[Who can imagine being cared for by relatives? : Results of a representative survey of 65-75-year-olds in a region in southern Germany]. / Wer kann sich vorstellen, von Angehörigen gepflegt zu werden? : Ergebnisse einer repräsentativen Befragung 65- bis 75-Jähriger in der Region Bodensee-Oberschwaben.

BACKGROUND: The number of people in need of care will continue to increase in the coming years due to demographic change. In order to ensure high-quality and needs-oriented nursing care, preferences related to nursing need to be taken into consideration. OBJECTIVE: This paper aims 1) to describe the care preferences related to nursing care of 65-75-year-olds and 2) to identify predictors for the preference to be cared for by relatives. METHODS: A representative population survey of 65-75-year-olds in a region in southern Germany was conducted (n = 625). Data are presented descriptively and analyzed bivariately and multivariately (χ2-tests; logistic regression) with respect to preferences for informal care. RESULTS: The majority of respondents prefer long-term care at home; for most participants, professional assistance is preferred. In addition, respondents had a positive attitude towards alternative forms of living (e.g., multigenerational living or shared housing for the old). Significant predictors for the preference of informal care were male gender, the presence of other persons living in the household, willingness to provide care on one's own, and lack of a professional degree. CONCLUSION: The preference to provide care in the home environment poses challenges for informal and formal caregivers as well as for those in need of care themselves, which can lead to tension between expectations and possibilities. In order to ensure sustainable and user-oriented long-term care, it is therefore necessary to further improve quality and quantity of outpatient care.

[The Perceived Impact of Workplace Health Promotion Measures on Employee Retention in the Nursing Sector: Results of a Survey of Human Resources and Management in Southern Germany]. / Einsatz und Erfolg gesundheitsbezogener Maßnahmen zur Personalbindung in der Pflege: Ergebnisse einer schriftlichen Befragung von Führungskräften aus der Region Bodensee-Oberschwaben.

BACKGROUND: Health issues caused or exacerbated by a heavy workload are one reason for leaving the nursing profession early. Little is known about the effect and the application of health-related retention strategies in the nursing sector as well as the attitudes of the management and officers of human resources (HR) toward this topic. METHODS: This survey is part of the project "ZAFH care4care". HR directors and management at all nursing institutions within one region of Southern Germany (Region Bodensee-Oberschwaben) were contacted and interviewed via questionnaire (PAPI) (N=207). The survey was the quantitative part of a sequential, mixed methods study within an exploratory design. Overall, 59 responses were received and analysed using descriptive and bivariate statistics. RESULTS: Among the nursing institutions surveyed, a shortage of qualified nurses and the resulting heavy workload on remaining staff proved to be common problems. In addition, every fifth nursing institution reported nurses leaving the occupation for reasons of health. The application of health promotion strategies was considered largely successful in retaining staff, but approaches related to structural prevention seemed to be given little consideration. CONCLUSIONS: The strong correlation between heavy workload and high rates of absenteeism, sick days, and occupational dropout among nurses highlights the need for health promotion initiatives within the field of nursing. Management and HR directors, in cooperation with other stakeholders, play a key role in fostering a healthy working environment.

COVID-19-Schutzmaßnahmen in der stationären Altenpflege - Ein Mapping Review pflegewissenschaftlicher Publikationen.

Protective measures against COVID-19 in elderly care - A mapping review of publications in nursing science Abstract. Background: Protective measures to combat the COVID-19 pandemic are associated with isolation among people in need of elderly care. Due to the known adverse effects of social isolation on health, discussions have been held about the ethical legitimacy and commensurability of these measures. AIM: The article aims to show in which format the discourse in scientific publication on protective measures against COVID-19 took place and which contents have been addressed. METHODS: A mapping review in PubMed has been conducted. All publication types of scientific papers on nursing care of older people were considered. The results were synthesized in form of a quantitative content analysis of key aspects. RESULTS: The 38 articles included in the synthesis show that only a small part of the scientific publications on the COVID-19 pandemic deals with people living in nursing homes. Although critical aspects related to the isolation caused by the protective measures against the COVID-19 pandemic are named in half of the contributions, specific measures to address the negative effects of the isolation are rarely mentioned. CONCLUSIONS: There is a need for further activities in research and nursing practice in order to meet the demand and desiderata of those in need of care and to enable personal responsibility and self-determination even in a special situation such as the COVID-19 pandemic.

[The Load of Injustice: A Longitudinal Analysis of the Impact of Subjectively Perceived Income Injustice on the Risk of Stress-Associated Diseases Based on the German Socio-Economic Panel Study]. / Die Last der Ungerechtigkeit. Eine Längsschnittanalyse auf Basis des SOEPs zum Einfluss subjektiv wahrgenommener Einkommensgerechtigkeit auf das Risiko einer stressassoziierten Erkrankung.

BACKGROUND: Income injustice is regarded as a psychosocial strain and associated with an increased risk of stress-related diseases. The physiological stress response is thereby considered as a central link. The aim of the study is to reveal the influence of subjectively perceived income injustice on stress-associated diseases, taking into consideration the load duration. METHOD: Based on the German Socio-Economic Panel Study, data on 5,657 workers in the survey years 2005-2013 were analyzed. The dependent variable reflect the doctor's diagnosed new cases of diabetes, asthma, cardiopathy, stroke, hypertension and depression in the years 2009-2013 as an index. Key predictor is the injustice perception of one's income. In order to operationalize the duration of the injustice perception, the values of the variable for the years 2005, 2007 and 2009 were accumulated. Using logit models, stratified for gender and volume of employment, factors were identified that affect the probability of stress-related diseases. RESULTS: If income was perceived as unjust for over 5 years, the odds of stress-related diseases were strongly enhanced for women (OR 1.64; 95% CI 1.17-2.30). Women working full-time seemed to be particularly affected (OR 2.43; 95% CI 1.54-3.84). Men working full-time perceiving their income as unjust also showed an increased risk for stress diseases (OR 1.43; CI 1.03-1.98). The more often income was assessed as unjust, the higher was the probability of stress-related diseases. CONCLUSIONS: Perceived income injustice seems to be a significant risk factor for stress-related diseases within a dose-response relationship with increasing duration of exposure. Findings of stress research indicate that this represents the 'allostatic load'. Gender-specific differences in stress reaction as well as in the appraisal of the stressors can be associated with gender-specific work and life conditions and therefore provide explanatory approaches for the revealed effects.