Purwins Daniel, Roes Martina
Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. - Standort Witten, Stockumer Str. 12, 58453, Witten, Deutschland.
Department für Pflegewissenschaft, Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.
Z Gerontol Geriatr. 2022 Nov;55(7):583-589. doi: 10.1007/s00391-021-01967-8. Epub 2021 Aug 30.
Due to increased demand from older adults who live in the immediate vicinity of a few nursing homes, a large care provider in the community expanded its residential care service to include home care services. To be successful with such a strategy an orientation towards the needs and the ability to change as well as the willingness of employees to change is of exceptional importance.
Identification of factors that have influenced the need, the ability and eagerness for change. The focus of the article lies on the willingness of the employees to change.
Based on 32 semi-structured interviews, which were conducted at 3 different times between 2016 and 2018 with 3 different groups of employees of the community care provider, a secondary data analysis was carried out using a content-structured qualitative content analysis.
Employees' willingness to change was influenced by the following factors: the situational independent readiness for change (being ready for change regardless the situation?), conscious decision for the nursing home/ inpatient setting, the idea of the cross-sectoral care concept, the implementation of the cross-sectoral care concept, the recipients of nursing care/services, previous experience in home care.
The results offer insights into which factors influence the willingness of employees to change. These factors influence change so that they need to be known and taken into account.
由于居住在几家养老院附近的老年人需求增加，社区的一家大型护理服务提供商扩大了其住宿护理服务，将居家护理服务也纳入其中。要使这样的战略取得成功，关注需求、变革能力以及员工的变革意愿尤为重要。
确定影响变革需求、能力和热情的因素。本文重点关注员工的变革意愿。
基于2016年至2018年期间分3次对社区护理服务提供商的3组不同员工进行的32次半结构化访谈，采用内容结构化定性内容分析法进行二次数据分析。
员工的变革意愿受以下因素影响：情境独立的变革准备度（无论情况如何都准备好变革？）、对养老院/住院环境的有意识选择、跨部门护理概念的理念、跨部门护理概念的实施、护理服务接受者、以往居家护理经验。
研究结果揭示了哪些因素会影响员工的变革意愿。这些因素对变革产生影响，因此需要了解并加以考虑。
