Trial document



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  DRKS00003128

Trial Description

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Title

Therapeutic Care in the Early Neurological Rehabilitation - A Qualitative Study on the Basis of the Methodology of Grounded Theory

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Trial Acronym

[---]*

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URL of the Trial

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Brief Summary in Lay Language

What do nurses do when they provide activating therapeutic care in neurological early rehabilitation? This question is gaining relevance with regard to the billing of neurological early rehabilitation services. The billing of services is dependent on fulfilling the minimal criteria as determined in a sub-paragraph of a special coding system.There, it is stated that activating therapeutic care must be carried out by specially trained personnel. For this reason, the cost bearers are pressing for the provision and documentation of these services. At present, various hospitals use differing catalogues for the documentation of therapeutic care in neurological early rehabilitation. Tend to be based only upon experience and practical consideration, the BDH Bundesverband Rehabilitation e.V. has established a scholarship in nursing science to scientifically examine therapeutic care in neurological early rehabilitation. The aim of the study is to develop a theory of therapeutic care in neurological early rehabilitation. In order to achieve the study's aim, an open, participatory observation will be conducted.
All nurses working in the five clinics of the BDH Bundesverband Rehabilitation e. V. are potenial participants.
Furthermore episodic interviews with nursing staff, which were not observerd, will be conducted, to obtain more specific informations about therapeutic care.

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Brief Summary in Scientific Language

What do nurses do when they provide activating therapeutic care in neurological early rehabilitation? This question is gaining relevance with regard to the billing of neurological early rehabilitation services in the G-DRG system. The billing of services is dependent on fulfilling the minimal criteria as determined in sub-paragraph 8-552 of the operations and procedures coding system (OPS). There, it is stated that activating therapeutic care must be carried out by specially trained personnel. For this reason, the cost bearers are pressing for the provision and documentation of these services. At present, various hospitals use differing catalogues for the documentation of therapeutic care in neurological early rehabilitation. Tend to be based only upon experience and practical consideration, the BDH Bundesverband Rehabilitation e.V. has established a scholarship in nursing science to scientifically examine therapeutic care in neurological early rehabilitation. The aim of the study is to develop a theory of therapeutic care in neurological early rehabilitation. In order to achieve the study's aim, an open, participatory observation will be conducted. The study is based on the methodology of grounded theory of Glaser and Strauss (1967) and will be carried out in the time frame of 01.10.2010 to 30.09.2013.

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Organizational Data

  •   DRKS00003128
  •   2011/06/27
  •   [---]*
  •   yes
  •   Approved
  •   [---]*, Ethikkommission der Medizinischen Fakultät der Martin-Luther-Universität Halle Wittenberg
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Secondary IDs

  •   U1111-1122-0051 
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Health Condition or Problem studied

  •   therapeutic care in the early neurological rehabilitation
  •   Z50 -  Care involving use of rehabilitation procedures
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Interventions/Observational Groups

  •   open, participant observation with the following question: "How were people in phase b and c of the early neurological rehabilitation activated and therapeutical cared"
  •   episodic interviews
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Characteristics

  •   Non-interventional
  •   Other
  •   Other
  •   Open (masking not used)
  •   [---]*
  •   Other
  •   Health care system
  •   Other
  •   N/A
  •   N/A
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Primary Outcome

A Grounded Theory about therapeutic care

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Secondary Outcome

Saturation of the data within every categorie

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • Medical Center 
  • Medical Center 
  • Medical Center 
  • Medical Center 
  • Medical Center 
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Recruitment

  •   Actual
  •   2011/06/15
  •   200
  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   65   Years
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Additional Inclusion Criteria

Nurses, who work in the five clinics of the BDH Bundesverbad Rehabilitation e.V.
They were included in the study if they are 18 years old at the minimum and 65 years old at the maximum.

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Exclusion Criteria

There are no exlusion criteria

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Addresses

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    • Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg Institut für Gesundheits- und Pflegewissenschaft
    • Mr.  Professor  Johann  Behrens 
    • Magdeburger Straße 8
    • 06112   Halle / Saale
    • Germany
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    • Hochschule für Technik und Wirtschaft des Saarlandes
    • Ms.  Dr.  Sindy  Lautenschläger 
    • Goebenstraße 40
    • 66117  Saarbrücken
    • Germany
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    • Hochschule für Technik und Wirtschaft des Saarlandes
    • Ms.  Sindy  Lautenschläger 
    • Goebenstraße 49
    • 66117  Saarbrücken
    • Germany
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Sources of Monetary or Material Support

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    • BDH Bundesverband Rehabilitation e.V.
    • Ms.  Ilse  Müller 
    • Eifelstraße 7
    • 53119  Bonn
    • Germany
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Status

  •   Recruiting complete, follow-up complete
  •   2014/07/28
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Trial Publications, Results and other Documents

  •   Studienprotokoll, Lautenschläger (2011): Therapeutische Pflege in der neurologischen Frührehabilitation
  •   Lautenschläger, S., Immenschuh, U., Wallesch, C.-W. & Behrens, J. (2012): „Plädoyer für den Leistungsbereichen entsprechende Leistungskataloge in der Pflege.“ In: Hallesche Beiträge, 11 (1): 1-13.
  •   Lautenschläger, S., Behrens, J. & Muser, J. (2012): Pflege ist therapeutisch! In: Die Schwester der Pfleger. 51 (7): 658-660.
  •   Lautenschläger S: OPS-Ziffer 8-552: Therapeutische Pflege durch besonders geschultes Fachpersonal – Was ist das Therapeutische an der Pflege. Neurol Rehabil . 2014. 20 (3): 142-151
  •   Lautenschläger S, Wallesch C-W: Leistungskataloge der aktivierend-therapeutischen Pflege in der neurologischen Frührehabilitation. Rehabilitation. 2015. 54 (1): 30-37
  •   Lautenschläger S: Therapeutische Pflege in der neurologischen (Früh-)Rehabilitation: Eine Grounded Theory Studie. Rehabilitation. 54 (4): 273-278
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* This entry means the parameter is not applicable or has not been set.