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Introduction <p>Loss of mobility is a&#xa0;frequent issue in nursing home residents. The expert standard maintenance and promotion of mobility in nursing addresses this challenge. To date, little is known about the extent to which the expert standard is applied in practice.</p> Method <p>An online survey was developed targeting long-term residential nursing homes in the city and district of Karlsruhe. From 92&#xa0;contacted nursing homes, 40&#xa0;answered the survey (43.5%).</p> Results <p>The expert standard was confirmed by 20&#xa0;facilities (<i>N</i> = 39; 51.3%) as being at least almost fully implemented, with only 2&#xa0;facilities stating that they do not apply it at all (5.1%). Nevertheless, there is potential for improvement, particularly with respect to the targeted training of strength, balance and endurance as hardly any corresponding validated training programs are used. There is also room for improvement in the areas of cooperation with external partners, information, counselling and guidance as well as employee expertise. The high proportion of residents who are immobile (median 100%; interquartile range, IQR 61.6–100) and bedridden (median 23.9%; IQR 10.2–100) indicates a&#xa0;greatly reduced mobility status.</p> Discussion <p>Considerable efforts are being made by the facilities, while at the same time the residents’ ability to move is considerably reduced; however, there are also signs of considerable difficulties in implementing the expert standard, which can only partly be explained by the challenges described or a&#xa0;lack of staff.</p>

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Hat der Expertenstandard „Erhaltung und Förderung der Mobilität in der Pflege“ den Weg in die Praxis gefunden?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月29日

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  • Fabian Graeb,
  • Bianca Berger,
  • Ulrich Wagner,
  • Georg Spranz,
  • Eveline Schwerdt,
  • Gabriele Fetzner,
  • Manuel Schutza,
  • Reinhold Wolke

摘要

Introduction

Loss of mobility is a frequent issue in nursing home residents. The expert standard maintenance and promotion of mobility in nursing addresses this challenge. To date, little is known about the extent to which the expert standard is applied in practice.

Method

An online survey was developed targeting long-term residential nursing homes in the city and district of Karlsruhe. From 92 contacted nursing homes, 40 answered the survey (43.5%).

Results

The expert standard was confirmed by 20 facilities (N = 39; 51.3%) as being at least almost fully implemented, with only 2 facilities stating that they do not apply it at all (5.1%). Nevertheless, there is potential for improvement, particularly with respect to the targeted training of strength, balance and endurance as hardly any corresponding validated training programs are used. There is also room for improvement in the areas of cooperation with external partners, information, counselling and guidance as well as employee expertise. The high proportion of residents who are immobile (median 100%; interquartile range, IQR 61.6–100) and bedridden (median 23.9%; IQR 10.2–100) indicates a greatly reduced mobility status.

Discussion

Considerable efforts are being made by the facilities, while at the same time the residents’ ability to move is considerably reduced; however, there are also signs of considerable difficulties in implementing the expert standard, which can only partly be explained by the challenges described or a lack of staff.