Advertisement

Empirische Erkenntnisse zu „Qualität in der Pflege“

  • Martina HasselerEmail author
Chapter

Zusammenfassung

Die internationale und nationale Literaturlage zu „Qualität in der Pflege“ lässt nicht nur die Aussage belegen, dass Qualität multidimensional und abhängig von der Perspektive der beteiligten Personen- und Berufsgruppen unterschiedlich verstanden und definiert wird, sondern viele Fragen zu Entstehung von Qualität in der Pflege noch offen sind. Deutlich wird jedoch, dass der bislang dominierende lineare Ansatz, der von Donabedian`s Struktur-, Prozess- und Ergebnisqualität ausgeht, nicht länger haltbar ist. Qualität in der Pflege hängt von unterschiedlichen Faktoren ab, die von Personalzusammensetzung und –qualifikation bis hin zu Führungsstilen, politischen Reformen etc. reichen. Das bislang vorhandene lineare Qualitätsverständnis wird auf Dauer nicht zu einer realen Verbesserung der Qualität in den diversen Bereichen und Dimensionen pflegerischer Versorgung führen, da Hinweise darüber fehlen, wie Ergebnisse und Prozesse zustande kommen und an welchen Stellschrauben mit dem Ziel der Qualitätsverbesserung gedreht werden sollte. In der Zukunft ist erforderlich, in der Langzeitpflege das Gesamtsystem der pflegerischen Versorgung mit den entsprechenden internen und externen Faktoren zu betrachten.

Literatur

  1. Antwi YA, Bowblis JR (2016) The impact von nurse turnover on quality of care and mortality in nursing homes: evidence from the great depression. W.E. Upjohn Institute For Employment ResearchGoogle Scholar
  2. Backhaus R et al (2014) Nurse staffing impact on quality of care in nursing homes: a systematic review of longitudinal studies. JAMDA 15:383–393PubMedGoogle Scholar
  3. Barba BE et al (2011) Quality geriatric care perceived by nurses in long-term and acute care settings. J Clin Nurs 21:833–840CrossRefGoogle Scholar
  4. Burhans LM, Allligood MR (2010) Quality nursing care in the words of nurses. J Adv Nurs 66(8):1689–1697CrossRefGoogle Scholar
  5. Castle NG (2012) Reviewing the evidence base for nurse staffing and quality of care in nursing homes. Evid Based Nurs 15:23–24CrossRefGoogle Scholar
  6. Castle NG, Decker FH (2011) Top management leadership style and quality of care in nursing homes. Gerontologist 51(5):630–642CrossRefGoogle Scholar
  7. Castle NG, Engberg J (2007) The influence of staffing characteristics on quality of care in nursing homes. Health Serv Res 42(5):1822–1847CrossRefGoogle Scholar
  8. Castle NG, Ferguson JC (2010) What is nursing home quality and how is it measured? Gerontologist 50(4):426–442CrossRefGoogle Scholar
  9. Chu CH et al (2016) An integrative review of the structures and processes related to nurse supervisory performance in long-term-care. Evid Rev 13(6):411–419Google Scholar
  10. Dellefield ME et al (2015) The relationship between registered nurses and nursing home quality. Nurs Econ 33(2):95–108PubMedGoogle Scholar
  11. Flynn L et al (2010) Effects of nursing practice environments on quality outcomes in nursing homes. J Am Geriat Soc 58(12):2401–2406CrossRefGoogle Scholar
  12. Forder J, Allan S (2014) The impact of competition on quality and prices in the English care homes market. doi:  https://doi.org/10.1016/j.jhealeco.2013.11.010. J Health Econ 34:73–83CrossRefGoogle Scholar
  13. Geraedts M et al (2011) Beurteilungskriterien für die Auswahl einer Einrichtung. In: Böcken J et al (Hrsg) Gesundheitsmonitor 2011. BertelsmannStiftung, Gütersloh, S 155–172Google Scholar
  14. Görres S et al (2017) Modellhafte Pilotierung von Indikatoren in der stationären Pflege (MoPiPP) (SV 15–095). Abschlussbericht zum Forschungsbericht. Bremen. https://www.gkv-spitzenverband.de/media/dokumente/pflegeversicherung/qualitaet_in_der_pflege/indikatoren/20170320_Erganzt_Abschlussbericht_MoPIP_Universitat_Bremen.pdf
  15. Griffiths P et al (2014) Nurses’ shift length and overtime work in 12 European Countries. The association with perceived quality of care and patient safety. Med Care 52(11):975–981CrossRefGoogle Scholar
  16. Harrington C et al (2003) Designing a report card for nursing facilities: what information is needed and why. Gerontologist 43(Special Issue II):47–57CrossRefGoogle Scholar
  17. Hasson H, Arnetz JE (2011) Care recipients’and family members’perceptions of quality of life of older people care: a comparison of home-based care and nursing homes. J Clin Nurs 20:1423–1435CrossRefGoogle Scholar
  18. Havig AK et al (2011) Leadership, staffing and quality of care in nursing homes. BMC Health Serv Res 11(1):327Google Scholar
  19. Isola A (2008) Quality of institutional care of older people as evaluated by nursing staff. J Clin Nurs 17:2480–2489CrossRefGoogle Scholar
  20. Kajonuius PJ, Kazemi A (2016) Structure and process quality as predictors of satisfaction with elderly care. Health Soc Care Community 24(6):699–707CrossRefGoogle Scholar
  21. Kim H et al (2009) Registered nurse staffing mix and quality of care in nursing homes: a longitudinal analysis. Gerontologist 49(1):81–90CrossRefGoogle Scholar
  22. Kjos BO, Havig AK (2016) An examination of quality of care in Norwegian nursing homes – a change to more activities? Scand J Caring Sci 30(2):330–339CrossRefGoogle Scholar
  23. Kurtzmann ET (2010) A transparency and accountability framework for high-value inpatient nursing care. Nurs Econ 28(5):295–306Google Scholar
  24. Kvist T et al (2014) The relationship between patients’ perceptions of care quality and three factors: nursing staff job satisfaction, organizational characteristics and patient age. BMC Health Serv Res 14(1):466Google Scholar
  25. Laschinger HK et al (2009) Workplace environment, incivility, and burnout: impact on staff nurse recruitment and retention outcomes. J Nurs Manag 17:302–311CrossRefGoogle Scholar
  26. Li Y et al (2014) Associations between family rating on experience with care and clinical quality-of-care measures for nursing home residents. Med Care Res 73(1):63–84Google Scholar
  27. Lin H (2014) Revisiting the relationship between nurse staffing and quality of care in nursing homes: an instrumental variables approach. Health Econ 37:13–24CrossRefGoogle Scholar
  28. McGilton KM et al (2016) Outcomes related to effective nurse supervision in long-term care homes: an integrative review. J Nurs Manag 24:1007–1026CrossRefGoogle Scholar
  29. Mor V et al (2003) The quality of quality measurement in U.S. nursing homes. Gerontologist 43(Special Issue II):37–46CrossRefGoogle Scholar
  30. Murphy K et al (2007) Nurses’ perceptions of quality and the factors that affect quality care of older people living in long-term care settings in Ireland. J Clin Nurs 16:873–884CrossRefGoogle Scholar
  31. Purdy N et al (2010) Effects of work environments on nurse and patient outcomes. J Nurs Manag 18:901–913CrossRefGoogle Scholar
  32. Reichert AR, Stroka MA (2014) Nursing home prices and quality of care – evidence form administrative data. RUHR Economic Papers #470. RUB, RWIGoogle Scholar
  33. Stadnyk RL et al (2011) Improving quality of care in nursing homes: what works? CMAJ 183(11):1238–1239CrossRefGoogle Scholar
  34. Stalpers D et al (2015) Associations between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: a systematic review of literature. Int J Nurs Stud 52:817–835CrossRefGoogle Scholar
  35. Spilsbury K et al (2011) The relationship between nurse staffing and quality of care in nursing homes: a systematic review. Int J Nurs Stud 48:732–750CrossRefGoogle Scholar
  36. Tenkin-Greener H (2012) Nursing home environment and the risk of pressure ulcers and incontinence. Health Serv Res 47(3 Part I):1179–1200Google Scholar
  37. Tolson E et al (2014) Editorial. Quality of life and care in the nursing home. JAMDA 15:154–157PubMedGoogle Scholar
  38. Unruh L, Wan TT (2004) A systems framework for evaluating nursing care quality in nursing homes. J Med Syst 28(2):197–214CrossRefGoogle Scholar
  39. Vinsnens AG et al (2011) Quality of Care in Norwegian nursing homes – typology of family perceptions. J Clin Nurs 21:243–254CrossRefGoogle Scholar
  40. Wan TTH et al (2010) Improving the quality of care in nursing homes. An evidence-based approach. The John Hopkins University Press, BaltimoreGoogle Scholar
  41. Wiener JM (2003) An assessment of strategies for improving quality of care in nursing homes. Gerontologist 43(2):19–27CrossRefGoogle Scholar
  42. Zhaou X (2016) Competition, information, and quality: evidence from nursing homes. J Econ 49:136–152Google Scholar

Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Medizinische Fakultät HeidelbergPflege- und TherapiewissenschaftHeidelbergDeutschland

Personalised recommendations