Design A cross‐sectional study was conducted in December 2020/January 2021 in the five significant cities of Germany. Sample 135 of 244 identified service institutions took part in the evaluation. Measurements This evaluation included changes in institutions’ operating hours as well as capacity for homeless people. Service institutions described changes in guests’ characteristics, moods, and mental burden. Finally, equipment including face masks, coveralls, and gloves was investigated. In addition, the study examined how the cooperation with the health authorities works. Results Institutions reduced their operating hours and capacity for guests (62.4%). Increased costs, which they had to cover themselves, were reported by 70.9% of institutions. Institutions reported, that guests showed more symptoms of aggression (15%), anxiety (25%), and desperation (32%) and fewer signs of being relaxed (75%). The institutions reported room for improvement in PPE supplies and collaboration with health authorities. Conclusions Services are limited for a vulnerable population, which shows changes in moods and mental health. Health authorities are not sufficiently engaged to take over the role of institutions in caring for homeless people. In the future, in‐depth investigation to improve this is necessary.

Zusammenfassung Einleitung Seit der Sars-Cov-2 Pandemie haben sich die Arbeitsbedingungen beruflich Pflegender verschärft. Dies führt zu einem erhöhten Wunsch, den Beruf zu verlassen. Da Ausstiegsgedanken von Faktoren wie Arbeitsfähigkeit und dem Verhältnis von Aufwand und Belohnung beeinflusst werden, soll beides erhoben und in Bezug zum Wunsch des Berufsausstieges untersucht werden. Methodik In einer standardisierten, onlinebasierten Querschnittsstudie wurden Pflegende aus allen Bereichen zu ihrer Arbeitsfähigkeit (Work-Ability-Index: WAI), dem Verhältnis von Aufwand und Belohnung (Effort-Reward-Imbalance: ERI-Ratio) sowie dem Wunsch den Beruf zu verlassen bzw. den*die Arbeitgeber*in zu wechseln, befragt. Ergebnisse Insgesamt konnten Fragebögen von 2.689 Pflegenden (durchschnittlich 41,3 Jahre alt, 75,1% weiblich) ausgewertet werden. Der WAI indiziert eine durchschnittlich gute Arbeitsfähigkeit (37,9 (6,7)). Pflegende erbringen mehr Aufwand als sie Belohnung erfahren (ERI-Ratio 1,7 (0,5)). 38,3% der Pflegenden denken mehrmals monatlich oder häufiger daran, den Beruf zu verlassen bzw. 30,6% daran, den Arbeitgeber zu wechseln. Prädiktoren sind WAI (OR 0,881, 95%-CI 0,866; 0,897 bzw. 0,923, 95%-CI 0,908; 0,938) und ERI-Ratio (OR 4,076, 95%-CI 3,224; 5,149 bzw. 4,203, 95%-CI 3,312; 5,334). Schlussfolgerung Der Einfluss der Arbeitsfähigkeit und insbesondere der Wahrnehmung von beruflichem Aufwand und erhaltener Belohnung zeigt sich als einflussnehmend auf den Gedanken an den Berufsausstieg. Dass dem ERI dabei eine besondere Bedeutung zukommt, zeigen die vorliegenden Ergebnisse. Entsprechend gilt es zu ergründen, welche Belohnungsfaktoren sich günstig auf den Berufsverbleib auswirken. Der überdurchschnittliche Anteil an Pflegenden mit einem akademischen Abschluss kann die Ergebnisse beeinflusst haben.

The use of socially assistive robots (SARs) to enable older adults (aged ≥65 years) to live independently for as long as possible has been researched for several years. Of particular interest is the way SARs can combat loneliness. A quantitative cross-sectional study was conducted with 61 older adults in living facilities in Berlin, Germany. Paper-based questionnaires were used to elicit experiences of loneliness and determine the level of acceptance of SARs. Mean score (39.3) of the loneliness scale was in the average range for this population. Mean score (56.1) of acceptance of SARs was on a moderate level. Regression analyses showed that loneliness did not influence the acceptance of SARs by older adults in the sample, which was contrary to findings in the literature. Further studies might generate more accurate data and accelerate the development of robots to make them more attractive for social purposes. [ Journal of Gerontological Nursing, 49 (4), 21–26.]

Background Simulations are part of nursing education. To obtain good results, simulation facilitators need to be competent in simulation pedagogy. Part of this study was the transcultural adaptation and validation of the Facilitator Competency Rubric into German (FCRG) and the evaluation of the factors associated with higher competencies. Method A written-standardized cross-sectional survey was conducted. N = 100 facilitators (mean age: 41.0 (9.8), female: 75.3%) participated. Test–re-test, confirmatory factor analysis (CFA), and ANOVAs were conducted to evaluate the reliability and validity of, and the factors associated with, FCRG. Intraclass correlation coefficient (ICC) values > .9 indicate excellent reliability. Results The FCRG achieved good intra-rater reliability (all ICC > .934). A moderate correlation (Spearman-rho .335, p < .001) with motivation indicates convergent validity. The CFA showed sufficient to good model fits (CFI = .983 and SRMR = .016). Basic simulation pedagogy training is associated with higher competencies (p = .036, b = 17.766). Conclusion The FCRG is a suitable self-assessment tool for evaluating a facilitator’s competence in nursing simulation.