[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.

Integrative Nursing Interventions for Cancer-Related Symptoms in Oncology Inpatients: Results of a Descriptive Pilot Study.

BACKGROUND: Integrative nursing (IN) is an essential component of integrative medicine and integrative oncology. IN includes a range of external naturopathic, integrative nursing interventions, such as compresses, embrocation, and foot/hand baths, aimed at alleviating symptoms and side effects of conventional treatment. The project IMPLEMENT-UKU ("Implementation of IN at the University Hospital Ulm") was accompanied by a descriptive pilot study on the use of IN interventions on cancer-related symptoms in oncology inpatients, the characterization of these patients and the evaluation of the impact. METHODS: A single-arm study was conducted using a paper-based questionnaire administered before the IN interventions (t0) and 24 hours after the IN interventions (t1). Topics included sociodemographic data, symptoms, quality of life, health status, psychological burden, attitudes, and experience and satisfaction with the IN interventions. Analyses were descriptive using absolute and relative frequencies. RESULTS: During the 6-month study period out of 66 patients recommended for IN consultation by medical and nursing staff on 2 wards, 62 (93.9%) accepted the offer. Of those patients who received IN, 21 patients (33.9%) participated in the study. The number of IN interventions received per patient ranged from 1 to 3 during the 24-hour survey period. And a total of 36 IN interventions were performed: The most treated body region was the feet/legs (50.0%), followed by the back (25.0%), using oils such as solum oil (41.7%) and lavender oil (13.9%). Embrocation (77.8%) was the predominant type of IN intervention. For patients, the mean FACIT-F score was 29.2 ± 12.5. The mean PHQ-4 score was 3.0 ± 1.9. Regarding sleep quality in the last 4 weeks, 13 participants (61.9%) described it as rather or very poor. Satisfaction with the IN was high, with a large proportion of participants evaluating the IN interventions very positively. CONCLUSION: The study's findings suggest that there is a great need for IN among oncology inpatients. These patients are open to and interested in IN interventions and evaluate them positively. IN provides a promising opportunity to provide non-pharmacological support to inpatients. The integration of IN in conventional oncology care settings may enhance patient-centered care and contribute to improved patient wellbeing.