IF 0.3 4区医学

Pflege Pub Date : 2025-01-01 DOI: 10.1024/1012-5302/a001048

Veronika Waldboth

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 0.3 4区医学

Pflege Pub Date : 2025-01-01 Epub 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":"274-284"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","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

[Perceived stress in inpatient psychiatric facilities in connection with shared rooms: A qualitative secondary analysis]. [精神病院住院病人与共用房间的感知压力：定性二次分析]。

IF 0.3 4区医学

Pflege Pub Date : 2025-01-01 Epub Date: 2025-04-01 DOI: 10.1024/1012-5302/a001038

Victoria-Fabiola Ullmer, Imane Henni Rached, Ivonne Ledtermann, Brigitte Anderl-Doliwa

{"title":"[Perceived stress in inpatient psychiatric facilities in connection with shared rooms: A qualitative secondary analysis].","authors":"Victoria-Fabiola Ullmer, Imane Henni Rached, Ivonne Ledtermann, Brigitte Anderl-Doliwa","doi":"10.1024/1012-5302/a001038","DOIUrl":"10.1024/1012-5302/a001038","url":null,"abstract":"Perceived stress in inpatient psychiatric facilities in connection with shared rooms: A qualitative secondary analysis Abstract: Background: The occupancy of shared rooms plays a key role in the recovery process of patients in psychiatric facilities. Creating a favourable environment not only influences the ward climate, but also the potential for aggression. Aim: Identification of perceived stress caused by shared rooms in inpatient psychiatric facilities from the perspective of people with mental illness. Methods: This is a secondary analysis of cross-sectional data from individual interviews from a pilot study. As part of this study, episodic interviews were conducted with 18 people with different mental illnesses in Germany and analysed using thematic coding. Results: Seven categories were identified that reflect the burdens perceived by people with mental illness when they have to share multi-bed rooms with other patients: dynamics of communication, odours and noises, social and cultural background, sleep rhythm, symptoms of fellow patients, territoriality and privacy, sensory overload and stimulus shielding. Conclusion: The occupancy of multi-bed rooms with several patients in psychiatric facilities is associated with considerable stress and thus impairs the well-being of people with mental illnesses. A continuous evaluation of individual needs and preferences should be carried out both on admission and during the course of treatment. The findings of this study should be taken into account in future architectural planning of psychiatric wards.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"266-273"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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 0.3 4区医学

Pflege Pub Date : 2025-01-01 Epub 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":"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":"295-303"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","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 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 0.3 4区医学

Pflege Pub Date : 2025-01-01 Epub 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":"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":"247-257"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","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

[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 0.3 4区医学

Pflege Pub Date : 2025-01-01 Epub 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":"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":"285-294"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","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

Pädiatrische Pflege im deutschsprachigen Raum: zwischen Generalistik und Spezialisierung. 英国的儿科护理：在综合护理和专业化之间。

IF 0.3 4区医学

Pflege Pub Date : 2025-01-01 DOI: 10.1024/1012-5302/a001047

Anna-Barbara Schlüer

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 0.3 4区医学

Pflege Pub Date : 2025-01-01 Epub 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":"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":"258-265"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","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

[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

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

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