PflegePub Date : 2025-08-01Epub Date: 2024-09-12DOI: 10.1024/1012-5302/a001015
Lars Krüger, Thomas Mannebach, Franziska Wefer, Gero Langer, René Schramm, Christiane Luderer
{"title":"Primary nursing in the intensive care unit.","authors":"Lars Krüger, Thomas Mannebach, Franziska Wefer, Gero Langer, René Schramm, Christiane Luderer","doi":"10.1024/1012-5302/a001015","DOIUrl":"10.1024/1012-5302/a001015","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Primary nursing (Process Responsible Nursing; PRN) is a nursing organization model, practiced in intensive care units (ICUs), but implementation is challenging. This paper focuses on the qualitative process analysis of the development and implementation of PRN in an ICU at a German university hospital. <i>Aims:</i> Aim was to record the perception of changes in nursing practice due to the introduction of PRN and obtain information on implementation and further optimization perceived by nurses. <i>Method:</i> A qualitative process analysis was done. Data collection took place at three defined times (immediately before implementation and 6 and 12 months after) and each included a focus group interview (FG) and a 5-day ICU ward process analysis (WA) in the form of participant observation. The analysis of FG and WA was carried out according to Kuckartz's content-structuring qualitative content analysis. <i>Findings:</i> The main categories communication, care planning and integration of patients and relatives in care and 13 subcategories with a cross-sectional category could be identified. Positive effects of PRN were found, particularly concerning relatives. The optimization potential included handover, visit appointments, the documentation system and adjustments to the visiting times. <i>Conclusion:</i> The qualitative analysis was able to show changes during the introduction of PRN, e.g. in communication and care planning, but also challenges like visit appointments or the documentation system in nursing practice.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"207-215"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-08-01Epub Date: 2024-08-28DOI: 10.1024/1012-5302/a001007
Isabella Sappl, Greta Uhlenbrock, Anne Thier, Susanne Schulze, Michael A Rapp, Jacob Spallek, Christine Holmberg
{"title":"[Psychosocial stress and working conditions of nursing home staff in Covid-19 pandemic: A cross-sectional study].","authors":"Isabella Sappl, Greta Uhlenbrock, Anne Thier, Susanne Schulze, Michael A Rapp, Jacob Spallek, Christine Holmberg","doi":"10.1024/1012-5302/a001007","DOIUrl":"10.1024/1012-5302/a001007","url":null,"abstract":"<p><p>Psychosocial stress and working conditions of nursing home staff in Covid-19 pandemic: A cross-sectional study <b>Abstract:</b> <i>Background:</i> With the onset of the Covid-19 pandemic in March 2020 there were numerous changes in the daily professional lives of healthcare professionals. <i>Aim:</i> Since the focus has been mainly on hospital staff so far, it is also important to watch the care situation in old people's and nursing homes. This study aimed to investigate the impact of the Covid-19 pandemic on the daily professional life, the psychosocial situation and the interpersonal relationships of nursing staff in old people's and nursing homes in Brandenburg. <i>Methods:</i> Cross-sectional survey of nursing staff from old people's and nursing homes in Brandenburg in the period from August to December 2020. The questionnaires were analysed using descriptive statistics and qualitative thematic analysis. <i>Results:</i> On the one hand, the increased workload with more difficult working conditions due to Covid-19 hygiene measures or increased working hours led to physical and psychosocial stress. In private life, increased social isolation was evident and changes in interpersonal relationships were stressful. On the other hand, the participants reported recognition and increased professional political interest. <i>Conclusions:</i> The Covid 19 pandemic highlighted pre-existing pressures on caregivers. In the future, it is important to improve the known workloads for nursing staff in old people's and nursing homes and to work out measures to counteract an increase of stress in situations like the pandemic.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"227-236"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-08-01Epub Date: 2024-08-22DOI: 10.1024/1012-5302/a001011
Miriam Markgraf, Gabriele Meyer, Änne Kirchner
{"title":"[Advance care planning in the acute hospital: A qualitative analysis of terms and conditions].","authors":"Miriam Markgraf, Gabriele Meyer, Änne Kirchner","doi":"10.1024/1012-5302/a001011","DOIUrl":"10.1024/1012-5302/a001011","url":null,"abstract":"<p><p>Advance care planning in the acute hospital: A qualitative analysis of terms and conditions <b>Abstract:</b> <i>Background:</i> Advance Care Planning (ACP) is an internationally established concept aimed to facilitate anticipatory care planning in the event of future inability to consent. In Germany, ACP is currently not regularly offered to patients in acute care hospitals. <i>Aim:</i> We aimed to identify preconditions for implementation of ACP in acute care hospitals in Germany through review of the international literature and expert interviews. Methods: A systematic literature search was carried out in the databases MEDLINE and CINAHL for internationally used strategies for implementing ACP in acute care hospitals. Consecutively, a guide for interviews with experts to evaluate the strategies was developed. Interviews were analyzed by qualitative content analysis according to Mayring. <i>Results:</i> Out of 13 included publications, 17 preconditions were identified and assigned to 16 categories after evaluation by experts. In international ACP programs, it was described how to proceed and organize the ACP conversation. German experts emphasized that appropriate preconditions, such as sufficient time resources and training, must be granted, whereas the literature search revealed the conversation process and organization as important determinants. <i>Conclusions:</i> The implementation of ACP programs is conceivable, but requires specific conditions as legal regulation and defining and structuring of the processes.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"183-194"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-08-01Epub Date: 2024-08-28DOI: 10.1024/1012-5302/a001009
Claudia Huber, Ewald Schorro, Gabriela Hofstetter-Hefti, Jonathan Jubin, Philippe Delmas, Annie Oulevey Bachmann, Ingrid Gilles, Claudia Ortoleva Bucher
{"title":"[Nurses' health during the COVID-19 pandemic in Switzerland: A longitudinal study with mixed methods design].","authors":"Claudia Huber, Ewald Schorro, Gabriela Hofstetter-Hefti, Jonathan Jubin, Philippe Delmas, Annie Oulevey Bachmann, Ingrid Gilles, Claudia Ortoleva Bucher","doi":"10.1024/1012-5302/a001009","DOIUrl":"10.1024/1012-5302/a001009","url":null,"abstract":"<p><p>Nurses' health during the COVID-19 pandemic in Switzerland: A longitudinal study with mixed methods design <b>Abstract:</b> <i>Background:</i> The COVID19 pandemic has had a significant impact on healthcare systems worldwide. Nurses have played a crucial role in responding to the crisis, often at the expense of their own health and wellbeing. <i>Aim:</i> The aim of the study was to investigate the physical and mental health status as well as the resources of certified nurses during the pandemic, in German-speaking Switzerland. <i>Methods:</i> In a longitudinal study with a mixed methods design, data were collected among nurses from acute hospitals between 2021 and 2022 using a questionnaire survey and focus group interviews. The data were analysed using multiple regression analysis, knowledge mapping and the Neuman system model. <i>Results:</i> The results show improvements in health, quality of life and job satisfaction, and a decrease in stress; whereby influencing extrapersonal factors are, among others, reorganisations within hospitals with the active involvement of nurses. On the interpersonal level, support from managers or colleagues proved helpful. At the intrapersonal level, the recognition of the nurses' competencies was deemed particularly important, to help them to remain healthy during the pandemic. <i>Conclusions:</i> Increased recognition, participation, training and career opportunities as well as flexible working models need to be implemented in the long term to ensure a sustainable improvement of the health and well-being of nurses.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"217-226"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-08-01Epub Date: 2024-12-04DOI: 10.1024/1012-5302/a001025
Christin Schafstädt, Tobias Scheu, Andrea Kirchmann
{"title":"[Shaping individual educational and career paths in nursing - perspectives in practice].","authors":"Christin Schafstädt, Tobias Scheu, Andrea Kirchmann","doi":"10.1024/1012-5302/a001025","DOIUrl":"10.1024/1012-5302/a001025","url":null,"abstract":"<p><p>Shaping individual educational and career paths in nursing - perspectives in practice <b>Abstract:</b> <i>Background:</i> Continuing vocational training not only serves to expand professional competences and thus to ensure professional action but is also an element of lifelong learning as a means of shaping one's own employment biography. <i>Aim:</i> Educational and career paths in the field of nursing are characterised by heterogeneity and a variety of options. This raises the question of how nurses organise their individual educational pathways. <i>Methods:</i> Narrative interviews were conducted with nursing professionals, which were analysed using the documentary method as a hermeneutic procedure. By reconstructing practices, it was possible to find central frameworks for organising the educational pathways, which were transferred into a typology. <i>Results:</i> The three types (1) goal-oriented design of the educational pathway, (2) flexible design of the educational pathway and (3) market-oriented design of the educational pathway show that a self-determined design of educational and career paths can be promoted but also restricted by organisational practices. <i>Conclusions:</i> Further training is not just an individual career decision. Healthcare organisations can also be seen as shapers of individual educational and career paths. Facing the shortage of skilled nursing staff, it is important to consider the limits of self-determined organisation, which can have an influence on continuing on working as nurses.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"237-242"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-07-25DOI: 10.1024/1012-5302/a001045
Nazan Ulusoy, Albert Nienhaus, Patrick Brzoska
{"title":"[Experienced individual discrimination among nursing professionals with and without migration background: a cross-sectional study].","authors":"Nazan Ulusoy, Albert Nienhaus, Patrick Brzoska","doi":"10.1024/1012-5302/a001045","DOIUrl":"https://doi.org/10.1024/1012-5302/a001045","url":null,"abstract":"<p><p>Experienced individual discrimination among nursing professionals with and without migration background: a cross-sectional study <b>Abstract:</b> <i>Background and aims:</i> In Germany only few, mostly qualitative, studies have been conducted on the experiences of discrimination among nursing professionals. Therefore, the aim of this study was to identify the types and reasons of discrimination experienced by nursing professionals on an individual level in their interactions with patients. <i>Method:</i> A quantitative cross-sectional study was conducted via an online survey in two hospitals and two nursing care facilities in Germany from July to October 2022. The Everyday Discrimination Scale (EDS) was used to assess discrimination. Data were analysed descriptively. <i>Results:</i> The study involved 302 nursing professionals with and without a migration background (NPwMB/NPwoMB), of whom 73 had a migration background. NPwMB experienced (almost) all of the experiences surveyed more frequently at least \"once a week\" or \"(almost) daily\" than NPwoMB. The differences were not statistically significant. Both NPwMB and NPwoMB attributed their experiences of discrimination to their gender and age. In addition, NPwMB experienced discrimination on the basis of ethnic origin. <i>Conclusions:</i> The results suggest that NPwMB and NPwoMB experience high levels of discrimination in their interactions with patients for a variety of reasons. To confirm and contextualize the results, further studies (including qualitative ones) are needed. This study can serve as a basis for future research.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-07-22DOI: 10.1024/1012-5302/a001046
Simone Elisabeth Gruber, Renate Ranegger
{"title":"[Evaluation of electronic nursing process documentation in the acute inpatient setting: A mixed methods convergent parallel design].","authors":"Simone Elisabeth Gruber, Renate Ranegger","doi":"10.1024/1012-5302/a001046","DOIUrl":"https://doi.org/10.1024/1012-5302/a001046","url":null,"abstract":"<p><p>Evaluation of electronic nursing process documentation in the acute inpatient setting: A mixed methods convergent parallel design <b>Abstract:</b> <i>Background:</i> To identify potential improvements in the quality of nursing process documentation, it is essential to record the baseline situation, considering the perspectives of the nursing staff. <i>Aims:</i> The study aimed to evaluate electronic nursing process documentation in an acute inpatient setting, taking into account the views of nursing staff. <i>Methods:</i> A mixed-methods convergent parallel design was applied. In the quantitative part of the study, an extended Q-DIO (Quality of Nursing Diagnoses, Interventions and Outcomes) document analysis (n = 30) was conducted and analyzed descriptively. In the qualitative part, semi-structured expert interviews (n = 6) were conducted and analyzed using structured content analysis. Quantitative and qualitative results were then combined based on the phases of the nursing process and compared for convergence and divergence. <i>Results:</i> The results for the aspects of nursing assessment, nursing diagnoses and nursing goals revealed divergence. For instance, the quantitative data indicated good quality in nursing diagnoses, whereas nurses expressed differing views on the necessity of documenting these diagnoses. Convergences were observed in the planning and implementation of nursing interventions, as well as in nursing evaluation. <i>Conclusions:</i> The evaluation revealed potential for optimization. When implementing the recommendations, human, technical and organizational factors must be considered, as they are interdependent.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-06-15DOI: 10.1024/1012-5302/a001042
Till Neugebauer, Fabian Erdsiek, Ilknur Özer Erdogdu, Yüce Yilmaz-Aslan, Patrick Brzoska
{"title":"[Migration-sensitive hospice and palliative care in Germany: a qualitative interview study with healthcare workers].","authors":"Till Neugebauer, Fabian Erdsiek, Ilknur Özer Erdogdu, Yüce Yilmaz-Aslan, Patrick Brzoska","doi":"10.1024/1012-5302/a001042","DOIUrl":"https://doi.org/10.1024/1012-5302/a001042","url":null,"abstract":"<p><p>Migration-sensitive hospice and palliative care in Germany: a qualitative interview study with healthcare workers <b>Abstract:</b> <i>Background:</i> Migrants often do not receive hospice and palliative care tailored to their needs. Migration-sensitive strategies are often either not implemented or applied in an unsystematic manner. <i>Objective:</i> The study aimed to identify barriers and facilitators for the implementation of migration-sensitive care in hospice and palliative care facilities in Germany. <i>Methods:</i> Seventeen topic guided telephone interviews with staff from relevant facilities were conducted and analyzed using Mayring's summarizing qualitative content analysis. <i>Results:</i> Low acceptance by facility operators, financial and staffing shortages, and structural barriers hinder implementation in everyday care. Differing values between patients and facility operators can further complicate care provision. While ad-hoc measures provide temporary relief, they result in increased workloads and disrupted workflows. Factors that facilitate implementation include multilingual staff, enabling consideration of culture-specific needs. Partnerships and networks can support strategy implementation and enhance care quality. <i>Conclusions:</i> Failure to address patient needs can lead to conflict and complicate care delivery. Reactive measures provide only limited solutions. Proactive strategies, institutional and financial support, and fostering acceptance of diverse values among facility operators are essential.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-06-01Epub Date: 2024-06-18DOI: 10.1024/1012-5302/a001002
Andrea Forster, Clemens Koob
{"title":"[Demands, resources, and work engagement of lower and middle level nurse managers: a cross-sectional study].","authors":"Andrea Forster, Clemens Koob","doi":"10.1024/1012-5302/a001002","DOIUrl":"10.1024/1012-5302/a001002","url":null,"abstract":"<p><p>Demands, resources, and work engagement of lower and middle level nurse managers: a cross-sectional study <b>Abstract.</b> <i>Background:</i> Given their responsibilities, lower- and middle-level nurse managers hold a key role in the health care system. Their performance and health are affected by their work engagement, which according to the Job-Demands-Resources-Model depends on job-related demands and resources. To date, there is a lack of studies on the demands, resources, and work engagement of nurse managers in Germany. <i>Objective:</i> First, the study aimed to describe the job demands and resources as well as the work engagement of lower and mid-level nurse managers in hospitals and geriatric care facilities in Germany. Second, the aim was to explore potential differences in these areas between different groups, particularly regarding gender, age, and management level. <i>Methods:</i> The study used a cross-sectional design. Data were collected by an online survey. N = 408 cases could be evaluated. <i>Results:</i> Work overload is the most prominent demand, followed by emotional demands. In terms of resources, nurse managers can primarily draw on positive social relationships. The available professional resources are rated critically. Work engagement is moderate. <i>Conclusions:</i> The study indicates a clear need for action regarding an improvement in work engagement. In particular, work overload and professional resources need to be addressed by appropriate systemwide and organization-related measures.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"151-160"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PflegePub Date : 2025-06-01Epub Date: 2024-03-07DOI: 10.1024/1012-5302/a000984
Nazan Ulusoy, Albert Nienhaus, Patrick Brzoska
{"title":"[Immigrant nurses' experiences of discrimination by patients and nursing home residents: a narrative review].","authors":"Nazan Ulusoy, Albert Nienhaus, Patrick Brzoska","doi":"10.1024/1012-5302/a000984","DOIUrl":"10.1024/1012-5302/a000984","url":null,"abstract":"<p><p>Immigrant nurses' experiences of discrimination by patients and nursing home residents: a narrative review <b>Abstract:</b> <i>Background and aim:</i> Immigrant nurses are filling the shortage of skilled workers in many countries. Studies suggest that they may face discrimination in their destination countries. This paper aims to provide an overview of the experiences of immigrant nurses with regard to discrimination in their interactions with patients. <i>Methods:</i> A systematic literature review was performed by searching the databases PubMed and CINAHL. Additional articles were identified through a search in Google Scholar and by reviewing reference lists. Studies published between 1/2013 and 3/2023 were included. <i>Results:</i> The literature search yielded 103 studies, 18 of which were included in the narrative review. The review showed that immigrant nurses may experience discrimination in the form of rejection, questioning of their qualifications, unequal treatment, derogatory remarks, threats, as well as violence from patients. Discrimination is based on their ethnicity, country of origin, external characteristics, language, and accent. <i>Conclusions:</i> Overall, available data is insufficient. The results of this review can serve as a basis for further studies and help managers and policy makers to better understand discrimination against immigrant care workers, to develop strategies to support them and to implement appropriate prevention measures.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"141-150"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}