Search

Einführung: Digitale Kompetenzen sind heutzutage nicht mehr wegzudenken. Digitale Prozesse und digitale Tools sind alltägliche Begleiter, die eine gewisse digitale Kompetenz voraussetzen. Angesichts des Voranschreitens der Digitalisierung auch im Gesundheitswesen müssen sich die digitalen Kompetenzen von Medizinerinnen und Medizinern sowie Pflegefachpersonen verändern. Fragestellung: Die Masterarbeit beschäftigt sich mit der Frage, welche Schwerpunkte sich in der digitalen Kompetenz für Pflegefachpersonen und Mediziner verschieben werden und wie die digitalen Kompetenzen gefördert werden können. Methode: Es wird eine umfangreiche Literaturrecherche durchgeführt, um einen Überblick über Trends, die neusten Technologien sowie die diversen Sichtweisen zur Thematik zu erhalten. Zum Stand des Wissens ab Kapitel 2 werden die Erkenntnisse der Literaturrecherche zusammenfassend dargestellt. Als Nächstes wird auf Basis der Theorie und als Grundlage zur Beantwortung der Forschungsfrage ein digitales Kompetenzmodell entwickelt. Die digitale Kompetenzpyramide wird beim Entwurf der Onlineumfrage sowie als Basis für die Experteninterviews verwendet. Die Zielgruppe der Mixed-Methode sind Pflegefachpersonen, Mediziner und Digitalisierungsexperten. Ergebnisse: Die Kompetenzebenen werden sich von den ICT-Skills zu den Informations-, Inhalts und Datenkompetenzen hin verschieben, wobei die digitale Kreativität eine der wichtigsten digitalen Kompetenzen zur Innovationsschaffung darstellt. Die Aufgabe der Kompetenzförderung liegt beim Individuum selbst sowie bei der Organisation und – als wichtigster Aspekt: Sie beginnt bereits während der Ausbildung. Hierzu sind digitale E-Learning-Plattformen, Design-Thinking-Ansätze, das Besuchen von Digital Health Labs und Projektmanagement-Tools zu nennen. Für die Informations-, Inhalts- und Datenkompetenzen werden wissenschaftliches Arbeiten und statistische Auswertungen sowie das Abhandeln von Datenschutz im Unterricht empfohlen. Diskussion: Die B

Aim: Nurse-led care aims to optimize the discharge preparation with a focus on increasing patients' independency and self-care abilities. This study compared patients' improvements of self-care abilities and frequency of readmission rate between nurse-led care and regular nursing care within the acute hospital setting. Design: A quasi-experimental design within a real-world setting was used for this work. Methods: We included a pool of 2501 patients from a control group (medically stable in usual care) and 420 patients from an intervention group (nurse-led care). After propensity score matching, the study cohort consisted of 612 patients. Results: From admission to discharge, nurse-led care patients showed superior improvements of total self-care abilities compared to usual care patients. In particular, we found improvements in the following categories: mobility, grooming and excretion. Patients with nurse-led care were furthermore less frequently readmitted to hospital compared with the control group patients. Patient or public contribution: No patient or public contribution.

Hintergrund: Ein Delir wirkt sich auf die Betroffenen und deren Angehörigen, das Spitalpersonal und Gesundheitswesen belastend aus. Die Prävention eines Delirs mit multikomponenten Interventionen ist wesentlich. Ziel: Eine Untersuchung der Umsetzung der nicht-pharmakologischen, präventiven und unterstützenden Maßnahmen bei Patient_innen mit einem erhöhten Delirrisiko und/oder Delir gemäß Handlungsanleitungen des Studienspitals. Methode: In dieser Beobachtungsstudie wurden routinemäßig erfasste Daten von 175 hospitalisierten Patient_innen eingeschlossen. Die Angaben zur Delirprävention/-behandlung und Vorliegen eines Delirs wurden aus der Patient_innenakte extrahiert und mittels geeigneter statistischer Methoden analysiert. Gruppenvergleiche wurden zwischen der medizinischen und operierenden Klinik sowie den Gruppen Delir/kein Delir getätigt. Ergebnisse: Von 175 Patient_innen wiesen 31 ein Delir auf. Zur Delirprävention wurden am häufigsten Maßnahmen zur Verbesserung der Sauerstoffversorgung, Ausscheidung, Schmerzen und Mobilität durchgeführt und am seltensten Maßnahmen zur Förderung der Wahrnehmung und Kommunikation. Bei einem Delir wurden am häufigsten Maßnahmen zur Modifikation der Risikofaktoren, Gewährleistung der Sicherheit und Prophylaxen angewendet. Zwischen den zwei Kliniken sowie den Gruppen Delir/kein Delir zeigten sich signifikante Unterschiede in der Durchführungshäufigkeit. Schlussfolgerung: Die Unterschiede in der Durchführungshäufigkeit liefern erste Hinweise dafür, dass klinikspezifische Delirprävention, -früherkennung und -behandlung notwendig sein können. 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 dir

Background: Workplace sexual harassment towards nurses is a global phenomenon: approximately one quarter of all nurses are affected by sexual harassment. The extent and type of sexual harassment vary greatly depending on the country, culture, level of education, and care setting. Notably, patients are amongst the main perpetrators. Importantly, sexual harassment has serious consequences on nurses’ health and work performance. Objective: This study examined the prevalence of patients’ workplace sexual harassment towards nurses and nursing students at a University of Applied Sciences in Switzerland. Design: A quantitative cross-sectional descriptive correlational design was used. Setting: The survey was conducted at the university’s Institute of Nursing under the Department of Health. Participants: Nurses and nursing students who were studying or attending a continuing education programme and had worked as a nurse with direct contact with patients in the last 12 months could qualify as participants. A final sample of 251 participants was used for the analysis. Methods: Data were collected using the ‘Sexually Harassing Behaviour Questionnaire from an extraorganizational perspective’. Preliminary analysis involved computing the percentage and absolute frequencies, mean scores, standard deviations, and ranges. The hypotheses were tested using non-parametric tests, such as the Wilcoxon test for two independent samples, Spearman correlation test, and Kruskal-Wallis H test. Results were considered statistically significant at alpha < 0.05. Results: Most participating nurses were women (88.5%) and worked in adult acute care (54.2%). The mean age was 25.5 (SD = 7.5) years. On average, they had worked in the nursing profession for 7 years. 17.1% of the participants had received training on sexual harassment. Overall, 95.6% of the participants reported experiencing sexual harassment of any type at least once in the last 12 months. The most common type of harassment was verbal s

Das Angebot im Internet ist grenzenlos. Immer neuere Ideen ergänzen die klassischen Lehrmittel. Dozierende nehmen diesbezüglich eine Lotsenfunktion ein. Neben der didaktischen braucht es auch eine mediale Reduktion von Inhalten. Zudem fordert „Open Education“ die Wettbewerbsfähigkeit von Akademien zunehmend heraus. Erfahrungen und Möglichkeiten grafischer Inhaltsvermittlung werden thematisiert.

Purpose: Due to delivery of chemotherapy being mostly in ambulatory care settings, support of people with cancer relies heavily on caregivers (e.g. relatives). Whilst cancer caregiver research has been flourishing, there has been little focus on the specific experiences of caregivers of older people (>70yrs) with cancer, and little considerations of cultural influences on their experiences. This study explored caregiver experiences and outcomes in the geriatric oncology context in Switzerland. Methods: Sequential mixed-methods design, comprising a) cross-sectional survey (n = 86/RR52%; age range 37–85) and b) interviews (n = 19) to explore experiences of caregivers of older people (mean age in yrs 74.6 (sd 4.3) with cancer, and factors related to caregivers’ psychological morbidity and health related quality of life (HrQoL). Results: Caregivers reported a median of three moderate/high unmet needs (range 0–41) and 44% reported clinically significant psychological morbidity. Demographics (caregiver age, gender, and marital status), caregiving tasks (physical, psycho-emotional, social and/or treatment related care), unmet needs and caregiver burden collectively explained between 20 and 57% of variance in caregiver psychological morbidity and HRQoL. Two main themes emerged from interviews: “Being a caregiver and doing caregiving” and “Living through the situation.” These indicated that caregiver roles are multiple and fluid, and identified responsibilities not previously reported outside of palliative care settings, such as thinking about and planning for death and dying. Conclusions: Caregiving for an older person with cancer can have detrimental impacts on caregivers’ wellbeing and quality of life. Consideration needs to be given to the particular needs of caregivers in geriatric oncology settings. Their support needs appear different to those of their counterparts caring for younger people with cancer, notably related to spiritual needs; this may in part relate to po

If dependency makes vulnerable: Nursing home residents' claims for dignity-conserving nursing care - A narrative literature review Abstract. Introduction: Due to an increase in the very old population, it is important to know what is needed in order to support older people's needs regarding dignity-conserving nursing care when living in a nursing home. Aim: The aim of this article is to gather information on how nursing home residents feel respected and protected in regards of their dignity. Methods: A narrative literature review was conducted in the databases CINAHL Complete and PubMed. Six qualitative studies met the inclusion criteria and were compared regarding similarities. Results: The protection of dignity is jeopardized not only by the residents' dependency, but also by nurses, social environment, and society. To protect their own dignity, residents wanted to be perceived as individuals and be treated with respect. Additionally, they wanted to be as independent as possible and take part in meaningful activities. Discussion: Facilitation of staff members as well as flat, peripheral leadership structures are important in order to protect the residents' dignity. The residents' needs regarding social and societal participation has been additionally challenged due to the Covid-19 pandemic. At the same time, the pandemic enforced innovations that may help protect nursing home residents' dignity. Conclusions: These findings can help nurses to protect the dignity of nursing home residents in their daily lives and in the implementation of care measures.

Im Rahmen eines von der Paul Schiller Stiftung finanziertes Forschungs- und Entwicklungsprojektes wurde der Frage nachgegangen, wie die Zusammenarbeit mit Angehörigen in intermediären und stationären Einrichtungen für alle Beteiligten gewinnbringend gestaltet werden kann. Neben einer quantitativen Online-Befragung bei allen Institutionen des Kanton Zürich wurden auch vertiefende, qualitative Interviews mit Fachpersonen und Angehörigen sowie Gruppendiskussionen mit beiden Zielgruppen durchgeführt, mit dem Ziel, Grundlagen für Modellmassnahmen in Alters- und Pflegezentren zu eruieren, um diese im Rahmen eines Nachfolgeprojekts in ausgewählten Institutionen umzusetzen und begleitend zu evaluieren.

Die Studierenden können gezielt eine symptomfokussierte Anamnese und die körperliche Untersuchung durchführen, anschliessend die gesammelten Daten zusammenfassen / analysieren und das weitere Vorgehen planen, gemäss SOAP-Schema (Subjective-Objective-Analyse-Plan) können gezielt und systematisch eine Anamnese zum Abdomen erheben, inklusive Grunddaten, Hauptbeschwerden, symptomfokussierter Anamnese anhand der Leitsymptome Abdomen, erweiterter Anamnese Abdomen, medizinischer Vorgeschichte, Familienanamnese, Sozialanamnese führen eine systematische körperliche Untersuchung des Abdomens in folgender Reihenfolge durch und setzen Untersuchungshilfsmittel ein: Allgemeinzustand (AZ), Vitalzeichen (VZ), wichtige systemrelevante Parameter, Inspektion, Auskultation, Perkussion, Palpation führen zusätzliche Untersuchungen durch, wie zum Beispiel Appendizitis-Zeichen erkennen die physiologischen Befunde und / oder deren Abweichungen interpretieren diese und stellen eine Arbeitshypothese auf beurteilen die Dringlichkeit und planen weitere Interventionen rapportieren die Befunde gemäss dem Rapportraster Identifikation – Situation – Background – Assessment – Recommendation (ISBAR) in Fachsprache an das interprofessionelle Team (Arzt / Ärztin – Pflegefachpersonen / Hebammen) und dokumentieren die Ergebnisse des klinischen Assessments in Fachsprache.

Background: There is an increase in hearing and visual impairments worldwide. Those affected have a reduced ability to participate in social contacts, mobility, and access to information. Until now, there have been no recommendations for Advanced Practice Nurses (APNs) in Switzerland to support this group of people in the autonomous organization of everyday life in their own homes. Objective: The aim of the study was to understand how people integrate their dual hearing and visual impairments into everyday life to derive recommendations for APNs to support individuals to manage their daily lives. Methods: Following the constructivist approach of grounded theory, guided interviews and a questionnaire survey with hearing and visually impaired persons (n = 46) over 70 years of age on independent daily living were conducted (concurrent embedded strategy). In addition, demographic data on age, gender, living situation, and use of assistive devices were analyzed. Findings: Based on the results, a communication-based dynamic resilience model (CoRes) was developed. This article represents the third phase of the three-stage-model. Integration of altered hearing depends on resources and risk factors. Conclusions: Advanced practice nurses can use recommendations from this research to actively help individuals and their families build resilience.

Background: In Switzerland, health professionals in Advanced Practice (AP) roles care to fulfil their patients’ unmet needs, despite lack of a legal basis for the AP scope of practice. In 2016, the Swiss parliament voted against establishing a framework for AP regulation, contributing to informal practice and lack of role clarification. Despite this, universities in Switzerland continue to train Nurses, Midwifes and Physiotherapists in Advanced practice at a master level, such as in the Master of Science programs at ZHAW Zurich University of Applied Sciences. Since 2019, students acquire competencies in interprofessional collaboration and the development, implementation and evaluation of AP-roles in an interprofessional education module. The purpose of this research was to evaluate the education module for Advanced Practice competencies and to explore how well it prepares students for their future AP including the development and implementation of their roles. Methods: Data was collected between 2020-2022 using standardized questionnaires, students’ reflective notes and focus group discussions with students and lecturers. Data were analyzed using descriptive statistics and content analysis techniques. Findings: In total, 67 students participated in the standardized questionnaires and 114 reflective notes were included in the analysis. 8 focus group discussions were performed involving 28 students and 37 lecturers. Students described the education module as having high clinical relevance. They were able to complete a work shadowing in different institutions and develop a role description as part of their assignment. The interprofessional elements across the module facilitated role clarity by allowing discussions and critical reflections. Exchanges with other health professionals made it possible for students to take on new perspectives on AP roles and raised their awareness of the importance of stakeholder involvement in practice development projects. Students felt p