools on engagement and maximising learning: a pilot study
  28. Gamification in nursing literature: an integrative review
  29. A conceptual framework of student professionalization for health professional education and research
  30. Writing a compelling integrated discussion: a guide for integrated discussions in article-based theses and dissertations
  31. Teaching evidence-based practice piece by PEACE
  32. Educational Process, Issue, Trend
  33. Increasing student involvement in research: a collaborative approach between faculty and students
  34. Capacity building in nurse educators in a Global Leadership Mentoring Community
  35. Psychiatric mental health nurse practitioner student perceptions of integrated collaborative care
  36. Igniting the leadership spark in nursing students: leading the way
  37. Quilting emergent advanced practice nursing educator identity: an arts-informed approach
  38. The expanding role of telehealth in nursing: considerations for nursing education
  39. Literature Reviews
  40. What do novice faculty need to transition successfully to the nurse faculty role? An integrative review
  41. Reflective writing pedagogies in action: a qualitative systematic review
  42. Appraisal of disability attitudes and curriculum of nursing students: a literature review
Jetzt anmelden und 20% sparen
Institutioneller Zugang
Wie funktioniert Authentifizierung?
Haben Sie eine Idee, wie wir unsere Website verbessern können?
Bitte schreiben Sie uns.
© 2025 De Gruyter Brill
Heruntergeladen am 8.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/ijnes-2021-0033/html
Button zum nach oben scrollen