Spezialisierte ambulante Palflatiwersorgung aus Sicht ambulanter Pflegedienste - Eine empirische Untersuchung in Sachsen-Anhalt Ost

摘要

Introduction: Little is known about the present point of view of mobile nursing services which are involved in specialized outpatient palliative care (SAPV) in Germany. However, how do they assess the development of established structures? What are beneficial and inconvenient factors that affect their service provision? Method: The survey involves mobile nursing services of Dessau-RoKlau and Anhalt-Bitterfeld which are regions of Saxony-Anhalt, Germany. A total of nine guided interviews were conducted with heads of mobile nursing services in August and September 2013. The interviews were transcribed and finally paraphrased following the qualitative content analysis of Mayring. Results: Reducing bureaucracy referred to requesting therapeutic appliances and a very good cooperation with physicians in palliative care are beneficial factors for heads of mobile nursing services. They experience technical, organizational and emotional support as well as financial improvement in the context of SAPV. Nevertheless, the financial resources often do not correspond to real nursing and operational effort. The cooperation with general practitioners (GPs) who are not certified in palliative medicine is rated as difficult. An adverse attitude often complicates the integration of patients in structures of SAPV. Moreover the period of two till eleven hours between time of death and official death certificate has been assessed critically in particular.