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

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

[Nurse-led education for patients in plain language: Evaluation of a teaching concept for prospective nursing professionals]. [以护士为主导的平实语言患者教育：对未来护理专业人员教学理念的评价]。

IF 0.8 4区医学

Pflege Pub Date : 2024-12-06 DOI: 10.1024/1012-5302/a001026

Katharina Klein, Johanna Schuster, Sarah-Charlotte Petersen, Friederike Kendel

{"title":"[Nurse-led education for patients in plain language: Evaluation of a teaching concept for prospective nursing professionals].","authors":"Katharina Klein, Johanna Schuster, Sarah-Charlotte Petersen, Friederike Kendel","doi":"10.1024/1012-5302/a001026","DOIUrl":"https://doi.org/10.1024/1012-5302/a001026","url":null,"abstract":"Nurse-led education for patients in plain language: Evaluation of a teaching concept for prospective nursing professionals Abstract: Background: Nurse-led education for patients is a core competency of nurses. A particular challenge is the education of the growing group of people with limited literacy skills. Aims: The aim of our project was to develop and evaluate a teaching concept that would gradually enable prospective nursing professionals to independently carry out nurse-led education for people with low literacy. Methods: First, a teaching concept for a nurse-led education for patients in plain language was developed, which was implemented with prospective nursing professionals of the Bachelor of Nursing programme at Charité - Universitätsmedizin Berlin and tested with a pre-post evaluation. Self-developed items were used to measure experience, confidence, competence and learning increase. Results: Before starting the teaching concept, 56% (n = 14) of the participants already had some experience with patient education. The relevance of the topic was rated as very high (Median = 9; IQR = 10-8; n = 25). After completing the teaching concept, participants felt more confident in conducting nurse-led education (T0: 36% vs. T1: 79%) and more competent in using plain language (T0: 4% vs. T1: 26%). Conclusion: A teaching concept that combines the development of nurse-led education for patients with the target group-specific approach of plain language increases the confidence of carers in their teaching skills and the self-management of people with low literacy.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787804","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 : 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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2024-12-04","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

[Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study]. [德语儿科失禁相关皮炎评估项目开发：德尔菲研究]。

IF 0.8 4区医学

Pflege Pub Date : 2024-11-13 DOI: 10.1024/1012-5302/a001020

Sibylle Reick, Ulrike Blume-Peytavi, Bettina Walcher, Rebecca Palm

{"title":"[Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study].","authors":"Sibylle Reick, Ulrike Blume-Peytavi, Bettina Walcher, Rebecca Palm","doi":"10.1024/1012-5302/a001020","DOIUrl":"10.1024/1012-5302/a001020","url":null,"abstract":"Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study Abstract: Background: Paediatric incontinence-associated dermatitis (PIAD) is a common problem in premature infants, neonates, infants and young children. Standardized instruments for the assessment of PIAD can support clinical decision-making, but no standardized instrument is yet available for German-speaking countries. Aim: Selection, development and agreement of appropriate items for the assessment of PIAD in newborns, infants and young children in German (aIADchild Delphi). Method: Using a Delphi technique, international items were formulated in German by a steering committee, the items were assessed by panellists using an online survey, and a consensus (I-CVI > = 75%, comments) was formed by the steering committee and panellists. Results: 54 experts from four German-speaking countries were recruited. 44 (1st round) and 33 (2nd round) completed the questionnaire in full. Twelve items for the assessment of PIAD were rated as relevant, comprehensive and comprehensibility: erythema, skin change without and with damage to the skin surface, exudation, bleeding, oedema, overheating, signs of mycotic/bacterial superinfection, pain, itching, localization/extension and duration. Conclusion: The items aIADchild Delphi for the assessment of PIAD in German should be tested for their measurement properties prior to clinical use and the construction of an instrument.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632773","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

Ongoing and emerging issues for residential long-term care in the context of Covid-19. 在 Covid-19 的背景下，长期寄宿护理方面正在出现和新出现的问题。

IF 0.8 4区医学

Pflege Pub Date : 2024-09-24 DOI: 10.1024/1012-5302/a001016

Markus Latzke, Alexander Braun, Manfred Pferzinger, Adelheid Schönthaler

{"title":"Ongoing and emerging issues for residential long-term care in the context of Covid-19.","authors":"Markus Latzke, Alexander Braun, Manfred Pferzinger, Adelheid Schönthaler","doi":"10.1024/1012-5302/a001016","DOIUrl":"10.1024/1012-5302/a001016","url":null,"abstract":" Background: Long-term care facilities have been confronted with various workforce challenges, including a poor image within the nursing profession, a shortage of staff, and a growing demand for long-term care. Furthermore, these facilities have been significantly impacted by the pandemic and the respective measures with detrimental effects on residents, staff, and their family members. Aim: This study explored issues in working in residential long-term care from the perspective of nurses and their perception on amplifying and additional effects of Covid-19. Methods: It applied a qualitative design focusing on experiences and views of 25 LTC nurses working in Austrian long term care facilities during the pandemic. Data were collected by conducting in-depth interviews either virtually or in presence. The data analysis was conducted by applying a thematic analysis. Results: The four identified themes are: (1) Work motivation, (2) Dealing with vulnerability, (3) Human Resource Planning and (4) External view on long-term care. For each theme it was delineated which aspects have been present in the pre-Covid-19 situation and which became more visible or arose additionally. Conclusions: Nurturing connection between LTC nurses and with residents and relatives as well as signaling the positive aspects of LTC such as relationships, challenge and responsibility may allow to tackle Human Resource Planning issues.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309061","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 : 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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-12","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

[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 : 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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2024-08-28","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

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