Erfahrungen bei der Anwendung einer interprofessionellen Anamnese im Krankenhaus.

Experiences with the application of an interprofessional anamnesis in hospitals - A qualitative accompanying study Abstract. Background: Interprofessional cooperation is a key issue today when addressing quality improvement and process optimization in the healthcare sector. Interprofessional documentation systems play an important role here. AIM: This article describes the experiences of 19 nurses and physicians in an acute care hospital before and after the introduction of an interprofessional anamnesis. The aim was to show whether and how interprofessional cooperation changed during the ten months study period. METHODS: The data are based on three group discussions at three different times with six to seven newly recruited participants in an interprofessional composition. The data analysis was carried out using the documentary method after Bohnsack. RESULTS: The group discussions document different phases of a developing interprofessional cooperation. By recognizing different professional perspectives and process structures, areas of responsibility could be clarified and trust could be built. This enabled the participants to benefit from the new cooperation and to introduce further common improvement requests. CONCLUSIONS: An interprofessionally developed working tool, such as shared instruments for taking and recording the anamnesis, can have a positive influence on interprofessional cooperation. Interprofessional exchange formats appear to have a beneficial effect on this development process.

Der Alltag von Jugendlichen mit einer Sichelzellerkrankung - Eine qualitative, explorative und partizipative Photovoice-Studie.

Everyday life of adolescents with sickle cell disease - A qualitative, explorative and participative photovoice study Abstract. Background: Sickle cell disease (SCD) is a chronic, inherited haematological condition that occurs rarely in Switzerland. The disease is characterized by recurring attacks of pain and serious infections that require frequent hospitalisation. Due to its rarity, little is known about the disease's impact on the daily lives of afflicted adolescents. Aim: The study investigated how the disease impacts on the lives of adolescents with SCD and identified the most pertinent challenges they face in their daily activities. Knowledge gained serves to improve support offered by the Paediatric Haematological Centre. Method: Qualitative data was collected using the participative method Photovoice. This involved an integrated group discussion of photographs taken by the participants, and was followed by reconstructive analysis. Results: Issues voiced covered living environment (e. g. family), coping strategy (e. g. peers) and health literacy (e. g. understanding their condition). These issues were perceived as challenges as well as a resource. Self-management and Shaping of health management emerged as key issues for a support and care concept in nursing and health counselling of SCD. Conclusions: Adolescents with SCD exhibited health literacy in various areas of their lives that can be fostered by the health care system. A most promising approach is genuine participation and inclusion of peers in both councelling and research.

[The electronic use of the NANDA-, NOC- and NIC- classifications and implications for nursing practice]. / Die elektronische Anwendung der NANDA-, NOC- und NIC-Klassifikationen und Folgerungen für die Pflegepraxis.

The data model developed on behalf of the Nursing Service Commission of the Canton of Zurich (Pflegedienstkommission des Kantons Zürich) is based on the NANDA nursing diagnoses, the Nursing Outcome Classification, and the Nursing Intervention Classification (NNN Classifications). It also includes integrated functions for cost-centered accounting, service recording, and the Swiss Nursing Minimum Data Set. The data model uses the NNN classifications to map a possible form of the nursing process in the electronic patient health record, where the nurse can choose nursing diagnoses, outcomes, and interventions relevant to the patient situation. The nurses' choice is guided both by the different classifications and their linkages, and the use of specific text components pre-defined for each classification and accessible through the respective linkages. This article describes the developed data model and illustrates its clinical application in a specific patient's situation. Preparatory work required for the implementation of NNN classifications in practical nursing such as content filtering and the creation of linkages between the NNN classifications are described. Against the background of documentation of the nursing process based on the DAPEP(1) data model, possible changes and requirements are deduced. The article provides a contribution to the discussion of a change in documentation of the nursing process by implementing nursing classifications in electronic patient records.