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Biomedical subjects

S Bartholomeyczik

Publications and source records attributed to S Bartholomeyczik.

At least 19 recordsLinked to original sources

[Equipment and use of equipment in nursing homes].

AIM OF THE STUDY: The aim of this research study was to describe the provision of aids and their use in the transport of residents. The study was also intended to analyse prior experience with the methods and concepts of resident transfer, paying due attention to back problems. The resulting knowledge is to support work on the implementation of procedures in geriatric in-patient care which are suited to workers with back problems. METHODS: This is a cross-sectional study, in which 217 nurses and 43 superior nurses were interviewed, with the help of a standardised questionnaire which they are expected to complete. RESULTS: The majority of those questioned felt that they were not well informed about the availability of aids. This is reflected both in the deficient equipment with the aids and in how rarely they are used. The superior nurses regarded themselves as being rather better informed. In general, there are fewer small than large aids in the institutions and these are also used more rarely. "Lack of time" and "lack of acceptance by the residents" were the main reasons given for lack of use. About half of the superior nurses and nurses feel that they are well or very well informed about mobility concepts and working methods which spare the back. According to this, these concepts are only applied in a quarter of old people's homes, although training is more frequent. Instruction in the use of aids takes place too rarely. This can be concluded from the evaluation of the data from the superior nurses and the 109 spontaneous comments from the nurses, who not only advocated the purchase of the aids, but also emphasised the need for more information and training. CONCLUSIONS: The results indicate that current work on equipment with aids and training in their use must be optimised and must also incorporate recent advances in scientific knowledge. Implementation of specific risk assessment analyses of stress at work and regular training in dealing with aids could help to support the use of aids for geriatric in-patients.

Attitude of Health Personnel↗

[Measuring nursing care times--methodologic and documentation problems].

The time for needed nursing care is one important measurement as a basic for financing care. In Germany the Long Term Care Insurance (LTCI) reimburses nursing care depending on the time family care givers need to complete selected activities. The LTCI recommends certain time ranges for these activities, which are wholly compensatory, as a basic for assessment. The purpose is to enhance assessment justice and comparability. With the example of a German research project, which had to investigate the duration of these activities and the reasons for differences, questions are raised about some definition and interpretation problems. There are definition problems, since caring activities especially in private households are nearly never performed as clearly defined modules. Moreover, often different activities are performed simultaneously. However, the most important question is what exactly time numbers can say about the essentials of nursing care.

Germany↗

[Development of nursing science in Germany].

This essay investigates the following two questions: Why did it take so long to become apparent that nursing has an important role in our society? What influenced the growing importance of nursing? Since this essay was part of a habilitation process, it begins with a review of the first German habilitation in nursing in 1895. In retrospect, this document reveals ideas of nursing that are important and still valid today, even though it was written by a physician. However, nursing as a profession practised by nurses or nuns was hidden in the invisible corners of health care and developed as a marginal category. For religious reasons nurses, as women, were encouraged to obey and not think for themselves. Only during the last few decades did nursing acquire a new meaning due to structural changes in morbidity and population, as well as a belated new sense of self-confidence in a profession still predominantly female. Within these new demands, nursing science also gained in significance. Its first substantial ideas came from North America. The difficulties in developing the nursing science lie in the nature of nursing, which often seems to be near omnipotence.

Female↗