Implementierung eines sektorenübergreifenden Gesamtversorgungskonzeptes: Ergebnisse einer Sekundärdatenanalyse

BACKGROUND: Due to increased demand from older adults who live in the immediate vicinity of a few nursing homes, a large care provider in the community expanded its residential care service to include home care services. To be successful with such a strategy an orientation towards the needs and the ability to change as well as the willingness of employees to change is of exceptional importance. AIM OF THE SECONDARY DATA ANALYSIS: Identification of factors that have influenced the need, the ability and eagerness for change. The focus of the article lies on the willingness of the employees to change. MATERIAL AND METHODS: Based on 32 semi-structured interviews, which were conducted at 3 different times between 2016 and 2018 with 3 different groups of employees of the community care provider, a secondary data analysis was carried out using a content-structured qualitative content analysis. RESULTS: Employees’ willingness to change was influenced by the following factors: the situational independent readiness for change (being ready for change regardless the situation?), conscious decision for the nursing home/ inpatient setting, the idea of the cross-sectoral care concept, the implementation of the cross-sectoral care concept, the recipients of nursing care/services, previous experience in home care. CONCLUSION: The results offer insights into which factors influence the willingness of employees to change. These factors influence change so that they need to be known and taken into account.