IF 0.8 4区医学

Pflege Pub Date : 2024-01-01 DOI: 10.1024/1012-5302/a001022

Janet Cordes, Isabel Jalaß, Lena Marie Wirth, Philipp Bläser, Nicole Ruppert, Manfred Hülsken-Giesler

{"title":"[Care-related Case Management and the experienced burden of informal caregivers: empirical study].","authors":"Janet Cordes, Isabel Jalaß, Lena Marie Wirth, Philipp Bläser, Nicole Ruppert, Manfred Hülsken-Giesler","doi":"10.1024/1012-5302/a001022","DOIUrl":"10.1024/1012-5302/a001022","url":null,"abstract":"Care-related Case Management and the experienced burden of informal caregivers: empirical study Abstract. Background: Informal caregivers are responsible for the majority of home care in Germany. Their experience of stress is becoming more and more relevant given the tense staffing situation in outpatient professional care in rural areas. Case management as an innovative approach to caring in peripheral areas also focuses on the burden experienced by informal caregivers. Aim: The question arises as to whether care-related case management can have a positive influence on the burden experienced by informal caregivers. Methods: In a mixed-method approach, the influence of case management on the experience of stress is analyzed quantitatively (N = 251) and qualitatively (N = 40) using a pre-post design with a control group. Group difference tests based on the HPS-scale and content analysis of the interviews are conducted. Results: The analyses suggest that case management can have a positive influence on the experience of burden. From a quantitative perspective, there was a stabilizing influence on the experience of burden in the intervention group, while burden increased in the control group. Qualitatively, there was an influence on subjective burden. In particular, the role of the case manager as a central contact person in matters regarding the care situation is relevant. Conclusions: By providing new resources and coping strategies, case management can effectively alleviate the burden experienced by informal caregivers.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"37 6","pages":"297-303"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649664","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 implementation of clinical assessment by nurses in Switzerland: A cross-sectional study from the nursing perspective]. [瑞士护士实施临床评估：从护理角度进行的横断面研究]。

IF 0.8 4区医学

Pflege Pub Date : 2024-01-01 Epub Date: 2024-05-23 DOI: 10.1024/1012-5302/a001000

Marius Möller, Uta Christine Grosse, Veronika Waldboth

{"title":"[The implementation of clinical assessment by nurses in Switzerland: A cross-sectional study from the nursing perspective].","authors":"Marius Möller, Uta Christine Grosse, Veronika Waldboth","doi":"10.1024/1012-5302/a001000","DOIUrl":"10.1024/1012-5302/a001000","url":null,"abstract":"The implementation of clinical assessment by nurses in Switzerland: A cross-sectional study from the nursing perspective Abstract: Background: Clinical assessment is a core competency of BSc and MSc prepared nurses in Switzerland. However, influencing factors of its implementation and the experience in the interprofessional team has been studied little so far. Objective: The aim of this study was to explore how often clinical assessment skills are used by BSc and MSc graduated nurses in Switzerland, to identify facilitating and hindering factors for implementation and to investigate the nurses experience of the implementation in the interprofessional team. Method: We used an exploratory, descriptive research design employing a cross-sectional study of the convenience sample of BScN and MScN graduates in Switzerland. 264 questionnaires were analysed quantitatively and 149 written statements as part of the survey qualitatively. Results: Respondents indicated that they routinely only use 18.9% of the 53 assessment skills they were trained in. The \"respiratory system\", \"abdomen\", \"skin\" and \"mental status\" were used most frequently. MScN graduates use respiratory assessments and BScN graduates use abdominal assessments more frequently. Lack of time and interruptions, lack of influence on patient care and specialty specific skills are hindering factors for the implementation. Better conditions at the institutional level and appreciation within the interprofessional team can make an encouraging contribution in future. Conclusion: This study illustrates, that the theory-practice transfer of clinical assessment in Switzerland needs to be further promoted.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"256-264"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082070","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 development of kinaesthetic competence in acute inpatient care: a feasibility study with a pre-posttest design]. [在急诊住院病人护理中培养动觉能力：一项采用前测-后测设计的可行性研究]。

IF 0.8 4区医学

Pflege Pub Date : 2024-01-01 Epub Date: 2024-01-11 DOI: 10.1024/1012-5302/a000973

Hanna Burkhalter, Hubert Zimmermann

{"title":"[The development of kinaesthetic competence in acute inpatient care: a feasibility study with a pre-posttest design].","authors":"Hanna Burkhalter, Hubert Zimmermann","doi":"10.1024/1012-5302/a000973","DOIUrl":"10.1024/1012-5302/a000973","url":null,"abstract":"The development of kinaesthetic competence in acute inpatient care: a feasibility study with a pre-posttest design Abstract: Background: Most patients in acute care hospitals experience movement limitations due to surgery or a general deterioration of their condition. Therefore, nurses need a high level of competence in movement promotion. Aim: The aim of this study was to evaluate the feasibility of a three-day advanced kinaesthetics training course followed by six months of practical support to promote kinaesthetic competence in inpatient acute care and the competence development achieved as a result. Methods: The evaluation of the nurses' effectiveness was conducted using a pre- and post-measurement of kinaesthetic competence through a self-assessment questionnaire and an observation protocol. The evaluation of feasibility was done through a semi-structured questionnaire. Results: Eight nurses rated their kinaesthetics competence as good before (mean: 10,8 on a scale of 4-16) and very good after the intervention (mean: 13,2). The kinaesthetics trainer assessed the competence before as sufficient (mean: 9,4 on a scale of 4-16) and very good (mean: 14,5) after the practical support. The need to make practical support more flexible is highlighted in the qualitative data. Conclusion: The results demonstrate that a three-day training followed by six months of practical support has a positive impact on nurses' kinaesthetic competence.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":" ","pages":"265-274"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418590","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

Integration und Unterstützung älterer Menschen mit besonderen Bedürfnissen. 为有特殊需要的老年人提供融合和支持。

IF 0.8 4区医学

Pflege Pub Date : 2024-01-01 DOI: 10.1024/1012-5302/a001012

Daniela Händler-Schuster

引用次数: 0

Perceived stress, workload and psychosomatic complaints in inpatient and outpatient care nurses. 住院和门诊护理护士的感知压力、工作量和心身抱怨。

IF 1 4区医学

Pflege Pub Date : 2023-08-01 Epub Date: 2022-07-29 DOI: 10.1024/1012-5302/a000901

Natalie S Werner, Marina Bültmann, Luis Möckel

{"title":"Perceived stress, workload and psychosomatic complaints in inpatient and outpatient care nurses.","authors":"Natalie S Werner, Marina Bültmann, Luis Möckel","doi":"10.1024/1012-5302/a000901","DOIUrl":"10.1024/1012-5302/a000901","url":null,"abstract":" Background: Occupational stress, dissatisfaction, higher risk for chronical and psychological disorders impairs the well-being of care nurses staff and maintaining the quality of elderly and disabled care. However, few studies have compared the psychological and physical stress in nurses working in inpatient and outpatient care settings. Aim: The aim of the present study was to compare perceived stress, workload and psychosomatic complaints in nurses working in inpatient and outpatient care settings. Methods: 158 care nurses working in geriatric and disabled care participated in the quantitative cross-sectional survey study. Comparisons of stress, workload and psychosomatic complaints were made between the inpatient and outpatient care group. Results: Nurses working in the outpatient care reported more subjective experience of stress and more workload compared to nurses working in inpatient care. Additionally, nurses working in outpatient care reported more psychosomatic complaints compared to nurses in inpatient care. Conclusions: Our results suggest that inpatient and outpatient nurses experience their nursing activities differently stressful. In future research the differential stress factors need to be explored to provide adequate job training and develop stress prevention programs.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 4","pages":"220-227"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211463","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

[Using the TRAPD method to translate the revised MISSCARE Survey from English into German: Revised MISSCARE-Austria]. [使用TRAPD方法将修订后的MISSCARE调查从英语翻译成德语:revised MISSCARE- austria]。

IF 1 4区医学

Pflege Pub Date : 2023-08-01 DOI: 10.1024/1012-5302/a000936

Ana Cartaxo, Inge Eberl, Hanna Mayer

{"title":"[Using the TRAPD method to translate the revised MISSCARE Survey from English into German: Revised MISSCARE-Austria].","authors":"Ana Cartaxo, Inge Eberl, Hanna Mayer","doi":"10.1024/1012-5302/a000936","DOIUrl":"https://doi.org/10.1024/1012-5302/a000936","url":null,"abstract":"Using the TRAPD method to translate the revised MISSCARE Survey from English into German: Revised MISSCARE-Austria Abstract. Background: Questionnaire translations in German-speaking nursing science rely on methods using first- and back-translation techniques despite increasing criticism. In contrast, the TRAPD method is recognized as best practice in intercultural social research. However, experience with the application of this method in German-speaking nursing science is lacking. Aim: To describe the utilization of the TRAPD method using the example of the translation of the revised MISSCARE Survey from English into German and to discuss necessary adaptations, advantages, and limitations of this approach. Methods: An adapted version of the team-based translation method TRAPD was implemented through the steps: preparation, translation, review, adjudication, pretest, and documentation, based on the GESIS guidelines for intercultural questionnaire translation. Results: The new revised MISSCARE Austria instrument consists of 85 items. For the majority of the items, equivalent terms or phrases were found that allowed for a straightforward translation. For some items an adaptation was necessary due to cultural, measurement- and construct-related aspects. Translation equivalence regarding challenging items was examined with the first author and promoted by multiple cognitive pretesting with nurses. Conclusions: Our study strengthens the argument that the TRAPD method is appropriate for translating measurement instruments in German-speaking nursing science. However, this example shows that further experience with this method is necessary for its further development for our discipline.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 4","pages":"228-237"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9863135","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

Moral Distress: Allgegenwärtig, erschöpfend erforscht und nun? (小屋)给你

IF 1 4区医学

Pflege Pub Date : 2023-08-01 DOI: 10.1024/1012-5302/a000945

Anna-Henrikje Seidlein

引用次数: 0

[Development of an advanced practice nurse (APN) role for nutrition management: A needs assessment using a mixed methods approach]. [发展高级执业护士(APN)在营养管理中的作用:使用混合方法的需求评估]。

IF 1 4区医学

Pflege Pub Date : 2023-08-01 DOI: 10.1024/1012-5302/a000937

Kerstin Möcking, Bernadette Hosters

{"title":"[Development of an advanced practice nurse (APN) role for nutrition management: A needs assessment using a mixed methods approach].","authors":"Kerstin Möcking, Bernadette Hosters","doi":"10.1024/1012-5302/a000937","DOIUrl":"https://doi.org/10.1024/1012-5302/a000937","url":null,"abstract":"Development of an advanced practice nurse (APN) role for nutrition management: A needs assessment using a mixed methods approach Abstract. Background: Nurses are attributed to play a key role in nutrition management. This field has emerged to be a subject of advanced nursing practice. Aim: Conducting a needs assessment on the role profile of an advanced practice nurse (APN) in nutrition management according to the PEPPA framework. Methods: Mixed methods design. In a cross-sectional study on the current practice, the diagnostic accuracy of nurses' nutrition screening using Nutritional Risk Screening (NRS 2002) compared with independent assessment by a nutrition expert using NRS 2022 was examined. In case of a positive screening result, reasons were determined using an in-depth assessment. In addition, semi-structured, guideline-based interviews were conducted and content-analysed. Results: The identification of patients at risk by nurses' nutrition screening showed a need for improvement (sensitivity: 56%, specificity: 96%; n = 195). Commonly identified reasons for (risk of) malnutrition (n = 51) were lack of desire to eat/lack of appetite or increased caloric needs due to illness. Development opportunities and expectations for an APN were specified based on the interviews (n = 20). They refer to skill enhancement, support within the interprofessional team in complex treatment cases and a stronger nursing role in nutrition management. Conclusions: Based on the needs assessment, the APN's areas of responsibility were identified and assigned to the Hamric model, and implementation strategies could be derived.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 4","pages":"238-245"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914815","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 the implementation of non-pharmacological measures for the prevention and treatment of delirium: A retrospective cohort study]. [评价预防和治疗谵妄的非药物措施的实施:回顾性队列研究]。

IF 1 4区医学

Pflege Pub Date : 2023-08-01 DOI: 10.1024/1012-5302/a000932

Nadia Blättler, Bianca Schaffert, Maria Schubert

{"title":"[Evaluation of the implementation of non-pharmacological measures for the prevention and treatment of delirium: A retrospective cohort study].","authors":"Nadia Blättler, Bianca Schaffert, Maria Schubert","doi":"10.1024/1012-5302/a000932","DOIUrl":"https://doi.org/10.1024/1012-5302/a000932","url":null,"abstract":"Evaluation of the implementation of non-pharmacological measures for the prevention and treatment of delirium: A retrospective cohort study Abstract. Background: Delirium is burdensome for the affected patients, their relatives, hospital staff and the health care system. Preventing delirium with targeted multicomponent interventions is therefore essential. Aim: To investigate the implementation of defined non-pharmacological, preventive, and supportive measures in patients with an increased risk of delirium and/or delirium by the hospital's directions. Methods: In this observational study, routine data from 175 hospitalized patients were included. Data on delirium prevention, treatment and presence of delirium were extracted from the patient records and analyzed using appropriate statistical methods. Group comparisons were made between the medical/surgical clinic and the delirium/no delirium group. Results: Of the 175 patients, 31 had delirium. For delirium prevention, measures to improve oxygen supply, excretion, pain and mobility were most frequently implemented and measures such as improving cognition and communication were least frequently implemented. In the case of delirium, measures to modify risk factors, ensure safety, as well as prophylaxis were applied most frequently. Between the two clinics and between the delirium/no delirium group significant differences in the frequency of these measures were shown. Conclusion: The differences in frequency of implementation provide preliminary evidence that clinic-specific delirium prevention, early detection, and treatment may be needed.","PeriodicalId":54625,"journal":{"name":"Pflege","volume":"36 4","pages":"198-208"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9862615","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: 1

Mehr Evidenz für weniger Emission. 过两年我就会租出去

IF 1 4区医学

Pflege Pub Date : 2023-08-01 DOI: 10.1024/1012-5302/a000946

Katrin Balzer

引用次数: 0

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