{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:31:14Z","timestamp":1788949874647,"version":"build-2803163510"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T00:00:00Z","timestamp":1710720000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T00:00:00Z","timestamp":1710720000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Einleitung<\/jats:title>\n                <jats:p>Die medizinischen Weiterentwicklungen in den vergangenen 15\u00a0Jahren und die ver\u00e4nderte Versorgungsrealit\u00e4t bei der fl\u00e4chendeckenden elektiven Behandlung des Bauchaortenaneurysmas machen eine Reevaluation der Qualit\u00e4tssicherungsrichtlinie des Gemeinsamen Bundesausschuss in Deutschland (QBAA-RL) erforderlich. Diese fordert derzeit in der aktuellen Fassung eine Fachweiterbildungsquote f\u00fcr Pflegefachpersonen der Intensivstation in H\u00f6he von 50\u202f%. Die Quote wurde 2008 auf dem Boden von Expertenmeinungen festgelegt, ohne dass bisher eine direkte empirische Evidenzbasis daf\u00fcr existiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Vertreter:innen aus den Bereichen Patient:innenvertreter, \u00c4rzt:innen, Pflegefachpersonen sowie weiteren relevanten Schnittstellenbereichen wurden zur Teilnahme an einem modifizierten Delphi-Verfahren eingeladen. Nach einer umfassenden narrativen Literaturrecherche, einer Umfrage sowie Fokusgruppendiskussionen mit nationalen und internationalen Expert:innen erfolgte die Durchf\u00fchrung von insgesamt drei anonymisierten onlinebasierten Abstimmungsrunden, bei denen zuvor festgelegte Kernaussagen mit einer 4\u2011Punkt-Likert-Skala (\u201estimme ganz und gar nicht zu\u201c bis \u201estimme voll und ganz zu\u201c) bewertet wurden. Das Expert:innenpanel hat au\u00dferdem eine Empfehlung f\u00fcr eine Mindestquote f\u00fcr die Fachweiterbildung von Pflegefachpersonen auf der Intensivstation bei der Behandlung des Bauchaortenaneurysmas festgelegt, wobei a\u00a0priori eine Zustimmung in H\u00f6he von 80\u202f% der Teilnehmenden als Konsensusgrenze festgelegt wurde.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt haben 37\u00a0Expert:innen an den Diskussionen und drei sukzessiven Abstimmungsrunden teilgenommen (Teilnahmerate 89\u202f%). Das Panel hat die Notwendigkeit einer Reevaluation der Richtlinienempfehlungen best\u00e4tigt und empfahl die Einf\u00fchrung einer schichtbezogenen Mindestquote in H\u00f6he von 30\u202f% der Vollzeit\u00e4quivalente der Pflegefachpersonen der Intensivstation sowie die Einf\u00fchrung strukturierter F\u00f6rderprogramme zur langfristigen Erh\u00f6hung der Quote.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>In diesem nationalen Delphi-Verfahren mit \u00e4rztlichen und pflegerischen Expert:innen sowie Patientenvertreter:innen wurde der grunds\u00e4tzliche Nutzen und Bedarf der beruflichen Fachqualifikation im Bereich der Intensivmedizin best\u00e4tigt. Die entsprechenden Mindestquoten f\u00fcr eine Fachweiterbildung von Intensivpflegefachpersonen sollten demnach ohne Einschr\u00e4nkung auf spezifische Leistungsgruppen generell gelten. Das Expert:innenpanel fordert eine schichtbezogene Mindestquote an Intensivpflegefachpersonen mit Fachweiterbildung in H\u00f6he von 30\u202f% der Pflegefachpersonen auf der Intensivstation und die verpflichtende Einf\u00fchrung strukturierter und transparenter F\u00f6rderprogramme zu deren langfristiger Erh\u00f6hung.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-024-02066-1","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T05:02:20Z","timestamp":1710738140000},"page":"395-405","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Empfehlungen\u00a0zur\u00a0Fachweiterbildung von\u00a0Pflegefachpersonen der Intensivstation bei der Behandlung\u00a0des\u00a0Bauchaortenaneurysmas: Ergebnisse eines modifizierten Delphi-Verfahrens mit Expert:innen","Recommendations for the specialist further training of nursing personnel on intensive care units in the treatment of 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