Pflege最新文献 - Book学术

[Influence of non-pharmacological measures on the sleep quality of geriatric residents: a mixed-methods study]. [非药物措施对老年居民睡眠质量的影响：一项混合方法研究]。

IF 0.3 4区医学

Pflege Pub Date : 2025-09-19 DOI: 10.1024/1012-5302/a001051

Verena Moser-Siegmeth, Petra Walter, Eva-Maria Rudorfer, Suzana Tuna, Ireneusz Swietalski, Beata Prytek, Tamara Archan, Daniela Metzenbauer

{"title":"[Influence of non-pharmacological measures on the sleep quality of geriatric residents: a mixed-methods study].","authors":"Verena Moser-Siegmeth, Petra Walter, Eva-Maria Rudorfer, Suzana Tuna, Ireneusz Swietalski, Beata Prytek, Tamara Archan, Daniela Metzenbauer","doi":"10.1024/1012-5302/a001051","DOIUrl":"https://doi.org/10.1024/1012-5302/a001051","url":null,"abstract":"Influence of non-pharmacological measures on the sleep quality of geriatric residents: a mixed-methods study Abstract: Background: Older people often suffer from sleep disorders, and insufficient sleep can have an impact on morbidity and mortality. Aim: The aim was to create, implement and evaluate a catalogue of non-pharmacological measures for improving sleep quality in geriatric long-term care. Method: This research project is divided into three phases: (1) needs analysis, (2) development of a catalogue of measures and (3) implementation and evaluation. Data collection for the needs analysis was carried out using a mixed-methods-approach. Information on sleep experiences was collected through guided interviews (n = 9) with residents. In the quantitative survey (n = 55), using the Pittsburgh Sleep Quality Index (PSQI), data on the quality of residents' sleep was collected. A catalogue of non-pharmacological measures to promote sleep was subsequently created using a focus group comprising participants from the nursing sector (n = 13). This catalogue was then implemented in tow geriatric wards. The evaluation part was divided into a pre- and post-survey using the PSQI (n = 24) to review the measures taken. Results: In the evaluation of the PSQI, the pre-survey yielded a mean value of 8,1 (SD = 0,8), which indicates poor sleep behaviour. In the post-survey, a mean value of 5,9 (SD = 0,8) was determined, which corresponds to healthy sleep behaviour. Conclusions: It was shown that non-pharmacological sleep-promoting measures could have a positive influence on sleep quality.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088113","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}

引用次数: 0

[Overcoming mental health crises at home: a qualitative study on the perspectives of people with mental illness]. [克服家庭心理健康危机：关于精神疾病患者观点的定性研究]。

IF 0.3 4区医学

Pflege Pub Date : 2025-09-03 DOI: 10.1024/1012-5302/a001050

Victoria-Fabiola Ullmer, Brigitte Anderl-Doliwa, André Nienaber

{"title":"[Overcoming mental health crises at home: a qualitative study on the perspectives of people with mental illness].","authors":"Victoria-Fabiola Ullmer, Brigitte Anderl-Doliwa, André Nienaber","doi":"10.1024/1012-5302/a001050","DOIUrl":"https://doi.org/10.1024/1012-5302/a001050","url":null,"abstract":"Overcoming mental health crises at home: a qualitative study on the perspectives of people with mental illness Abstract: Background: In recent years, various outreach psychiatric care models have been established in Germany and their effectiveness has been proven. Despite these promising results and evident benefits, these care models have not yet been widely implemented. Aim: This qualitative study investigates the key factors and experiences of psychiatric home treatment from the perspective of people with mental illnesses in Germany. Methods: Episodic, semi-structured interviews were conducted with 18 individuals diagnosed with mental illnesses according to ICD-10 (F2X, F3X, F6X), all of whom were receiving care within outreach mental health services: psychiatric outpatient clinics, community psychiatric nursing, Assertive Community Treatment, and home treatment equivalent to inpatient care. The interviews were analyzed using thematic coding based on Flick's methodology. Results: The study identifies four key factors: role of the caregiver, therapeutic measures, living environment and treatment characteristics. Conclusion: The results emphasize the central role of the caregiver, who has a positive influence on the success of the therapy, particularly through empathy, humanity and professional competence. Individualized measures and support in the living environment strengthen autonomy and stability. The key factors indicate that further development of the home treatment is necessary.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979137","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}

引用次数: 0

[Sensor systems for the care of people with wandering behavior in hospital: A qualitative study on subjective experiences]. [传感器系统对医院流浪患者的护理：主观体验的定性研究]。

IF 0.3 4区医学

Pflege Pub Date : 2025-09-03 DOI: 10.1024/1012-5302/a001049

Luisa Häfner, Stefan Walzer, Nicola Merz, Thomas Klie, Sven Ziegler

{"title":"[Sensor systems for the care of people with wandering behavior in hospital: A qualitative study on subjective experiences].","authors":"Luisa Häfner, Stefan Walzer, Nicola Merz, Thomas Klie, Sven Ziegler","doi":"10.1024/1012-5302/a001049","DOIUrl":"10.1024/1012-5302/a001049","url":null,"abstract":"Sensor systems for the care of people with wandering behavior in hospital: A qualitative study on subjective experiences Abstract: Background: Hospital stays pose a particular challenge for people with cognitive impairments. In particular, behaviours such as wandering - undirected or uncontrolled walking around - can be stressful for both patients and nursing staff. Technological solutions, such as RFID-based sensor systems, offer support, but also raise ethical and practical questions. Research question/Aim: The aim of the study was to investigate the subjective experience of patients, staff and relatives when using an RFID-based sensor system in hospital. Methods: The study followed a qualitative triangulation design in which interviews with patients (n = 3) and nursing staff (n = 6) as well as participant observation were used as data sources. The data material was analysed based on the grounded theory coding method. Results: The sensor system was used for mobile patients with wandering. Carers experienced the system as promoting safety and relieving stress. Patient perspectives ranged from support, interest and scepticism to a rather negative attitude. Conclusions: The system strengthens caregivers' sense of security but requires careful ethical and legal consideration when used. As patients often have only a limited understanding of the technological context, future research should improve education and communication in order to promote acceptance and self-determination.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979094","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}

引用次数: 0

Primary nursing in the intensive care unit. 重症监护室的基础护理。

IF 0.8 4区医学

Pflege Pub Date : 2025-08-01 Epub Date: 2024-09-12 DOI: 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":" Background: 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. Aims: 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. Method: 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. Findings: 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. Conclusion: 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.","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}

引用次数: 0

[Advance care planning in the acute hospital: A qualitative analysis of terms and conditions]. [急症医院的预先护理计划：条款和条件的定性分析]。

IF 0.8 4区医学

Pflege Pub Date : 2025-08-01 Epub Date: 2024-08-22 DOI: 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":"Advance care planning in the acute hospital: A qualitative analysis of terms and conditions Abstract: Background: 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. Aim: 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. Results: 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. Conclusions: The implementation of ACP programs is conceivable, but requires specific conditions as legal regulation and defining and structuring of the processes.","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}

引用次数: 0

[Psychosocial stress and working conditions of nursing home staff in Covid-19 pandemic: A cross-sectional study]. [护理院工作人员在 Covid-19 大流行中的社会心理压力和工作条件：一项横断面研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-08-01 Epub Date: 2024-08-28 DOI: 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":"Psychosocial stress and working conditions of nursing home staff in Covid-19 pandemic: A cross-sectional study Abstract: Background: With the onset of the Covid-19 pandemic in March 2020 there were numerous changes in the daily professional lives of healthcare professionals. Aim: 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. Methods: 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. Results: 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. Conclusions: 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.","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}

引用次数: 0

[Nurses' health during the COVID-19 pandemic in Switzerland: A longitudinal study with mixed methods design]. [瑞士 COVID-19 大流行期间护士的健康状况：采用混合方法设计的纵向研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-08-01 Epub Date: 2024-08-28 DOI: 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":"Nurses' health during the COVID-19 pandemic in Switzerland: A longitudinal study with mixed methods design Abstract: Background: 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. Aim: 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. Methods: 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. Results: 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. Conclusions: 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.","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}

引用次数: 0

[Shaping individual educational and career paths in nursing - perspectives in practice]. [塑造护理中的个人教育和职业道路-实践中的观点]。

IF 0.8 4区医学

Pflege Pub Date : 2025-08-01 Epub Date: 2024-12-04 DOI: 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":"Shaping individual educational and career paths in nursing - perspectives in practice Abstract: Background: 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. Aim: 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. Methods: 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. Results: 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. Conclusions: 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.","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}

引用次数: 0

[Experienced individual discrimination among nursing professionals with and without migration background: a cross-sectional study]. [有和没有移民背景的护理专业人员的个体歧视：一项横断面研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-07-25 DOI: 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":"Experienced individual discrimination among nursing professionals with and without migration background: a cross-sectional study Abstract: Background and aims: 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. Method: 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. Results: 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. Conclusions: 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.","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}

引用次数: 0

[Evaluation of electronic nursing process documentation in the acute inpatient setting: A mixed methods convergent parallel design]. [评估电子护理过程文件在急性住院设置：一个混合方法收敛平行设计]。

IF 0.8 4区医学

Pflege Pub Date : 2025-07-22 DOI: 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":"Evaluation of electronic nursing process documentation in the acute inpatient setting: A mixed methods convergent parallel design Abstract: Background: 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. Aims: The study aimed to evaluate electronic nursing process documentation in an acute inpatient setting, taking into account the views of nursing staff. Methods: 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. Results: 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. Conclusions: The evaluation revealed potential for optimization. When implementing the recommendations, human, technical and organizational factors must be considered, as they are interdependent.","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}

引用次数: 0