PflegePub Date : 2025-04-01Epub Date: 2024-02-14DOI: 10.1024/1012-5302/a000980
Sonja Beckmann, Gabriela Schmid-Mohler, Elisabeth Spichiger, Manuela Eicher, Dunja Nicca, Andrea Ullmann-Bremi, Heidi Petry
{"title":"Mapping advanced practice nurses' scope of practice, satisfaction, and drivers of role performance.","authors":"Sonja Beckmann, Gabriela Schmid-Mohler, Elisabeth Spichiger, Manuela Eicher, Dunja Nicca, Andrea Ullmann-Bremi, Heidi Petry","doi":"10.1024/1012-5302/a000980","DOIUrl":"10.1024/1012-5302/a000980","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Advanced Practice Nurse (APN) roles in Switzerland include Clinical Nurse Specialist (CNS), Nurse Practitioner (NP) and blended roles. The variety contributes to unclear profiles and scope of practice. <i>Aim:</i> To describe a) the performance of APN tasks according to Hamric's competencies, b) job satisfaction, and c) barriers and facilitators to role performance. <i>Methods:</i> Nationwide cross-sectional survey among clinically working APNs. Inclusion criteria: academic degree, role with advanced nursing competency. Analysis of quantitative and qualitative data using inferential statistics and content analysis. <i>Results:</i> Of the 222 APNs, 49% (n = 108) described themselves as CNSs, 37% (n = 81) as working in a blended role, and 15% (n = 33) as NP. APNs provided the greatest proportion of their tasks in the competency direct clinical practice and the least in ethical decision-making. Group comparisons between roles revealed significant differences in the competencies: direct clinical practice, guidance and coaching, leadership, and evidence-based practice. Job satisfaction was high (76%, n = 165), most often described by the category work content/role (e.g., defined scope of practice). The most frequent barrier to role performance was the category scope of practice (e.g., unclear responsibilities); the most frequent facilitator was the category professional recognition (e.g., respect). <i>Conclusion:</i> The study highlights current APN scope of practice and can support the advancement of the role through clinical practice, educational institutions, and research.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"83-92"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731063","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 : 2025-04-01DOI: 10.1024/1012-5302/a001038
Victoria-Fabiola Ullmer, Imane Henni Rached, Ivonne Ledtermann, Brigitte Anderl-Doliwa
{"title":"[Perceived stress in inpatient psychiatric facilities in connection with shared rooms: A qualitative secondary analysis].","authors":"Victoria-Fabiola Ullmer, Imane Henni Rached, Ivonne Ledtermann, Brigitte Anderl-Doliwa","doi":"10.1024/1012-5302/a001038","DOIUrl":"https://doi.org/10.1024/1012-5302/a001038","url":null,"abstract":"<p><p>Perceived stress in inpatient psychiatric facilities in connection with shared rooms: A qualitative secondary analysis <b>Abstract:</b> <i>Background:</i> The occupancy of shared rooms plays a key role in the recovery process of patients in psychiatric facilities. Creating a favourable environment not only influences the ward climate, but also the potential for aggression. <i>Aim:</i> Identification of perceived stress caused by shared rooms in inpatient psychiatric facilities from the perspective of people with mental illness. <i>Methods:</i> This is a secondary analysis of cross-sectional data from individual interviews from a pilot study. As part of this study, episodic interviews were conducted with 18 people with different mental illnesses in Germany and analysed using thematic coding. <i>Results:</i> Seven categories were identified that reflect the burdens perceived by people with mental illness when they have to share multi-bed rooms with other patients: dynamics of communication, odours and noises, social and cultural background, sleep rhythm, symptoms of fellow patients, territoriality and privacy, sensory overload and stimulus shielding. <i>Conclusion:</i> The occupancy of multi-bed rooms with several patients in psychiatric facilities is associated with considerable stress and thus impairs the well-being of people with mental illnesses. A continuous evaluation of individual needs and preferences should be carried out both on admission and during the course of treatment. The findings of this study should be taken into account in future architectural planning of psychiatric wards.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756015","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 : 2025-04-01Epub Date: 2024-01-18DOI: 10.1024/1012-5302/a000972
Thomas Klatt, Ivonne Bauer, Daniel Behrendt, Almuth Berg
{"title":"[Structured case conference for sleep disturbances in nursing home residents with cognitive impairment].","authors":"Thomas Klatt, Ivonne Bauer, Daniel Behrendt, Almuth Berg","doi":"10.1024/1012-5302/a000972","DOIUrl":"10.1024/1012-5302/a000972","url":null,"abstract":"<p><p>Structured case conference for sleep disturbances in nursing home residents with cognitive impairment <b>Abstract:</b> <i>Background:</i> Nursing home residents living with cognitive impairment often suffer from sleep disturbances. Pharmacological interventions are not recommended to be the first-choice therapy. In general, a wide variance of non-pharmacological interventions is available, but no clearly suitable intervention can currently be specified. <i>Aim:</i> The case report presents the procedure of a structured analysis to support the selection of non-pharmacological interventions to promote sleep. <i>Methods:</i> A structured case conference was held using a developed case management template to draw up an individual intervention plan. <i>Results:</i> Based on the description of the situation and the determination of causes, different interventions from six main topics were planned: \"offering appropriate activations during daytime\", \"creating bedtime routines\", \"checking the sleep environment\", \"observation of potential physical and psychological causes\", \"reflection on night care routines\", and \"use of drug therapies only in exceptional cases\". <i>Conclusions:</i> For a successful management of sleep disturbances in nursing home residents living with cognitive impairment, it is essential that the specific sleep-related symptoms and causes are assessed systematically and interprofessionally to be able to work towards an improvement with appropriate measures. In order to obtain adequate solutions, evidence-based expertise should be taken into consideration.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"110-118"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486411","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}
{"title":"[Collaboration between care teams and care experts in home care nursing: A qualitative case study].","authors":"Aline Regez, Marina Preisig, Franzisca Domeisen Benedetti","doi":"10.1024/1012-5302/a001003","DOIUrl":"10.1024/1012-5302/a001003","url":null,"abstract":"<p><p>Collaboration between care teams and care experts in home care nursing: A qualitative case study <b>Abstract:</b> <i>Background:</i> As a result of demographic change and the associated ageing population, the number of people affected by multimorbidity is increasing, and with it the complexity of home care nursing. In a home care nursing service (Spitex), care teams work with employees of different levels of competence. For support in complex situations, they can seek help from nursing experts (PEX). <i>Aim:</i> The aim was to investigate the collaboration between the care teams and the PEX of a regional Spitex organization and to work out measures for optimization. The research question was: \"How do the care teams of a regional Spitex organization experience the collaboration with the nursing experts?\" <i>Methods:</i> A qualitative case study design with four sub-cases was used to describe in detail how collaboration with PEX is experienced. Four Focus group interviews were evaluated using content analysis and cross-case analysis. <i>Results:</i> The Cross-Case analysis reveals the categories for optimal collaboration: present, professionally versatile, relieving in coordination tasks, supportive in complex situations. The following categories are categorized as disruptive factors in collaboration: varying levels of commitment, collaboration low priority and confusing. <i>Conclusions:</i> The PEX are to be made better known through targeted information dissemination. Implications for practice include the importance of presence and mutual understanding of roles so that collaboration is experienced as added value.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"63-71"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635886","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 : 2025-04-01Epub Date: 2024-12-03DOI: 10.1024/1012-5302/a001017
Katharina Rüdisüli, Anna-Barbara Schlüer
{"title":"[Areas of conflict in the caring of critically chronic ill children: an interpretative phenomenological study].","authors":"Katharina Rüdisüli, Anna-Barbara Schlüer","doi":"10.1024/1012-5302/a001017","DOIUrl":"10.1024/1012-5302/a001017","url":null,"abstract":"<p><p>Areas of conflict in the caring of critically chronic ill children: an interpretative phenomenological study <b>Abstract:</b> <i>Background:</i> Critically chronic ill children are a growing population due to the medical improvement in pediatric intensive care units (PICU). PICU nurses find themselves navigating the complexities between acute and palliative care for these patients, facing various challenges. <i>Aim:</i> This study explored the nurse's experiences in caring for children with critically chronic illnesses in the PICU. <i>Methods:</i> Twelve PICU nurses participated in semi-structured interviews. This qualitative study followed an interpretative phenomenological analysis. <i>Results:</i> Five experiential themes were identified that nurses address in their daily care. These are: supporting developmental care, partnership in interprofessional shared-decision-making, in-depth acknowledgment of the family system, the individual nursing experience, personal leadership and the organizational structure of the working environment in PICU settings. <i>Conclusion:</i> When PICU nurses experience the ability to provide individualized and optimal care to a child with a critically chronic illness, based on family-centered care and within interprofessional decision-making, they develop personal leadership skills which enable the balance within the challenges and complexities of nursing care in this population.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"93-100"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774705","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 : 2025-04-01Epub Date: 2024-01-10DOI: 10.1024/1012-5302/a000971
Isabel Schön, Sandra Witek, Nicola Merz, Sven Ziegler, Johanna Feuchtinger
{"title":"[Sounds in intensive care units: Perspectives of patients and parents. A qualitative study].","authors":"Isabel Schön, Sandra Witek, Nicola Merz, Sven Ziegler, Johanna Feuchtinger","doi":"10.1024/1012-5302/a000971","DOIUrl":"10.1024/1012-5302/a000971","url":null,"abstract":"<p><p>Sounds in intensive care units: Perspectives of patients and parents. A qualitative study <b>Abstract:</b> <i>Background:</i> Sound levels in intensive care units exceed internationally recommended limits. This can have negative effects on patients, relatives, and staff. There is a lack of evidence on noise-reducing measures. <i>Aim:</i> The aim of the study was the implementation and evaluation of ward-specific noise management in intensive care units. In the present article, the question of the noise and stress experience of intensive care patients and parents of neonatal intensive care patients was explored. <i>Methods:</i> 33 semi-structured interviews with intensive care patients and parents of neonatal intensive care patients in three intensive care units were conducted and analysed. <i>Results:</i> Sounds in intensive care units can be stressful (especially alarms) but also be interpreted as meaningful. This is not only related to the context of the ICU, but also to individual experiences and the social aspects of the sounds. In order to avoid or reduce stress, participants apply individual noise (stress) management. In contrast, ward-related noise management had no specific effect on the participants. <i>Conclusions:</i> The findings offer indications for suitable measures to reduce the noise exposure of intensive care patients and parents of neonatal intensive care patients. Research about measures such as concepts for supporting the attribution and differentiation of sounds could follow.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"101-109"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405179","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 : 2025-04-01Epub Date: 2024-02-29DOI: 10.1024/1012-5302/a000982
Doris Schaeffer, Alexander Haarmann, Lennert Griese
{"title":"[Professional health literacy among nurses in Germany: Results of a quantitative, cross-sectional survey].","authors":"Doris Schaeffer, Alexander Haarmann, Lennert Griese","doi":"10.1024/1012-5302/a000982","DOIUrl":"10.1024/1012-5302/a000982","url":null,"abstract":"<p><p>Professional health literacy among nurses in Germany: Results of a quantitative, cross-sectional survey <b>Abstract.</b> <i>Background:</i> Little is known about the professional health literacy (HL) of nurses, i.e., how well they are able to promote patients' HL. Existing studies have focused on personal HL, which does not entirely align with professional HL. Therefore, a new concept and questionnaire for professional HL have been developed and implemented for the first time. The results obtained for nurses in Germany are analysed with this article. <i>Research question:</i> It is asked how professional health literacy (HL) is distributed among nurses and which factors are associated with it. <i>Methods:</i> Data were collected through an online survey where nurses were asked about the difficulties they encounter in managing tasks in four dimensions: (1) information and knowledge management, (2) explaining and conveying information, (3) patient-centered communication, and (4) professional digital health literacy. Descriptive and multivariate, linear regression methods were used for analysis. <i>Results:</i> The 624 respondents rated the fourth dimension as the most difficult. The first and second dimensions were rated as similarly difficult, while the third dimension was considered least difficult. Higher professional HL is linked to better self-assessed training and framework conditions. <i>Conclusion:</i> Despite a relatively positive self-assessment, the results indicate areas that require improvement and should be addressed urgently.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"72-82"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991865","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 : 2025-03-12DOI: 10.1024/1012-5302/a001037
Matthias J Witti, Julia Wagner, Jan M Zottmann, Martin R Fischer, Anita Hausen, Marc Weidenbusch, Matthias Stadler
{"title":"[Professional knowledge deficits and knowledge differences in interprofessional discharge planning: A questionnaire study].","authors":"Matthias J Witti, Julia Wagner, Jan M Zottmann, Martin R Fischer, Anita Hausen, Marc Weidenbusch, Matthias Stadler","doi":"10.1024/1012-5302/a001037","DOIUrl":"https://doi.org/10.1024/1012-5302/a001037","url":null,"abstract":"<p><p>Professional knowledge deficits and knowledge differences in interprofessional discharge planning: A questionnaire study <b>Abstract:</b> <i>Background:</i> This study focuses on discharge planning (DP), specifically on knowledge deficits and differences between nurses and physicians in Germany. <i>Objectives:</i> To determine and compare the current level of knowledge, as well as potential knowledge deficits and differences, among the studied professional groups with regard to DP. <i>Methods:</i> A knowledge test on DP was developed and content validated. The test consisted of 16 items covering four dimensions of DP knowledge, covering both conceptual and procedural aspects: knowledge of time aspects, knowledge of responsibilities and task sharing, knowledge of legal aspects of insurance, and knowledge of follow-up care. A total of 177 participants completed the knowledge test. The data were analysed descriptively and using Linear Mixed Models (LMM). <i>Results:</i> The results showed that physicians had descriptively satisfactory knowledge (70%) of DP, whereas nursing staff only had sufficient knowledge (60%). With regard to the knowledge dimensions, the participants differed greatly in terms of both conceptual and procedural aspects. In addition, there was a small effect of the professional group on procedural knowledge of responsibilities and task allocation: physicians scored better in the test. No significant differences were found with regard to professional experience. <i>Conclusions:</i> The results suggest that neither professional group has sufficient knowledge to independently fulfil the defined key areas of care in DP.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607037","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 : 2025-02-21DOI: 10.1024/1012-5302/a001033
Christopher Simon, Susanne Schuster
{"title":"[The concept of case mentoring for a nursing expert: APN with a CNS focus and its impact on the nursing process].","authors":"Christopher Simon, Susanne Schuster","doi":"10.1024/1012-5302/a001033","DOIUrl":"https://doi.org/10.1024/1012-5302/a001033","url":null,"abstract":"<p><p>The concept of case mentoring for a nursing expert: APN with a CNS focus and its impact on the nursing process <b>Abstract:</b> <i>Background:</i> An advanced and in-depth nursing approach aims to improve nursing practice through the use of nursing experts (APN) with a focus on Clinical Nurse Specialists (CNS), directing care towards a patient-centered model. The case mentoring concept was developed at Hospital Neumarkt as a practical and patient-centered field of activity for nursing experts (APN). <i>Objectives:</i> Within the scope of \"case mentoring\", the Advanced Nursing Process is introduced to initiate evidence-based nursing for a defined patient group. Additionally, a positive influence on nurses' attitudes towards the nursing process is expected. <i>Methods:</i> A study was conducted using a mixed-method design with two data collection points. In addition to a document analysis, nurses were surveyed using the \"Position on the Nursing Process\" to assess their attitudes towards the nursing process. <i>Results:</i> The document analysis shows that the nursing process is more complete, structured, and evidence-based after the implementation of case mentoring. The cross-sectional survey indicates that nurses recognize the benefits and value of the nursing process more clearly after the implementation of case mentoring. <i>Discussion:</i> The case mentoring concept enables the implementation of an advanced nursing process and positively influences nurses' attitudes towards the nursing process, thereby enhancing overall nursing quality. <i>Conclusions:</i> These results underscore the relevance of CNS-led professional guidance.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470257","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}
{"title":"[The wish to die in old people: A qualitative study of nurses' perspectives in the light of assisted suicide].","authors":"Marlene Werner, Sabine Pleschberger, Katharina Heimerl","doi":"10.1024/1012-5302/a001034","DOIUrl":"https://doi.org/10.1024/1012-5302/a001034","url":null,"abstract":"<p><p>The wish to die in old people: A qualitative study of nurses' perspectives in the light of assisted suicide <b>Abstract:</b> <i>Background:</i> It is not uncommon for older people nearing the end of their lives to express a wish to die. This wish can manifest in various degrees and expressions and reflects diverse needs. In Austria, the option to hastening death with the assistance of another person has recently become available. Assisted suicide has been legalized under certain conditions. This reflects new developments in society that also affect health professionals. <i>Aim:</i> This study aims to explore the nursing perspective on older people who express a wish to die and to investigate the challenges faced by nurses, particularly in the context of the legalisation of assisted suicide in Austria. <i>Methods:</i> A qualitative research approach was employed. Problem-centered interviews were conducted with ten caregivers working in the field of institutional elderly care. The data was analyzed using thematic analysis. <i>Results:</i> The themes show that, despite the challenges of dealing with the wish to die, carers recognize clear professional roles and responsibilities. But when it comes to talk about assisted suicide they often run into contradictions and uncertainties. Three main themes were identified: (1) a look at the people affected, (2) communication as a resource and an obstacle, and (3) the role of nursing. <i>Conclusion:</i> The study points to the need for support from organizations to help nurses deal with the wish to die in general and assisted suicide in particular.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470260","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}