Christa Dr. Lohrmann

Medical University of Graz · Institute of Nursing Science

Background Older adults in Indonesia are mostly living at home with their families. Informal care provided by family caregivers is essential to prevent older adults from getting pressure injuries (PIs). The objectives of this study were to examine the knowledge, attitude and practice of family caregivers regarding PI prevention among community-dwel...

Background Older care receivers of long-term care at home or in residential care are in sustained and close contact with nurses. Consequently, nurses’ attitudes towards older adults and their care influences the quality of the delivered care. There is a dearth of research on long-term care nurses’ attitudes towards older adults. We aimed to investi...

Objective Shared decision-making is one promising approach to promoting recovery and person-centred care but seems challenging for implementation in clinical practice. This study aimed to explore how patients and health professionals experience shared decision-making and its facilitators and barriers. Methods A multiple qualitative case study desi...

Cross-sectional study, using an online survey, was conducted in March 2021, reaching out to 841 registered nurses across Austrian acute care institutions. The German version of the Cultural Competence Assessment Scale (CCA-G), consisting of two subscales (cultural awareness and culturally competent behaviour), was used to assessed the cultural comp...

Aim: The aim of this study was to assess the level and to identify influencing factors of cultural competence of nurses working in Austrian acute care settings. Methods: This cross-sectional study was performed in March 2021 with a convenience sample of nurses. Data collection was carried out online with LimeSurvey. To assess the cultural competenc...

Background Falls are a major problem among adults over 60 years. Multiple preventive measures must be taken. Written information leaflets can support the knowledge transfer and positively influence recall of the information provided. Objective The aim was to ensure usefulness and understandability of the information leaflets on home fall preventio...

Introduction Nurses often experience stress and feel under time pressure when working with older people, increasing their job dissatisfaction. Especially people 80 years of age and older often require more complex and a greater measure of care, as the risk of care dependency is higher in this age group. This study was conducted to collect nurses’ e...

Aim Examining the perspectives of formal and informal caregivers and residents on roles, mutual expectations and needs for improvement in the care for residents with (a risk of) dehydration. Design Qualitative study. Methods Semi‐structured interviews with 16 care professionals, three residents and three informal caregivers were conducted between...

Slum-dwellers lack several essential amenities (such as water, sanitation, and electricity) which make them more vulnerable than non-slum dwellers. As there is limited to no access to health and social care services in slums, the slum environment is expected to be an even more dangerous environment for older adults, negatively impacting their quali...

Background The increasing cultural diversity in healthcare in European countries, including Austria, has highlighted the need to enhance nurses’ cultural competence. Assessing cultural competence and identifying relevant influencing factors can help to improve culturally competent care. The aim of this study was to assess the cultural competence of...

Background: The prevalence of obesity has risen in recent decades and reached epidemic proportions worldwide. The proportion of those living with obesity is also increasing in nursing homes. This could impact the nursing care required, equipment and facilities provided, and morbidity in these settings. Limited evidence exists on clinical consequen...

Background: Adults aged 80 years and older form a vulnerable group regarding perceived ageism, because they are often stereotyped as being frail and dependent. Nurses often display biased behaviour and hold negative attitudes towards this age group, due to the fact that they have frequent contact with patients who need com-plex care. As this freque...

Background Besides confronting the challenges of a growing older population, developing countries are dealing with limited resources and infrastructure, to ensure good health and social care services. One of these developing countries facing these challenges is Ghana. The healthcare system in Ghana currently does not have specialized geriatric serv...

Background The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence...

Background The concept of end of life (EOL), as in the term end-of-life care, is used synonymously in both palliative and terminal care. Practitioners and researchers both require a clearer specification of the end-of-life concept to be able to provide appropriate care in this phase of life and to conduct robust research on a well-described theoret...

Objectives : The aim of this study is to describe and compare the prevalence rates of urinary incontinence as well as the management of urinary incontinence in the nursing home setting in Austria, the Netherlands, Turkey and the UK. Methods : This study is a secondary analysis of the 2017 and 2018 data from a multi-site, cross-sectional study whic...

Stroke impacts care dependency, and thus the patient needs home care after suffering a stroke. This study was carried out to investigate similarities and differences between the assessments made by family caregivers and nurses regarding the care dependency level of stroke patients in Indonesian hospitals. This study was a comparative study of the c...

Background: Those working in the field of palliative care have recognized that many terms are being used synonymously and that clear definitions (or any definitions) for many of these terms are lacking. The synonymous use of the terms palliative and end of life (EOL) can especially lead to conflicts in clinical practice, such as a tardy referral to...

Background Adapting practices to respond sensitively to increasingly culturally diverse patients can be challenging. Therefore, cultural competence among nurses needs to be assessed to evaluate their current cultural competence and the need for interventions to improve daily nursing practice. Little is known about cultural competence of nurses in G...

Shared decision making is increasingly receiving attention in health care and might improve both the quality of care and patient outcomes. Nevertheless, due to its complexity, implementation of shared decision making in clinical practice seems challenging. This ethnographic study aimed to gain a better understanding of how psychiatric inpatients an...

Objective This study provides insight into the quality of life (QoL) of older adults living in urban slums in Ghana. Design The study employed a community-based, cross-sectional design to assess QoL among older adults in two slums between April and May 2020. QoL was assessed using the WHO Quality of Life-Brief version (WHOQOL-BREF) questionnaire....

Aim To explore the perceived quality of collaboration in dehydration care among nursing and medical staff in Dutch nursing homes. Design A cross-sectional study. Methods An online questionnaire was administered to nursing and medical staff in February 2020 to assess the quality of collaboration in dehydration care and its influencing factors. Des...

Purpose: Falls are a highly prevalent problem in hospitals and nursing homes with serious negative consequences such as injuries, increased care dependency, or even death. The aim of this study was to provide a comprehensive insight into institution-acquired fall (IAF) prevalence and risk factors for IAF in a large sample of hospital patients and...

Introduction The aims of the study were to investigate the four-factor structure of the German version of the Aging Semantic Differential (ASD) and to gain initial insights into the attitudes of nursing, medical and humanities students towards older people in Austria. Method A cross-sectional study design with a convenience sample was chosen. Res...

Aims To examine which signs/symptoms registered nurses (RNs) and certified nurse assistants (CNAs) (nursing staff) in Dutch nursing homes associate with dehydration, if they observe these signs/symptoms themselves and what they do after observing them. Design A cross-sectional study. Methods In February 2020, using an online questionnaire based o...

Background: The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of PIs could potentially decrease its prevalence rates. However, fam...

Background Over 60% of the population in sub-Saharan Africa, live in informal settlements (slums) with little or no resources. To be prepared to meet the needs of older people living in slums, it is necessary to know more about their quality of life (QoL). The objective of this review is to identify instruments, which can be used by researchers to...

Aims and objectives The holistic care dependency concept can be applied to gain comprehensive insights into individuals’ care needs in the end-of-life (EoL) phase. This study was carried out to measure and characterise the “care dependency” phenomenon in this phase and to obtain deeper knowledge about this phenomenon. Background The end of a human...

The objectives of this study were to examine the knowledge and attitude of Indonesian community nurses regarding Pressure Injury (PI) prevention. A cross‐sectional design was used and included the community nurses permanently working in the Public Health Center (Puskemas) in Bandung, West Java Indonesia. Knowledge was measured using the Pressure Ul...

Objective: To examine the expectations of informal caregivers, nurses, and dementia trainers regarding the support of (physical and psychosocial) human needs by humanoid social assistive robots (SARs) in dementia care. Methods: A qualitative study was conducted with 11 homogeneous focus groups of informal caregivers, nurses and dementia trainers pr...

Background Cultural competence is a key component of culturally congruent nursing care. In order to reduce healthcare inequalities and to identify potentials for improvement in nursing practice, researchers need to be able to assess cultural competence properly. Although many instruments for the assessment of cultural competence have been develope...

Palliative care focuses on symptom management, discussion of treatment and care decisions, network organization, and support of the family. As part of the advance care planning (ACP) process, staff nurses in the acute care setting are often involved in all of the above areas. It is yet unclear what nurses' roles and responsibilities are and what sk...

Accessible Summary What is known on the subject? • Shared decision‐making is a concept originating in the medical field, and it is ideally based on a trustful relationship between the patient and the health professionals involved. • Shared decision‐making shows potential to strengthen patient autonomy and encourages patients to become involved in...

Der vorliegende Beitrag widmet sich wissenschaftlich fundoierten und anwendbaren Assessmentinstrumenten zur Erhebung von Schmerzen bei Menschen mit Demenz im Setting Krankenhaus.

Aims We provide more updated and comprehensive insights, including descriptions of changes that have taken place in the quality of pressure injury care provided in hospitals over a ten‐year period. Background Various nursing quality measurements do not present a comprehensive view on nursing‐sensitive quality indicators or place a focus on one spe...

Objective This systematic review aimed to identify the most relevant problems related to malnutrition in adult patients undergoing haematopoietic stem cell transplantation (HSCT) and to identify non‐pharmacological interventions to treat these problems. Methods A systematic search for each research question was performed in MEDLINE, CINAHL, Embase...

Purpose This study aimed to evaluate the psychometric properties of the Indonesian version of the Care Dependency Scale (CDS) among stroke survivors. Methods The study was undertaken in four hospitals. We analysed datasets obtained from 109 stroke survivors on inpatient wards and in outpatient clinics, who were rated by nurses to determine the CDS...

Background Nurses’ end of life (EoL) care focuses on direct (eg, physical) and indirect (e,g, coordination) care. Little is known about how much time nurses actually devote to these activities and if activities change due to support by specialized palliative care (SPC) in hospitalized patients. Aims (1) Comparing care time for EoL patients receivi...

PurposeEven though dehydration is a big problem among nursing home residents, a universally agreed method to diagnose dehydration among nursing home residents is missing. Therefore, this study aimed to establish consensus on a method to diagnose dehydration in this population.Methods Using an international Delphi study, 53 experts (physicians and a...

Objective: The aim of the study was to examine the availability of clinical practice guidelines for malnutrition in hospitals over a period of 6 y and the subsequent use of nutritional interventions in malnourished patients. Methods: This study was conducted as a secondary data analysis of data that were collected from 2012 to 2017 in a quantita...

Purpose: The Joint Action Malnutrition in the Elderly (MaNuEL) Knowledge Hub was established to extend scientific knowledge, strengthen evidence-based practice, build a sustainable, transnational network of experts and harmonize research and clinical practice in the field of protein-energy malnutrition in older persons. This paper aims to summariz...

Hintergrund: Die Prävalenz von Demenzerkrankungen steigt weltweit an und damit auch der Bedarf an Gesundheitsleistungen, welche einem zukünftigen Versorgungsengpass an Pflegepersonen gegenüberstehen. Neuen Technologien, wie z.B. soziale Pflegeroboter, haben das Potential Betreuungspersonen und Betroffene in den Aktivitäten des täglichen Lebens (ATL...

The purpose of this quality improvement point-prevalence project conducted in 2017 was to describe the structure, process, and outcome indicators for pressure injury (PI) prevention and care in 37 Austrian hospitals with 208 wards and 2955 patients, with an average age of 66 years. Structural indicators such as PI guideline availability were measur...

Background Over 60% of the population in sub-Saharan Africa lives in informal settlements (slums) with little or no resources. To be prepared to meet the needs of older people living in slums, it is necessary to know more about their quality of life (QoL). The objective of this review is to identify instruments, which can be used by researchers to...

Dementia is a very burdensome disease, which not only challenges those affected but also causes burden for relatives and professional caregivers. New technologies, such as socially assistive robots (SAR), may support caregivers and people with dementia in activities of daily living. To provide optimal support in the future, it is necessary to ask p...

Aims: To describe the associations between dysphagia and malnutrition risk and to identify predictors for dysphagia in a group of persons at risk of malnutrition in hospitals and nursing homes. Design: A secondary analysis of cross-sectional data from the years 2012-2016. Methods: The risk of malnutrition was assessed using the Malnutrition Un...

Objective: To evaluate if the use of a pressure injury (PI) risk assessment is associated with the more frequent use of international evidence-based guideline interventions in patients at risk of PI. Methods: Data were collected through a multicenter cross-sectional prevalence study conducted on November 14, 2017. Study authors analyzed data fro...

Background: Intervention trials confirm that patients with advanced cancer receiving early palliative care experience a better quality of life and show improved knowledge about and use of palliative care services. To involve patients in future health-care decisions, health professionals should understand patients' perspectives. However, little is...

Background: Guideline-compliant conservative management of urinary incontinence (UI) is the first step of the initial management for UI and is recommended for long-term care in older persons. Recent studies have focused on the effects of guideline-compliant UI management. However, most of these studies were tested in another setting than nursing h...

Is the German pilot version of the Ghent Global IAD Categorization (GLOBIAD) tool a clinical useful tool from the users' perspective and what are the incontinence‐associated dermatitis (IAD) prevalence and categories in the hospital and geriatric settings? Before evaluating the psychometric properties of an instrument, it is recommended to carry ou...

The objectives of this study were to investigate the prevalence and the characteristics of pressure ulcers (PU) in community‐dwelling older adults in Indonesia, including specific characteristics of the PU patients and their use of formal and informal care. A cross‐sectional design was used for the study, with 325 participants aged 60 years or olde...

Background/objectives: Malnutrition risk screening represents a crucial starting point for the successful management of malnourished patients. This study was conducted to (1) examine the effect of the use of a malnutrition screening tool on process indicators of nutritional care and (2) explore healthcare professionals' perceptions and opinions re...

Purpose Malnutrition is a condition which is highly prevalent, especially in older persons. Physicians play an important role in multidisciplinary nutritional management, but often feel inadequately prepared to provide nutritional information/therapy to their patients. The aim of this study was to gather information on curricular content on malnutr...

This cross‐sectional, multicentre study was conducted in hospitals to investigate nutritional interventions conducted in patients aged 70 years or older with (risk of) pressure injuries. A total of 1412 patients from 33 hospitals with 208 wards participated in the study. A standardised questionnaire was used to collect demographic data and data on...

Background: Dementia is common in older people in general hospitals. To improve the quality of their care, the use of nonpharmacological interventions based on the best evidence from clinical guidelines is recommended. Many international clinical guidelines exist, but their recommendations are often not used because they do not fit the local setti...

This course in german language (https://imoox.at/mooc/local/courseintro/views/startpage.php?id=31&lang=en) is intended for nursing staff and other health care professionals (e.g. medicine) as well as students of health care studies. In this course, fundamental information is provided on the topic of malnutrition in the elderly, and methods used for...

Malnutrition risk screening is essential for the adequate identification and treatment of malnourished hospitalised patients. The aim of this study was to determine the effect of the use of an electronic malnutrition screening tool on the knowledge, attitudes and perceived practices (KAP) of a pool of nurses, nurses’ aides and physicians. A control...

Objectives: To provide an overview of the prevalence rates and risk factors of dehydration among nursing home residents. Design: Systematic literature review. Setting: Nursing homes. Participants: Nursing home residents or institutionalized long-term care residents. Measurements: A systematic literature review was executed on March 15, 201...

Background: Public health leaders are confronted with complex problems, and developing effective leadership competencies is essential. The teaching of leadership is still not common in public health training programs around the world. A reconceptualization of professional training is needed and can benefit from innovative educational approaches. Ou...

Aims and objectives To adapt international guideline recommendations for the conservative management of urinary incontinence (UI), defined as any involuntary loss of urine, in Austrian nursing home residents following the ADAPTE‐process. Background Many international guidelines for managing urinary incontinence (UI) are available. Nevertheless, th...

Symposium organized by Dr. Sandra Schüssler and Prof. Christa Lohrmann Beschreibung Symposium: Dr. Sandra Schüssler, MSc, BSc Weltweit ist die Demenz eine große Belastung für Gesundheitssysteme. Die Anzahl der erkrankten Personen wird bis zum Jahr 2050 auf mehr als 100 Millionen ansteigen und die weltweiten Kosten für die Behandlung und Pflege wer...

Aims and objectives: In this study, we describe the development of evidence- and theory-based fall prevention educational material and its evaluation from the users' perspectives. Background: To reduce risk factors for falling in nursing homes, nursing staff must enact multifactorial fall prevention intervention programmes. A core component of t...

Background: Investigations on the quality of nursing care relating to various care problems are rare. Purpose: This study assessed the (1) fulfillment of structural indicators, (2) application of nursing interventions as process indicators, and (3) prevalence rate as outcome indicators with regard to various care problems. Methods: A cross-sec...

Rationale: Evidence-based interventions for malnourished older adults are rarely implemented in daily clinical practice. One main reason may be the lack of sufficient nutritional knowledge of nurses. Therefore, this study aimed at determining the provision and content of malnutrition education in basic nursing education across European countries. M...

Introduction: Pressure ulcers (PUs) lead to serious consequences for hospitalized patients, e.g. pain or diminished quality of life. Due to associated health care costs, PUs are seen as a substantial economic burden for health care systems. According to the current literature as well as the evidence-based guidelines of the European Pressure Ulcer A...

In order to tackle the increasing problem of malnutrition (i.e. protein-energy malnutrition) in the older population, the Joint Action Malnutrition in the Elderly (MaNuEL) Knowledge Hub has been recently launched as part of the Strategic Research Agenda of the Joint Programming Initiative (JPI) A Healthy Diet for a Healthy Life (HDHL). This paper i...

Purpose: The study was conducted to investigate the change of care dependency in stroke patients from inpatient wards and outpatient units in Indonesia. Methods: This study is longitudinal and multicentered. One hundred and nine patients were included from four hospitals on the island of Java. Care dependency was assessed using the Indonesian versi...

A free sample reading can be found in google books (https://books.google.at/). You can buy the book on following homepage: http://www.springer.com/gp/book/9783319498300 It is available as eBook and as Hardcover. Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics a...

Delirien treten bei Patienten auf Intensivstationen häufig auf, werden jedoch selten als solche erkannt. Der Einsatz von Screening- und Assessmentinstrumenten zur strukturierten Erkennung von Delirien hat daher erheblich an Bedeutung gewonnen. Doch welche Instrumente sind am besten geeignet?

Background: UK care homes have no mechanism for counting, collating or analyzing prevalence of care problems to benchmark quality of care. This study investigated the feasibility of the International Prevalence Measurement of Quality of Care (LPZ-i) for benchmarking in UK care homes and described facilitators and challenges to implementation. Met...

Aims: To describe changes in the nutritional status of nursing home residents over a period of one year and identify factors associated with a decline in nutritional status. Background: The maintenance of good nutritional status is important for nursing home residents. Therefore, it is essential to identify risk factors that indicate a decline i...

Although the number of studies on pressure ulcer (PU) occurrence continues to grow, research regarding the quality of PU care and its effect on outcomes is limited. Using an extended Donabedian model, a 1-day, multicenter, cross-sectional evaluation of the quality of PU care was conducted in a convenience sample of Indonesian hospitals among patien...