[Preferences for everyday living written in the nursing record - An explorative document analysis in various nursing settings]. / Präferenzen des alltäglichen Lebens in der Pflegedokumentation.

Preferences for everyday living written in the nursing record - An explorative document analysis in various nursing settings Abstract. Background: In Germany, there was previously no instrument for the systematic recording of preferences for the everyday living of older and people in need of care. Subsequently, in a pilot study, an instrument was translated in a culturally sensitive way (PELI-D), piloted and tested psychometrically. In terms of documentation quality, it is important that the preferences recorded by nursing staff are written down in the nursing record using PELI-D, plausibly based on the nursing process. AIM: To find out which preferences, assessed by the nursing staff in the pilot study with the PELI-D, were written down in the nursing record. METHODS: An exploratory document analysis was carried out. Included were 13 nursing records and five discussion participants from five institutions in three nursing settings. The data were evaluated descriptively and by a structuring content analysis. RESULTS: A total of 2% of the preferences, which were assessed with the PELI-D, were found in the nursing records and may be due to the use of PELI-D. Preferences mainly from the categories "interventions" and "biography" were found in the nursing record. CONCLUSIONS: 98% of the preferences assessed with the PELI-D were not written down. This can probably be attributed to the fact that the PELI-D was an "innovation" for the nursing staff. Therefore, the execution of an implementation study seems to be reasonable to improve the plausibility of the captured PELI-D data in the nursing documentation. In the context of this, it is also recommended to analyze how the PELI-D influences nursing processes and contents of the nursing record.

[Competency-based learning objectives of primary qualifying nursing studies and intended task profiles]. / Kompetenzziele von primärqualifizierenden Pflegestudiengängen und intendierte Aufgabenprofile.

INTRODUCTION: Since 2020, it has been possible in Germany to complete a primary qualifying degree in nursing in addition to vocational training in nursing. The study presented here investigates the extent to which the intended competence goals prepare students for the future fields of activity of university-qualified nurses. METHODS: The research question was answered (1) by means of a content analysis of module manuals for primary qualifying courses, specifically the information on the intended learning outcomes in the university part of the course, and (2) by evaluating the results of the analysis in focus groups with those responsible for the course. The areas of competence were used as evaluation criteria for the analysis of the module manuals. The text elements were coded using the analysis software MAXQDA. In the further course of the analysis, the competence areas were combined into three areas with a view to the task profiles (direct care, indirect care and competence area V/research competence) and the percentage weighting of the competence goals was calculated. Using study results from the project "Investigation of the implementation of the study programs within the framework of university nursing training according to the Nursing Professions Act", the hours spent in these areas and the distribution of presence and self-learning time for direct nursing were determined. The results and the reasons for the curriculum design were then discussed in focus groups with those responsible for the degree program. RESULTS: The module manuals reveal clear differences in formal design. The analysis of the learning outcomes specified in the module manuals according to the competence areas also shows considerable differences in the distribution of the percentages for the individual competence areas. In relation to direct care, the percentages range between 55% and 71%, the hours vary between 2,022 and 3,622 hours. With indirect care, the range is 246 to 520 hours. A comparatively high number of hours is planned for competence area V/research competence (869 to 1,426 hours). Also, the analysis leads to the conclusion that within the degree program with the lowest number of hours of face-to-face teaching only 690 hours of face-to-face teaching are spent on direct care, while the degree program with the highest number of hours provides 1,968 hours for face-to-face teaching. In the focus group discussions, the persons responsible for the degree program took a critical view of the hours spent on developing skills in indirect care in the primary qualifying degree programs. Those responsible for the degree programs also regard the very small number of face-to-face hours at some university locations as insufficient to develop direct care skills. DISCUSSION: The results suggest that the primary qualifying courses in some areas and at some study locations do not adequately prepare for the task profiles intended for HQP.

[Who needs health services researchers? The occupational profile according to job advertisements in Germany]. / Wer braucht Versorgungsforscher/innen? Eine Bestandsaufnahme zum Berufsbild anhand von Stellenanzeigen.

INTRODUCTION: Health services research is an interdisciplinary field mainly defined by its topic rather than a distinct set of theories and methods. However, a specific demand for health services researchers can be observed. Yet, only few findings on the occupational profile are available, mainly indirectly drawn from educational programs within the field. Our aim was to assess the occupational profile "health services researcher" from the perspective of the labor market in Germany. METHODS: A 6-month systematic search for job offers containing the term "health services research" was performed. Afterwards, job offers were excluded that focused on assistance (e. g. no academic degree required) and/or did not contain health services research content. Then all job offers, excepting professorships, were excluded that primarily required another professional degree (e. g. a medical degree). Combining induction and deduction, a coding table was developed containing the following main codes: a) employer type, b) job focus, c) labor relations, d) job profile, e) qualifications required, and f) relation to health services research. RESULTS: Of the 137 job offers identified, 113 remained after applying the exclusion criteria. More than 50 % (n=62) of the employers are universities (n=49) or universities of applied sciences (n=13), followed by corporations (n=37), public services and related sectors (n=12), and hospitals (n=2). The main activities listed were: a) science and research (60.2 %), b) representation of interest (30.6 %), c) data management (3.7 %) and d) healthcare management (1.9 %). Interest or experience in health services research was mandatory in 62.6 % of the job offers, competencies in quantitative and qualitative research methods in 45.8 % and 18.8 %, respectively. DISCUSSION: None of the job offers examined was exclusively directed towards health services researchers. However, specific qualifications related to health services research were sought by employers, mostly in research projects. The main qualifications demanded were research methods skills and knowledge of the German healthcare system. CONCLUSION: Health services research is a term which is used in job offers on the German labor market and is associated with multiple academic disciplines. At the same time, an institutionalization process can be observed, most prominently within the advertised professorships. This may lead to a consolidation of career paths in the future. The results of this study might inform educational programs in the field of health services research and may be of interest to graduates looking for employment.

[Information on migration-sensitive websites of orthopedic rehabilitation facilities: Results of a document analysis]. / Informationen über migrationssensible Angebote auf Webseiten orthopädischer Rehabilitationseinrichtungen: Ergebnisse einer Dokumentenanalyse.

INTRODUCTION: Despite a higher need, persons with a migration background use rehabilitative services less often than non-immigrants. Migration-sensitive information, e. g. on the websites of rehabilitation facilities, can help remove access barriers. We assessed the migration sensitivity of such websites in a comprehensive document analysis. METHODS: Websites of orthopedic rehabilitation facilities in North Rhine-Westphalia and Schleswig-Holstein were systematically examined by means of qualitative content analysis using MAXQDA. Migration-sensitive rehabilitative strategies focusing on patients with a Turkish migration background served as an example. RESULTS: Websites of 44 rehabilitation facilities (North Rhine-Westphalia: 32, Schleswig-Holstein: 12) were included in the analysis. Only one rehabilitation hospital provided online information about migration-sensitive rehabilitative services, such as clinical services/materials in different languages or migration-sensitive training and therapy. Few facilities described migration-sensitive aspects of accommodation and catering. Integration/diversity officers or Turkish-speaking employees were rarely introduced on websites. CONCLUSIONS: Just a few rehabilitation facilities provide information regarding migration-sensitive services on their websites. The presentation of information about treatment concepts was neither transparent nor patient-centered. Patients with a migration background and especially with language problems will face several barriers when searching the internet for rehabilitation services which meet their needs.