Reasons and Potential Solution Approaches for the Shortage of Nursing Staff in German Hospitals

The aim of this scientific paper was to find out the reasons for the shortage of nursing staff in German hospitals and to provide potential solution approaches for this shortage. Over the last years, the shortage of nursing staff has become a more and more important topic in the news: Not only due to the increasing amount of missing nurses, but also due to the ageing population in Germany, which leads to an increasing amount of patients in German hospitals. To reach this aim two surveys were done, of which one was for nursing staff only and the other one was for people from all occupational groups with the intention of creating comparative values. The surveys were done from March to April 2019 and were analysed afterwards. After a detailed analysis of the survey results, it can be summarized that the reasons for the shortage of nursing staff in German hospitals are very diverse: Starting with a weak salary, improvable working conditions – for example the shift work and the high amount of physical and psychological stress -, a difficult compatibility of family and job as well as the unattractive image of the job as a nurse in the society. It can be concluded that the solution for the shortage of nursing staff is very difficult. The future will show whether the governmental support will help to make the job as a nurse more attractive – not only for the current nurses, but also for potential future nurses

Important Trends and Developments Influencing the Nursing Care

Aim: The aim of this scientific paper was to examine important trends and developments influencing the nursing care in order to forecast future opportunities and challenges and how to deal with them in the best possible way. Background: The Corona-pandemic demonstrated the importance of nursing care in the entire world and had drawn attention to the issue of a well-educated and enough nursing staff. The nursing care will face opportunities and challenges due to current trends and developments, which are important to examine in order to provide the best possible nursing care. Methods: To reach the above-mentioned aim, intensive research was done by using secondary sources and surveys. Results/Findings: After a detailed analysis of the research it can be summarized that there are three important topics influencing the nursing care: The demographical development with an increasing life expectancy leading to an increasing amount of old people with a demand for care and decreasing birth rates leading to less working people. Cultural transformation and diversity imply many opportunities because the employment market can fill gaps with foreign workers and the immigrating people can compensate the decreasing birth rates. Nevertheless, it can imply many challenges and potential problems which need to be solved by the society and the immigrating people. Furthermore, the changing gender roles can lead to more men becoming a nurse, which might have a significant impact on the shortage of nursing staff. The third important topic influencing the nursing care is technological trends which can help to decrease physiological stress, by facilitating the nurses’ work and by taking over some work from them. Conclusion: It can be concluded that the trends and developments influencing the nursing care are very diverse and imply many different opportunities as well as challenges

Psychosocial impact of undergoing prostate cancer screening for men with BRCA1 or BRCA2 mutations.

OBJECTIVES: To report the baseline results of a longitudinal psychosocial study that forms part of the IMPACT study, a multi-national investigation of targeted prostate cancer (PCa) screening among men with a known pathogenic germline mutation in the BRCA1 or BRCA2 genes. PARTICPANTS AND METHODS: Men enrolled in the IMPACT study were invited to complete a questionnaire at collaborating sites prior to each annual screening visit. The questionnaire included sociodemographic characteristics and the following measures: the Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale (IES), 36-item short-form health survey (SF-36), Memorial Anxiety Scale for Prostate Cancer, Cancer Worry Scale-Revised, risk perception and knowledge. The results of the baseline questionnaire are presented. RESULTS: A total of 432 men completed questionnaires: 98 and 160 had mutations in BRCA1 and BRCA2 genes, respectively, and 174 were controls (familial mutation negative). Participants' perception of PCa risk was influenced by genetic status. Knowledge levels were high and unrelated to genetic status. Mean scores for the HADS and SF-36 were within reported general population norms and mean IES scores were within normal range. IES mean intrusion and avoidance scores were significantly higher in BRCA1/BRCA2 carriers than in controls and were higher in men with increased PCa risk perception. At the multivariate level, risk perception contributed more significantly to variance in IES scores than genetic status. CONCLUSION: This is the first study to report the psychosocial profile of men with BRCA1/BRCA2 mutations undergoing PCa screening. No clinically concerning levels of general or cancer-specific distress or poor quality of life were detected in the cohort as a whole. A small subset of participants reported higher levels of distress, suggesting the need for healthcare professionals offering PCa screening to identify these risk factors and offer additional information and support to men seeking PCa screening

Effects of abandoned management in the Lurö archipelago : Are there any changes in the diversity of plants?

One of the main reasons for the massive loss in plant species diversity is the fragmentation of habitats. In Europe, open pastures and meadows are the habitats going through the most changes during the 20th century, according to the agricultural changes. In this study vascular plants were invented at five different islands in the Lurö archipelago, Vänern, Sweden. The aim of the study was to sort out whether the diversity of plants has gone through any changes in abandoned managed grasslands compared to continuous managed grasslands. The aim was also to study if a change in the landscape has made any differences for the species development or decline. The results indicate that the number of vascular plants were significantly lower in the abandoned areas than the still managed areas. Results, only from the field layer, showed same results. There was a significant difference between the number of indicators in managed lands than lands that were abandoned for 30-40 and 100 years ago. A comparison from earlier study, from a time when grazing had just ceased at some islands, showed a significant difference in plant species diversity between the years. Just a few decades can impoverish a plant community that might have taken hundreds or even thousands of years to build up. To preserve the biological diversity formed by human impact, one must continue managing the lands.En av de största orsakerna till den massiva förlusten av växtarter, är fragmenteringen av habitat. I Europa är öppna naturbetesmarker och ängar de habitat som genomgått de största förändringarna i och med jordbrukslandskapets omstruktureringar under 1900-talet. I den här studien inventerades kärlväxter på 5 olika öar i kulturlandskapet Lurö skärgårds naturreservat. Syftet var att ta reda på hur diversiteten bland kärlväxtarter skiljer sig mellan hävdade gräsmarker och f.d. gräsmarker där hävd upphört och hur ett förändrat landskap spelat roll för artantalets utveckling eller tillbakagång. Resultat visade att antalet kärlväxter var signifikant lägre i marker som slutat hävdas, än marker som fortfarande hävdas. Även jämförelser i enbart fältskiktet visade ett signifikant högre artantal hos välhävdade marker än marker där hävd upphört. Det fanns en signifikant skillnad mellan antalet indikatorarter i marker som var under hävd och marker som slutat hävdas för 30-40 år sedan, kontra 100 år sedan. Vid jämförelser med en tidigare studie, som ägt rum precis efter att hävden upphört på ett flertal lokaler visade resultat att det fanns en signifikant skillnad i artantal mellan de båda åren. På några få decennier kan ett helt växtsamhälle som byggts upp under hundratals eller kanske till och med tusentals år utarmas. För att bevara den biologiska mångfald som formas av en störningsregim beroende av människans inverkan, måste hävd fortsätta kontinuerligt