christa lohrmann | Medical University of Graz (original) (raw)
Papers by christa lohrmann
Journal of Transcultural Nursing, 2008
Purpose: The aim of this study is to determine the cultural adequateness of the Arabic version of... more Purpose: The aim of this study is to determine the cultural adequateness of the Arabic version of the Care Dependency Scale (CDS), an internationally used instrument to measure care needs by either self-reports or external assessment. Method: A Delphi study in two rounds about the Arabic version was performed with 37 panelists in Cairo. Acceptance of CDS items was rated on a 4-point Likert-type scale. Results: Agreement among panelists in the second round was found for 11 CDS items, but 2 items had decreased acceptance after rephrasing and 2 were rejected. Discussion: Rejected items seem to reflect a heterogeneous perception in the target population. Despite some limitations, the CDS is a promising instrument to detect care needs among older Egyptians.
American Journal of Hospice and Palliative Medicine®, 2020
Background:Nurses’ end of life (EoL) care focuses on direct (eg, physical) and indirect (e,g, coo... more Background:Nurses’ end of life (EoL) care focuses on direct (eg, physical) and indirect (e,g, coordination) care. Little is known about how much time nurses actually devote to these activities and if activities change due to support by specialized palliative care (SPC) in hospitalized patients.Aims:(1) Comparing care time for EoL patients receiving SPC to usual palliative care (UPC);(2) Comparing time spent for direct/indirect care in the SPC group before and after SPC.Methods:Retrospective observational study; nursing care time for EoL patients based on tacs® data using nonparametric and parametric tests. The Swiss data method tacs measures (in)direct nursing care time for monitoring and cost analyses.Results:Analysis of tacs® data (UPC, n = 642; SPC, n = 104) during hospitalization before death in 2015. Overall, SPC patients had higher tacs® than UPC patients by 40 direct (95% confidence interval [CI]: 5.7-75, P = .023) and 14 indirect tacs® (95% CI: 6.0-23, P < .001). No diffe...
The use of general descriptive names, registered names, trademarks, service marks, etc. in this p... more The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
„Denn sie wissen nicht was sie tun“ - zur Screening- und Assessmentinstrumente zur Erkennung von Delirien
Hintergrund: Weltweit variieren die Delir-Pravalenzdaten in Abhangigkeit der Population, des Sett... more Hintergrund: Weltweit variieren die Delir-Pravalenzdaten in Abhangigkeit der Population, des Settings, der diagnostischen Verfahren und der zum Einsatz kommenden Screening- und Assessmentinstrumente zwischen 1% und 87%. Zudem wird das Delir in der pflegerischen Praxis oftmals unterschatzt oder nicht als solches erkannt, sondern mit einem demenziellen oder depressiven Syndrom verwechselt. Dies fuhrt dazu, dass eine Delirdiagnose haufig verpasst wird, keine passenden Masnahmen getroffen werden und es zu schwerwiegenden Folgen wie erhohter Mortalitat, hoherer Pflegebedurftigkeit, verlangerten Krankenhausaufenthalten usw. fur die Betroffenen kommen kann. Ziel: Ziel dieser Arbeit war es Screening- und Assessmentinstrumente zur systematischen Erfassung und Erkennung von Delirien durch Pflegepersonen zu identifizieren und hinsichtlich ihrer psychometrischen Eigenschaften zu vergleichen. Methode: Dafur wurde eine systematische Literaturrecherche in Datenbanken und Suchmaschinen im Zeitraum ...
European Geriatric Medicine, 2015
Demographic developments have led to increased chronic diseases, such as dementia, which result i... more Demographic developments have led to increased chronic diseases, such as dementia, which result in care dependency and nursing care problems like incontinence. This study aims to compare the degree of care dependency and the prevalence of nursing care problems between Austrian nursing home residents with and without dementia. Methods: Since 2009 a cross-sectional study has been conducted annually in Austrian nursing homes. Data from the standardized questionnaire sampling 2155 residents with and 1422 residents without dementia between 2009 and 2012 have been analysed. Results: Seventy-two percent of residents with dementia compared to 45.5% of residents without dementia are completely or to a great extent care dependent, with the highest care dependency being in hygiene, continence, (un)dressing and avoiding danger. Residents with dementia have a significantly higher prevalence of urinary incontinence (87.9% vs. 69.5%), fecal incontinence (68.2% vs. 44.5%), double incontinence (64.8% vs. 36.1%), restraints (33.5% vs. 22.4%), malnutrition (27.9% vs. 18.4%) and falls (9.9% vs. 7.0%). No significant difference was found for pressure ulcers (5.2% vs. 6.5%). Conclusion: Residents with dementia have a significantly higher degree of care dependency than residents without dementia and they also have, except for pressure ulcers, a significantly higher prevalence of nursing care problems. These results should increase awareness among health care professionals of areas requiring target-oriented dementia care. Further research should explore care dependency and nursing care problems in different stages of dementia and compare the development of care dependency and nursing care problems among residents with and without dementia.
ProCare, 2015
Exploring horizons in Nursing Science" lautete das Motto der Europäischen Doktorandenkonferenz fü... more Exploring horizons in Nursing Science" lautete das Motto der Europäischen Doktorandenkonferenz für Pflegewissenschaft (European Doctoral Conference in Nursing Science-EDCNS), die zum dritten Mal an der Medizinischen Universität Graz stattfand. Ziel der Konferenz: Erfahrungen im Bereich der P egeforschung untereinander auszutauschen und Erkenntnisse über derzeit in der P egewissenschaft in Europa beforschte emen zu erlangen. Dazu kamen Mitte September knapp 80 Doktoranden, Dozenten und Professoren aus 22 unterschiedlichen Ländern nach Graz.
Journal of Gerontological Nursing, 2016
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Pflegequalität in der Praxis
ProCare, 2015
Die Gewährleistung einer qualitativ hochwertigen Versorgung und der Sicherheit von Patienten und ... more Die Gewährleistung einer qualitativ hochwertigen Versorgung und der Sicherheit von Patienten und P egeheimbewohnern ist das Ziel aller im Gesundheitswesen tätigen Personen. Besonders P egepersonen haben durch die Nähe zum Patienten/P egeheimbewohner die besondere Möglichkeit potentielle Probleme frühzeitig zu erkennen. Durch die frühzeitige Reaktion auf Probleme oder Schwachstellen und der Initiierung adäquater Maßnahmen kann die P egequalität und die Sicherheit von Patienten/Pflegeheimbewohnern ge währleistet bzw. direkt beein usst werden (Burhans & Alligood 2010; Hughes 2008).
Frontiers in Public Health
BackgroundBesides confronting the challenges of a growing older population, developing countries ... more BackgroundBesides confronting the challenges of a growing older population, developing countries are dealing with limited resources and infrastructure, to ensure good health and social care services. One of these developing countries facing these challenges is Ghana. The healthcare system in Ghana currently does not have specialized geriatric services and is funded through the National Health Insurance Scheme (NHIS), private insurance companies and an out-of-pocket expenditure system. Social care services are important in improving Quality of Life (QoL) as it helps in building and strengthening relationships while also keeping slum-dwelling older adults active. There are various challenges with the health and social care of older adults in slums and practical ways to improve these have not been explored among the providers of this care.AimsThis study, therefore, aimed to explore (1) the views of health professionals on older slum-dwelling adults' health and social care needs, ac...
BMC Geriatrics, 2021
Background Over 60% of the population in sub-Saharan Africa, live in informal settlements (slums)... more Background Over 60% of the population in sub-Saharan Africa, live in informal settlements (slums) with little or no resources. To be prepared to meet the needs of older people living in slums, it is necessary to know more about their quality of life (QoL). The objective of this review is to identify instruments, which can be used by researchers to assess the QoL of older adults living in African countries, especially those dwelling in slums. Methods A scoping review was performed using the databases Scopus, PubMed, and ISI Web of Science to retrieve studies published from January 2008 – September 2020. Studies were included if they reported generic QoL instruments, focused on adults with a mean age ≥ 50 and were conducted in African countries. Results In total, 18 studies were included using 7 unique instruments to measure QoL (EUROHIS-QOL-8, SWLS, WHOQOL-OLD, the WHOQOL-BREF, SF-36, SF-12 and RAND-38). All instruments could be interviewer-administered and had 5–36 items. However, l...
Roles and Responsibilities of Nurses in Advance Care Planning in Palliative Care in the Acute Care Setting
Journal of Hospice & Palliative Nursing, 2020
Supplemental digital content is available in the text. Palliative care focuses on symptom managem... more Supplemental digital content is available in the text. Palliative care focuses on symptom management, discussion of treatment and care decisions, network organization, and support of the family. As part of the advance care planning (ACP) process, staff nurses in the acute care setting are often involved in all of the above areas. It is yet unclear what nurses' roles and responsibilities are and what skills are needed in the ACP process. The themes that staff nurses and advanced practice registered nurses (APRNs) discuss in relationship to ACP are manifold. This scoping review demonstrates that staff nurses' core role is advocating for the wishes and values of patients with any life-limiting disease. Staff nurses also serve as facilitators, educators, and advocates to help start ACP conversations and ease patients' transitions between settings based on well-discussed decisions. To be able to engage in ACP discussions, APRNs must have excellent communication skills. Continuous training to improve these skills is mandatory. In the future, clarifying the contribution of staff nurses and APRNs in the ACP process in relation to other members of the interprofessional team can lay the groundwork for improved interprofessional collaboration.
Archives of Gerontology and Geriatrics, 2019
Background: Guideline-compliant conservative management of urinary incontinence (UI) is the first... more Background: Guideline-compliant conservative management of urinary incontinence (UI) is the first step of the initial management for UI and is recommended for long-term care in older persons. Recent studies have focused on the effects of guideline-compliant UI management. However, most of these studies were tested in another setting than nursing homes and were not focused on conservative management. Aims: To measure the effectiveness of 29 evidence-based nursing recommendations regarding the conservative management of UI in Austrian nursing homes. Methods: The study is a cluster randomized intervention trial with institution as the unit of randomization. Twelve nursing homes in two Austrian provinces (Styria, Carinthia) were randomly allocated to the intervention group (IG) and control group (CG). Data were collected from participating residents over a three-month period. The intervention consisted of the implementation of recommendations for the conservative management of UI among female nursing home residents. The primary outcome variable was the daily UI experienced by the participating residents. Results: Residents in the (IG n = 216) had a lower risk (OR = 0.14, p = 0.02) of experiencing daily UI and were less likely to receive absorbent products (OR = 0.01, p = 0.01) than residents in the CG (n = 165). Residents in the IG (OR = 5.16, p = 0.00) were five times more likely to receive recommended interventions (e.g., bladder training) than residents in the CG. Conclusion: Introducing guideline-compliant management into nursing practice can increase the likelihood of evidence-based interventions for the conservative management of UI. The intervention in this study targeted on nurses/nurse managers and can be recommended for the nursing home setting.
Journal of the American Medical Directors Association, 2018
Objectives: To provide an overview of the prevalence rates and risk factors of dehydration among ... more Objectives: To provide an overview of the prevalence rates and risk factors of dehydration among nursing home residents. Design: Systematic literature review. Setting: Nursing homes. Participants: Nursing home residents or institutionalized long-term care residents. Measurements: A systematic literature review was executed on March 15, 2018, using the databases PubMed, CINAHL, and EMBASE to retrieve all articles focused on the prevalence rates and risk factors for acute and chronic dehydration. Studies were included if the target population involved nursing home residents or institutionalized long-term care residents. Results: Nineteen studies were included in this systematic review. Prevalence rates of dehydration varied between 0.8% and 38.5% and were measured using different methods. Furthermore, 49 potential risk factors for dehydration were identified. Of the 12 potential risk factors that were investigated in more than 1 study, cognitive impairment and fever were significantly associated with dehydration among nursing home residents. Conclusions/implications: Dehydration is a relevant and frequently occurring problem among nursing home residents. This systematic review shows that a wide variety of methods are used to assess dehydration and that it is often unclear which type of dehydration (chronic or acute) is measured. This makes it difficult to compare prevalence rates among studies. Moreover, only 2 of 49 potential risk factors (fever and cognitive impairment) were more than once significantly associated with dehydration in the respective studies. Most of the other risk factors were assessed by only 1 study or showed inconsistent results. Therefore, more research into dehydration among nursing home residents is needed.
International Journal of Urological Nursing, 2019
Humanoid socially assistive robots in dementia care: a qualitative study about expectations of caregivers and dementia trainers
Aging & Mental Health
OBJECTIVE To examine the expectations of informal caregivers, nurses, and dementia trainers regar... more OBJECTIVE To examine the expectations of informal caregivers, nurses, and dementia trainers regarding the support of (physical and psychosocial) human needs by humanoid social assistive robots (SARs) in dementia care. METHODS A qualitative study was conducted with 11 homogeneous focus groups of informal caregivers, nurses and dementia trainers providing dementia care at home, in adult daycare centers, or in nursing homes. A qualitative content analysis was performed using a concept- and data-driven coding frame. RESULTS Focus group discussions with 52 individuals were held. Participants reported mostly positive expectations and stated that SARs could offer potential support in all components of human needs, especially in avoiding danger (e.g. recognise danger, organise help), communication/contact with others (e.g. enable telephone calls, provide company), daily activities (e.g. remind of appointments, household obligations), recreational activities (e.g. provide music), eating/drinking (e.g. help cook), and mobility/body posture (e.g. give reminders/instructions for physical exercise). Participants also mentioned some negative expectations in all human needs, predominantly in communication/contact with others (e.g. loss of interpersonal interaction) and avoiding danger (e.g. scepticism regarding emergencies). CONCLUSION Participants stated that SARs had great potential to provide assistance in dementia care, especially by reminding, motivating/encouraging and instructing people with dementia. Informal caregivers and nurses also considered them as useful supportive devices for themselves. However, participants also mentioned negative expectations, especially in communication/contact with others and avoiding danger. These findings demonstrate the support caregivers and dementia trainers expect from humanoid SARs and may contribute to their optimisation for dementia care.
Ate Dijkstra MEd PhD RN
of care dependency as shared by care givers and care recipients: a concept analysis.
Sprachrohr für Pflegepraxis und Pflegewissenschaft
ProCare, 2020
Die Qual der Wahl: Instrumente zur Erkennung von Delirien
Delirien treten bei Patienten auf Intensivstationen haufig auf, werden jedoch selten als solche e... more Delirien treten bei Patienten auf Intensivstationen haufig auf, werden jedoch selten als solche erkannt. Der Einsatz von Screening- und Assessmentinstrumenten zur strukturierten Erkennung von Delirien hat daher erheblich an Bedeutung gewonnen. Doch welche Instrumente sind am besten geeignet?
Background: Maintaining continence in old age may increase well-being and may reduce morbidity an... more Background: Maintaining continence in old age may increase well-being and may reduce morbidity and healthcare costs [1]. However incontinence is still considered a taboo subject [2] and there still exist a societal misconception that incontinence is a normal consequence of aging [3]. It is known from the international literature that studies about preventive interventions for older continent hospital patients are missing.
Ernährungsmanagement-Konzept „gnp® nursing home“
HeilberufeScience, 2016
ZusammenfassungHintergrundAktuelle Studiendaten weisen bei 23 % der Bewohner in österreichischen ... more ZusammenfassungHintergrundAktuelle Studiendaten weisen bei 23 % der Bewohner in österreichischen Pflegeheimen eine Mangelernährung auf. Folgen dieser Krankheit sind u. a. Multimorbidität, soziale Isolation, Einsamkeit, soziale und funktionelle Abhängigkeit. Diese Folgen gilt es, durch frühzeitiges Erkennen und Behandeln von Mangelernährung zu verringern.ZielDas in deutschen Krankenhäusern eingesetzte Ernährungsmanagement-Konzept „gnp® good nutrition practice“ wurde an Anforderungen in Pflegeheimen angepasst sowie auf dessen praktische Anwendbarkeit untersucht. Das verwendete Screening (Mini Nutritional Assessment Short Form, MNA®-SF) wurde auf Reliabilität und das Assessment (Instrument zur Pflegerischen Erfassung von Mangelernährung und deren Ursachen, PEMU) auf Validität getestet.MethodeAnhand von Literatursynthese und Expertengesprächen wurde das Ernährungsmanagement-Konzept angepasst und in einem Monat in 7 steirischen Pflegeheimen getestet.ErgebnisseDie Pflegepersonen, die ein Feedback zum Ernährungsmanagement-Konzept gaben, beurteilten das Konzept überwiegend positiv. Die Testung des MNA-SF-Screenings ergab eine gute Interrater-Reliabilität (κ = 0,772), eine Sensitivität von 77 % und eine Spezifität von 94 %. Cronbachs α für die interne Konsistenz betrug 0,61 [95 %-Konfidenzintervall (95 %-KI): 0,52–0,68] und 0,63 (95 %-KI: 0,55–0,70). Die Inhaltsvalidität in der 2. Expertenrunde, bezogen auf das gesamte PEMU-Assessment, war gut (0,85).SchlussfolgerungDas entwickelte Ernährungsmanagement-Konzept „gnp® nursing home“ kann zur Erkennung und zur Behandlung von Mangelernährung bei Bewohnern in Pflegeheimen empfohlen werden.AbstractBackgroundData from recent studies indicate that 23 % of residents in Austrian nursing homes suffer from malnutrition. The consequences of this disease include multimorbidity, social isolation, loneliness, social and functional dependence. These consequences have to be reduced through early detection and treatment of malnutrition.AimsThe nutritional management concept “gnp® good nutrition practice” used in German hospitals has been adapted to the requirements in nursing homes and investigated for practicability. The mini nutritional assessment short form (MNA®-SF) screening has been tested for reliability and the assessment for validity using an instrument for nursing detection of malnutrition and the causes (PEMU).MethodUsing a literature synthesis and expert interviews the nutritional management concept has been adapted and tested in seven Styrian nursing homes over a period of 1 month.ResultsThe caregivers who gave feedback rated the nutrition management concept overwhelmingly positive. The testing of the MNA-SF screening had a good interrater reliability (kappa = 0.772), a sensitivity of 77 % and a specificity of 94 %. Cronbachs alpha for internal consistency was 0.61 [95 % confidence interval (CI) 0.52; 0.68] and 0.63 (95 % CI: 0.55; 0.70). The content validity in the second round of experts based on the total PEMU assessment was good (0.85).ConclusionThe nutrition management concept “gnp® nursing home” developed can be recommended for recognition and treatment of malnutrition among residents in nursing homes.
Journal of Transcultural Nursing, 2008
Purpose: The aim of this study is to determine the cultural adequateness of the Arabic version of... more Purpose: The aim of this study is to determine the cultural adequateness of the Arabic version of the Care Dependency Scale (CDS), an internationally used instrument to measure care needs by either self-reports or external assessment. Method: A Delphi study in two rounds about the Arabic version was performed with 37 panelists in Cairo. Acceptance of CDS items was rated on a 4-point Likert-type scale. Results: Agreement among panelists in the second round was found for 11 CDS items, but 2 items had decreased acceptance after rephrasing and 2 were rejected. Discussion: Rejected items seem to reflect a heterogeneous perception in the target population. Despite some limitations, the CDS is a promising instrument to detect care needs among older Egyptians.
American Journal of Hospice and Palliative Medicine®, 2020
Background:Nurses’ end of life (EoL) care focuses on direct (eg, physical) and indirect (e,g, coo... more Background:Nurses’ end of life (EoL) care focuses on direct (eg, physical) and indirect (e,g, coordination) care. Little is known about how much time nurses actually devote to these activities and if activities change due to support by specialized palliative care (SPC) in hospitalized patients.Aims:(1) Comparing care time for EoL patients receiving SPC to usual palliative care (UPC);(2) Comparing time spent for direct/indirect care in the SPC group before and after SPC.Methods:Retrospective observational study; nursing care time for EoL patients based on tacs® data using nonparametric and parametric tests. The Swiss data method tacs measures (in)direct nursing care time for monitoring and cost analyses.Results:Analysis of tacs® data (UPC, n = 642; SPC, n = 104) during hospitalization before death in 2015. Overall, SPC patients had higher tacs® than UPC patients by 40 direct (95% confidence interval [CI]: 5.7-75, P = .023) and 14 indirect tacs® (95% CI: 6.0-23, P < .001). No diffe...
The use of general descriptive names, registered names, trademarks, service marks, etc. in this p... more The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
„Denn sie wissen nicht was sie tun“ - zur Screening- und Assessmentinstrumente zur Erkennung von Delirien
Hintergrund: Weltweit variieren die Delir-Pravalenzdaten in Abhangigkeit der Population, des Sett... more Hintergrund: Weltweit variieren die Delir-Pravalenzdaten in Abhangigkeit der Population, des Settings, der diagnostischen Verfahren und der zum Einsatz kommenden Screening- und Assessmentinstrumente zwischen 1% und 87%. Zudem wird das Delir in der pflegerischen Praxis oftmals unterschatzt oder nicht als solches erkannt, sondern mit einem demenziellen oder depressiven Syndrom verwechselt. Dies fuhrt dazu, dass eine Delirdiagnose haufig verpasst wird, keine passenden Masnahmen getroffen werden und es zu schwerwiegenden Folgen wie erhohter Mortalitat, hoherer Pflegebedurftigkeit, verlangerten Krankenhausaufenthalten usw. fur die Betroffenen kommen kann. Ziel: Ziel dieser Arbeit war es Screening- und Assessmentinstrumente zur systematischen Erfassung und Erkennung von Delirien durch Pflegepersonen zu identifizieren und hinsichtlich ihrer psychometrischen Eigenschaften zu vergleichen. Methode: Dafur wurde eine systematische Literaturrecherche in Datenbanken und Suchmaschinen im Zeitraum ...
European Geriatric Medicine, 2015
Demographic developments have led to increased chronic diseases, such as dementia, which result i... more Demographic developments have led to increased chronic diseases, such as dementia, which result in care dependency and nursing care problems like incontinence. This study aims to compare the degree of care dependency and the prevalence of nursing care problems between Austrian nursing home residents with and without dementia. Methods: Since 2009 a cross-sectional study has been conducted annually in Austrian nursing homes. Data from the standardized questionnaire sampling 2155 residents with and 1422 residents without dementia between 2009 and 2012 have been analysed. Results: Seventy-two percent of residents with dementia compared to 45.5% of residents without dementia are completely or to a great extent care dependent, with the highest care dependency being in hygiene, continence, (un)dressing and avoiding danger. Residents with dementia have a significantly higher prevalence of urinary incontinence (87.9% vs. 69.5%), fecal incontinence (68.2% vs. 44.5%), double incontinence (64.8% vs. 36.1%), restraints (33.5% vs. 22.4%), malnutrition (27.9% vs. 18.4%) and falls (9.9% vs. 7.0%). No significant difference was found for pressure ulcers (5.2% vs. 6.5%). Conclusion: Residents with dementia have a significantly higher degree of care dependency than residents without dementia and they also have, except for pressure ulcers, a significantly higher prevalence of nursing care problems. These results should increase awareness among health care professionals of areas requiring target-oriented dementia care. Further research should explore care dependency and nursing care problems in different stages of dementia and compare the development of care dependency and nursing care problems among residents with and without dementia.
ProCare, 2015
Exploring horizons in Nursing Science" lautete das Motto der Europäischen Doktorandenkonferenz fü... more Exploring horizons in Nursing Science" lautete das Motto der Europäischen Doktorandenkonferenz für Pflegewissenschaft (European Doctoral Conference in Nursing Science-EDCNS), die zum dritten Mal an der Medizinischen Universität Graz stattfand. Ziel der Konferenz: Erfahrungen im Bereich der P egeforschung untereinander auszutauschen und Erkenntnisse über derzeit in der P egewissenschaft in Europa beforschte emen zu erlangen. Dazu kamen Mitte September knapp 80 Doktoranden, Dozenten und Professoren aus 22 unterschiedlichen Ländern nach Graz.
Journal of Gerontological Nursing, 2016
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Pflegequalität in der Praxis
ProCare, 2015
Die Gewährleistung einer qualitativ hochwertigen Versorgung und der Sicherheit von Patienten und ... more Die Gewährleistung einer qualitativ hochwertigen Versorgung und der Sicherheit von Patienten und P egeheimbewohnern ist das Ziel aller im Gesundheitswesen tätigen Personen. Besonders P egepersonen haben durch die Nähe zum Patienten/P egeheimbewohner die besondere Möglichkeit potentielle Probleme frühzeitig zu erkennen. Durch die frühzeitige Reaktion auf Probleme oder Schwachstellen und der Initiierung adäquater Maßnahmen kann die P egequalität und die Sicherheit von Patienten/Pflegeheimbewohnern ge währleistet bzw. direkt beein usst werden (Burhans & Alligood 2010; Hughes 2008).
Frontiers in Public Health
BackgroundBesides confronting the challenges of a growing older population, developing countries ... more BackgroundBesides confronting the challenges of a growing older population, developing countries are dealing with limited resources and infrastructure, to ensure good health and social care services. One of these developing countries facing these challenges is Ghana. The healthcare system in Ghana currently does not have specialized geriatric services and is funded through the National Health Insurance Scheme (NHIS), private insurance companies and an out-of-pocket expenditure system. Social care services are important in improving Quality of Life (QoL) as it helps in building and strengthening relationships while also keeping slum-dwelling older adults active. There are various challenges with the health and social care of older adults in slums and practical ways to improve these have not been explored among the providers of this care.AimsThis study, therefore, aimed to explore (1) the views of health professionals on older slum-dwelling adults' health and social care needs, ac...
BMC Geriatrics, 2021
Background Over 60% of the population in sub-Saharan Africa, live in informal settlements (slums)... more Background Over 60% of the population in sub-Saharan Africa, live in informal settlements (slums) with little or no resources. To be prepared to meet the needs of older people living in slums, it is necessary to know more about their quality of life (QoL). The objective of this review is to identify instruments, which can be used by researchers to assess the QoL of older adults living in African countries, especially those dwelling in slums. Methods A scoping review was performed using the databases Scopus, PubMed, and ISI Web of Science to retrieve studies published from January 2008 – September 2020. Studies were included if they reported generic QoL instruments, focused on adults with a mean age ≥ 50 and were conducted in African countries. Results In total, 18 studies were included using 7 unique instruments to measure QoL (EUROHIS-QOL-8, SWLS, WHOQOL-OLD, the WHOQOL-BREF, SF-36, SF-12 and RAND-38). All instruments could be interviewer-administered and had 5–36 items. However, l...
Roles and Responsibilities of Nurses in Advance Care Planning in Palliative Care in the Acute Care Setting
Journal of Hospice & Palliative Nursing, 2020
Supplemental digital content is available in the text. Palliative care focuses on symptom managem... more Supplemental digital content is available in the text. Palliative care focuses on symptom management, discussion of treatment and care decisions, network organization, and support of the family. As part of the advance care planning (ACP) process, staff nurses in the acute care setting are often involved in all of the above areas. It is yet unclear what nurses' roles and responsibilities are and what skills are needed in the ACP process. The themes that staff nurses and advanced practice registered nurses (APRNs) discuss in relationship to ACP are manifold. This scoping review demonstrates that staff nurses' core role is advocating for the wishes and values of patients with any life-limiting disease. Staff nurses also serve as facilitators, educators, and advocates to help start ACP conversations and ease patients' transitions between settings based on well-discussed decisions. To be able to engage in ACP discussions, APRNs must have excellent communication skills. Continuous training to improve these skills is mandatory. In the future, clarifying the contribution of staff nurses and APRNs in the ACP process in relation to other members of the interprofessional team can lay the groundwork for improved interprofessional collaboration.
Archives of Gerontology and Geriatrics, 2019
Background: Guideline-compliant conservative management of urinary incontinence (UI) is the first... more Background: Guideline-compliant conservative management of urinary incontinence (UI) is the first step of the initial management for UI and is recommended for long-term care in older persons. Recent studies have focused on the effects of guideline-compliant UI management. However, most of these studies were tested in another setting than nursing homes and were not focused on conservative management. Aims: To measure the effectiveness of 29 evidence-based nursing recommendations regarding the conservative management of UI in Austrian nursing homes. Methods: The study is a cluster randomized intervention trial with institution as the unit of randomization. Twelve nursing homes in two Austrian provinces (Styria, Carinthia) were randomly allocated to the intervention group (IG) and control group (CG). Data were collected from participating residents over a three-month period. The intervention consisted of the implementation of recommendations for the conservative management of UI among female nursing home residents. The primary outcome variable was the daily UI experienced by the participating residents. Results: Residents in the (IG n = 216) had a lower risk (OR = 0.14, p = 0.02) of experiencing daily UI and were less likely to receive absorbent products (OR = 0.01, p = 0.01) than residents in the CG (n = 165). Residents in the IG (OR = 5.16, p = 0.00) were five times more likely to receive recommended interventions (e.g., bladder training) than residents in the CG. Conclusion: Introducing guideline-compliant management into nursing practice can increase the likelihood of evidence-based interventions for the conservative management of UI. The intervention in this study targeted on nurses/nurse managers and can be recommended for the nursing home setting.
Journal of the American Medical Directors Association, 2018
Objectives: To provide an overview of the prevalence rates and risk factors of dehydration among ... more Objectives: To provide an overview of the prevalence rates and risk factors of dehydration among nursing home residents. Design: Systematic literature review. Setting: Nursing homes. Participants: Nursing home residents or institutionalized long-term care residents. Measurements: A systematic literature review was executed on March 15, 2018, using the databases PubMed, CINAHL, and EMBASE to retrieve all articles focused on the prevalence rates and risk factors for acute and chronic dehydration. Studies were included if the target population involved nursing home residents or institutionalized long-term care residents. Results: Nineteen studies were included in this systematic review. Prevalence rates of dehydration varied between 0.8% and 38.5% and were measured using different methods. Furthermore, 49 potential risk factors for dehydration were identified. Of the 12 potential risk factors that were investigated in more than 1 study, cognitive impairment and fever were significantly associated with dehydration among nursing home residents. Conclusions/implications: Dehydration is a relevant and frequently occurring problem among nursing home residents. This systematic review shows that a wide variety of methods are used to assess dehydration and that it is often unclear which type of dehydration (chronic or acute) is measured. This makes it difficult to compare prevalence rates among studies. Moreover, only 2 of 49 potential risk factors (fever and cognitive impairment) were more than once significantly associated with dehydration in the respective studies. Most of the other risk factors were assessed by only 1 study or showed inconsistent results. Therefore, more research into dehydration among nursing home residents is needed.
International Journal of Urological Nursing, 2019
Humanoid socially assistive robots in dementia care: a qualitative study about expectations of caregivers and dementia trainers
Aging & Mental Health
OBJECTIVE To examine the expectations of informal caregivers, nurses, and dementia trainers regar... more OBJECTIVE To examine the expectations of informal caregivers, nurses, and dementia trainers regarding the support of (physical and psychosocial) human needs by humanoid social assistive robots (SARs) in dementia care. METHODS A qualitative study was conducted with 11 homogeneous focus groups of informal caregivers, nurses and dementia trainers providing dementia care at home, in adult daycare centers, or in nursing homes. A qualitative content analysis was performed using a concept- and data-driven coding frame. RESULTS Focus group discussions with 52 individuals were held. Participants reported mostly positive expectations and stated that SARs could offer potential support in all components of human needs, especially in avoiding danger (e.g. recognise danger, organise help), communication/contact with others (e.g. enable telephone calls, provide company), daily activities (e.g. remind of appointments, household obligations), recreational activities (e.g. provide music), eating/drinking (e.g. help cook), and mobility/body posture (e.g. give reminders/instructions for physical exercise). Participants also mentioned some negative expectations in all human needs, predominantly in communication/contact with others (e.g. loss of interpersonal interaction) and avoiding danger (e.g. scepticism regarding emergencies). CONCLUSION Participants stated that SARs had great potential to provide assistance in dementia care, especially by reminding, motivating/encouraging and instructing people with dementia. Informal caregivers and nurses also considered them as useful supportive devices for themselves. However, participants also mentioned negative expectations, especially in communication/contact with others and avoiding danger. These findings demonstrate the support caregivers and dementia trainers expect from humanoid SARs and may contribute to their optimisation for dementia care.
Ate Dijkstra MEd PhD RN
of care dependency as shared by care givers and care recipients: a concept analysis.
Sprachrohr für Pflegepraxis und Pflegewissenschaft
ProCare, 2020
Die Qual der Wahl: Instrumente zur Erkennung von Delirien
Delirien treten bei Patienten auf Intensivstationen haufig auf, werden jedoch selten als solche e... more Delirien treten bei Patienten auf Intensivstationen haufig auf, werden jedoch selten als solche erkannt. Der Einsatz von Screening- und Assessmentinstrumenten zur strukturierten Erkennung von Delirien hat daher erheblich an Bedeutung gewonnen. Doch welche Instrumente sind am besten geeignet?
Background: Maintaining continence in old age may increase well-being and may reduce morbidity an... more Background: Maintaining continence in old age may increase well-being and may reduce morbidity and healthcare costs [1]. However incontinence is still considered a taboo subject [2] and there still exist a societal misconception that incontinence is a normal consequence of aging [3]. It is known from the international literature that studies about preventive interventions for older continent hospital patients are missing.
Ernährungsmanagement-Konzept „gnp® nursing home“
HeilberufeScience, 2016
ZusammenfassungHintergrundAktuelle Studiendaten weisen bei 23 % der Bewohner in österreichischen ... more ZusammenfassungHintergrundAktuelle Studiendaten weisen bei 23 % der Bewohner in österreichischen Pflegeheimen eine Mangelernährung auf. Folgen dieser Krankheit sind u. a. Multimorbidität, soziale Isolation, Einsamkeit, soziale und funktionelle Abhängigkeit. Diese Folgen gilt es, durch frühzeitiges Erkennen und Behandeln von Mangelernährung zu verringern.ZielDas in deutschen Krankenhäusern eingesetzte Ernährungsmanagement-Konzept „gnp® good nutrition practice“ wurde an Anforderungen in Pflegeheimen angepasst sowie auf dessen praktische Anwendbarkeit untersucht. Das verwendete Screening (Mini Nutritional Assessment Short Form, MNA®-SF) wurde auf Reliabilität und das Assessment (Instrument zur Pflegerischen Erfassung von Mangelernährung und deren Ursachen, PEMU) auf Validität getestet.MethodeAnhand von Literatursynthese und Expertengesprächen wurde das Ernährungsmanagement-Konzept angepasst und in einem Monat in 7 steirischen Pflegeheimen getestet.ErgebnisseDie Pflegepersonen, die ein Feedback zum Ernährungsmanagement-Konzept gaben, beurteilten das Konzept überwiegend positiv. Die Testung des MNA-SF-Screenings ergab eine gute Interrater-Reliabilität (κ = 0,772), eine Sensitivität von 77 % und eine Spezifität von 94 %. Cronbachs α für die interne Konsistenz betrug 0,61 [95 %-Konfidenzintervall (95 %-KI): 0,52–0,68] und 0,63 (95 %-KI: 0,55–0,70). Die Inhaltsvalidität in der 2. Expertenrunde, bezogen auf das gesamte PEMU-Assessment, war gut (0,85).SchlussfolgerungDas entwickelte Ernährungsmanagement-Konzept „gnp® nursing home“ kann zur Erkennung und zur Behandlung von Mangelernährung bei Bewohnern in Pflegeheimen empfohlen werden.AbstractBackgroundData from recent studies indicate that 23 % of residents in Austrian nursing homes suffer from malnutrition. The consequences of this disease include multimorbidity, social isolation, loneliness, social and functional dependence. These consequences have to be reduced through early detection and treatment of malnutrition.AimsThe nutritional management concept “gnp® good nutrition practice” used in German hospitals has been adapted to the requirements in nursing homes and investigated for practicability. The mini nutritional assessment short form (MNA®-SF) screening has been tested for reliability and the assessment for validity using an instrument for nursing detection of malnutrition and the causes (PEMU).MethodUsing a literature synthesis and expert interviews the nutritional management concept has been adapted and tested in seven Styrian nursing homes over a period of 1 month.ResultsThe caregivers who gave feedback rated the nutrition management concept overwhelmingly positive. The testing of the MNA-SF screening had a good interrater reliability (kappa = 0.772), a sensitivity of 77 % and a specificity of 94 %. Cronbachs alpha for internal consistency was 0.61 [95 % confidence interval (CI) 0.52; 0.68] and 0.63 (95 % CI: 0.55; 0.70). The content validity in the second round of experts based on the total PEMU assessment was good (0.85).ConclusionThe nutrition management concept “gnp® nursing home” developed can be recommended for recognition and treatment of malnutrition among residents in nursing homes.