TY - JOUR A1 - Gräske, Johannes A1 - Schulz, Christin T1 - Workplace Violence Among Nurses – German Translation and Validation of the HABS-U N2 - 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. KW - Work-Place-Violence, Nurses, HABS-U, German Version Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-6562 ER - TY - JOUR A1 - Gräske, Johannes A1 - Schulz, Christin T1 - Gewaltprävention ist ein Muss JF - Altenpflege N2 - Altenpflegekräfte erfahren häufig nicht-physische Gewalt, werden damit aber weitgehend allein gelassen. Die Folgen sind gravierend. Was können Arbeitgeber:innen tun? KW - Altenpflege KW - Gewalt Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-6573 VL - 12/2024 SP - 44 EP - 46 PB - Vincentz Network CY - Hannover ER - TY - JOUR A1 - Biniok, Maria A1 - Forbrig, Theresa A. A1 - Gellert, Paul A1 - Gräske, Johannes T1 - Analysis of cybersickness in virtual nursing simulation: a German longitudinal study JF - BMC Nursing N2 - 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. KW - Longitudinal study KW - Virtual reality KW - Cybersickness KW - Nursing education KW - Skills training KW - Simulation Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-6356 SN - 1472-6955 VL - 2024 IS - 23 PB - BMC ER - TY - JOUR A1 - Forbrig, Theresa A. A1 - Gellert, Paul A1 - Biniok, Maria A1 - Gräske, Johannes T1 - Facilitator competency rubric in nursing simulations: transcultural adaptation and validation of the German version JF - BMC Nursing N2 - 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. KW - Facilitator Competency Rubric KW - Simulation pedagogy KW - Facilitator’s competence KW - Self-assessment tool KW - Nursing Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-5470 SN - 1472-6955 VL - 2023 IS - 139 SP - 1 EP - 9 PB - BMC ER - TY - JOUR A1 - Lengert-Brzozowski, Sandra A1 - Huppertz, Christian A1 - Gräske, Johannes T1 - Rapid Review zu Interaktionen sozial assistiver Roboter mit Senior_innen JF - Pflegewissenschaft N2 - 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 Fähigkeiten, um ältere Menschen in der Häuslichkeit zu unterstützen. Ziel der Arbeit: Beschreibung der Interaktion der SAR mit Senior_innen und Identifizierung von möglichen positiven und negativen Effekten der Intervention. Material und Methoden: Für die Übersichtsarbeit wurde eine Literaturrecherche in den Datenbanken MEDLINE (PubMed) und CINAHL durchgeführt. Ergebnisse: Zum Einsatz kommt SAR unter anderem zur Unterstützung bei Alltagsaktivitäten. Es lassen sich positive (bspw. Akzeptanz des SAR als Kommunikationspartner) wie negative (bspw. Angst vor dem Verlust der Eigenständigkeit) Effekte identifizieren. Diskussion: SAR können vielfältig zur Unterstützung der Alltagsaktivitäten von Senior_innen eingesetzt werden. Einsatzszenarien und die Evaluation sind allerdings häufig limitiert. N2 - Against the background of the mismatch between supply and demand for caregivers, research in the field of socially assistive robots (SAR) has been ongoing for several years. In this context, SAR use different capabilities to support elderly people in their home environment. Aim of the work: to describe the interaction of SAR with seniors and to identify possible positive and negative effects of the intervention. Material and Methods: A literature search of the MEDLINE (PubMed) and CINAHL databases was conducted for the review. Results: Among other uses, SAR are used to assist with activities of daily living. Positive (e.g. acceptance of the SAR as a communication partner) as well as negative (e.g. fear of losing independence) effects can be identified. Discussion: SAR can be used in a variety of ways to support the everyday activities of seniors. However, application scenarios and evaluations are often limited. KW - sozial assistive Roboter KW - Mensch-Roboter-Interaktion KW - Senior_innen KW - Effekte Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-4937 VL - 1-2022 SP - 1 EP - 16 PB - hpsmedia CY - Hungen ER - TY - JOUR A1 - Gräske, Johannes A1 - Koppe, Louise A1 - Neumann, Fränze A1 - Forbrig, Theresa A. T1 - Services for homeless people in Germany during the COVID-19-pandemic: A descriptive study JF - Public Health Nursing N2 - 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. KW - COVID-19 KW - homeless person KW - roofless person KW - service institutions KW - Obdachlosigkeit KW - Corona KW - Pandemie Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-4725 SP - 1 EP - 7 PB - Wiley ER - TY - JOUR A1 - Schmedding, Lisa A1 - Forbrig, Theresa A. A1 - Gräske, Johannes T1 - Being a professional nurse until retirement – a qualitative interview study in Germany JF - BMC Nursing N2 - 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. Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-7862 SN - 1472-6955 IS - 24 PB - Springer Nature ER - TY - JOUR A1 - Versteeg, Graciana-Virginye A1 - Forbrig, Theresa A. A1 - Gräske, Johannes T1 - Room of Horrors: Einfluss auf die Haltung zur Bewohner*innensicherheit – Eine Prä-post-Studie JF - Zeitschrift für Gerontologie und Geriatrie N2 - Zusammenfassung Hintergrund: Sicherheitsrisiken in der stationären Langzeitpflege entstehen durch komplexe Pflegesituationen und die Vulnerabilität der Bewohner*innen. Simulationsbasierte Methoden wie die Room-of-Horrors(RoH)-Intervention können das Bewusstsein der Mitarbeitenden für solche Risiken stärken. Übergeordnetes Ziel der Arbeit war es zu untersuchen, wie sich eine RoH-Intervention auf die Haltung der Mitarbeitenden bezüglich der Bewohner*innensicherheit in der Langzeitpflege auswirkt. Methodik: Eine schriftlich standardisierte Prä-post-Erhebung mit 176 Teilnehmenden erfasste die Haltung gegenüber 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 Betreuungskräfte profitierten von der Intervention (p< 0,001). Von allen Teilnehmenden würden 77,3% das RoH-Konzept weiterempfehlen, und 80,2% der Teilnehmenden wünschen sich regelmäßige RoH-Interventionen. Diskussion: Die RoH-Intervention verbessert die Haltung derMitarbeitenden bezüglich Bewohner*innensicherheit, wobei die praktische Relevanz weiterevaluiert werden sollte. Die RoH-Methode fördert die Sicherheitskultur und verbessert die Pflegequalität in der Langzeitpflege. KW - Simulationsbasiertes Lernen KW - Fort- und Weiterbildung KW - Patientensicherheit KW - Fehlerkultur KW - Qualitätsmanagement Y1 - 2025 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:b1533-opus-7997 VL - 2025 ER -