Details
| Translated title of the contribution | „But you often come unstuck on particularities” – Care consultants on legislation amendments and the challenges of their job: A qualitative investigation |
|---|---|
| Original language | German |
| Pages (from-to) | 65-72 |
| Number of pages | 8 |
| Journal | Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen |
| Volume | 150-152 |
| Publication status | Published - Apr 2020 |
Abstract
Introduction: Since the implementation of long-term care insurance in 1995, various reforms have contributed to the development of the German nursing care system in order to meet the structural and financial needs of the growing number of people in need of care. The aim of this paper is to present an assessment of care consultants on past legislation, challenges encountered during their work and suggestions to improve the current care system. Methods: 14 semi-structured, face-to-face interviews were conducted with care consultants. All interviews were transcribed verbatim and a qualitative content analysis was performed. Results: Care consultants perceived tangible improvements with regard to the scope of benefits as a direct result of recent legislation changes. The use of these benefits, however, is limited due to an insufficient growth of care infrastructure. Particularly frequent legislation changes, unclear responsibilities and dissimilar regulations between federal states were seen as challenges. Discussion and conclusion: Complex dependencies within the German nursing care system were identified and the necessity for a public discourse on themes such as self-responsibility, equity and a comprehensive (nationwide) care supply was underlined. A central information platform was proposed in order to concretely improve information about services available locally.
ASJC Scopus subject areas
- Medicine(all)
- Medicine (miscellaneous)
- Social Sciences(all)
- Education
- Medicine(all)
- Health Policy
Sustainable Development Goals
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In: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, Vol. 150-152, 04.2020, p. 65-72.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - „Aber vielfach scheitert man dann an Besonderheiten“ – Pflegeberater über Gesetzesänderungen und die Herausforderungen ihrer Arbeit
T2 - Eine qualitative Untersuchung
AU - de Jong, Lea
AU - Stahmeyer, Jona Theodor
AU - Eberhard, Sveja
AU - Zeidler, Jan
AU - Damm, Kathrin
PY - 2020/4
Y1 - 2020/4
N2 - Introduction: Since the implementation of long-term care insurance in 1995, various reforms have contributed to the development of the German nursing care system in order to meet the structural and financial needs of the growing number of people in need of care. The aim of this paper is to present an assessment of care consultants on past legislation, challenges encountered during their work and suggestions to improve the current care system. Methods: 14 semi-structured, face-to-face interviews were conducted with care consultants. All interviews were transcribed verbatim and a qualitative content analysis was performed. Results: Care consultants perceived tangible improvements with regard to the scope of benefits as a direct result of recent legislation changes. The use of these benefits, however, is limited due to an insufficient growth of care infrastructure. Particularly frequent legislation changes, unclear responsibilities and dissimilar regulations between federal states were seen as challenges. Discussion and conclusion: Complex dependencies within the German nursing care system were identified and the necessity for a public discourse on themes such as self-responsibility, equity and a comprehensive (nationwide) care supply was underlined. A central information platform was proposed in order to concretely improve information about services available locally.
AB - Introduction: Since the implementation of long-term care insurance in 1995, various reforms have contributed to the development of the German nursing care system in order to meet the structural and financial needs of the growing number of people in need of care. The aim of this paper is to present an assessment of care consultants on past legislation, challenges encountered during their work and suggestions to improve the current care system. Methods: 14 semi-structured, face-to-face interviews were conducted with care consultants. All interviews were transcribed verbatim and a qualitative content analysis was performed. Results: Care consultants perceived tangible improvements with regard to the scope of benefits as a direct result of recent legislation changes. The use of these benefits, however, is limited due to an insufficient growth of care infrastructure. Particularly frequent legislation changes, unclear responsibilities and dissimilar regulations between federal states were seen as challenges. Discussion and conclusion: Complex dependencies within the German nursing care system were identified and the necessity for a public discourse on themes such as self-responsibility, equity and a comprehensive (nationwide) care supply was underlined. A central information platform was proposed in order to concretely improve information about services available locally.
KW - Consultant
KW - Content analysis
KW - Interviews
KW - Long-term Care Strenghtening Act
KW - Nursing care
UR - http://www.scopus.com/inward/record.url?scp=85084748890&partnerID=8YFLogxK
U2 - 10.1016/j.zefq.2020.03.008
DO - 10.1016/j.zefq.2020.03.008
M3 - Artikel
C2 - 32434736
AN - SCOPUS:85084748890
VL - 150-152
SP - 65
EP - 72
JO - Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
JF - Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
SN - 1865-9217
ER -