Abstract
Background: The growing need for nursing care is offset by a shortage of nurses, who are exposed to high physical and psychological demands in their daily work and have above-average absences that vary between different care settings. Based on the data on sick days, the question arises: What are the subjective work-related health burdens of nurses in acute care hospitals, inpatient care facilities, and outpatient care services? Methods: Sixteen semi-structured interviews were conducted in different care settings between May and September 2021. Questions about the professional career, everyday working life and personal health, violence in the workplace, and organizational framework conditions were asked. Results: The experiences of the nurses highlighted that health-related burdens have varying manifestations in different care settings. This was reflected in three main categories: health, everyday working life, and experiences of violence. In particular, the different structural framework conditions that trigger stress and the occurrence of violence are important from the perspective of the nurses. Conclusions: The results of this exploratory study can serve as a baseline for obtaining further setting-specific quantitative data that can contribute to the development, implementation, and evaluation of target group-specific health promotion programs.
Highlights
The increase in the need for care with a concurrent shortage of skilled nursing staff is currently the subject of heated discussions
Until 1 January 2020, there were two types of nursing apprenticeships in Germany to enter the market as a professional nurse: health care nursing, trained in acute care hospitals and outpatient care services, and geriatric care nursing, trained in geriatric inpatient care facilities or outpatient care services for the elderly [15,16]
This qualitative study was designed based on the criteria for reporting qualitative research (COREQ) [29] and was conducted as part of a broader project: “Workplace offers for health promotion and violence prevention” (BAGGer), funded by the German Federal
Summary
The increase in the need for care with a concurrent shortage of skilled nursing staff is currently the subject of heated discussions. Of these persons, nearly one in five receive permanent (19.3%) or temporary (0.5%) care in inpatient care facilities, and 23.8% use outpatient care services [5]. The possibility of receiving treatment care through outpatient care services was used in 2.6 million cases in 2019 [10] This goes along with the fact that the tasks and demands on nurses vary in the different care settings [11]. Results: The experiences of the nurses highlighted that healthrelated burdens have varying manifestations in different care settings This was reflected in three main categories: health, everyday working life, and experiences of violence. Conclusions: The results of this exploratory study can serve as a baseline for obtaining further setting-specific quantitative data that can contribute to the development, implementation, and evaluation of target group-specific health promotion programs
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