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}
PflegePub Date : 2025-06-01Epub Date: 2024-05-02DOI: 10.1024/1012-5302/a000994
Lea-Maria Niemann, Eva Maria Gruber, Andreas Büscher
{"title":"[Factors in the implementation of expert standards in nursing: A qualitative study].","authors":"Lea-Maria Niemann, Eva Maria Gruber, Andreas Büscher","doi":"10.1024/1012-5302/a000994","DOIUrl":"10.1024/1012-5302/a000994","url":null,"abstract":"<p><p>Factors in the implementation of expert standards in nursing: A qualitative study <b>Abstract:</b> <i>Background:</i> Many German health and long-term care facilities face the challenge of implementing expert standards in practice. Implementation models, such as the Consolidated Framework for Implementation Research (CFIR), support the implementation process by identifying the relevant influencing factors that can determine the success of an implementation. Aim: The aim was to identify the factors influencing the implementation of expert standards in nursing care and their interactions. <i>Method:</i> The data were collected by means of guided interviews with ten facilitators of the model implementation units for the implementation of the expert standard on promotion of oral health in nursing and from the project progress records. The data were evaluated by content analysis. <i>Results:</i> In addition to the influencing factors according to the CFIR, two other factors were identified that can determine the success of the implementation of expert standards - local presence and knowledge of implementation theories and models. The various and complex interrelationships between the factors in the implementation of expert standards became particularly clear. <i>Conclusion:</i> Knowledge of the fundamentals of implementation science is helpful for the successful and sustainable implementation of expert standards and for general knowledge transfer in nursing.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"161-169"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870378","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: 2024-05-29DOI: 10.1024/1012-5302/a000995
Melina Branding, Nina Fleischmann, Michael Wittland
{"title":"[Hearing in the elderly: Employees' perspectives on hearing care in long-term care facilities. A qualitative study].","authors":"Melina Branding, Nina Fleischmann, Michael Wittland","doi":"10.1024/1012-5302/a000995","DOIUrl":"10.1024/1012-5302/a000995","url":null,"abstract":"<p><p>Hearing in the elderly: Employees' perspectives on hearing care in long-term care facilities. A qualitative study <b>Abstract:</b> <i>Background:</i> Hearing impairment is common among the elderly. More than half of individuals 80 years and older exhibit severe hearing loss, and few retain good hearing performance. This impairment significantly affects both community participation and nursing care. <i>Aim:</i> This study aimed to examine the impact of hearing impairment on everyday life of employees and residents at long-term care facilities. We further sought to identify how employees perceive hearing care in order to identify potential for improvement. <i>Methods:</i> This sub-project of a larger study comprised guided focus groups with employees of long-term care facilities. The sample included six focus groups of nurses and nursing care assistants from long-term care facilities (n = 42). Collected data were analyzed using qualitative content analysis. <i>Results:</i> Hearing impairment hinders elderly resident participation in the nursing process and complicates daily communication between residents and nursing staff. Hearing impaired residents are less able to take part in group activities and tend to withdraw from the community. Lack of an effective hearing support structure renders hearing care services inaccessible to some residents. <i>Conclusions:</i> Optimized service structures, targeted assistance and training opportunities for employees specific to hearing impairment can provide sustainable hearing care for the elderly.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"133-140"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162390","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 : 2025-04-08DOI: 10.1024/1012-5302/a001039
Angela Flörl, Gerhard Müller, Lára Rún Hallsson, Manuela Hödl, Margareta Jukic-Puntigam, Alfred Steininger, Christine Spitz-Köberich, Stefan Köberich
{"title":"Interrater reliability and practicability of the German version of the Ghent Global Incontinence-Associated Dermatitis Categorization Tool.","authors":"Angela Flörl, Gerhard Müller, Lára Rún Hallsson, Manuela Hödl, Margareta Jukic-Puntigam, Alfred Steininger, Christine Spitz-Köberich, Stefan Köberich","doi":"10.1024/1012-5302/a001039","DOIUrl":"https://doi.org/10.1024/1012-5302/a001039","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Incontinence-associated dermatitis (IAD) is a sequela of fecal and/or urinary incontinence with an estimated prevalence rate of 6% to 27%. To assess the severity of IAD the Ghent Global IAD Categorization Tool (GLOBIAD) was developed. A German translation of GLOBIAD (GLOBIAD-D) is available, but psychometric testing is pending. <i>Aim:</i> The aim of the study was to assess the interrater reliability, practicability and clinical relevance of the GLOBIAD-D. <i>Methods:</i> A multicenter study with cross-sectional design was conducted in four health and social care facilities in Germany and Austria including patients/residents with IAD. The overall percentage of observation agreement (POA) and interrater reliability was assessed using data from 23 observations of an IAD. Practicability and clinical relevance were assessed using a self-administered questionnaire. Data analysis was performed using descriptive statistics, Cohen's kappa(κ), and Cramers V. <i>Results:</i> A high percentage of observational agreement (n = 22; POA = 68.20%) and moderate interrater reliability (n = 22; κ = 0.55; 95% CI [0.28; 0.82]) were obtained with GLOBIAD-D. Practicability and clinical relevance of GLOBIAD-D were rated as good and it was described as a simple, understandable, user-friendly, and time efficient tool. Potential for improvement was seen in image quality as well as description of category 2A. <i>Conclusions:</i> GLOBIAD-D shows a high overall POA and was proved to be practical and clinically relevant. Further studies are needed to make recommendations.</p>","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804160","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: 2024-02-14DOI: 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}