Validation of the German version of the Nurse-Work Instability Scale: baseline survey findings of a prospective study of a cohort of geriatric care workers

Harling, Melanie; Schablon, Anja; Nienhaus, Albert

doi:10.1186/1745-6673-8-33

Cited by 21 publications

(37 citation statements)

References 49 publications

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“…By using several strategies shown to increase the response of postal surveys [52] our GPs' response ranges within other questionings among GPs in Germany [51,68]. In the NH survey we even had a higher proportion of returned questionnaires compared to other recently published studies conducted with German NHs [69,70]. However, for both surveys a selection bias cannot be ruled out.…”

Section: Limitations and Strengthsmentioning

confidence: 70%

Perspectives of General Practitioners and Nursing Staff on Acute Hospital Transfers of Nursing Home Residents in Germany: Results of two cross-sectional Studies

Fassmer

Pulst

Spreckelsen

et al. 2020

Preprint

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Background: Visits in emergency departments and hospital admissions are common among nursing home (NH) residents and they are associated with significant complications. Many of these transfers are considered inappropriate. This study aimed to compare the perceptions of general practitioners (GPs) and NH staff on hospital transfers among residents and to illustrate measures for improvement.Methods: Two cross-sectional studies were conducted as surveys among 1,121 GPs in the German federal states Bremen and Lower Saxony and staff from 1,069 NHs (preferably nursing staff managers) from all over Germany, each randomly selected. Questionnaires were sent in August 2018 and January 2019, respectively. The answers were compared between GPs and NH staff using descriptive statistics, Mann-Whitney U tests and χ2-tests.Results : We received 375 GP questionnaires (response: 34%) and 486 NH questionnaires (response: 45%). GPs estimated the proportion of inappropriate transfers higher than NH staff (hospital admissions: 35.0% vs. 25.6%, p<0.0001; emergency department visits: 39.9% vs. 20.9%, p<0.0001). The majority of NH staff and nearly half of the GPs agreed that NH residents do often not benefit from hospital admissions (NHs: 61.4% vs. GPs: 48.8%; p=0.0009). Both groups rated almost all potential measures for improvement differently (p<0.0001), however, GPs and NH staff considered most areas to reduce hospital transfers importantly. The two most important measures for GPs were more nursing staff (91.6%) and better communication between nursing staff and GP (90.9%). NH staff considered better care / availability of GP (82.8%) and medical specialists (81.3%) as most important. Both groups rated similarly the importance of explicit advance directives (GPs: 77.2%, NHs: 72.4%; p=0.1492).Conclusions : A substantial proportion of hospital transfers from NHs were considered inappropriate. Partly, the ratings of possible areas for improvement differed between GPs and NH staff indicating that both groups seem to pass the responsibility to each other. These findings, however, support the need for interprofessional collaboration.

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Section: Limitations and Strengthsmentioning

confidence: 70%

Perspectives of General Practitioners and Nursing Staff on Acute Hospital Transfers of Nursing Home Residents in Germany: Results of two cross-sectional Studies

Fassmer

Pulst

Spreckelsen

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…By using several strategies shown to increase the response of postal surveys [52] our GPs' response ranges within other questionings among GPs in Germany [51,69]. In the NH survey we even had a higher proportion of returned questionnaires compared to other recently published studies conducted with German NHs [70,71]. However, for both surveys a selection bias cannot be ruled out.…”

Section: Limitations and Strengthsmentioning

confidence: 79%

Perspectives of general practitioners and nursing staff on acute hospital transfers of nursing home residents in Germany: results of two cross-sectional studies

et al. 2020

View full text Add to dashboard Cite

Background: Visits in emergency departments and hospital admissions are common among nursing home (NH) residents and they are associated with significant complications. Many of these transfers are considered inappropriate. This study aimed to compare the perceptions of general practitioners (GPs) and NH staff on hospital transfers among residents and to illustrate measures for improvement. Methods: Two cross-sectional studies were conducted as surveys among 1121 GPs in the German federal states Bremen and Lower Saxony and staff from 1069 NHs (preferably nursing staff managers) from all over Germany, each randomly selected. Questionnaires were sent in August 2018 and January 2019, respectively. The answers were compared between GPs and NH staff using descriptive statistics, Mann-Whitney U tests and χ2-tests. Results: We received 375 GP questionnaires (response: 34%) and 486 NH questionnaires (response: 45%). GPs estimated the proportion of inappropriate transfers higher than NH staff (hospital admissions: 35.0% vs. 25.6%, p < 0.0001; emergency department visits: 39.9% vs. 20.9%, p < 0.0001). The majority of NH staff and nearly half of the GPs agreed that NH residents do often not benefit from hospital admissions (NHs: 61.4% vs. GPs: 48.8%; p = 0.0009). Both groups rated almost all potential measures for improvement differently (p < 0.0001), however, GPs and NH staff considered most areas to reduce hospital transfers importantly. The two most important measures for GPs were more nursing staff (91.6%) and better communication between nursing staff and GP (90.9%). NH staff considered better care / availability of GP (82.8%) and medical specialists (81.3%) as most important. Both groups rated similarly the importance of explicit advance directives (GPs: 77.2%, NHs: 72.4%; p = 0.1492). Conclusions: A substantial proportion of hospital transfers from NHs were considered inappropriate. Partly, the ratings of possible areas for improvement differed between GPs and NH staff indicating that both groups seem to pass the responsibility to each other. These findings, however, support the need for interprofessional collaboration.

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“…Assim, ao verificar as possíveis repercussões dos distúrbios osteomusculares nos profissionais de enfermagem, justifica-se a necessidade de prevenir sua instalação, além de tratá-los (GILWORTH et al, 2007;NIENHAUS, 2013;JENSEN et al, 2012).…”

Section: De Acordo Comunclassified

“…Estratégias de prevenções e intervenções podem ser planejadas a partir da utilização do instrumento "Nurse-Work Instability Scale" (Nurse-WIS), que estabelece o nível de instabilidade no trabalho e tem a finalidade de facilitar intervenções precoces para os profissionais de enfermagem, em risco de serem afastados ou de abandonar suas atividades profissionais devido aos distúrbios musculoesqueléticos (GILWORTH et al, 2007;NIENHAUS, 2013).…”

Section: De Acordo Comunclassified

“…Além do mais, o perfil de envelhecimento da força de trabalho da enfermagem é preocupante pois, profissionais mais velhos apresentam maior incidência de distúrbios osteomusculares, especialmente nos segmentos da coluna (CARUSO;WATERS, 2008;MENZEL, 2004), e diminuição da capacidade para o trabalho MATT;FLEMING;MAHEADY, 2015). Adicionalmente, as inadequadas condições de trabalho e remunerações oferecidas (CHAN et al, 2013), aliadas às insatisfações (LIU; AUNGSUROCH; YUNIBAHAND, 2016), têm resultado na escassez desses profissionais, comprometendo a qualidade do cuidado prestado, a saúde dos profissionais remanescentes e ocasionando-lhes dificuldades para manter a capacidade de trabalho (GILWORTH et al, 2007;NIENHAUS, 2013). Tuomi et al (2010), a CT foi definida como o quão bem está ou estará um trabalhador no presente ou em um futuro próximo e quão capaz ele está para executar o seu trabalho em função das suas exigências, de seu estado de saúde e de suas capacidades funcionais.…”

Section: Introductionunclassified

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Tradução , adaptação cultural e validação para uso no Brasil do instrumento de instabilidade no trabalho \"Nurse-Work Instability Scale\"

Petersen¹

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Os trabalhadores de enfermagem são acometidos por distúrbios osteomusculares, que, associados a diminuição da capacidade de trabalho e aumento do estresse, podem levar ao afastamento de suas atividades. Uma estratégia para reversão desse quadro é a condução de intervenções baseado na Nurse-Work Instability Scale (WIS), sendo disponível apenas na língua inglesa e alemã. O objetivo desta pesquisa foi traduzir, adaptar culturalmente e validar para o português falado no Brasil o "Nurse-WIS" para profissionais de enfermagem. Trata-se de um estudo metodológico, com abordagem quantitativa, composto por tradução, síntese, retrotradução, comitê de especialistas, analise semântica, pré-teste e análise das propriedades psicométricas pela teoria clássica e de resposta ao item. Participaram 262 profissionais de enfermagem de dois hospitais públicos da cidade de Manaus-AM. Foram aplicados o Nurse-WIS para o português falado no Brasil, o índice de capacidade para o trabalho (ICT) e Job Stress Scale (JSS). Os testes psicométricos aplicados foram a confiabilidade (consistência interna, teste-reteste, índice de separação de pessoas), validade de face e conteúdo e estrutural para o modelo de Rasch. O ICT e o JSS deram subsídios para análise da validade de constructo. Dentre os resultados destaca-se maior concentração de técnicos de enfermagem do sexo feminino, casados e com idade média de 42 anos. O ICT obtido foi de 37,3 e 56% dos trabalhadores foram classificados no perfil de estresse nocivo à saúde. O ICT apresentou correlação inversamente proporcional para estresse (r=-0,159, P=0,02) e demanda (r=-0,149, P=0,02) e diretamente proporcional para apoio social (r=0,285, P<0,001). O estresse apresentou associação com as categorias profissionais (P<0,001) e correlação inversamente proporcional para apoio social (r=-0,34, P<0,001). O instrumento mostrou bons indicadores de confiabilidade (KR-20=0,821; índice de correlação intraclasse (ICC) de 0,99; índice de separação de pessoa=0,860). A validade de face e conteúdo foi alcançada por meio da participação de 5 especialistas e 48 profissionais de enfermagem. A validade estrutural foi obtida pela adequação aos principais pressupostos do modelo de Rasch (ausência de função diferencial do item; dependência local e unidimensionalidade (P>0,05)), e a Area Under Curve ROC (AUC) de 0,865 reforçou a qualidade da estimativa para modelo de Rasch. A validade de constructo foi obtida por meio da confirmação de duas hipóteses: o aumento do ICT é acompanhado da diminuição da instabilidade (r=-0,512, P<0,001) e o aumento do nível de estresse é acompanhado pelo aumento da instabilidade (r=0,350, P<0,0001). O apoio social se mostrou inversamente proporcional à instabilidade (r=-0,410, P <0,0001). Assim, o processo de validação revelou bons indicadores de confiabilidade, validade de face e conteúdo, estrutural e constructo. As características sociodemográficas e ocupacionais foram semelhantes a estudos científicos da temática enfermagem e distúrbios osteomusculares. A utilização da abordagem clássica e da...

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Validation of the German version of the Nurse-Work Instability Scale: baseline survey findings of a prospective study of a cohort of geriatric care workers

Cited by 21 publications

References 49 publications

Perspectives of General Practitioners and Nursing Staff on Acute Hospital Transfers of Nursing Home Residents in Germany: Results of two cross-sectional Studies

Perspectives of General Practitioners and Nursing Staff on Acute Hospital Transfers of Nursing Home Residents in Germany: Results of two cross-sectional Studies

Perspectives of general practitioners and nursing staff on acute hospital transfers of nursing home residents in Germany: results of two cross-sectional studies

Tradução , adaptação cultural e validação para uso no Brasil do instrumento de instabilidade no trabalho \"Nurse-Work Instability Scale\"

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