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A new role profile for nurses with expanded competencies promoting person-centered care in long-term care: a
Katharina Silies1, Tilman Huckle2, Nadine Pohontsch3
1University of Lübeck, Institute for Social Medicine and Epidemiology, Nursing Research Unit, Ratzeburger Allee 160, 23562, Lübeck, Germany. Katharina.silies@uni-luebeck.de.
BMC Geriatrics
|July 5, 2025
Summary
A new role profile for nurses with Bachelor's degrees was developed to enhance care for nursing home residents with complex needs. This role focuses on direct resident care, aiming to improve outcomes and reduce hospital transfers.
Area of Science:
- Nursing Science
- Health Services Research
- Gerontology
Background:
- Increasing complexity of care needs in nursing home residents.
- Positive correlation between higher nurse qualification levels and improved patient outcomes.
- Lack of defined role profiles for Bachelor's-prepared nurses in German long-term care.
Purpose of the Study:
- To develop an innovative role profile for nurses with advanced competencies.
- To improve the quality of care for residents with complex care needs in long-term care settings.
Main Methods:
- Mixed-methods intervention development study using the PEPPA framework.
- Systematic literature reviews and multiple case studies to identify root causes of transfers.
- Participatory stakeholder workshops to refine the role profile and implementation strategies.
Main Results:
- A new role profile was created with four key competence areas: managing chronic diseases, empowerment and communication, person-centered care networks, and [specific fourth area not fully detailed in abstract].
- A 300-hour additional qualification program is the primary implementation strategy.
- Organizational strategies include shared goal setting and adaptable intervention components.
Conclusions:
- A participatory approach successfully developed a new role profile for Bachelor's-prepared nurses in direct resident care.
- The feasibility, utility, and clinical impact of this new role will be evaluated in a future pilot trial.
- The study highlights a structured approach to advanced practice nursing role development in long-term care.
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