{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T07:39:49Z","timestamp":1763105989852,"version":"3.40.5"},"reference-count":31,"publisher":"Hogrefe Publishing Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pflege"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p> Zusammenfassung: Hintergrund: In einem Universit\u00e4tsklinikum wurde die Entwicklung und Implementierung von Primary Nursing (Prozessverantwortliche Pflege, PP) auf einer Pilot-Intensivstation initiiert. Zur Entwicklung der Rollen von Pflegenden mit und ohne Prozessverantwortung wurde unter Ber\u00fccksichtigung des Skill-Grade-Mixes eine Arbeitsgruppe PP (AG PP) gegr\u00fcndet. Problemstellung und Zielsetzung: Ziel der AG PP war es, die Rollen von prozessverantwortlich Pflegenden (PP) und Pflegenden (P) zu entwickeln sowie den Implementierungsprozess zu planen und umzusetzen. Methodik: Gem\u00e4\u00df den Empfehlungen des Medical Research Council wurden die Schritte Entwicklung und Pilotierung ber\u00fccksichtigt. Zu drei Messzeitpunkten wurden quantitativ das Instrument zur Erfassung von Pflegesystemen (IzEP\u00a9) und qualitativ ein Fokusgruppeninterview sowie eine Stationsablaufanalyse in t<jats:sub>0<\/jats:sub> (IST-Analyse vor Entwicklung und Pilotierung), t<jats:sub>1<\/jats:sub> (6 Monate nach Umsetzung) und t<jats:sub>2<\/jats:sub> (12 Monate nach Umsetzung) eingesetzt. Ergebnisse: PP \u00fcbernehmen vor allem die Gestaltung und Steuerung des Pflegeprozesses. Die IzEP\u00a9-Analyse zeigte in t<jats:sub>0<\/jats:sub> mit 50,0% eine Bereichspflege. Die Werte konnten von 74,0% in t<jats:sub>1<\/jats:sub> auf 83,5% in t<jats:sub>2<\/jats:sub> hin zu PP gesteigert werden. Qualitativ gewonnene Daten st\u00fctzten diese Ergebnisse und zeigten weiteres Optimierungspotential f\u00fcr die Praxis auf. Schlussfolgerung: Die Ergebnisse belegen die Umsetzung von PP in der Praxis. Zur Entwicklung und Implementierung neuer pflegerischer Rollen ist die Einbindung der betroffenen Pflegenden obligat. <\/jats:p>","DOI":"10.1024\/1012-5302\/a000966","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T10:57:37Z","timestamp":1703156257000},"page":"275-283","source":"Crossref","is-referenced-by-count":4,"title":["Entwicklung und Implementierung von Prozessverantwortlicher Pflege auf der Intensivstation"],"prefix":"10.1024","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4234-0022","authenticated-orcid":true,"given":"Lars","family":"Kr\u00fcger","sequence":"first","affiliation":[{"name":"Stabsstelle Pflegeentwicklung, Pflegedirektion, Herz- und                Diabeteszentrum NRW, Universit\u00e4tsklinikum der Ruhr-Universit\u00e4t Bochum,                Bad Oeynhausen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9405-3143","authenticated-orcid":true,"given":"Franziska","family":"Wefer","sequence":"additional","affiliation":[{"name":"Stabsstelle Pflegeentwicklung, Pflegedirektion, Herz- und                Diabeteszentrum NRW, Universit\u00e4tsklinikum der Ruhr-Universit\u00e4t Bochum,                Bad Oeynhausen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9217-3299","authenticated-orcid":true,"given":"Thomas","family":"Mannebach","sequence":"additional","affiliation":[{"name":"Intensivstation E 0.1, Herz- und Diabeteszentrum NRW,                Universit\u00e4tsklinikum der Ruhr-Universit\u00e4t Bochum, Bad Oeynhausen,                   Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Zwiener","sequence":"additional","affiliation":[{"name":"Intensivstation E 0.1, Herz- und 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