IF 0.8 4区医学

Pflege Pub Date : 2025-04-01 Epub Date: 2024-01-10 DOI: 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":"Sounds in intensive care units: Perspectives of patients and parents. A qualitative study Abstract: Background: 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. Aim: 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. Methods: 33 semi-structured interviews with intensive care patients and parents of neonatal intensive care patients in three intensive care units were conducted and analysed. Results: 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. Conclusions: 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.","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}

引用次数: 0

[Professional health literacy among nurses in Germany: Results of a quantitative, cross-sectional survey]. [德国护士的职业健康素养：横断面定量调查结果]。

IF 0.8 4区医学

Pflege Pub Date : 2025-04-01 Epub Date: 2024-02-29 DOI: 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":"Professional health literacy among nurses in Germany: Results of a quantitative, cross-sectional survey Abstract. Background: 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. Research question: It is asked how professional health literacy (HL) is distributed among nurses and which factors are associated with it. Methods: 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. Results: 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. Conclusion: Despite a relatively positive self-assessment, the results indicate areas that require improvement and should be addressed urgently.","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}

引用次数: 0

[Professional knowledge deficits and knowledge differences in interprofessional discharge planning: A questionnaire study]. [跨专业离职计划的专业知识缺陷与知识差异：一项问卷研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-03-12 DOI: 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":"Professional knowledge deficits and knowledge differences in interprofessional discharge planning: A questionnaire study Abstract: Background: This study focuses on discharge planning (DP), specifically on knowledge deficits and differences between nurses and physicians in Germany. Objectives: 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. Methods: 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). Results: 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. Conclusions: The results suggest that neither professional group has sufficient knowledge to independently fulfil the defined key areas of care in DP.","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}

引用次数: 0

[The concept of case mentoring for a nursing expert: APN with a CNS focus and its impact on the nursing process]. [护理专家的病例指导概念：以 CNS 为重点的 APN 及其对护理过程的影响]。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-21 DOI: 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":"The concept of case mentoring for a nursing expert: APN with a CNS focus and its impact on the nursing process Abstract: Background: 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). Objectives: 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. Methods: 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. Results: 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. Discussion: 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. Conclusions: These results underscore the relevance of CNS-led professional guidance.","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}

引用次数: 0

[The wish to die in old people: A qualitative study of nurses' perspectives in the light of assisted suicide]. [老年人的死亡愿望：护士对协助自杀的看法的定性研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-21 DOI: 10.1024/1012-5302/a001034

Marlene Werner, Sabine Pleschberger, Katharina Heimerl

{"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":"The wish to die in old people: A qualitative study of nurses' perspectives in the light of assisted suicide Abstract: Background: 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. Aim: 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. Methods: 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. Results: 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. Conclusion: 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.","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}

引用次数: 0

[The experiences of aftercare by patients and their relatives after a critical illness in the intensive care unit: A meta-synthesis]. [重症监护病房重症患者及其亲属的护理经验：综合研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-14 DOI: 10.1024/1012-5302/a001032

Katrin Flügge, Gabriele Meyer, Almuth Berg

{"title":"[The experiences of aftercare by patients and their relatives after a critical illness in the intensive care unit: A meta-synthesis].","authors":"Katrin Flügge, Gabriele Meyer, Almuth Berg","doi":"10.1024/1012-5302/a001032","DOIUrl":"https://doi.org/10.1024/1012-5302/a001032","url":null,"abstract":"The experiences of aftercare by patients and their relatives after a critical illness in the intensive care unit: A meta-synthesis Abstract: Background: Survival of critically ill patients has improved due to progress in intensive care treatment options. However, around 50% are affected by long-term consequences, which are summarized as Post Intensive Care Syndrome (PICS) and highlight the need for aftercare. Aim: How do patients and their relatives perceive life after a critical illness in an intensive care unit and aftercare? Methods: A meta-synthesis of qualitative studies was conducted according to the methodological standard of the Joanna Briggs Institute, based on a systematic literature search in the databases MEDLINE, CINAHL, Social Sciences Citation Index and LIVIVO (5/2023). Results: Twenty-nine studies were included. From these, nine syntheses were aggregated, seven of which related to life after a critical illness and two to the experience of aftercare. For patients and their relatives, everyday life changes after return to home. They are facing the challenge of realigning their lives, coming to terms with permanent changes and accepting them as the new normal life. Patients also experience breaks in their aftercare and want access to aftercare services. Conclusions: The meta-synthesis depicts life after a critical illness in a variety of ways. Aftercare programs should therefore combine various services and take relatives into account, as they enable care at home.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415542","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

Das digitale Paradigma in der Pflege. 医疗保健中的数字范式。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-01 DOI: 10.1024/1012-5302/a001027

Esfandiar Tabari

引用次数: 0

[The effectiveness of digital care applications in people with need of home care: A systematic review]. [数字护理应用在需要家庭护理的人群中的有效性：系统综述]。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-01 Epub Date: 2024-02-27 DOI: 10.1024/1012-5302/a000983

Sandy Scheibe, Patrick Timpel, Melanie Mäder, Ria Heinrich, Joachim Kugler, Tonio Schönfelder

{"title":"[The effectiveness of digital care applications in people with need of home care: A systematic review].","authors":"Sandy Scheibe, Patrick Timpel, Melanie Mäder, Ria Heinrich, Joachim Kugler, Tonio Schönfelder","doi":"10.1024/1012-5302/a000983","DOIUrl":"10.1024/1012-5302/a000983","url":null,"abstract":"The effectiveness of digital care applications in people with need of home care: A systematic review Abstract: Background: The growing need for long-term care poses challenges for healthcare systems. In June 2021, digital care applications (DiPA) were introduced as a new service in the statutory long-term care insurance in Germany. Their aim is to counteract the increased care need and/or support independence in the home. Aim: This project systematically identified and reported on national and international evidence on DiPA effectiveness, as described by the Federal Institute for Drugs and Medical Devices (BfArM). Methods: The systematic review was conducted in accordance with the PRISMA statement by means of systematic searches in the databases Medline and Cinahl, and supplemented by an extensive manual search (08/2022). Study quality was assessed using the Risk of Bias Tool (RoB2). The results were synthesized narratively. Results: Eight randomized controlled studies were included; improvements in cognition, activities of daily living, and mobility in home care patients, were reported. Study quality was low to moderate, due to mostly unblinded study designs and low case numbers. Conclusions: The currently available evidence fails to provide a reliable basis for assessing the benefits of DiPA, to neither DiPA manufacturers, nor to responsible parties in the healthcare system. Further research on DiPA effectiveness, particularly with high-quality studies, are necessary to assess its potential in the German care sector.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"11-21"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974579","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

[The dual competence profile: A support of collaboration between practice and science. A qualitative descriptive study]. [双重能力简介：支持实践与科学之间的合作。定性描述研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-01 Epub Date: 2024-03-22 DOI: 10.1024/1012-5302/a000990

Raphaela Ulmann, Andrea Claudia Hausheer, Angela Jochum, Antje Koller, Samuel Krattenmacher, Ariane Rickenbacher, Felix Kruse, Myrta Kohler

{"title":"[The dual competence profile: A support of collaboration between practice and science. A qualitative descriptive study].","authors":"Raphaela Ulmann, Andrea Claudia Hausheer, Angela Jochum, Antje Koller, Samuel Krattenmacher, Ariane Rickenbacher, Felix Kruse, Myrta Kohler","doi":"10.1024/1012-5302/a000990","DOIUrl":"10.1024/1012-5302/a000990","url":null,"abstract":"The dual competence profile: A support of collaboration between practice and science. A qualitative descriptive study Abstract: Background: To ensure orientation towards needs existing in the realm of practice, the dual competence profile is mandatory at universities of applied sciences (UAS): in addition to academic qualifications, entrenchment in professional practice is demanded. However, it is unclear how needs, attitudes, and expectation of clinical practice regarding the interface between UAS and practice looks like. Thus, it is necessary to shed light on the cross-institutional and cross-divisional cooperation as well as on its participants. Aim: This article shows what needs and attitudes people from clinical practice have with regard to cooperation with the UAS and what they expect from persons with a dual competence profile. Methods: Guided individual and focus group interviews with 24 selected representatives from acute, rehabilitation and geriatric care institutions took place. The interviews address the following five block themes: \"current state\", \"need for change\", \"areas for action\", \"needs\" and \"sustainability\". Results: Practice institutions demonstrated a clear need for networking and knowledge circulation with the UAS, with a bilateral influence of four subcategories: overall goal, staff development, resources and general regulations. Conclusions: Persons with dual competency profiles provide a valid way for interconnecting higher education and practice institutions in a concrete manner. Their complex work environments require meaningful frameworks, shared goals, and the inclusion of key stakeholders.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"3-10"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186324","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

Wir nehmen Abschied von unserem Kollegen Prof. Dr. Klaus Wingenfeld. 我们向我们的同事Klaus Wingenfeld教授博士告别。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-01 DOI: 10.1024/1012-5302/a001030

引用次数: 0

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