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Background <p>Evidence-based gender-sensitive personalized nursing care (GSNC+) is considered in nursing expert standards and is the foundation for high-quality nursing care in Germany. However, the translation of GSNC+ into practice is still unknown. This qualitative study aims to identify implementation measures, facilitators, and barriers of GSNC + and to generate a nurse-focused definition of GSNC+. The overarching objective is to establish GSNC + as a foundational step toward personalized nursing care, focusing quality management on patient satisfaction.</p> Methods <p>Nine semi-structured focus group interviews and accompanying poster brainstorming were conducted with nurses from hospitals of the cardiology section (<i>n</i> = 46 nurses; 39 females, 7 males) in Germany. Audiotaped data were fully transcribed verbatim. Besides, posters were document analyzed. Two independent coders conducted the content analysis with MAXQDA using theory-based deductive themes and generated inductive subthemes.</p> Results <p>The data were clustered into five major themes and 19 subthemes organized by the Consolidated Framework for Implementation Research. Based on the results a nurse-focused definition of GSNC + was developed, and facilitators, barriers, and implementation measures were identified. From nurses’ perspective, the following aspects are needed to implement GSNC + in hospitals: Further education, adequate working and organizational structure, less time pressure in daily patient care, supporting management, media/marketing, and awareness and positive attitude from stakeholders (politicians, population/caregivers, health insurance and professional associations).</p> Conclusion <p>Evidence-based content has been less included in the in-house standard operating procedures in practice and nurses implement GSNC+ mostly intuitive in patient care - quality aspects of patient care are neglected in the process. Disseminating such expert standards is not sufficient to bring about change in practice. A systematic strategy with adequate measures for quality management is needed to enhance evidence-based and high-quality GSNC+, as well as patients´ needs.</p>

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Implementing gender-sensitive personalized nursing care into practice - a qualitative study with nurses from the cardiology units

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  • 发表日期：

    2026年2月4日

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  • Judith Mollenhauer,
  • Sophia Sgraja,
  • Ute Seeland,
  • Martina Kloepfer,
  • Volker E. Amelung,
  • Clarissa Kurscheid

摘要

Background

Evidence-based gender-sensitive personalized nursing care (GSNC+) is considered in nursing expert standards and is the foundation for high-quality nursing care in Germany. However, the translation of GSNC+ into practice is still unknown. This qualitative study aims to identify implementation measures, facilitators, and barriers of GSNC + and to generate a nurse-focused definition of GSNC+. The overarching objective is to establish GSNC + as a foundational step toward personalized nursing care, focusing quality management on patient satisfaction.

Methods

Nine semi-structured focus group interviews and accompanying poster brainstorming were conducted with nurses from hospitals of the cardiology section (n = 46 nurses; 39 females, 7 males) in Germany. Audiotaped data were fully transcribed verbatim. Besides, posters were document analyzed. Two independent coders conducted the content analysis with MAXQDA using theory-based deductive themes and generated inductive subthemes.

Results

The data were clustered into five major themes and 19 subthemes organized by the Consolidated Framework for Implementation Research. Based on the results a nurse-focused definition of GSNC + was developed, and facilitators, barriers, and implementation measures were identified. From nurses’ perspective, the following aspects are needed to implement GSNC + in hospitals: Further education, adequate working and organizational structure, less time pressure in daily patient care, supporting management, media/marketing, and awareness and positive attitude from stakeholders (politicians, population/caregivers, health insurance and professional associations).

Conclusion

Evidence-based content has been less included in the in-house standard operating procedures in practice and nurses implement GSNC+ mostly intuitive in patient care - quality aspects of patient care are neglected in the process. Disseminating such expert standards is not sufficient to bring about change in practice. A systematic strategy with adequate measures for quality management is needed to enhance evidence-based and high-quality GSNC+, as well as patients´ needs.