TY - GEN A1 - Schimböck, Florian A1 - Lohrmann, Christa T1 - Die Qual der Wahl: Instrumente zur Erkennung von Delirien T2 - Pflegen intensiv N2 - Delirien treten bei Patienten auf Intensivstationen häufig auf, werden jedoch selten als solche erkannt. Der Einsatz von Screening- und Assessmentinstrumenten zur strukturierten Erkennung von Delirien hat daher erheblich an Bedeutung gewonnen. Doch welche Instrumente sind am besten geeignet? KW - Delirium KW - Screening KW - Assessment KW - Instrument KW - Pflegepraxis Y1 - 2017 SN - 1612-8664 IS - 2 SP - 25 EP - 29 ER - TY - GEN A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa A1 - Kottner, Jan A1 - Dassen, Theo T1 - Psychometric testing of the modified Care Dependency Scale for Rehabilitation T2 - Clinical Rehabilitation N2 - Objective: To determine the psychometric properties of the modified Care Dependency Scale for Rehabilitation. Design: All patients were assessed independently by a different set of two randomly selected nurses. Setting and subjects: A convenience sample consisting of 1197 patients and 42 nurses was recruited in an Austrian rehabilitation centre specialized on the treatment and care of neurological and orthopaedic patients. Measures: The Care Dependency Scale for Rehabilitation and the Barthel Index. Data analysis: To estimate aspects of reliability, Cronbach’s alpha, Cohen’s kappa, percentage agreement, intraclass correlation coefficient (ICC) and standard error of measurement (SEM) were calculated. To evaluate the construct validity, a factor analysis was conducted. Criterion-related validity was examined by comparing data of the modified Care Dependency Scale for Rehabilitation with the Barthel Index and Pearson calculation. Results: The calculation of Cronbach’s alpha yielded values of 0.97. Kappa values were between 0.89 and 0.96, values of percentage agreement between 96% and 99%, ICC values between 0.94 and 0.99, and SEM values between 0.08 and 0.17. Pearson (r) was 0.88. The factor analysis revealed a one-factor solution. Conclusion: The modified Care Dependency Scale for Rehabilitation shows a high internal consistency, as well as a high level of equivalence. Furthermore, criterion-related validity and construct validity have shown satisfying results. KW - Psychometric KW - Care Dependency KW - Care KW - Nurse KW - Rehabilitation Y1 - 2010 UR - https://www.researchgate.net/publication/41825439_Psychometric_testing_of_the_modified_Care_Dependency_Scale_for_Rehabilitation?_sg=6JO5YIiy3fQQe38zuV4034YPed1AZQDnP1NAWCcB3su7da1LZ-3reRoi579lGIh-ZuIxQXkqxzntjLo6dklxuA U6 - https://doi.org/10.1177/0269215509346091 SN - 0269-2155 SN - 1477-0873 VL - 24 IS - 4 SP - 363 EP - 372 ER - TY - GEN A1 - Schimböck, Florian A1 - Lohrmann, Christa T1 - „Denn sie wissen nicht was sie tun“ - zur Screening- und Assessmentinstrumente zur Erkennung von Delirien N2 - Hintergrund: Weltweit variieren die Delir-Prävalenzdaten in Abhängigkeit der Population, des Settings, der diagnostischen Verfahren und der zum Einsatz kommenden Screening- und Assessmentinstrumente zwischen 1% und 87%. Zudem wird das Delir in der pflegerischen Praxis oftmals unterschätzt oder nicht als solches erkannt, sondern mit einem demenziellen oder depressiven Syndrom verwechselt. Dies führt dazu, dass eine Delirdiagnose häufig verpasst wird, keine passenden Maßnahmen getroffen werden und es zu schwerwiegenden Folgen wie erhöhter Mortalität, höherer Pflegebedürftigkeit, verlängerten Krankenhausaufenthalten usw. für die Betroffenen kommen kann. Ziel: Ziel dieser Arbeit war es Screening- und Assessmentinstrumente zur systematischen Erfassung und Erkennung von Delirien durch Pflegepersonen zu identifizieren und hinsichtlich ihrer psychometrischen Eigenschaften zu vergleichen. Methode: Dafür wurde eine systematische Literaturrecherche in Datenbanken und Suchmaschinen im Zeitraum von Juli bis Oktober 2014 durchgeführt. Insgesamt wurden 1791 Treffern angefunden, welche durch Screening und Bewertung auf 36 relevante Volltexte reduziert werden konnten. Ergebnisse: Insgesamt konnten 7 Instrumente (Screening: 4; Assessment: 3) identifiziert und beschrieben werden. Aufgrund der psychometrischen Eigenschaften sind als Screeninginstrumente für den Akutbereich die Nu-DESC und die DOS zu empfehlen. Für den Intensivpflegebereich hat sich gezeigt, dass die ICDSC als Screeninginstrument nicht über die notwendigen Gütekriterien verfügt und somit nicht empfohlen werden kann. Als Assessmentinstrumente kann für die Akutpflege die CAM und für den Intensivpflegebereich die adaptierte CAM-ICU empfohlen werden. Aufgrund der fehlenden Studien im Langzeitpflegebereich kann hier weder ein Screening- noch ein Assessmentinstrument für die pflegerische Praxis empfohlen werden. Diskussion: Es konnte gezeigt werden, dass es bereits eine Vielzahl von geeigneten Screening- und Assessmentinstrumenten gibt, welche durch Pflegepersonen in der täglichen Praxis angewandt werden können. Die Erstellung neuer Instrumente ist daher nicht zwingend notwendig und sollte nicht empfohlen werden, sondern vielmehr die weitere Testung und Validierung der bereits vorhandenen Instrumente. KW - Delir KW - Prävalenz KW - Pflege KW - Instrumente KW - Assessment KW - Früherkennung Y1 - 2016 N1 - Interprofessioneller Gesundheitskongress 2016, 8. und 9. April 2016 ER - TY - GEN A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa A1 - Dietze, Grit T1 - Wie nehmen Pflegende die Bedürfnisse ihrer Patienten wahr? T2 - Pflegezeitschrift KW - Bedürfnisse KW - patientenorientierte Pflege KW - Pflegende Y1 - 2006 SN - 0945-1129 VL - 59 IS - 1 SP - 15 EP - 17 ER - TY - CHAP A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa ED - Bartholomeyczik, Sabine ED - Halek, Margareta T1 - Die Pflegeabhängigkeitsskala (PAS) T2 - Assessmentinstrumente in der Pflege. Möglichkeiten und Grenzen N2 - Es geht nicht ohne Assessmentinstrumente in der Pflege! Doch die Frage, welche Instrumente wofür, für wen und unter welchen Bedingungen die größtmögliche Unterstützung für den Pflegeprozess darstellen, ist noch immer nicht ausreichend beantwortet. Die zweite Auflage dieses Buches stellt Assessmentinstrumente vor, die entweder häufig genutzt werden, die im deutschen Sprachraum entwickelt oder zumindest getestet wurden, die teilweise aus den Expertenstandards hervorgingen oder im Zusammenhang mit wissenschaftlichen Praxisprojekten entwickelt wurden. Themenschwerpunkte sind Pflegebedürftigkeit, Demenz und Ernährung sowie die Pflegephänomene Schmerz, Inkontinenz und Sturz. KW - Assessment KW - Pflege KW - Pflegeabhängigkeitsskala Y1 - 2009 SN - 978-3-89993-224-9 SP - 46 EP - 59 PB - Schlütersche CY - Hannover ER - TY - GEN A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa T1 - Die Pflegeabhängigkeitsskala – Ihr Einzug in Österreichs Pflegelandschaft T2 - Pflegenetz KW - Pflege KW - Pflegeabhängigkeitsskala Y1 - 2008 IS - 5 SP - 10 EP - 11 ER - TY - GEN A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa A1 - Dassen, Theo T1 - Comparison of the responsiveness of the Care Dependency Scale for Rehabilitation (CDS-R) and the Barthel Index T2 - Clinical Rehabilitation N2 - Objective: The aim of this study is to compare the responsiveness of the Care Dependency Scale for Rehabilitation (CDS-R) and the Barthel Index in rehabilitation. Design: A longitudinal study was performed over six months (2007–8) where patients were assessed using the scales after admission and before discharge. Setting and subjects: A convenience sample of 1,542 patients was recruited in an Austrian rehabilitation centre. Measures: The CDS-R and the Barthel Index. Data analysis: Responsiveness was determined by descriptive analysis, significance tests and calculation of effect sizes. Results: For the 1,542 patients, the calculation according to Kazis yielded values of 0.10 for both instruments. For the group of patients who showed clinically relevant changes, values of 0.50 were obtained for the CDS-R and 1.06 for the Barthel Index. For the group 1,542 patients, the calculation according to Liang yielded values of 0.42 for the CDS-R and 0.34 for the Barthel Index. For the group of patients who showed clinically relevant changes, values of 1.47 were obtained for the CDS-R and 1.92 for the Barthel Index. Conclusion: The Barthel Index seems to be slightly more responsive than the CDS-R, and both instruments seem to be appropriate for the assessment of patients’ changes over time. Nevertheless, the exact level of responsiveness could not be clearly identified for both instruments. To confirm the level of responsiveness, further research is recommended. KW - Care KW - Pflege KW - Responsive KW - Dependency Scale KW - Rehabilitation KW - Barthel Y1 - 2011 UR - http://journals.sagepub.com/doi/abs/10.1177/0269215510397558?cited-by=yesl25%2F8%2F760& U6 - https://doi.org/10.1177/0269215510397558 SN - 0269-2155 SN - 1477-0873 VL - 25 IS - 8 SP - 760 EP - 767 ER - TY - GEN A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa A1 - Dassen, Theo T1 - Responsiveness of the Care Dependency Scale for Rehabilitation (CDS-R) T2 - Scandinavian Journal of Caring Sciences N2 - Around 10% of Western Europe’s population suffer from a disability which can entail a decrease of independency and quality of life. However, the lives of these people can be improved by rehabilitative treatment and care. Changing the degree of dependency from dependent to independent is essential in rehabilitation, as is the assessment of these changes. To perform such kind of measurements, assessment instruments have to be responsive. In spite of this concern, responsiveness of assessment instruments is studied to a small extent only. This also applies to the Care Dependency Scale for Rehabilitation (CDS-R), a short assessment instrument measuring the care dependency of patients regarding physical and psychosocial aspects. In this longitudinal-study, the responsiveness of the CDS-R, in general and related to different disease-groups, should be determined. Therefore, a convenience sample of 1564 patients was assessed in an Austrian rehabilitation centre with the scale after admission and before discharge. Responsiveness was determined by descriptive analysis, calculation of effect-sizes and significance tests. Differences between admission and discharge occurred on a statistically significant level for patients who changed. Kazis’ effect-sizes can be considered as of small/medium effect for patients who changed (0.24/0.49), and as of large effect according to Liang (0.86/1.46). Eta squared was 0.10/0.19 which can be interpreted as of moderate/large effect for patients who changed. Responsiveness-analyses related to different disease-groups showed constantly large effect-sizes for patients with musculoskeletal-disorders. These results indicate that the CDS-R can detect patient-changes over time and discriminate between patients who change under rehabilitation or not. These aspects argue for the responsiveness of the scale, wherefore the CDS-R seems to be appropriate for the assessment of treatment/health-care effectiveness and the evaluation of individual patient-changes. Nevertheless further research is recommended to confirm the level of responsiveness of the scale in general and for different disease-groups. KW - Responsive KW - Care KW - Dependency Scale KW - Rehabilitation Y1 - 2011 UR - https://www.researchgate.net/publication/51543702_Responsiveness_of_the_Care_Dependency_Scale_for_Rehabilitation_CDS-R U6 - https://doi.org/10.1111/j.1471-6712.2011.00907.x SN - 1471-6712 SN - 0283-9318 VL - 26 IS - 1 SP - 194 EP - 202 ER - TY - GEN A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa A1 - Dassen, Theo T1 - Clinical utility of the Care Dependency Scale for Rehabilitation T2 - Journal of Research in Nursing N2 - Increasing costs within health care require an efficient use of time and staff in order to appropriately satisfy patients’ needs. The application of valid and reliable instruments enables nurses to determine patients’ care needs. However, to ensure acceptance in nursing practice, assessment instruments must not only be reliable and valid, but also practical and useful. One such instrument for rehabilitation is the Care Dependency Scale for rehabilitation. The scale has been used in rehabilitation, but so far it has not been evaluated from the nurses’ perspective. Therefore, this study aims to determine how nurses evaluate the clinical utility of the Care Dependency Scale for rehabilitation. In this context the application and testing of a staff view assessment instrument was deemed necessary, and this constitutes the second aim of the study. Nurses from several Austrian rehabilitation units were asked to complete the staff view assessment instrument to evaluate the Care Dependency Scale for rehabilitation. Ethical approval was obtained. Results indicate that the staff view assessment instrument enables evaluation of the clinical utility of the Care Dependency Scale for rehabilitation. Most nurses agree that the Care Dependency Scale for rehabilitation is a clinically useful instrument, improves communication and cooperation within the nursing team and is easy and quick to use/analyse/ interpret. It may therefore be recommended for application in daily nursing practice. KW - Care Dependency KW - Care KW - Nurse KW - Rehabilitation Y1 - 2010 UR - https://www.researchgate.net/publication/244919441_The_clinical_utility_of_the_Care_Dependency_Scale_in_rehabilitation_nurses%27_perception U6 - https://doi.org/10.1177/1744987110369461 SN - 1744-9871 SN - 1744-988X VL - 15 IS - 6 SP - 547 EP - 561 ER - TY - GEN A1 - Eichhorn-Kissel, Juliane A1 - Lohrmann, Christa T1 - Care dependency of the elderly - a great challenge for nursing care T2 - Wiener Klinische Wochenschrift KW - Care KW - Nursing KW - Elderly KW - Care Dependency Y1 - 2009 U6 - https://doi.org/10.1007/s00508-009-1195-6 SN - 0043-5325 SN - 1613-7671 VL - 121, Suppl. 1 IS - 7-8 SP - 77 EP - 78 ER -