Recent care scandal - the call after new personnel key erhallt every year again
(openPR) - the recent care scandal signals (times again) embarrassment with the professional ones and their professional associations. Apart from a fundamental reform of the nursing care insurance the demand is raised after the increase technical personnel keys in nursing homes.
„Bad states in homes are frequently a consequence of the complete revision of the personnel “, so Franz Wagner, Federal business manager of the DBfK today in Berlin. „We demand therefore from the policy the introduction of a personnel calculation procedure in German nursing homes, which considers the actual care expenditure. Today the legally prescribed specialist ratio of 50 per cent might not be sufficient then within many living ranges any longer “, so Wagner further. In many homes will it because of the rising costses for the personnel ever more heavily to carry a good support out for the inhabitants. It is responsible too little trained personnel for too many inhabitants. This makes excessive demands of many care forces in the care everyday life. „That is however not the debt of the care forces, but omission of the carriers, but above all the policy, which home operators supply not sufficiently with means. “
Source: Article DBfK - German professional association for occupations of care v. 20.02.07
www.dbfk.de/index.phpsubaction=showfull&id=1171960246&archive=&start_from=&ucat=10&
Short note:
The causes for the bad states do not seem to be constituted thus after the report and this are by any means new realizations. Care forces are overtaxed, but in the long run not debt at the disaster. For the omissions rather the carrier is responsible - however in the long run the policy, since this does not supply the home operators with sufficient means. „The consequence is the attitude of cheap personnel without training “and the society must in the long run decide, „whether it a bad, but cheap supply wishes or an appropriate supply, which has however its price. It is not longer acceptable that this social problem is pushed away on the inhabitants and the maintaining. “
A view into the pflegekundliche literature shows however that quite considerable and authors provided with a high Reputation understand for instance the specialist ratio in stationary old-rge facilities as not static size. Findings, which in all other respects result from the standard sound § 5 II of the HeimPersV. To § 5 II can be deviated from the demanded 50%-igen specialist ratio, „if this for a professional support of the home inhabitants necessary or sufficient is “and from the specialist ratio with agreement of the responsible authority be deviated can. From this it follows that to the carriers quite a Initiativrecht comes to state if necessary on the basis § 5 HeimPersV at the appropriate authority and to certainly furnish the proof that a deviation is either upward or downward necessary. In the maintain-legal literature it is considered as at present undisputed that there is so far still „no maintain-scientific or other specializedscientific reason for the 50-Prozent-Quote “. „Empirical cannot be however unfortunately proven the qualifying and quality-assurance influence of care specialists on the quality of the care everywhere. “, so Klie, in comment on the judgement of the VG Duesseldorf from 14. the 11. 2000, Az. 3 K 1775/00 >>> comment (HTML) >>> www.aktuelle-pflege.de/Fach.htm
Whether this actually like that is, is not to be decided here.
See resuming to it about „care qualification determines care quality! “
www.schmerzkongress.info/downloads/Pflegequalitaet.pdf
H. Entzian, the responsibility of care specialists from the view of the Professionalisierung of the care - a positioning. Lecture, held on that 1. KWA care symposium, 2002
Source: KWA - on-line >>> www.kwa.de/fileadmin/schriften/ReferatEntzian.pdf
Th. Klie, legal basic conditions for the employment and the profile of specialists in mechanisms of the care. At the same time a contribution for the interpretation §§ of the 4, 5 home personnel regulation (version of a lecture on that revised 1. KWA - Care symposium v. 23.10.02 in Konstanz)
Source: KWA - on-line >>> www.kwa.de/fileadmin/schriften/ReferatKlie1Symposium.pdf
The question about the responsibility is clear certainly: The carrier of a stationary old-rge facility has to carry ensuring that it opposite the inhabitant put its contractually taken over obligations artis fulfilled. „The debt reproach “in relation to the policy is too overall, is the basis nevertheless the pflegerischen misses primarily individually vorwerfbare actions, which fulfill the quality of bodily injury facts. Here is not to be talked the word about the deficit eras care, the one entire profession stigmatisiert, but skepticism forces itself upon more and more, if in the course of the Professionalisierungsbemühungen the call erschallt after the so-called tasks of reservation and thus an according to professional status autonomy. The rising costses will still rest on the carriers and will if necessary still strengthen. From therefore it it might be not sufficient to surrender the decision of the society. The Profession is demanded and primarily with view of an quality-appropriate supply; the care scandals are individually vorwerfbar and this should not by for years a led discussion around the specialist ratio be watered.
Lutz Barth
IQB - Lutz Barth
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Tel. 0471/50 40 541
Internet portal: www.iqb-info.de
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