Bedarf und Qualität von Beratung in der Langzeitpflege

Englert, Nathalie; Oetting-Roß, Claudia; Büscher, Andreas

doi:10.1007/s00391-016-1172-4

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…The results indicate the need to approach dyad subgroups specifically in terms of counseling, service use promotion and easing of caregiver burden. Recent research findings on counselling services in the care and nursing context highlight the need for a comprehensive assessment of care situations and to derive support services needed [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic aspects and health care-related outcomes: a latent class analysis of informal dementia care dyads

Wiegelmann

Wolf‐Ostermann

Brannath

et al. 2021

BMC Health Serv Res

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Background Studies revealed the importance to assess dementia care dyads, composed of persons with dementia and their primary informal caregivers, in a differentiated way and to tailor support services to particular living and care circumstances. Therefore, this study aims first to identify classes of dementia care dyads that differ according to sociodemographic, care-related and dementia-specific characteristics and second, to compare these classes with regard to healthcare-related outcomes. Methods We used data from the cross-sectional German DemNet-D study (n = 551) and conducted a latent class analysis to investigate different classes of dementia care dyads. In addition, we compared these classes with regard to the use of health care services, caregiver burden (BIZA-D), general health of the informal caregiver (EQ-VAS) as well as quality of life (QoL-AD) and social participation (SACA) of the person with dementia. Furthermore, we compared the stability of the home-based care arrangements. Results Six different classes of dementia care dyads were identified, based on best Bayesian Information Criterion (BIC), significant likelihood ratio test (p < 0.001), high entropy (0.87) and substantive interpretability. Classes were labelled as “adult child parent relationship & younger informal caregiver”, “adult child parent relationship & middle aged informal caregiver”, “non family relationship & younger informal caregiver”, “couple & male informal caregiver of older age”, “couple & female informal caregiver of older age”, “couple & younger informal caregiver”. The classes showed significant differences regarding health care service use. Caregiver burden, quality of life of the person with dementia and stability of the care arrangement differed also significantly between the classes. Conclusion Based on a latent class analysis this study indicates differences between classes of informal dementia care dyads. The findings may give direction for better tailoring of support services to particular circumstances to improve healthcare-related outcomes of persons with dementia and informal caregivers.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic aspects and health care-related outcomes: a latent class analysis of informal dementia care dyads

Wiegelmann

Wolf‐Ostermann

Brannath

et al. 2021

BMC Health Serv Res

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“…The specific care counseling service (§7a SGB XI) is a voluntary offer that is funded by the welfare and private insurance care agencies (since Jan. 2009). People who have been assessed for the degree of need of care, have a legal right to receive counseling services [ 22 , 23 ]. The offices for this service are mostly located in local counseling service centers.…”

Section: Introductionmentioning

confidence: 99%

“…This counseling service can includes the following steps: identifying care needs, providing counseling services, developing a care plan, implementing the plan, evaluating and/or adapting the plan if needed, and providing information about services to relieve the burden on relatives [21,24]. Accordingly, the service can range from a single counseling session on a specific care topic to an comprehensive ongoing counseling service offer [22,[25][26][27]. There seems to be no general quality monitoring system.…”

Section: Introductionmentioning

confidence: 99%

Counseling regarding the care of people with dementia with a focus on §7a SGB XI in Germany: a "gray-shaded" scoping review

Rommerskirch-Manietta

Manietta

Purwins

et al. 2023

BMC Health Serv Res

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Background Care counseling is an important psychosocial intervention for people with care needs and their relatives and can contribute to maintaining and/or improving a patient’s quality of life and reducing the burden of caregivers. This is especially the case for people with dementia and their relatives, in which the methods of care counseling need to be different than those for individuals with non-dementia related care needs. Furthermore, the counseling content needs to be adjusted to the specific form and stage of dementia. In Germany, every person who receives support per the German Social Law Book XI (SBG XI) can take advantage of care counseling according to §7a SGB XI. To date, there is no systematic overview of counseling services for people with dementia and their relatives related to this specific provision in Germany. Methods We conducted a gray-shaded scoping review with a focus on the evaluation of care counseling according to §7a SGB XI for people with dementia and their relatives. For this purpose, we applied five search strategies. We researched (1) national electronic databases, (2) Google, (3) targeted websites, (4) experts, and (5) academic electronic databases. Additionally, for the included gray literature, we conducted backward citation tracking via reference lists and forward citation tracking via Google Scholar for scientific articles. Screening of the identified potentially relevant records was performed independently by two reviewers. Results We identified 985 records and included 6 studies in our review. We divided the identified studies into three themes: understanding conceptual dimensions, digitalization of counseling, and understanding the perspective of those being counseled. No studies investigated the perspective and experience of people with dementia and their relatives regarding the counseling service according to §7a SGB XI. Conclusions Our results show that further research is needed, especially regarding the experience of people with dementia and their relatives who participated in counseling according to §7a SGB XI. It seems essential to understand the perspective of people with dementia and their relatives to improve and tailor counseling services in Germany. Registration The review protocol was prospectively published (BMJ Open 12:e059771, 2022).

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“…Hierbei ist diese in den vergangenen Jahren sukzessive ausgebaut und optimiert worden. Mithilfe der benannten Beratungsmöglichkeiten und der Bereitstellung eines nahezu deutschlandweiten Netzes von Pflegestützpunkten sollen der Zugang zu entsprechenden Hilfeleistungen sowie die Inanspruchnahme bestehender Unterstützungsangebote erleichtert werden [10]. Beratungseinsätze, die durch frei wählbare, zugelassene Pflegedienste oder von einer durch die Pflegekasse anerkannten pflegefachlichen Beratungsstelle erfolgen, sollen hierbei insbesondere die Qualität der häuslichen Pflege gewährleisten bzw.…”

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“…In Bezug auf die Qualität der Beratungen ist die Studienlage inhomogen. So wird aufgrund von Untersuchungen empfohlen, Beratungsangebote verstärkt an Qualitätsstandards auszurichten und hierbei die Beratungsanlässe und -bedarfe aus der Perspektive der Nutzenden aufzugreifen [5,9,10]. Andere Studien zeigten, dass sich die meisten Ratsuchenden zum Thema Hilfs-und Unterstützungsangebote im Pflegebereich weniger gut informiert fühlten, jedoch der allgemeine Informations-und Beratungsbedarf von Betroffenen als sehr hoch eingeschätzt wurde.…”

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Unterstützungsbedarfe pflegeempfangender Menschen

et al. 2022

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Zusammenfassung Hintergrund Pflegeempfangende und deren Angehörige haben in Deutschland seit 2009 einen gesetzlichen Anspruch auf eine Pflegeberatung. Um Pflegeberatende angemessen auf aktuelle Beratungsbedarfe vorzubereiten, sind dafür zunächst die bestehenden Anliegen zu erfassen. Ziel der Studie war es, die unterschiedlichen Bedarfe von Pflegeempfangenden und deren Angehörigen zu ermitteln. Methodik Es erfolgte eine Online-Befragung von Pflegeberatenden mittels standardisiertem Fragebogen. Die Ausprägung des allgemeinen Beratungsbedarfs von Pflegeempfangenden und Angehörigen wurde mittels 10-stufiger Skala (1 [gering] bis 10 [hoch]) erhoben. Über eine 5‑stufige Likert-Skala wurde die Höhe vorliegender Beratungsbedarfe zu 16 Themenschwerpunkten bewertet. Mittels „classification and regression trees“ (CRT) und „random forest“ wurde der Zusammenhang zwischen den einzelnen Themenschwerpunkten und dem allgemeinen Beratungsbedarf analysiert. Ergebnisse Der allgemeine Informationsbedarf von Pflegeempfangenden bzw. Angehörigen wurde von den teilnehmenden Pflegeberatern (n = 276) mit MW 7,8 bzw. MW 9,2 eingeschätzt. Bei den Pflegeempfangenden bestand laut CRT der stärkste Zusammenhang zwischen allgemeinem Informationsbedarf und „Wohnraumberatung“, bei den Angehörigen zwischen allgemeinem Informationsbedarf und „Sozialrechtliche[n] Aspekte[n], Ansprüche[n], Leistungen“. Diskussion Der allgemeine Informationsbedarf von Pflegeempfangenden und Angehörigen wird als sehr hoch eingeschätzt. Dennoch lassen sich Unterschiede feststellen. Daher erscheint es notwendig, Pflegeberatungen nach den gruppenspezifischen Beratungsbedarfen auszurichten.

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Bedarf und Qualität von Beratung in der Langzeitpflege

Cited by 9 publications

References 6 publications

Sociodemographic aspects and health care-related outcomes: a latent class analysis of informal dementia care dyads

Sociodemographic aspects and health care-related outcomes: a latent class analysis of informal dementia care dyads

Counseling regarding the care of people with dementia with a focus on §7a SGB XI in Germany: a "gray-shaded" scoping review

Unterstützungsbedarfe pflegeempfangender Menschen

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