Organising care provision competence-oriented (PM 28/26)

Trialling in two pilot facilities
The model was tested in two Protestant care centres over four phases: an analysis of the current situation at each facility was followed by a joint kick-off meeting and the joint development of tasks, roles and service procedures with staff from all levels of qualification. In the subsequent implementation phase, the model was put to the test in practice, supported by training sessions, workshops and close supervision from senior management. The process concluded with an evaluation phase featuring reflective discussions and feedback from staff members and residents. The process was supplemented by a mentoring programme for career changers and those new to the profession, as well as a training programme for care assistants. Furthermore, palliative care structures were expanded using resident-centred values questionnaires and standardised case conferences, which identify the personal needs and wishes of residents in elderly care.

Scientific support using a mix of methods
HM provided multi-methodological support throughout all project phases. The baseline analysis included, amongst other things, an assessment of the structures, staff and resident population of the two facilities. This was followed by a participatory concept development process in which staff members at all qualification levels were actively involved. The subsequent evaluation of the implementation took into account both the staff members’ perspective and that of the residents, thereby enabling a well-founded assessment of the new care system’s impact in practice. Project coordinator Isabel Hölscher emphasises the relief brought about by the newly developed approach to qualification-centred staffing levels: “The separation of professional and organisational responsibilities takes the pressure off the teams – this allows all staff members to work efficiently within their areas of responsibility and, for example, to strengthen their relationships with residents.”