@article{GraeskeSchulz2025, author = {Gr{\"a}ske, Johannes and Schulz, Christin}, title = {Workplace Violence Among Nurses - German Translation and Validation of the HABS-U}, doi = {10.58123/aliceopen-656}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-6562}, year = {2025}, abstract = {Background: Workplace violence (WPV) represents a significant occupational hazard for nurses, impacting their mental and physical well-being. While instruments for assessing WPV exist, no validated German-language tool is currently available. This study aimed to translate, culturally adapt, and validate the Healthcare-worker's Aggressive Behavior Scale-Users (HABS-U) for use in Germany (HABS-UG). Methods: A five-phase translation and cultural adaptation process was conducted, followed by a cross-sectional study involving 468 nurses working in hospitals, nursing homes, and outpatient care facilities in Germany. Data were collected through an online survey, and psychometric evaluation included reliability analysis using Cronbach's alpha and confirmatory factor analysis (CFA). Results: The HABS-Ug demonstrated excellent internal consistency across its subdomains (physical violence: α = .811; non-physical violence: α = .933; total score: α = .935). CFA indicated a good model fit (χ² p = .937, RMSEA = .000, CFI = 1.000, SRMR = .000). Convergent validity was supported by moderate to strong correlations between subdomain scores and reported physical and verbal violence. Discussion: The HABS-UG is a reliable and valid instrument for assessing WPV among nurses in Germany. Future research should explore its longitudinal utility and applicability across diverse healthcare settings. This tool provides a critical foundation for developing evidence-based interventions to mitigate WPV and improve workplace safety for nurses.}, language = {de} } @article{GraeskeSchulz2024, author = {Gr{\"a}ske, Johannes and Schulz, Christin}, title = {Gewaltpr{\"a}vention ist ein Muss}, series = {Altenpflege}, volume = {12/2024}, journal = {Altenpflege}, publisher = {Vincentz Network}, address = {Hannover}, doi = {10.58123/aliceopen-657}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-6573}, pages = {44 -- 46}, year = {2024}, abstract = {Altenpflegekr{\"a}fte erfahren h{\"a}ufig nicht-physische Gewalt, werden damit aber weitgehend allein gelassen. Die Folgen sind gravierend. Was k{\"o}nnen Arbeitgeber:innen tun?}, language = {de} } @article{BiniokForbrigGellertetal., author = {Biniok, Maria and Forbrig, Theresa A. and Gellert, Paul and Gr{\"a}ske, Johannes}, title = {Analysis of cybersickness in virtual nursing simulation: a German longitudinal study}, series = {BMC Nursing}, volume = {2024}, journal = {BMC Nursing}, number = {23}, publisher = {BMC}, isbn = {1472-6955}, doi = {https://doi.org/10.1186/s12912-024-01833-z}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-6356}, pages = {14}, abstract = {Background Innovative educational approaches such as simulation-based nursing education using virtual reality (VR) technologies provide new opportunities for nursing education. However, there is a lack of information on side effects, especially health-related side effects, of head-mounted displays (HMDs) on the human body when using VR devices for nursing simulation. This study aims to validate the German version of the Virtual Reality Sickness Questionnaire (VRSQ) and to evaluate its associations with sex and age, as reflected in the VRSQG scores (total score oculomotor, and disorientation) over time. Methods A longitudinal-sectional study was conducted. In addition to the VRSQG (pre-, post-, and 20 min postintervention), participants (all nursing students) completed data on personal characteristics. Participants completed a VR simulation of a blood draw. Confirmatory factor analysis (CFA) was used to evaluate whether the measured construct was consistent with the original. In addition to the validity, internal consistency was analyzed and generalized linear models (GLMs) were used for data analysis. Results A total of 38 nursing students (mean age 26.8 years; SD = 7.1, 79.0\% female) participated. The mean time spent in the VR simulation was 21 min. All participants completed the entire simulation. The CFA indicates (CFI = 0.981, SRMR = 0.040) VRSQG structure is given. Internal consistency showed low values for the subdomain Oculomotor (Cronbach alpha 0.670). For Disorientation and the Total score values showed a sufficient internal consistency. GLMs showed significant between subject associations with age over time with VRSQG total score, oculomotor, and disorientation. Older nursing students start with higher VRSQG-Scores. Over time, an approximation occurs, so that all participants reach a similar level by the final measurement point. No associations were found between sex (male/ female) and VRSQG scores. Conclusions The VRSQG is a reliable and valid self-assessment for measuring cybersickness in VR based nursing simulations, with cybersickness symptoms positively associated with age. However, in depth-evaluation regarding age-associations with cybersickness should be done. As well as studies to explore additional associations and emphasizes the importance of establishing cut-off values to assess the clinical relevance of the scores.}, language = {en} } @article{ForbrigGellertBinioketal., author = {Forbrig, Theresa A. and Gellert, Paul and Biniok, Maria and Gr{\"a}ske, Johannes}, title = {Facilitator competency rubric in nursing simulations: transcultural adaptation and validation of the German version}, series = {BMC Nursing}, volume = {2023}, journal = {BMC Nursing}, number = {139}, publisher = {BMC}, isbn = {1472-6955}, doi = {10.1186/s12912-023-01317-6}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-5470}, pages = {1 -- 9}, abstract = {Background Simulations are part of nursing education. To obtain good results, simulation facilitators need to be competent in simulation pedagogy. Part of this study was the transcultural adaptation and validation of the Facilitator Competency Rubric into German (FCRG) and the evaluation of the factors associated with higher competencies. Method A written-standardized cross-sectional survey was conducted. N = 100 facilitators (mean age: 41.0 (9.8), female: 75.3\%) participated. Test-re-test, confirmatory factor analysis (CFA), and ANOVAs were conducted to evaluate the reliability and validity of, and the factors associated with, FCRG. Intraclass correlation coefficient (ICC) values > .9 indicate excellent reliability. Results The FCRG achieved good intra-rater reliability (all ICC > .934). A moderate correlation (Spearman-rho .335, p < .001) with motivation indicates convergent validity. The CFA showed sufficient to good model fits (CFI = .983 and SRMR = .016). Basic simulation pedagogy training is associated with higher competencies (p = .036, b = 17.766). Conclusion The FCRG is a suitable self-assessment tool for evaluating a facilitator's competence in nursing simulation.}, language = {en} } @article{LengertBrzozowskiHuppertzGraeske, author = {Lengert-Brzozowski, Sandra and Huppertz, Christian and Gr{\"a}ske, Johannes}, title = {Rapid Review zu Interaktionen sozial assistiver Roboter mit Senior_innen}, series = {Pflegewissenschaft}, volume = {1-2022}, journal = {Pflegewissenschaft}, publisher = {hpsmedia}, address = {Hungen}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-4937}, pages = {1 -- 16}, abstract = {Vor dem Hintergrund der Diskrepanz zwischen Angebot und Nachfrage nach Pflegepersonal wird seit einigen Jahren im Bereich sozial assistiver Roboter (SAR) geforscht. SAR nutzen dabei verschiedene F{\"a}higkeiten, um {\"a}ltere Menschen in der H{\"a}uslichkeit zu unterst{\"u}tzen. Ziel der Arbeit: Beschreibung der Interaktion der SAR mit Senior_innen und Identifizierung von m{\"o}glichen positiven und negativen Effekten der Intervention. Material und Methoden: F{\"u}r die {\"U}bersichtsarbeit wurde eine Literaturrecherche in den Datenbanken MEDLINE (PubMed) und CINAHL durchgef{\"u}hrt. Ergebnisse: Zum Einsatz kommt SAR unter anderem zur Unterst{\"u}tzung bei Alltagsaktivit{\"a}ten. Es lassen sich positive (bspw. Akzeptanz des SAR als Kommunikationspartner) wie negative (bspw. Angst vor dem Verlust der Eigenst{\"a}ndigkeit) Effekte identifizieren. Diskussion: SAR k{\"o}nnen vielf{\"a}ltig zur Unterst{\"u}tzung der Alltagsaktivit{\"a}ten von Senior_innen eingesetzt werden. Einsatzszenarien und die Evaluation sind allerdings h{\"a}ufig limitiert.}, language = {de} } @article{GraeskeKoppeNeumannetal., author = {Gr{\"a}ske, Johannes and Koppe, Louise and Neumann, Fr{\"a}nze and Forbrig, Theresa A.}, title = {Services for homeless people in Germany during the COVID-19-pandemic: A descriptive study}, series = {Public Health Nursing}, journal = {Public Health Nursing}, publisher = {Wiley}, doi = {https://doi.org/10.1111/phn.13027}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-4725}, pages = {1 -- 7}, abstract = {Design:Across-sectional study was conducted inDecember 2020/January 2021 in the five significant cities of Germany. Sample: 135 of 244 identified service institutions took part in the evaluation. Measurements: This evaluation included changes in institutions' operating hours as well as capacity for homeless people. Service institutions described changes in guests' characteristics, moods, and mental burden. Finally, equipment including face masks, coveralls, and gloves was investigated. In addition, the study examined how the cooperation with the health authorities works. Results: Institutions reduced their operating hours and capacity for guests (62.4\%). Increased costs, which they had to cover themselves, were reported by 70.9\% of institutions. Institutions reported, that guests showed more symptoms of aggression (15\%), anxiety (25\%), and desperation (32\%) and fewer signs of being relaxed (75\%). The institutions reported room for improvement in PPE supplies and collaboration with health authorities. Conclusions: Services are limited for a vulnerable population, which shows changes in moods and mental health. Health authorities are not sufficiently engaged to take over the role of institutions in caring for homeless people. In the future, in-depth investigation to improve this is necessary.}, language = {en} } @article{SchmeddingForbrigGraeske2025, author = {Schmedding, Lisa and Forbrig, Theresa A. and Gr{\"a}ske, Johannes}, title = {Being a professional nurse until retirement - a qualitative interview study in Germany}, series = {BMC Nursing}, journal = {BMC Nursing}, number = {24}, publisher = {Springer Nature}, issn = {1472-6955}, doi = {10.1186/s12912-025-03591-y}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-7862}, pages = {14}, year = {2025}, abstract = {Background Nurses are crucial to the global healthcare system, yet there is a growing shortage, exacerbated by demographic shifts and the coronavirus disease 2019 (COVID-19) pandemic. The International Council of Nurses projects a deficit of 13 million nurses worldwide in the near future, contributing to missed nursing care and jeopardizing patient safety. Although extensive research has explored reasons why nurses leave the profession, far less is known about the factors that support their long-term commitment and retention until retirement. Hence, study aimed to identify the factors contributing to long-term retention of nurses in the profession, particularly those who stay until retirement. Methods This qualitative study used semi-structured expert interviews with 22 nurses in Germany who had at least 30 years of work experience, aiming to explore the personal, organizational, and societal factors that have supported their continued engagement in the profession. A purposive sampling method was used to select participants from various care settings, including acute, long-term, and outpatient care. Data were audio- and video-recorded, transcribed, and analyzed using content-structuring qualitative content analysis. Thematic categories were developed using a structured content analysis approach following Kuckartz, supported by both deductive and inductive coding via the MAXQDA software to identify key themes related to job retention. Results The analysis revealed three overarching thematic categories: personal resources and motivations, organizational context and working conditions, and recognition and social value. The first category includes factors such as career choice motives, personal values, and generation-specific influences, all of which are significant contributors to long-term career commitment. The category organizational context and working conditions, including job satisfaction, work-time control, role clarity, and coping strategies, plays a pivotal role in retaining nurses. The third category encompassed the perceived value of nursing work in society, appreciation from patients and peers, and the professional identity fostered by meaningful recognition. Discussion This study provides valuable insights into the factors that contribute to nurses' decisions to stay in the profession until retirement. While many studies emphasize the challenges and negative aspects of nursing that lead to attrition, this research highlights the positive factors that promote job retention. Addressing these factors, such as improving working conditions, ensuring adequate recognition, and supporting personal values and career motivations, could enhance nurse retention strategies. These findings underscore the importance of retention-focused strategies that enhance meaning in work, professional identity, and workplace culture—shifting the policy lens from attrition prevention to long-term engagement.}, language = {en} } @article{VersteegForbrigGraeske2025, author = {Versteeg, Graciana-Virginye and Forbrig, Theresa A. and Gr{\"a}ske, Johannes}, title = {Room of Horrors: Einfluss auf die Haltung zur Bewohner*innensicherheit - Eine Pr{\"a}-post-Studie}, series = {Zeitschrift f{\"u}r Gerontologie und Geriatrie}, volume = {2025}, journal = {Zeitschrift f{\"u}r Gerontologie und Geriatrie}, doi = {10.1007/s00391-025-02473-x}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1533-opus-7997}, pages = {7}, year = {2025}, abstract = {Zusammenfassung Hintergrund: Sicherheitsrisiken in der station{\"a}ren Langzeitpflege entstehen durch komplexe Pflegesituationen und die Vulnerabilit{\"a}t der Bewohner*innen. Simulationsbasierte Methoden wie die Room-of-Horrors(RoH)-Intervention k{\"o}nnen das Bewusstsein der Mitarbeitenden f{\"u}r solche Risiken st{\"a}rken. {\"U}bergeordnetes Ziel der Arbeit war es zu untersuchen, wie sich eine RoH-Intervention auf die Haltung der Mitarbeitenden bez{\"u}glich der Bewohner*innensicherheit in der Langzeitpflege auswirkt. Methodik: Eine schriftlich standardisierte Pr{\"a}-post-Erhebung mit 176 Teilnehmenden erfasste die Haltung gegen{\"u}ber Sicherheitsrisiken mithilfe des „German short Version of the Attitudes to Patient Safety Questionnaire" (G-APSQshort). Ergebnisse: Der G-APSQshort-Score stieg signifikant von 5,4 auf 5,6 Punkte (p< 0,001). Besonders Betreuungskr{\"a}fte profitierten von der Intervention (p< 0,001). Von allen Teilnehmenden w{\"u}rden 77,3\% das RoH-Konzept weiterempfehlen, und 80,2\% der Teilnehmenden w{\"u}nschen sich regelm{\"a}ßige RoH-Interventionen. Diskussion: Die RoH-Intervention verbessert die Haltung derMitarbeitenden bez{\"u}glich Bewohner*innensicherheit, wobei die praktische Relevanz weiterevaluiert werden sollte. Die RoH-Methode f{\"o}rdert die Sicherheitskultur und verbessert die Pflegequalit{\"a}t in der Langzeitpflege.}, language = {de} }