Krüger Lars, Wefer Franziska, Mannebach Thomas, Zwiener Christoph, Beyer Denis, Y Soto André Ramos, Lohmeier Sarah, Teigeler Jonathan, Wittemeier Christine, Rinsche Nicole, Siegling Christian, Mertins Esther, Schramm René, Langer Gero
Stabsstelle Pflegeentwicklung, Pflegedirektion, Herz- und Diabeteszentrum NRW, Universitätsklinikum der Ruhr-Universität Bochum, Bad Oeynhausen, Deutschland.
Intensivstation E 0.1, Herz- und Diabeteszentrum NRW, Universitätsklinikum der Ruhr-Universität Bochum, Bad Oeynhausen, Deutschland.
Pflege. 2024;37(5):275-283. doi: 10.1024/1012-5302/a000966. Epub 2023 Nov 24.
Development and implementation of primary nursing in the intensive care unit: evaluation in mixed-methods design. In a university hospital, the development and implementation of Primary Nursing (Prozessverantwortliche Pflege, PP) in a pilot intensive care unit was initiated. To develop the roles of nurses with and without process responsibility a working group PP was founded while taking into account the skill-grade mix. The working group aimed to develop the roles of process-responsible nurses (PP) and nurses (P), as well as to plan and implement the implementation process. Development and piloting steps were taken based on the recommendations of the Medical Research Council. At three measurement points, the instrument for recording nursing systems (IzEP©) was used quantitatively and a focus group interview, as well as a ward process analysis, were used qualitatively in t (as-is analysis before development and piloting), t (6 months after implementation) and t (12 months after implementation). PP mainly take over the care process's design and control. The IzEP© analysis showed that room care was practiced in t with 50.0%. The values increased towards PP from 74.0% in t to 83.5% in t. Qualitatively obtained data supported these results and showed further optimization potential for practice. The results prove the successful implementation of PP in practice. For the development and implementation of new nursing roles, the involvement of the affected nurses is mandatory.
混合方法设计的评估。在一家大学医院，在一个试点重症监护病房启动了初级护理（过程责任护理，PP）的开发与实施。为了明确有和没有过程责任的护士的角色，成立了一个初级护理工作组，同时考虑技能等级组合。该工作组旨在明确有过程责任的护士（PP）和护士（P）的角色，并规划和实施实施过程。根据医学研究理事会的建议采取了开发和试点步骤。在三个测量点，使用护理系统记录工具（IzEP©）进行定量测量，并在t（开发和试点前的现状分析）、t（实施后6个月）和t（实施后12个月）分别进行定性的焦点小组访谈和病房过程分析。PP主要负责护理过程的设计和控制。IzEP©分析表明，在t时，50.0%的护理采用了病房护理。该数值从t时的74.0%向PP方向增加，在t时达到83.5%。定性获取的数据支持了这些结果，并显示出实践中进一步优化的潜力。结果证明了PP在实践中的成功实施。对于新护理角色的开发和实施，必须让受影响的护士参与进来。
