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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.
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.
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.