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1. Interventions to enhance safety culture for nursing professionals in long-term care: A systematic review

Author

Sandra Garay, Mathias Haeger, Laura Kühnlein, Daniela Sulmann, and Ralf Suhr

Subjects
Change management, Intervention implementation, Long-term care, Nursing, Patient safety, Safety culture, RT1-120
Abstract

Background: Recognizing safety risks and promoting safe care is essential for care dependent people and should be an integral part of the overall preventive endeavors while providing care. The term 'safety culture' describes efforts regarding the acknowledgement and reduction of safety risks. Enhanced safety culture in health care organizations can be associated with a lower incidence of missed nursing care and adverse events. Objective: Identify strategies to enhance safety culture in long-term care settings and describe factors facilitating or inhibiting the process from the available evidence. Design: This systematic review is a narrative description of intervention studies. Methods: CINAHL and MEDLINE were searched in May 2020 using terms such as safety culture, safety climate, intervention development. Gray literature was searched between May and September 2020. An additional search in Cochrane Library was conducted in September 2022. Only intervention studies feasible to enhance the safety culture were included. Intervention study criteria were met when an organized, planned action to prevent or change a specific behavior took place and when this action was transparently and systematically evaluated. The screening, data extraction, and rating processes were conducted by two researchers independently. The ROBINS-I tool was utilized to assess the risk of bias of the studies. Results: Seven intervention studies were included, all evaluated with a critical risk of bias. Strategies found to enhance the safety culture in care settings include collegial exchange of experiences and learnings, integration of staff's perceptions, external facilitation, staff training, and a structured, multi-step procedure of the intervention process. Some studies were unable to show statistically significant enhancement in safety culture from the interventions implemented. Factors facilitating the implementation of interventions include good connections and trust between staff and managers, and the manager's active support of the project goals, as well as targeting achievable ideas considering time and resources. Time pressure, heavy workloads and high staff turnover may inhibit the process. Conclusions: All included studies had a high risk of bias, and possible effects must be considered accordingly. Overall, there was considerable heterogeneity in interventions aiming to enhance safety culture. Despite these aspects, promising approaches are training staff's knowledge and competencies regarding open communication and teamwork as part of a multifaceted program. Future research would benefit from participative, carefully developed, comprehensively evaluated interventions for enhancing safety culture, specifically within in-home care settings. Registration: The review was not pre-registered but described on the website of the Center for Quality in Care. Tweetable abstract: Participatory change management & staff training help ensure momentum & trust in endeavours to enhance safety culture in long-term care.

Published
2023
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2. World Congress Integrative Medicine & Health 2017: part two

Author

Carolyn Ee, Sharmala Thuraisingam, Marie Pirotta, Simon French, Charlie Xue, Helena Teede, Agnete E. Kristoffersen, Fuschia Sirois, Trine Stub, Jennifer Engler, Stefanie Joos, Corina Güthlin, Jennifer Felenda, Christiane Beckmann, Florian Stintzing, Roni Evans, Gert Bronfort, Daniel Keefe, Anna Taberko, Linda Hanson, Alex Haley, Haiwei Ma, Joseph Jolton, Lana Yarosh, Francis Keefe, Jung Nam, Liwanag Ojala, Mary J. Kreitzer, Careen Fink, Karin Kraft, Andrew Flower, George Lewith, Kim Harman, Beth Stuart, Felicity L. Bishop, Jane Frawley, Lilla Füleki, Eva Kiss, Tamas Vancsik, Tibor Krenacs, Martha Funabashi, Katherine A. Pohlman, Silvano Mior, Haymo Thiel, Michael D. Hill, David J. Cassidy, Michael Westaway, Jerome Yager, Eric Hurwitz, Gregory N. Kawchuk, Maeve O’Beirne, Sunita Vohra, Isabelle Gaboury, Chantal Morin, Katharina Gaertner, Loredana Torchetti, Martin Frei-Erb, Michael Kundi, Michael Frass, Eugenia Gallo, Valentina Maggini, Mattia Comite, Francesco Sofi, Sonia Baccetti, Alfredo Vannacci, Mariella Di Stefano, Maria V. Monechi, Luigi Gori, Elio Rossi, Fabio Firenzuoli, Rocco D. Mediati, Giovanna Ballerini, Paula Gardiner, Anna S. Lestoquoy, Lily Negash, Sarah Stillman, Prachi Shah, Jane Liebschutz, Pamela Adelstein, Christine Farrell-Riley, Ivy Brackup, Brian Penti, Robert Saper, Isabel Giralt Sampedro, Gilda Carvajal, Andreas Gleiss, Marie M. Gross, Dorothea Brendlin, Jonas Röttger, Wiebke Stritter, Georg Seifert, Noelle Grzanna, Rainer Stange, Peter W. Guendling, Wen Gu, Yan Lu, Jie Wang, Chengcheng Zhang, Hua Bai, Yuxi He, Xiaoxu Zhang, Zhengju Zhang, Dali Wang, Fengxian Meng, Alexander Hagel, Heinz Albrecht, Claudia Vollbracht, Wolfgang Dauth, Wolfgang Hagel, Francesco Vitali, Ingo Ganzleben, Hans Schultis, Peter Konturek, Jürgen Stein, Markus Neurath, Martin Raithel, Bianka Krick, Heidemarie Haller, Petra Klose, Gustav Dobos, Sherko Kümmel, Holger Cramer, Felix J. Saha, Anna Kowoll, Barbara Ebner, Bettina Berger, Kyung-Eun Choi, Lisha He, Han Wang, X. He, C. Gu, Y. Zhang, Linhua Zhao, Xiaolin Tong, Xinhui He, Chengjuan Gu, Ying Zhang, Robin S. T. Ho, Vincent C. H. Chung, Xinyin Wu, Charlene H. L. Wong, Justin C. Y. Wu, Samuel Y. S. Wong, Alexander Y. L. Lau, Regina W. S. Sit, Wendy Wong, Michelle Holmes, Felicity Bishop, Lynn Calman, Dave Newell, Jonathan Field, Win L. Htut, Dongwoon Han, Da I. Choi, Soo J. Choi, Ha Y. Kim, Jung H. Hwang, Ching W. Huang, Bo H. Jang, Fang P. Chen, Seong G. Ko, Wenjing Huang, De Jin, Fengmei Lian, Soobin Jang, Kyeong H. Kim, Eun K. Lee, Seung H. Sun, Ho Y. Go, Youme Ko, Sunju Park, Yong C. Shin, Hubert Janik, Natalie Greiffenhagen, Jürgen Bolte, Mariusz Jaworski, Miroslawa Adamus, Aleksandra Dobrzynska, Michael Jeitler, Jessica Jaspers, Christel von Scheidt, Barbara Koch, Andreas Michalsen, Nico Steckhan, Christian Kessler, Wen-jing Huang, Bing Pang, Feng-Mei Lian, Miek Jong, Erik Baars, Anja Glockmann, Harald Hamre, Mosaburo Kainuma, Aya Murakami, Toshio Kubota, Daisuke Kobayashi, Yasuhiro Sumoto, Norihiro Furusyo, Shin-Ichi Ando, Takao Shimazoe, Olaf Kelber, S. Verjee, Eva Gorgus, Dieter Schrenk, Kathi Kemper, Ellie Hill, Nisha Rao, Gregg Gascon, John Mahan, Gunver Kienle, Jörg Dietrich, Claudia Schmoor, Roman Huber, Weon H. Kim, Mansoor Ahmed, Luzhu He, Jung Hye Hwang, Nora Meggyeshazi, Csaba Kovago, Anne K. Klaus, Roland Zerm, Danilo Pranga, Thomas Ostermann, Marcus Reif, Hans Broder von Laue, Benno Brinkhaus, Matthias Kröz, Daniela Rodrigues Recchia, Hans B. von Laue, Christien T. Klein-Laansma, Mats Jong, Cornelia von Hagens, Jean P. Jansen, Herman van Wietmarschen, Miek C. Jong, Seung-Ho Sun, Ho-Yeon Go, Chan-Yong Jeon, Yun-Kyung Song, Seong-Gyu Ko, Anna K. Koch, Sybille Rabsilber, Romy Lauche, Jost Langhorst, Milena Trifunovic-Koenig, Evi Koster, Diana Delnoij, Lena Kroll, Kathrin Weiss, Ai Kubo, Sarah Hendlish, Andrea Altschuler, Nancy Connolly, Andy Avins, Jon Wardle, David Lee, David Sibbritt, Jon Adams, Crystal Park, Gita Mishra, Johann Lechner, Inseon Lee, Younbyoung Chae, Jisu Lee, Seung H. Cho, Yujin Choi, Jee Y. Lee, Han S. Ryu, Sung S. Yoon, Hye K. Oh, Lyun K. Hyun, Jin O. Kim, Seong W. Yoon, Ju-Yeon Lee, Sang-Hoon Shin, Min Jang, Indra Müller, So-Hyun Janson Park, Lance Laird, Suzanne Mitchell, Xiaofei Li, Yunhui Wang, Jianhua Zhen, He Yu, Tiegang Liu, Xiaohong Gu, Hui Liu, Weiguo Ma, Xuezheng Shang, Yu Bai, Wei Liu, Collin Rooney, Amos Smith, Shirlene Lopes, Marcelo Demarzo, Maria do Patrocínio Nunes, Peter Lorenz, Carsten Gründemann, Miriam Heinrich, Manuel Garcia-Käufer, Franziska Grunewald, Silke Messerschmidt, Anja Herrick, Kim Gruber, Matthias Knödler, Carmen Steinborn, Taoying Lu, Lixin Wang, Darong Wu, Christina M Luberto, Daniel L. Hall, Emma Chad-Friedman, Suzanne Lechner, Elyse R. Park, Christina M. Luberto, Elyse Park, Janice Goodman, Sonja Luer, Matthias Heri, Klaus von Ammon, Ida Landini, Andrea Lapucci, Stefania Nobili, Enrico Mini, Clare McDermott, Selwyn Richards, Diane Cox, Sarah Frossell, Geraldine Leydon, Caroline Eyles, Hilly Raphael, Rachael Rogers, Michelle Selby, Charlotte Adler, Jo Allam, Xiangwei Bu, Honghong Zhang, Jianpeng Zhang, Michael Mikolasek, Jonas Berg, Claudia Witt, Jürgen Barth, Ivan Miskulin, Zdenka Lalic, Maja Miskulin, Albina Dumic, Damir Sebo, Aleksandar Vcev, Nasr A. A. Mohammed, Soo Jeung Choi, Hyea Bin Im, Anwesha Mukherjee, Amit Kandhare, Subhash Bodhankar, Prasad Thakurdesai, Niki Munk, Erica Evans, Amanda Froman, Matthew Kline, Matthew J. Bair, Frauke Musial, Terje Alræk, Harald J. Hamre, Lars Björkman, Vinjar M. Fønnebø, Feng-mei Lian, Qing Ni, Xiao-lin Tong, Xin-long Li, Wen-ke Liu, Shuo Feng, Xi-yan Zhao, Yu-jiao Zheng, Xue-min Zhao, Yi-qun Lin, Tian-yu Zhao, Xi-Yan Zhao, Hui Che Phd, Chen Zhang, Feng Liu, Lin-hua Zhao, Ru Ye, Cheng-juan Gu, Wenbo Peng, Diana De Carvalho, Mohamed El-Bayoumi, Bob Haig, Kimbalin Kelly, Darrell J. Wade, Emanuela Portalupi, Giampietro Gobo, Luigi Bellavita, Chiara Guglielmetti, Christa Raak, Myriam Teuber, Friedrich Molsberger, Ulrich von Rath, Ulrike Reichelt, Uta Schwanebeck, Sabine Zeil, Christian Vogelberg, Dolores Rodríguez Veintimilla, Guerrero Tapia Mery, Marisol Maldonado Villavicencio, Sandra Herrera Moran, Christian Sachse, Peter W Gündlin, Monirsadat Sahebkarkhorasani, Hoda Azizi, Dania Schumann, Tobias Sundberg, Matthew J. Leach, Susana Seca, Henry Greten, Sugir Selliah, Anu Shakya, Ha Yun Kim, Hyea B. Im, Anna Sherbakova, Gudrun Ulrich-Merzenich, Heba Abdel-Aziz, Erica Sibinga, Lindsey Webb, Jonathan Ellen, Kari Skrautvol, Dagfinn Nåden, Rhayun Song, Weronika Grabowska, Kamila Osypiuk, Gloria V. Diaz, Paolo Bonato, Moonkyoung Park, Jeffrey Hausdorff, Michael Fox, Lewis R. Sudarsky, Daniel Tarsy, James Novakowski, Eric A. Macklin, Peter M. Wayne, Inok Hwang, Sukhee Ahn, Myung-Ah Lee, Min K. Sohn, Oleg Sorokin, Dagmar Heydeck, Astrid Borchert, Christoph-Daniel Hohmann, Harmut Kühn, Clemens Kirschbaum, Tobias Stalder, Barbara Stöckigt, Michael Teut, Ralf Suhr, Daniela Sulmann, Chris Streeter, Patrica Gerbarg, Marisa Silveri, Richard Brown, John Jensen, Britta Rutert, Angelika Eggert, Alfred Längler, Christine Holmberg, Jin Sun, Xin Deng, Wen-Yuan Li, Bin Wen, Nicola Robinson, Jian-Ping Liu, Hyun K. Sung, Narae Yang, Seon M. Shin, Hee Jung, Young J. Kim, Woo S. Jung, Tae Y. Park, Kiyoshi Suzuki, Toshinori Ito, Seiya Uchida, Seika Kamohara, Naoya Ono, Mitsuyuki Takamura, Ayumu Yokochi, Kazuo Maruyama, Patricio Tapia, Katarzyna Thabaut, Anja Thronicke, Megan Steele, Harald Matthes, Cornelia Herbstreit, Friedemann Schad, Jiaxing Tian, Libo Yang, Tian Tian, Hewei Zhang, Xia Tian, CongCong Wang, Qian Yun Chai, Lijuan Zhang, Ruyu Xia, Na Huang, Yutong Fei, Jianpin Liu, Natalie Trent, Mindy Miraglia, Jeffrey Dusek, Edi Pasalis, Sat B. Khalsa, Milena Trifunovic-König, Anna Koch, Lisa Uebelacker, Geoffrey Tremont, Lee Gillette, Gary Epstein-Lubow, David Strong, Ana Abrantes, Audrey Tyrka, Tanya Tran, Brandon Gaudiano, Ivan Miller, Gerhild Ullmann, Yuhua Li, Sujata Vaidya, Vinod Marathe, Ana C. Vale, Jacquelyne Motta, Fabíola Donadão, Angela C. Valente, Luana C. Carvalho Valente, Ricardo Ghelman, Dusan Vesovic, Dragan Jevdic, Aleksandar Jevdic, Katarina Jevdic, Mihael Djacic, Dragica Letic, Drago Bozic, Marija Markovic, Slobodan Dunjic, Gordana Ruscuklic, Dezire Baksa, Kenan Vrca, Ann Vincent, Dietlind Wahner-Roedler, Mary Whipple, Maria M. Vogelius, Iris Friesecke, Peter W. Gündling, Saswati Mahapatra, Rebecca Hynes, Kimberly Van Rooy, Sherry Looker, Aditya Ghosh, Brent Bauer, Susanne Cutshall, Harald Walach, Ana Borges Flores, Michael Ofner, Andreas Kastner, Gerhard Schwarzl, Hermann Schwameder, Nathalie Alexander, Gerda Strutzenberger, Xianwei Bu, Jianping Zhang, Shang Wang, Jinfeng Shi, Yu Hao, Jun Wu, Zeji Qiu, Yuh-Hai Wang, Chi-Jung Lou, Sam Watts, Peter Wayne, Gloria Vergara-Diaz, Brian Gow, Jose Miranda, Lewis Sudarsky, Eric Macklin, Kathrin Wode, Jenny Bergqvist, Britt-Marie Bernhardsson, Johanna Hök Nordberg, Lena Sharp, Roger Henriksson, Yeonju Woo, Min K. Hyun, Hao Wu, Tian-Fang Wang, Yan Zhao, Yu Wei, Lei Tian, Lei He, Xue Wang, Ruohan Wu, Mei Han, Patrina H. Y. Caldwell, Shigang Liu, Jing Zhang, Jianping Liu, Qianyun Chai, Zhongning Guo, Congcong Wang, Zhijun Liu, Xun Li, I. J. Yang, V. Ruberio Lincha, S. H. Ahn, D. U. Lee, H. M. Shin, Lu Yang, N. Yang, H. Sung, S. M. Shin, H. Y. Go, H. Jung, Y. Kim, T. Y. Park, Angela Yap, Yu H. Kwan, Chuen S. Tan, Syed Ibrahim, Seng B. Ang, Alfred Yayi, Jeong E. Yoo, Ho R. Yoo, Sae B. Jang, Hye L. Lee, Ala’a Youssef, Shahira Ezzat, Amira Abdel Motaal, Hesham El-Askary, Xiaotong Yu, Yashan Cui, Younghee Yun, Jin-Hyang Ahn, Bo-Hyung Jang, Kyu-Seok Kim, Inhwa Choi, Augustina Glinz, Fadime ten Brink, Arnd Büssing, Christoph Gutenbrunner, Bert Helbrecht, Tiesheng Fang, Fengxion Meng, Zhiming Shen, Ruixin Zhang, Fan Wu, Ming Li, Xinyun Xuan, Xueyong Shen, Ke Ren, Brian Berman, Zian Zheng, Yuxiang Wan, Xueyan Ma, Fei Dong, Suzie Zick, Richard Harris, Go E. Bae, Jung N. Kwon, Hye Y. Lee, Jong K. Nam, Sang D. Lee, Dong H. Lee, Ji Y. Han, Young J. Yun, Ji H. Lee, Hye L. Park, Seong H. Park, Chiara Bocci, Giovanni B. Ivaldi, Ilaria Vietti, Ilaria Meaglia, Marta Guffi, Rubina Ruggiero, Marita Gualea, Emanuela Longa, Massimo Bonucci, Sarah Croke, Lourdes Diaz Rodriguez, Juan C. Caracuel-Martínez, Manuel F. Fajardo-Rodríguez, Angélica Ariza-García, Francisca García-De la Fuente, Manuel Arroyo-Morales, Maria S. Estrems, Vicente G. Gómez, Mónica Valero Sabater, Rosaria Ferreri, Simonetta Bernardini, Roberto Pulcri, Franco Cracolici, Massimo Rinaldi, Claudio Porciani, Peter Fisher, John Hughes, Ariadna Mendoza, Hugh MacPherson, Jacqueline Filshie, Antonia Di Francesco, Alberto Bernardini, Monica Messe, Vincenzo Primitivo, Piera A. Iasella, Monica Taminato, Jaqueline Do Carmo Alcantara, Katia R. De Oliveira, Debora C. De Azevedo Rodrigues, Juliana R. Campana Mumme, Olga K. Matsumoto Sunakozawa, Vicente Odone Filho, Joshua Goldenberg, Andrew Day, Masa Sasagawa, Lesley Ward, Kieran Cooley, Thora Gunnarsdottir, Ingibjorg Hjaltadottir, Mahdie Hajimonfarednejad, Nicole Hannan, Rut Hellsing, Susanne Andermo, Maria Arman, Iris von Hörsten, Patricia Vásquez Torrielo, Carmen L. Andrade Vilaró, Francisco Cerda Cabrera, Henny Hui, Eric Ziea, Dora Tsui, Joyce Hsieh, Christine Lam, Edith Chan, Mark P. Jensen, Samuel L. Battalio, Joy Chan, Karlyn A. Edwards, Kevin J. Gertz, Melissa A. Day, Leslie H. Sherlin, Dawn M. Ehde, Bo-Hyoung Jang, Anja Börner, Jihong Lee, Boram Lee, Gyu T. Chang, Alejandra Menassa, Yoshiharu Motoo, Jürgen Müller, Sabine Rabini, Bettina Vinson, Martin Storr, Martin Niemeijer, Joop Hoekman, Wied Ruijssenaaars, Faith C. Njoku, Arne J. Norheim, Filiz Okumus, and Halime Oncu-Celik

Subjects
Other systems of medicine, RZ201-999
Published
2017
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4. Implementation of Intentional Touch for Geriatric Patients with Chronic Pain: A Qualitative Pilot Study

Author

Daniela Sulmann, Barbara Stöckigt, Michael Teut, Ralf Suhr, and Benno Brinkhaus

Subjects
Adult, Male, medicine.medical_specialty, Therapeutic Touch, media_common.quotation_subject, Gerontological nursing, Pilot Projects, 01 natural sciences, Interviews as Topic, 03 medical and health sciences, 0302 clinical medicine, Geriatric Nursing, Germany, Intervention (counseling), Sensation, Humans, Medicine, Aged, media_common, Aged, 80 and over, business.industry, Chronic pain, Pain Perception, Middle Aged, medicine.disease, 030205 complementary & alternative medicine, 0104 chemical sciences, Therapeutic relationship, 010404 medicinal & biomolecular chemistry, Complementary and alternative medicine, Feeling, Well-being, Physical therapy, Female, Chronic Pain, business, Qualitative research
Abstract

Intentional Touch (InTouch) refers to a soft physical touch with the aim to ease complaints and enhance well-being. Central questions were perception of InTouch by nurses and patients and possible effects on pain perception.InTouch was developed by stakeholder involvement. Nurses working in geriatric care received expert training in InTouch. Semi-structured interviews and participant observation (including video recording) were conducted with nurses applying and patients with chronic pain receiving InTouch after the beginning of the intervention and after 4 weeks. Interviews were analyzed based on Qualitative Content Analysis and video recordings based on Qualitative Visual Analysis.Six elderly patients with chronic pain and 6 nurses were included. Nurses and patients equally described relaxation, well-being, and a sensation of warmth during the intervention. Patients reported no pain during the intervention. After the intervention, 3 patients each experienced pain relief or no change. Patients described better drive and positive feelings, and nurses felt empowered in their nursing work. Empathetic attention had special importance for improving the therapeutic relationship.The results of this study suggest that InTouch promoted relaxation, well-being, and pain relief for elderly people suffering from chronic pain and may contribute positively to the therapeutic relationship.Hintergrund: Intentionale Berührung ist eine leichte körperliche Berührung mit dem Ziel Beschwerden zu redu­zieren und Wohlbefinden zu verbessern. Primäre ­Fragestellungen waren das subjektive Erleben von Intentionaler Berührung und mögliche Auswirkungen auf die Schmerzwahrnehmung. Patienten und Methodik: Die ­Intervention Intentionale Berührung wurde durch ­Stakeholder-Involvement entwickelt. Danach wurden Pflege­kräfte darin durch Experten geschult. Es wurden semistrukturierte Interviews und teilnehmende Beobachtungen (mit Videoaufnahmen) mit Pflegekräften, die Intentionale Berührung anwandten, und mit chronischen Schmerzpatienten, die Intentionale Berührung empfingen, zu Beginn der Intervention und nach 4 Wochen durchgeführt. Die Interviews wurden auf der Grundlage qualitativer Inhaltsanalyse und die Videoaufnahmen in Anlehnung an qualitative Bild- und Videointerpretation ausgewertet. Ergebnisse: Es wurden 6 Pflegekräfte und 6 chronische Schmerzpatienten eines Altenpflegeheims rekrutiert. Pflegekräfte und Patienten beschrieben gleichermaßen Entspannung, Wohlsein und Wärme während der Behandlung. Die Patienten verspürten Schmerzfreiheit während der Behandlungen; darüber hinaus erlebten jeweils 3 Patienten Schmerzlinderung oder keine Veränderung. Die Patienten beschrieben weiterhin verbesserten Antrieb und positive Gefühle und die Pflegekräfte Empowerment in Bezug auf ihre pflegerische Arbeit. Besondere Bedeutung hatte die empathische Zuwendung in der Beziehung zwischen Pflegekraft und Patient. Fazit: Die Ergebnisse der Studie weisen darauf hin, dass Intentionale Berührung Entspannung, Wohlsein und Schmerz­linderung bei chronischen Schmerzpatienten fördern und die therapeutische Beziehung verbessern könnte.

Published
2019
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5. 10 Jahre Pflege-Charta

Author

Gerhard Igl and Daniela Sulmann

Subjects
Issues, ethics and legal aspects, Health (social science), Geriatrics gerontology, Political science, Charter, Patient rights, Geriatrics and Gerontology, Gerontology, Humanities
Abstract

Vor 10 Jahren wurde die Charta der Rechte hilfe- und pflegebedurftiger Menschen – kurz Pflege-Charta – in Deutschland veroffentlicht. Die Pflege-Charta ist ein Rechtekatalog fur pflegebedurftige Menschen. Dieser war auf Initiative des Bundesministeriums fur Familie, Senioren, Frauen und Jugend (BMFSFJ) gemeinsam mit dem Bundesministerium fur Gesundheit (BMG) und Vertretern aus allen Bereichen der Pflege in einem komplexen Konsensprozess erstellt worden. Seither hat die Pflege-Charta in verschiedenen Bereichen der Pflege praktische Relevanz erlangt und ist in Gesetze eingegangen. In diesem Beitrag wird nach einem Ruckblick auf das sozial- und rechtspolitische Umfeld auf die Verbreitung und Wirkungen der Charta eingegangen. Zudem werden die weiteren Umsetzungserfordernisse und die Revision der Charta diskutiert.

Published
2017
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7. [Quality reporting in long-term care facilities-information requirements, search strategies, and information sources for persons in need of care and their family members]

Author

Daniela, Sulmann, Simon, Eggert, Adelheid, Kuhlmey, and Ralf, Suhr

Subjects
Caregivers, Germany, Humans, Family, Long-Term Care, Nursing Homes
Abstract

Persons in need of care and their family members should be able to realistically assess and compare the quality of care services. Recent legislation therefore states that the current procedure to assess and present care quality has to be developed further. While quality measurements can be informed by the literature, knowledge on suitable formats for presenting quality information that is suitable for care-receiving persons and their families is highly fragmentary.The "Development of quality reporting in long-term care" project, a cooperation between the Charité, the federal association of the AOK (AOK-Bundesverband), and the Center for Quality in Care (ZQP), provides the current findings on the information requirements of persons in need of care and their family members when choosing a care facility. Aspects related to nursing staff have a particularly high relevance, e. g. respectful behavior of the personnel, well-trained caregivers, sufficient staff density, seldom changes in the personnel of the institution, and thoroughly conducted care that is adjusted to individual needs. These criteria have been given the highest relevance by persons in need of care as well as their family members.The findings hint at the necessity to provide comprehensive and detailed information about the staffing of care facilities in the future: for example, on the staff ratio and qualifications. Apart from that, comprehensive knowledge on formats to present information is urgently needed - taking into account the needs of care-dependent persons and their families and how information can be optimally processed.

Published
2019

8. Bedürfnisorientierte Angebote und geschlechtsspezifische Aspekte in Pflegeeinrichtungen

Author

Ralf Suhr, Christian Teubner, Daniela Sulmann, and Nils Lahmann

Subjects
Gynecology, 03 medical and health sciences, Issues, ethics and legal aspects, medicine.medical_specialty, 0302 clinical medicine, Health (social science), Geriatrics gerontology, Political science, medicine, 030212 general & internal medicine, Geriatrics and Gerontology, Gerontology, 030227 psychiatry
Abstract

Eine an Individualitat und biografisch gepragten Vorstellungen orientierte Pflege und Betreuung erfordert u. a. Sensibilitat fur spezifische Bedurfnisse von Pflegebedurftigen. Dabei konnen auch geschlechtsspezifische Aspekte relevant sein. Eine reprasentative Befragung von Einrichtungsleitungen soll Aufschluss uber die Bedeutung von geschlechtsspezifischen Aspekten in der Pflege geben. In der schriftlichen Befragung von 516 Einrichtungsleitungen stationarer Pflegeeinrichtungen in Deutschland wurden Einstellungen und Sichtweisen zum Thema, Informationen zu den allgemeinen und geschlechtsspezifischen Angeboten sowie Charakteristika der Einrichtungsleitungen erfasst. In den Pflegeheimen sind Beschaftigungsangebote, die an spezifischen Bedurfnissen von Mannern oder Frauen ausgerichtet sind (geschlechtsspezifisch; 43,1 %), wenig verbreitet. Als Grunde werden am haufigsten genannt, es bestehe keine Nachfrage fur solche Angebote (57,1 %), oder dies sei bei der bestehenden Bewohnerstruktur kein Thema (47,6 %). Spezifische Bedurfnisse sehen 36,4 % der Befragten eher bei Frauen als bei Mannern (18,4 %). Trotzdem wird dem Bedarf an mannerspezifischen Angeboten ein relativ hoher Stellenwert eingeraumt. Die Berucksichtigung von Geschlechteraspekten in der Pflegeprozessplanung (57,0 %) oder die regelmasige Reflexion geschlechtsspezifischer Fragestellungen (20,7 %) zeigt einen signifikanten Zusammenhang mit der Vorhaltung geschlechtsspezifischer Angebote, strukturelle Faktoren wie Einrichtungsgrose oder Ausbildung der Einrichtungsleitung dagegen nicht. Geschlechtsspezifische Angebote sind in Pflegeeinrichtungen aktuell wenig verbreitet. Bestehende Angebote orientieren sich an traditionellen Rollenbildern. Wunschenswert ware die Berucksichtigung der vielfaltigen Lebensrealitaten und individuellen Bedurfnisse von Frauen und Mannern.

Published
2016
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9. [10-year anniversary of the Long-term Care Charter : Time to take stock]

Author

Gerhard, Igl and Daniela, Sulmann

Subjects
Ageism, Disability Evaluation, Human Rights, Geriatrics, Germany, Government Regulation, Disabled Persons, Long-Term Care, Vulnerable Populations, Health Services Accessibility
Abstract

Ten years ago, the Charter for People in Need of Long-term Care was published in Germany. The Charter contains a series of basic rights for people in need of long-term care. At the initiative of the Federal Ministry for Family Affairs, Senior Citizens, Women and Youth (BMFSFJ), this was developed in a complex consensus process together with the Federal Ministry of Health (BMG) and representatives from all areas of care. Since then, the Charter has gained practical relevance in various areas of care and has entered into legislation. The article looks at the dissemination and impact of the Charter following a review of the social and legal environment. Further implementation requirements and the revision of the charter are discussed.

Published
2017

11. [Needs-based offers and gender-specific aspects in nursing homes : Results of a representative survey among directors of nursing homes]

Author

Christian, Teubner, Daniela, Sulmann, Nils, Lahmann, and Ralf, Suhr

Subjects
Attitude of Health Personnel, Germany, Health Care Surveys, Homes for the Aged, Humans, Interpersonal Relations, Nurse Administrators, Needs Assessment, Nursing Homes, Resource Allocation
Abstract

Nursing and care that consider individual and biographically shaped impressions requires, among other things sensitivity for the specific needs of persons in need of care.A representative survey was conducted among directors of nursing homes to provide information about the importance of gender-specific aspects in nursing.In a written survey 516 directors of German resident care facilities were interviewed about their attitudes and perceptions regarding the subject, about information on general and gender-specific offers and about demographic information on the management of nursing homes.Activities specifically considering the needs of men and women (gender-specific 43.1 %) are not widespread in the nursing homes surveyed. Most respondents reasoned that there was no demand for such offers (57.1 %) or that they are dispensable due to the composition of residents (47.6 %). Of the respondents 36.4 % saw specific needs more with women than with men (18.4 %). Nevertheless, the need for male-specific activities is given a relatively high priority. The consideration of gender aspects in the planning of care processes (57.0 %) and the regular reflection of gender issues (20.7 %) are strongly correlated with the existence of gender-specific offers, while structural factors, such as the institution size and the education of nursing home directors are not.Currently, gender-specific activity offers in nursing facilities are not widespread. Existing offers are mostly based on traditional gender stereotypes; therefore, it would be desirable if the diversity in the reality of life and the individual needs of women and men would be recognized.

Published
2016

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