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Aim To identify current key areas for nursing research in Switzerland, we revised the Swiss Research Agenda for Nursing (SRAN) initially published in 2008. Background By developing a research agenda, nursing researchers internationally prioritize and cluster relevant topics within the research community. The process should be collaborative and systematic to provide credible information for decisionmakers in health care research, policy, and practice. Sources of Evidence After a participative, systematic, and critical evaluation within and outside of the Swiss Association for Nursing Science, the updated SRAN 2019–2029 defines four research priorities (new models of care, nursing care interventions, work and care environment, and quality of care and patient safety) and four transversal themes (organization of research, research methodologies, research in health care policy and public health perspectives). Conclusion Adding to other national nursing research agendas, the categories are organized in a framework of key research priorities and transversal themes. They relate to the importance of global and local foci of research as well as challenges in health care services and policy systems. The agenda is an important prerequisite for enhancing the influence of nursing research in Switzerland and provides guidance for the next decade.Implications for Nursing PracticeThe revised agenda ensures that research projects target key knowledge gaps and the discipline's core questions in respective countries.Implications for Health PolicyNursing research should inform and influence health policy on all institutional and political levels. Therefore, the integration of public health perspectives in research is one of the most important new aspects of SRAN 2019–2029.

Hintergrund: Menschen mit einer psychischen und somatischen Erkrankung erhalten eine weniger gute somatische Versorgung im Vergleich zur Bevölkerung ohne psychische Erkrankung. Um die Versorgungsqualität zu erhöhen, wurde in einer psychiatrischen Institution in der Schweiz 2017 das Clinical Assessment und Decision Making (CADM) durch Pflegende eingeführt. Ziel: Ziel der Studie war es, zu untersuchen, wie Ärzt_innen und leitende Psycholog_innen die Durchführung des CADM durch Pflegende erleben. Dies, um daraus Empfehlungen abzuleiten, wie die Zusammenarbeit optimiert und eine nachhaltige Etablierung des CADM gefördert werden kann. Methode: Eine Embedded Single Case Study wurde angewandt, die Datenanalyse orientierte sich an den Strategien der Grounded Theory nach Charmaz. Es fanden semistrukturierte Expert_inneninterviews (n = 11) und offene unstrukturierte Beobachtungen in einer Psychiatrie in der Schweiz statt. Ergebnisse: Die Ergebnisse zeigten neun relevante Bereiche, welche die Zusammenarbeit und das CADM durch Pflegende betreffen: „Stärken“, „Schwächen“, „Risiken“, „Chancen“, „Erwartungen“, „Herausforderungen“, „Nutzen“, „Kompetenzen der CADM Pflegenden“ und „Wünsche für die Zukunft“. Schlussfolgerungen: Die Ärzt_innen und leitenden Psycholog_innen erachteten das CADM durch Pflegende als Mehrwert für das interprofessionelle Team und die Patient_innen. Unklarheiten in Bezug auf den Verantwortungsbereich, Rollendefinitionen und Einsatzmöglichkeiten erschwerten die Implementation des CADM. Background: People with a mental and physical illness receive less good somatic care compared to the general population. Patients in psychiatry receive better medical care when nurses have in-depth medical expertise. Therefore, in a psychiatric institution in Switzerland in 2017, the Clinical Assessment and Decision Making (CADM) by nurses was implemented. Aim: The aim of the study was to investigate how physicians and senior psychologists experience the implementation of CADM b

Aims: To explore the experiences of health professionals and families concerning supporting low-birth weight (LBW) infants along the continuum of care (CoC) in Ghana with the goal to unveil new strategies to improve the quality of neonatal care. Design: A constructivist grounded theory. Method: Simultaneous data collection and analysis among health professionals alongside families with LBW infants from September 2020 to April 2021. The study used constructivist grounded theory strategies for data collection and analysis. Results: The analysis of 25 interviews resulted in a theoretical model describing 10 themes along the CoC for LBW infants, categorized into health and family systems drivers. In this paper, we focus on the latter. Early bonding and family involvement were empowering. Mothers needed assistance in balancing hope and confidence which enabled them to render special care to their LBW infants. Providing mothers with financial and domestic support as well as creating awareness on newborn health in communities were important. Conclusion: To achieve family involvement, a coordinated CoC must entail key players and be culturally inclusive. It must be applied at all levels in the CoC process in a non-linear faction. This can help LBW infants to thrive and to reach their full developmental potential. Impact: The theoretical model developed shows the importance of family involvement through family systems care for a comprehensive response in addressing needs of health professionals and families with LBW infants and bridging the fragmentations in the neonatal CoC in Ghana. Context-tailored research on family systems care in the neonatal period is necessary to achieve a quality CoC for LBW infants and their families. Patient or Public Contribution: Caregivers and providers participated by granting in-depth interviews. Care providers further contributed through their feedback on preliminary findings.

Background: In Switzerland, health professionals in Advanced Practice (AP) roles care to fulfil their patients’ unmet needs, despite lack of a legal basis for the AP scope of practice. In 2016, the Swiss parliament voted against establishing a framework for AP regulation, contributing to informal practice and lack of role clarification. Despite this, universities in Switzerland continue to train Nurses, Midwifes and Physiotherapists in Advanced practice at a master level, such as in the Master of Science programs at ZHAW Zurich University of Applied Sciences. Since 2019, students acquire competencies in interprofessional collaboration and the development, implementation and evaluation of AP-roles in an interprofessional education module. The purpose of this research was to evaluate the education module for Advanced Practice competencies and to explore how well it prepares students for their future AP including the development and implementation of their roles. Methods: Data was collected between 2020-2022 using standardized questionnaires, students’ reflective notes and focus group discussions with students and lecturers. Data were analyzed using descriptive statistics and content analysis techniques. Findings: In total, 67 students participated in the standardized questionnaires and 114 reflective notes were included in the analysis. 8 focus group discussions were performed involving 28 students and 37 lecturers. Students described the education module as having high clinical relevance. They were able to complete a work shadowing in different institutions and develop a role description as part of their assignment. The interprofessional elements across the module facilitated role clarity by allowing discussions and critical reflections. Exchanges with other health professionals made it possible for students to take on new perspectives on AP roles and raised their awareness of the importance of stakeholder involvement in practice development projects. Students felt p

Introduction: The population involved in this study are individuals with anorexia nervosa (AN). AN is a disease with sometimes life-threatening underweight. Self-esteem problems, anxiety and social problems accompany those affected. AN is often chronic. Hospitalized patients quickly gain weight, but often the underlying eating problem persists, which leads to rehospitalization. Studies on the self-efficacy expectation (SWE) of those affected are largely lacking. Aim: The aim of this study is to examine the SWE in those affected in the post-hospital setting with reference to the age of the affected persons, the number of hospitalizations and the course of the disease. Method: As part of this cross-sectional study, those affected were interviewed in the post-hospital, psychosomatic setting using a standardized questionnaire "General SWE". The data were evaluated descriptively and by means of inferential statistics. Result: 85 young people were interviewed. In the sample, the SWE score averaged = 28.53 with up to and including three hospitalizations and = 24.68 with four or more hospitalizations. If the inpatient stay was only recently, the SWE score shows a lower value (= 26.08) than for those with a longer stay (= 29.00). Conclusion: The results indicate that SWE can influence the course of the disease in those affected. People with higher SWE values show a more favorable course of the disease with fewer rehospitalizations. The strengthening of the SWE is therefore of great importance in the inpatient and outpatient setting through targeted interventions by specialists.

Receiving the diagnosis of a severe disease may present a traumatic event for patients and their families. To cope with the related challenges, digital interventions can be combined with traditional psychological support to help meet respective needs. We aimed to 1) discuss the most common consequences and challenges for resilience in Neuro Muscular Disease patients and family members and 2) elicit practical needs, concerns, and opportunities for digital platform use. We draw from findings of a transdisciplinary workshop and conference with participants ranging from the fields of clinical practice to patient representatives. Reported consequences of the severe diseases were related to psychosocial challenges, living in the nexus between physical development and disease progression, social exclusion, care-related challenges, structural and financial challenges, and non-inclusive urban design. Practical needs and concerns regarding digital platform use included social and professional support through these platforms, credibility and trust in online information, and concerns about privacy and informed consent. Furthermore, the need for safe, reliable, and expert-guided information on digital platforms and psychosocial and relationship-based digital interventions was expressed. There is a need to focus on a family-centered approach in digital health and social care and a further need in researching the suitability of digital platforms to promote resilience in the affected population. Our results can also inform city councils regarding investments in inclusive urban design allowing for disability affected groups to enjoy a better quality of life.

Ältere Menschen, die professionelle häusliche Pflege (Spitex-Pflege) erhalten, werden häufig ungeplant hospitalisiert. Die häufigsten Ursachen für Spitaleinweisungen einer mittelgrossen Spitex-Organisation der Deutschschweiz wurden untersucht. Diese Studie nutzte ein retrospektives, komparatives Querschnittsdesign zur Analyse der Pflegedokumentation. Der Unterschied der Eintrittsursachen von allein wohnenden und nicht allein wohnenden Personen über 65 Jahre wurde analysiert. Es zeigte sich, dass die häufigste Ursache für eine Hospitalisation ein Sturz (n = 51; 28 %) war. Weiter wurden signifikant mehr allein wohnende Personen wegen eines Sturzes ins Spital eingewiesen (p = .047).

Hintergrund: Betreuende und pflegende Angehörige übernehmen vielfältige Aufgaben in der Betreuung von palliativen Patientinnen und Patienten im häuslichen Umfeld. Um Notfallereignisse zu Hause bewältigen zu können, empfiehlt sich die Ergänzung des Betreuungsnetzes durch die spezialisierte ambulante Palliative Care (SAPC). Rascher professioneller Support ist in diesen anspruchsvollen Krisensituationen von den SAPC-Teams gefordert. Darüber, wie die Expertinnen und Experten der SAPC die betreuenden und pflegenden Angehörige antreffen, ist noch wenig bekannt. Ziel: Ziel der Studie ist es, Herausforderungen zu identifizieren, denen Expertinnen und Experten der SAPC im Umgang mit den betreuenden und pflegenden Angehörigen im häuslichen Bereich begegnen. Die qualitativen Forschungsergebnisse bilden die Grundlage, um Empfehlungen im Umgang mit den Angehörigen abzuleiten. Methode: Ein qualitatives, deskriptives Studiendesign mit Experteninterviews wurde gewählt. Der Datenanalyseprozess zur Kategorienentwicklung erfolgte induktiv mittels drei Hauptphasen des zyklischen Codierens - offenes, axiales und selektives. Resultate: Für die zwölf Expertinnen und Experten von SAPC-Institutionen ergeben sich Herausforderungen bei mehrdimensionalen Krisensituationen. Komplexe Betreuungs- und Pflegesituationen sowie komplexe Familienkonstellationen z.B. mit Kindern, der Verarbeitungsprozess der Betroffenen und der Übergang in die Sterbephase sind wichtige Faktoren. Die betreuenden und pflegenden Angehörigen sind die Hauptakteure in diesen Krisensituationen und tragen die Hauptlast. Häufig gehen damit Unsicherheit und Erschöpfung einher. Ein später Einbezug der SAPC oder intransparente und unkoordinierte Abläufe in der interprofessionellen Zusammenarbeit steigern das Krisenpotenzial. Eine mehrdimensionale Krisensituation kristallisiert sich heraus, wenn diese komplexen Begebenheiten reziprok wirken. Schlussfolgerung: Faktoren wie komplexe Familienkonstellationen, vor allem wenn minderjähri

Aims: Neuromuscular diseases are rare conditions that present with progressive muscular weakness. As affected children transition into adulthood, they become more physically dependent on their families for support. There is little evidence on the family transition experience, which this study explored to identify experiences, challenges, and strategies of coping. Design: Informed by family systems theory, a constructivist grounded theory study was conducted (2014–2017). Methods: Data were collected by one‐on‐one interviews with a purposive sample of affected Swiss individuals and their families from 2015 to 2016. Data analysis used coding, memo writing, theoretical sampling, and constant comparison techniques. Results: The analysis of 31 interviews with 10 affected individuals and 21 family members resulted in an interpretive theory constituted of four categories: (a) living with physical dependence, while striving for independence; (b) balancing proximity; (c) conforming and challenging social standards and expectations; and (d) grieving for loss, while joining forces for life. Conclusion: Family functioning and well‐being were threatened by recurring tension from stress, physical and emotional difficulties, strained relationships, and conflict. The families’ strategies of coping and adaptation and their relationships and communication shaped their transition experience. Impact: Families that experience threats to their well‐being and functioning would benefit from: needs assessment and monitoring; planning of appropriate family interventions; support of family relationships and communication, effective coping, and mastery; and positive adaptation to change.