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Biomedical subjects

Stefan Görres

Publications and source records attributed to Stefan Görres.

6 recordsLinked to original sources

A possible way out of poor healthcare resulting from demographic problems: need-orientated home-based-nursing-care and nursing-home-care.

AIM: The aim of is this paper is to present a study in which a system to classify different levels of home-based-nursing and nursing-home care for groups with differing care need is developed. BACKGROUND: Changes in demography, social conditions and medical development are leading to the fact that in the future more people will need specialized nursing care which today's services of home-based-care and nursing-homes cannot provide. METHOD: On the basis of a literature research, the service-structure and the care need of defined groups of patients were analysed and categorized. The resulting grid was used in an Internet-based standardized survey among 144 experts. RESULTS: The results of this study encompass the experts' views and the prognoses on developments in the design of care and service structures for each of the defined groups of patients in North-Rhine-Westphalia, Germany. CONCLUSION: The study reveals the areas and the patient groups with the most significant future needs. Thus, demands and recommendations concerning the prospective design and structure of care and nursing services for home-based nursing and care in nursing-homes can be formulated.

Aged↗

[Innovative potentials and new areas of responsibility for nursing in the service sector of the future--results of a Delphi-study in Germany].

Present reforms and dynamics of development within the health care system have led to different health care needs and new demands on nursing. It has been assumed that in the future a number of innovative potentials and new areas of responsibility will develop. Consequently, new nursing services will also come into being which are to be located at the interface of Nursing and Public Health. Adopting the Delphi technique the Institute for Applied Nursing Research at the University of Bremen carried out nation-wide study which was aimed at experts (n = 41) representing research and development, as well as political interests regarding health and nursing-related institutions of the German health care system. Four areas of responsibility were considered most relevant for the development of new nursing services: consultancy/information work, health promotion/prevention/rehabilitation, management and co-ordination/integration/co-operation. The biggest market is expected within the area of consultancy work. The development of those four areas is closely connected with the grade of professionalisation. Additionally, linking Public Health and Nursing will include a change in the way nursing sees itself. Furthermore, nursing objectives and interventions will be altered, too.

Career Choice↗

[Healthcare of the elderly: results of health services research and implications for nursing practice].

The objects of health services research are, among others, analyses of the demand for healthcare services and institutions and for nursing of ill and disabled elderly people, as well as analyses of the outcome of service performance in view of quality of life, effectiveness, and resource management. In order to adequately describe and support the health state of elderly in current and future life situations, it is important to gather an exact knowledge about epidemiological developments and demands for specific services in the provision of healthcare and nursing care. In case of a disease, the accessibility, quantity and quality of medical, nursing and psychosocial care determine considerably the organisation of life and the way of dealing with the disease. Thus, considerations on prevention, rehabilitation and health promotion for elderly (healthy ageing) gain an increasing relevance, particularly for nursing practice. This article focuses on central aspects of health services research with respect to results of gerontology research and nursing science. Possible demands and perspectives are derived in view of future developments. The issues of quality assurance and quality improvement are of central importance.

Aged↗

["Nursing care visit: possibilities and limits". An empirical study in Bremen, Hamburg, Mecklenburg-Vorpommern, Lower Saxony and Schleswig-Holstein].

This study examines the distribution, understanding and objectives of nursing visits as well as the implementation and the experience with nursing visits in 87 hospitals in North Germany (Bremen, Lower Saxony, Hamburg, Schleswig-Holstein and Mecklenburg-Western Pomerania). The survey was conducted using a questionnaire. It was found that nursing visits are implemented in 31% of the departments. By means of the nursing visit the patients are involved in the nursing process. The objectives of nursing visits are patient orientation. and the improvement of the nursing quality. The nursing visit is criticised because of both the level of organisation and the time spent on nursing visits as well as the lack of training, maintaining confidentiality and questions of data protection. The study contributes to a better understanding of nursing visits and a clearer definition of the term. It is the first empirical study of this type that has been conducted in Germany.

Community Health Nursing↗