[Implementation of section 87b of the guidelines of SGB XI--the point-of-view of the nurses aides].

According to section 87b of the guidelines of SGB XI (German Social Security Statutes), German nursing homes are authorised to recruit specially trained nurses aides for additional care and stimulation of high maintenance residents suffering from dementia or mental disabilities. This regulation started in July 2008. The nursing aides areespeciallytrained laypeople. Despitetheguidelines, local practice may be different. The scientists carried out a qualitative study. The aim of this study was to evaluate the implementation of the guidelines from the nurses aides' perspective. The objective was to describe the implementation ofthe guidelines and to identify beneficial and restrictive elements of the nurses aides practice in order to improve the development of the guidelines. Four nurses aides in four different nursing homes were questioned with semi-structured interviews. Data analysis was performed using a qualitativecontentanalysis as developed byMayring.Thefindings show that the effective tasks and methods of the nurses aides fit largely into the guidelines, and the subjects look upon their assignment favourably. All of the subjects were continuously supervised and felt well integrated. Potential conflicts in cooperation with the professional caregivers were due to different understandings of the roles and assignment of tasks. The quality of nurses aides' training was rated differently. A close connection to the client's behaviour and the nurses aides practice proved to be helpful. The results may indicate that although there is concordance with the guidelines and with the implementation as well as job satisfaction for the nurses aides, for the maintenance of satisfaction and a long-term effective guideline implementation some aspects should be considered and improved.