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1.
Pflege ; 25(3): 175-84, 2012 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-22661064

RESUMO

In the present study families were asked about their experiences with the first Family Health Nurses (FHN) educated in Germany according to WHO's concept. This education enables nurses and midwives to provide families and individuals a low threshold access to health care services. The study's aim was to gather information on how families perceive FHN's help and whether the curriculum meets their needs. Using a qualitative approach, eight families, for different reasons all caring for a next of kin at home, were interviewed. Data analysis followed Philip Burnard's method. Families describe FHN's assistance as "care and health related activities"or "managing everyday life". Furthermore they mention "Case Management" as part of FHN's activities. FHN's support contributes to stabilise family's situation. In addition, this analysis shows that Family Health Nurses correspond to the curriculum's contents in their daily work. Altogether, families with different care related, health related, and social related needs can benefit from FHN's support. This type of professional help relieves their personal situations. Families are empowered to handle their daily living and to develop new strategies to cope with challenges in their respective life situations.


Assuntos
Cuidadores/psicologia , Enfermagem Familiar , Assistência Domiciliar/psicologia , Tocologia , Avaliação das Necessidades , Organização Mundial da Saúde , Adaptação Psicológica , Áustria , Comportamento Cooperativo , Currículo , Educação em Enfermagem , Feminino , Humanos , Comunicação Interdisciplinar , Masculino , Tocologia/educação , Projetos Piloto , Gravidez , Relações Profissional-Família , Qualidade de Vida/psicologia , Apoio Social , Estresse Psicológico/complicações
2.
Pflege ; 18(6): 364-72, 2005 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-16398301

RESUMO

In Germany nurses have no evidence-based data about the amount of nursing care for patients with specific medical diagnosis. These data are necessary for the demanded appropriate consideration of criteria of nursing care in a German-DRG. The pilot study "The amount of nursing care for patients with myocardial infarction", which was part of a students research project at the University of Witten/Herdecke, can provide a basis for this consideration. The amount of nursing care for a convenience sample of 26 patients during their stay at a university hospital in Munich is the focus of a cross-sectional descriptive study. A standardized instrument measuring the amount of care was developed by the project group. The nursing intervention system LEP was used to determine the nursing care hours. The patients' average length of stay is 9.5 days. 73 percent spent 2.4 days in the intensive care unit. The average amount of nursing care is 32.2 hours per patient or 3.4 hours per patient and day, respectively. Typical nursing activities as well as an amount of nursing care pattern in the course of the stay can be seen. Variations of nursing care and length of stay show the inhomogeneity of the investigated group. Older patients and patients with associated diagnoses show an increase of the amount of nursing care and length of stay. The amount of nursing care of old patients in the category "motion and transfer" increases drastically compared to younger ones. The results of this pilot study confirm the assumption that just the diagnosis myocardial infarction is not sufficient to predict and describe the amount of nursing care. Based on this study, further research with larger samples and a longer investigation time is necessary.


Assuntos
Infarto do Miocárdio/enfermagem , Avaliação das Necessidades/estatística & dados numéricos , Cuidados de Enfermagem/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Pesquisa em Enfermagem Clínica , Grupos Diagnósticos Relacionados/estatística & dados numéricos , Feminino , Alemanha , Humanos , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Programas Nacionais de Saúde/estatística & dados numéricos
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