Practical training for nursing and allied health workers for a reflective approach to digitalization processes: a mixed methods study Abstract: Background: To promote digitalization in healthcare, it is necessary to train health and nursing professionals in the proper use and reflective application of digital technologies. Aims and Questions: The goal as the development, piloting and evaluation of a training program for healthcare professionals that enables them to use digital technologies reflectively in nursing practice. The overarching question was: How does the training "Consultants for Digital Health Care" impact the digital competence development of the participants? Methods: The study followed a mixed-methods design with three endpoints: learning success regarding digital competencies, satisfaction with the training, and theory-practice transfer through practical projects. For evaluation, reflection sheets, Teaching Analysis Polls (TAP), and semi-structured interviews were combined. Results: A total of 62 health and nursing professionals participated in the pilot training program. The results particularly indicate an increase in professional and ethically reflective competencies. Participants found the design and scope of the training to be purposeful and positively highlighted the exchange in heterogeneous groups. The high practical orientation and the associated theory-practice transfer are evident in the diverse practical projects of the participants. Conclusion: The training is targeted, application-oriented, and leads to an increase in competence that is associated with the implementation of specific digitization projects.

Interdisciplinary, research-based teaching format for participatory technology development in nursing: a mixed methods study Abstract: Background: Digital assistance technologies offer great potential to support and relieve the burden of care when they are tailored to the requirements of everyday care and developed in collaboration with users. Aim: The objective was to develop and pilot an interdisciplinary, research-oriented teaching format (IFL) to train students of computer science (bachelor's degree) and health and nursing sciences (master's degree) in robotics development, participatory research, and interdisciplinary collaboration. Methods: The twelve-month IFL was divided into an idea phase and a development phase with a focus on teaching participatory and interdisciplinary skills. A mixed methods design with pre-post surveys and focus group interviews was used for evaluation to assess the impact on collaboration and the conditions for success for such teaching formats. Results: The piloted IFL led to the development of a proof of concept for robotics-assisted wound documentation. While the attitude of computer science students toward interdisciplinary collaboration improved, a negative trend was observed among nursing students. Focus group interviews emphasized the importance of clear structures, curricular anchoring, and practical tasks for successful collaboration. Conclusions: Students are in favor of IFL with practical relevance to their future professional practice. Such teaching formats promote interdisciplinary collaboration as well as the personal and professional development of students.

Care-related Case Management and the experienced burden of informal caregivers: empirical study Abstract. Background: Informal caregivers are responsible for the majority of home care in Germany. Their experience of stress is becoming more and more relevant given the tense staffing situation in outpatient professional care in rural areas. Case management as an innovative approach to caring in peripheral areas also focuses on the burden experienced by informal caregivers. Aim: The question arises as to whether care-related case management can have a positive influence on the burden experienced by informal caregivers. Methods: In a mixed-method approach, the influence of case management on the experience of stress is analyzed quantitatively (N = 251) and qualitatively (N = 40) using a pre-post design with a control group. Group difference tests based on the HPS-scale and content analysis of the interviews are conducted. Results: The analyses suggest that case management can have a positive influence on the experience of burden. From a quantitative perspective, there was a stabilizing influence on the experience of burden in the intervention group, while burden increased in the control group. Qualitatively, there was an influence on subjective burden. In particular, the role of the case manager as a central contact person in matters regarding the care situation is relevant. Conclusions: By providing new resources and coping strategies, case management can effectively alleviate the burden experienced by informal caregivers.

Nurses' health during the COVID-19 pandemic in Switzerland: A longitudinal study with mixed methods design Abstract: Background: The COVID19 pandemic has had a significant impact on healthcare systems worldwide. Nurses have played a crucial role in responding to the crisis, often at the expense of their own health and wellbeing. Aim: The aim of the study was to investigate the physical and mental health status as well as the resources of certified nurses during the pandemic, in German-speaking Switzerland. Methods: In a longitudinal study with a mixed methods design, data were collected among nurses from acute hospitals between 2021 and 2022 using a questionnaire survey and focus group interviews. The data were analysed using multiple regression analysis, knowledge mapping and the Neuman system model. Results: The results show improvements in health, quality of life and job satisfaction, and a decrease in stress; whereby influencing extrapersonal factors are, among others, reorganisations within hospitals with the active involvement of nurses. On the interpersonal level, support from managers or colleagues proved helpful. At the intrapersonal level, the recognition of the nurses' competencies was deemed particularly important, to help them to remain healthy during the pandemic. Conclusions: Increased recognition, participation, training and career opportunities as well as flexible working models need to be implemented in the long term to ensure a sustainable improvement of the health and well-being of nurses.

Background: Proximal femoral fracture is common in older people. Beyond a long recovery process and significant permanent functional limitations, older people often experience subsequent Fear of Falling. The phenomenon of Fear of Falling is not fully understood; qualitative research is underrepresented but can provide insights into the experience of those affected. Objectives: We aimed to explore the experiences of Fear of Falling development and to what extent it affects peoples' life after proximal femoral fracture. Methods: We conducted semi-structured, in-depth interviews with nine older people, aged between 61 and 88, who participated in a prospective observational study. Interview data were analysed through inductive content analysis. Results: Six major themes emerged: The development of Fear of Falling; the effect of FoF and hope for recovery; alternating between moments of fear and security; fear of helplessness and of losing independence; strategies for dealing with Fear of Falling and maintaining independence; need of support by health care professionals. Conclusion: To identify and support older people in coping with Fear of Falling (after proximal femoral fracture), strategies for dealing with Fear of Falling across occupational groups and all healthcare settings should be implemented. Nurses have a key role in this process.