Pflege最新文献_第2页

[The wish to die in old people: A qualitative study of nurses' perspectives in the light of assisted suicide].

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].

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

[The physical and mental health of home care recipients: A quantitative secondary data analysis]. [家庭护理对象的身心健康：量化二手数据分析]。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-01 Epub Date: 2024-09-09 DOI: 10.1024/1012-5302/a001008

Azra Karabegovic, Esther Indermaur, Katharina Fierz

{"title":"[The physical and mental health of home care recipients: A quantitative secondary data analysis].","authors":"Azra Karabegovic, Esther Indermaur, Katharina Fierz","doi":"10.1024/1012-5302/a001008","DOIUrl":"10.1024/1012-5302/a001008","url":null,"abstract":"The physical and mental health of home care recipients: A quantitative secondary data analysis Abstract: Background: Although more and more people are being supported by home care services, there is a lack of information regarding the health limitations and needs of this group. Aim: The objective of this study was to examine the health status of people with home care needs in Switzerland. Method: A secondary data analysis based on the HomeCareData database, which contains routine data on people with home care requirements in Switzerland, was conducted. All cases with a fully completed Resident Assessment Instrument (RAI-HC) were included. Data on various items of the RAI-HC and other standardized scale scores with reference to physical or mental health were analyzed using descriptive statistics. Results: In total, 74,674 data records were evaluated. Physical limitations most frequently manifested in the form of fatigue (40.6%), pain (29.7%) or within the scope of impaired hearing (21.9%). Around a third of individuals sampled had experienced a fall in the last 90 days. With regard to mental health, the most frequent signs were fear of falling (33.5%), loneliness (13.9%), depression (12.8%) and anxiety (4%). Approximately one third showed signs of impaired cognition and polypharmacy was detected in almost 68% of those evaluated. Conclusion: Considering the comparatively high prevalence of mental health problems among people with home care requirements, there is a need to develop appropriate skills of employees in home care services and for adequate care planning.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"33-41"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156664","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

Die neuen Herausgeberinnen stellen sich vor. 新编辑介绍自己。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-01 DOI: 10.1024/1012-5302/a001029

Julia Lühnen, Friederike J S Thilo

引用次数: 0

[Voluntary abstinence from food and fluid. The relatives' perspective: An integrative review]. [自愿禁食禁水。亲属的观点：综述]。

IF 0.8 4区医学

Pflege Pub Date : 2025-02-01 Epub Date: 2023-12-22 DOI: 10.1024/1012-5302/a000970

Fabienne Walder, Andrea Kobleder

{"title":"[Voluntary abstinence from food and fluid. The relatives' perspective: An integrative review].","authors":"Fabienne Walder, Andrea Kobleder","doi":"10.1024/1012-5302/a000970","DOIUrl":"10.1024/1012-5302/a000970","url":null,"abstract":"Voluntary abstinence from food and fluid. The relatives' perspective: An integrative review Abstract: Background: Unbearable states of suffering can cause a premature wish to die. Voluntary stopping of eating and drinking (VSED) offers a way to autonomously realize this wish. Relatives play a significant role in the process of realizing VESD. So far, it is unclear how relatives experience the supporting process. Aim: This review intends to systematically record experiences of accompanying relatives. Method: Within the framework of an integrative review, we conducted research in MEDLINE®, CINAHL® and PsychINFO®, as well as supplementary research. The selection was based on defined inclusion and exclusion criteria. For the synthesis, we used a thematic model. Results: From the four included studies, it emerged that the accompanying relatives accepted the family members' wish to die. They defended the realization of this wish with responsibility and advocacy until the death of the person wishing to die. As a result of their caring commitment, they neglected their own needs. Most relatives assessed the accompaniment as peaceful and dignified. Conclusion: Accompanying the VSED process represents an emotional tightrope walk with unfamiliar challenges for relatives. The results can contribute to a deeper understanding of relatives' needs. In this way, the findings can stimulate the derivation of suitable support offers.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"23-32"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833023","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

[Nursing prioritization and rationing decisions in acute care hospitals during the Covid-19 pandemic: a qualitative study]. [Covid-19大流行期间急诊医院护理优先级和定量决策：一项定性研究]。

IF 0.8 4区医学

Pflege Pub Date : 2025-01-17 DOI: 10.1024/1012-5302/a001028

Janna Sill, Katharina Silies, Angelika Schley, Steffen Fleischer, Martin Müller, Katrin Balzer

{"title":"[Nursing prioritization and rationing decisions in acute care hospitals during the Covid-19 pandemic: a qualitative study].","authors":"Janna Sill, Katharina Silies, Angelika Schley, Steffen Fleischer, Martin Müller, Katrin Balzer","doi":"10.1024/1012-5302/a001028","DOIUrl":"https://doi.org/10.1024/1012-5302/a001028","url":null,"abstract":"Nursing prioritization and rationing decisions in acute care hospitals during the Covid-19 pandemic: a qualitative study Abstract:Background: The Covid-19 pandemic has put decisions regarding prioritization and rationing of care resources on the health policy agenda. The effects on the allocation of nursing resources in clinical practice are unclear. Aim: In order to derive implications for future pandemic situations, we analyzed the extent to which decisions were made about the distribution of resources in acute inpatient care and how bottlenecks were dealt with. Methods: We conducted semi-structured interviews with nursing staff (n = 16) and nursing team leaders (n = 10) in five acute-care clinics in Germany and analyzed them inductively using thematic framework analysis. Results: In acute inpatient care under pandemic conditions, prioritization and rationing decisions were made, such as the postponement or reduction of nursing measures, in order to overcome pandemic-specific challenges. These decisions affected certain patient groups and certain near- and distant-patient services, in particular fundamental care measures, such as support with personal hygiene and nutrition, as well as access to acute inpatient care. The decisions were made implicitly rather than according to evidence-based criteria. Conclusions: Nursing prioritization and rationing decisions were made during the pandemic. These decisions are similar to comparable decisions outside of the pandemic, particularly in terms of insufficient evidence base, and emphasize the need for empirically based decision criteria.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016464","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