Monitoring von Pflegekontextfaktoren – Erste deskriptive Studienresultate einer Querschnittserhebung der schweizerischen DRG Begleitforschung Pflege vor Einführung der SwissDRG

Kleinknecht-Dolf, Michael; Spichiger, Elisabeth; Frei, Irena Anna; Müller, Marianne; Martin, Jacqueline; Spirig, Rebecca

doi:10.1024/1012-5302/a000411

Cited by 10 publications

(6 citation statements)

References 56 publications

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“…The descriptive quantitative results are shown in Table . These results are described in detail in an earlier publication (Kleinknecht‐Dolf, Spichiger, et al., ). The Rasch analysis indicated differential item functioning (DIF) of several items.…”

Section: Resultssupporting

confidence: 64%

“…Given its many possible causes, the prevalence of moral distress is high. According to recent studies, nearly 47% of nurses in acute care hospitals often experience situations that trigger moral distress (Kleinknecht-Dolf, Spichiger, et al, 2015;Ulrich, Lavandero, Woods, & Eerly, 2014;Woods, Rodgers, Towers, & La Grow, 2015).…”

Section: )mentioning

confidence: 99%

“…The web-based cross-sectional survey was conducted according to current European guidelines for "Good Clinical Practice" (European Medicines Agency, 2002). Details of the procedure are described in an earlier publication (Kleinknecht-Dolf, Spichiger, et al, 2015).…”

Section: Participants and Proceduresmentioning

confidence: 99%

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Advancement of the German version of the moral distress scale for acute care nurses—A mixed methods study

et al. 2017

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AimMoral distress experienced by nurses in acute care hospitals can adversely impact the affected nurses, their patients and their hospitals; therefore, it is advisable for organizations to establish internal monitoring of moral distress. However, until now, no suitable questionnaire has been available for use in German‐speaking contexts. Hence, the aim of this study was to develop and psychometrically test a German‐language version of the Moral Distress Scale.DesignWe chose a sequential explanatory mixed methods design, followed by a second quantitative cross‐sectional survey.MethodsAn American moral distress scale was chosen, translated, culturally adapted, tested in a pilot study and subsequently used in 2011 to conduct an initial web‐based quantitative cross‐sectional survey of nurses in all inpatient units at five hospitals in Switzerland's German‐speaking region. Data were analysed descriptively and via a Rasch analysis. In 2012, four focus group interviews were conducted with 26 nurses and then evaluated using knowledge maps. The results were used to improve the questionnaire. In 2015, using the revised German‐language instrument, a second survey and Rasch analysis were conducted.ResultsThe descriptive results of the first survey's participants (n = 2153; response rate: 44%) indicated that moral distress is a salient phenomenon in Switzerland. The data from the focus group interviews and the Rasch analysis produced information valuable for the questionnaire's further development. Alongside the data from the second survey's participants (n = 1965; response rate: 40%), the Rasch analysis confirmed the elimination of previous deficiencies on its psychometrics. A Rasch‐scaled German version of the Moral Distress Scale is now available for use.

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Section: Resultssupporting

confidence: 64%

Section: )mentioning

confidence: 99%

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Advancement of the German version of the moral distress scale for acute care nurses—A mixed methods study

et al. 2017

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“…As empirical evidence, twelve studies were classified in which instruments such as self-developed questionnaires [ 32 , 33 ] or single items [ [34] , [35] , [36] , [37] ] were used to measure readiness for discharge, for which no German or English language validation study could be identified. One of the 33 validated instruments was a single item [ 38 ] and the other was a German translation of the Readiness for Hospital Discharge Scale/Short Form [ 39 ]; however, according to the authors, further studies on the concept of patient readiness to leave the hospital as well as assessing the validity and reliability of the questionnaire are needed before the instrument can be used systematically. Owing to these results, neither study was included in the systematic overview of the validated instruments for readiness to discharge measurement instruments in Table 3 .…”

Section: Resultsmentioning

confidence: 99%

Theoretical concepts and instruments for measuring hospital discharge readiness: A scoping review

Feldbusch,

Schmidt,

Steeb

et al. 2024

Heliyon

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“…Altruism is nurses' most important work value ( 24 – 26 ), but recent research postulates improvements in nurses' burnout symptoms with altruistic work values ( 11 ). However, studies also found that in the sense of moral stress ( 27 ), the gap between professional ideals and working reality may lead to burnout ( 28 , 29 ). We assume this gap between nurses' altruistic motives and the working conditions that do not allow helping others adequately.…”

Section: Introductionmentioning

confidence: 99%

The role of self-endangering cognitions between long-term care nurses' altruistic job motives and exhaustion

Eder,

Meyer

2023

Front. Health Serv.

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BackgroundDue to demographic change and staff shortages nurses suffer under high work strain. As a consequence, caregivers' absenteeism due to mental stress, in particular burnout, is high. To explain the development of nurses' burnout more research is needed on nurses' individual resources and coping strategies. Self-endangering is a potentially harmful coping strategy.ObjectiveTo expand the perspective of the Job Demand-Resources Model by including caregivers' intraindividual resources and the coping construct of self-endangering as a mediator between personal resources and nurses' emotional exhaustion.MethodsA longitudinal questionnaire survey was conducted between July 2020—March 2021 among nurses in long-term care in Germany. The final analysis sample consisted of wave 1 = 416 and wave 1,2 = 50. Data were analysed by a multiverse analytic strategy using regression analysis with measurement repetition and cross-lagged-panel design for waves one and two. Variables used for regression analysis and cross-lagged-panel were: Independent variables: An altruistic job motivation, team identification and self-esteem, dependent variables: Exhaustion and disengagement, and mediators: Self-endangering cognitions and behavior tendencies.ResultsA highly altruistic job motivation leads to more self-endangering cognitions and to more self-endangering behavior tendencies. Mixed model analysis and cross-sectional path analysis confirmed mediation effects from altruism over self-endangering to exhaustion.ConclusionOur findings are at odds with some research findings about altruism in nursing, such that too much altruism can lead to harmful self-endangering. We also introduce a new instrument to capture self-endangering in nursing care. Future research should investigate various facets of self-endangering in nursing. We assume that leadership behavior could have influence on self-endangering. New health policy structures are needed to improve working conditions in nursing and thus prevent self-endangering.

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Monitoring von Pflegekontextfaktoren – Erste deskriptive Studienresultate einer Querschnittserhebung der schweizerischen DRG Begleitforschung Pflege vor Einführung der SwissDRG

Abstract: The study has provided the participating hospitals with useful data upon which to base discussions on ensuring quality of nursing care and practice development, in addition to information important to the further development of the model and the instruments employed.

Cited by 10 publications

References 56 publications

Advancement of the German version of the moral distress scale for acute care nurses—A mixed methods study

Advancement of the German version of the moral distress scale for acute care nurses—A mixed methods study

Theoretical concepts and instruments for measuring hospital discharge readiness: A scoping review

The role of self-endangering cognitions between long-term care nurses' altruistic job motives and exhaustion

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