Konzeptanalyse „Aktivierende Pflege“

Gaps in follow-up care after inpatient hospital treatment have long been a recognised problem. Transitional care according to § 39e SGB V is intended to optimise aftercare, but it requires conceptual and legal improvements, including a scientific concept analysis for the implementation of activating care according to § 11 SGB XI.

The concept analysis was carried out according to Rodgers and the associated literature research and analysis of integrated literature sources. The analysis promotes a comprehensive understanding of the concept for nursing practice and scientific research.

The concept analysis reveals a multidimensional concept of activating care, which implies person-centred and individualised care. The dimensions include content from the areas of autonomy, participation, mobility, activities of daily living, quality of life, independence, health promotion and prevention.

The concept of “activating care” is complex. Its implementation proves to be complex in various health sectors. It includes preventative, health-promoting and rehabilitative elements, with clear interfaces to rehabilitative care. The WHO concepts of “healthy ageing” and “active ageing” as well as the person-centred approach according to Kitwood emphasise individual care.

The concept analysis of “activating care” emphasises its multidimensionality and the need to expand the understanding of care beyond simple tasks, as well as the importance of autonomy, quality of life and participation in patient care. It can support the development of quality indicators and outcomes to improve the effectiveness and implementation of activating care in practice.