TY - JOUR A1 - Peppler, Lisa A1 - Feißt, Martin A1 - Schneider, Anna A1 - Apelt, Maja A1 - Schenk, Liane T1 - Beyond one-sided expectations of integration BT - rethinking international nurse migration to Germany JF - European journal of public health N2 - Background: Like most countries, Germany is currently recruiting international nurses due to staff shortages. While these are mostly academic, the academisation of nursing in Germany has only just begun. This allows for a broader look at the participation of migrant nurses: How do care teams deal with the fact that immigrant colleagues are theoretically more highly qualified than long-established colleagues? Methods: Case studies were conducted in four inpatient care teams of two hospitals in 2022. Qualitative data include 26 observation protocols, 4 group discussions and 17 guided interviews. These were analysed using the documentary method and validated intersubjectively. Results: Due to current academisation efforts in Germany and the immigration of academised nursing staff from abroad, the areas of activity and responsibility of nursing in Germany are under negotiating pressure. This concerns basic care for example, which in Germany is provided by skilled workers, but in other countries is mostly provided by assistants or relatives. The question of who should provide basic care, whether all nurses or only nursing assistants, documents the struggle between an established and a new understanding of care. In this context, the knowledge and skills of migrant and academicised care workers become a crucial aspect in the struggle for a new professional identity for care in Germany. Conclusions: The specific situation in Germany makes it possible to show the potential for change that international care migration can constitute for destination countries. The far-reaching process of change of German nursing is given a further dimension not only by its academization, but by the immigration of international and academically trained nursing staff, where inclusive or exclusive effects can already be observed. Key messages: The increasing proportion of migrant nurses accelerates the current discussion on nursing in Germany. Conflict areas show up in everyday work of care teams and must be addressed there. KW - emigration and immigration KW - Germany KW - inpatients KW - negotiating KW - nurses KW - nursing staff KW - immigrants KW - professional identity Y1 - 2023 U6 - https://doi.org/10.1093/eurpub/ckad160.1484 SN - 1101-1262 SN - 1464-360X VL - 33 IS - Supplement 2 PB - Oxford University Press CY - London ER - TY - JOUR A1 - Peppler, Lisa A1 - Feißt, Martin A1 - Schneider, Anna A1 - Apelt, Maja A1 - Schenk, Liane T1 - Was ist eigentlich das Problem am Waschen? BT - Grundpflege in der Diskussion am Beispiel von vier stationären Pflegeteams JF - Das Gesundheitswesen N2 - Einleitung Pflege in Deutschland befindet sich in einem Veränderungsprozess. Die politisch forcierte Zuwanderung von Pflegekräften sowie die Akademisierung führen zu einem enormen Anpassungsdruck bei allen Beteiligten. Wie wirkt sich dies auf den Arbeitsalltag aus? Methoden Die qualitative Datenbasis umfasst bisher 36 Tage Teilnehmende Beobachtung, 17 Themenzentrierte Leitfadeninterviews sowie vier Gruppendiskussionen in vier Pflegeteams zweier Krankenhäuser. Die Analyse erfolgt mit der Dokumentarischen Methode. Ergebnisse Am Beispiel der Grundpflege (u. A. dem „Waschen“) wird deutlich, wie die Pflegeteams ihren Arbeitsalltag neu aushandeln. Die Teams mit einer hohen migrationsbezogenen Diversität argumentieren eher, dass die Aufgaben der Grund- und Behandlungspflege entsprechend der Qualifikation als Hilfs- oder Fachkraft erledigt werden sollen. Hier treten stereotype (kulturalisierende) Zuschreibungen in den Hintergrund. Demgegenüber berufen sich Pflegeteams mit einer niedrigen migrationsbezogenen Diversität eher darauf, dass die Grundpflege in Deutschland – anders als in anderen Ländern – zu den Aufgaben einer examinierten Pflegefachkraft zählt. Kolleg*innen aus dem Ausland wird die pflegerische Kompetenz daher eher abgesprochen. Schlussfolgerung Die Frage nach der Aufteilung von Grund- und Behandlungspflege, ist auf allen Stationen virulent. Die Teams entwickeln jedoch in Abhängigkeit von ihrer spezifischen Heterogenität unterschiedliche Umgangsweisen. Demzufolge sollte sich Personal- und Organisationsentwicklung insbesondere an den Pflegeteams orientieren. Y1 - 2023 U6 - https://doi.org/10.1055/s-0043-1770565 SN - 1439-4421 SN - 0941-3790 VL - 85 IS - 8/9 SP - 799 EP - 800 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Abeysekara, A. U. A1 - Archer, A. A1 - Benbow, Wystan A1 - Bird, Ralph A1 - Brose, Robert A1 - Buchovecky, M. A1 - Buckley, J. H. A1 - Bugaev, V. A1 - Chromey, A. J. A1 - Connolly, M. P. A1 - Cui, Wei A1 - Daniel, M. K. A1 - Falcone, A. A1 - Feng, Qi A1 - Finley, John P. A1 - Fortson, L. A1 - Furniss, Amy A1 - Huetten, M. A1 - Hanna, David A1 - Hervet, O. A1 - Holder, J. A1 - Hughes, G. A1 - Humensky, T. B. A1 - Johnson, Caitlin A. A1 - Kaaret, Philip A1 - Kar, P. A1 - Kertzman, M. A1 - Kieda, David A1 - Krause, M. A1 - Krennrich, F. A1 - Kumar, S. A1 - Lang, M. J. A1 - Lin, T. T. Y. A1 - McArthur, S. A1 - Moriarty, P. A1 - Mukherjee, Reshmi A1 - Ong, R. A. A1 - Otte, Adam Nepomuk A1 - Park, Nahee A1 - Petrashyk, A. A1 - Pohl, Martin A1 - Pueschel, Elisa A1 - Quinn, J. A1 - Ragan, K. A1 - Reynolds, P. T. A1 - Richards, Gregory T. A1 - Roache, E. A1 - Rulten, C. A1 - Sadeh, I. A1 - Santander, Marcos A1 - Sembroski, G. H. A1 - Shahinyan, Karlen A1 - Sushch, I. A1 - Tyler, J. A1 - Wakely, S. P. A1 - Weinstein, A. A1 - Wells, R. M. A1 - Wilcox, P. A1 - Wilhelm, Alina A1 - Williams, D. A. A1 - Williamson, T. J. A1 - Zitzer, B. A1 - Abdollahi, S. A1 - Ajello, Marco A1 - Baldini, Luca A1 - Barbiellini, G. A1 - Bastieri, Denis A1 - Bellazzini, Ronaldo A1 - Berenji, B. A1 - Bissaldi, Elisabetta A1 - Blandford, R. D. A1 - Bonino, R. A1 - Bottacini, E. A1 - Brandt, Terri J. A1 - Bruel, P. A1 - Buehler, R. A1 - Cameron, R. A. A1 - Caputo, R. A1 - Caraveo, P. A. A1 - Castro, D. A1 - Cavazzuti, E. A1 - Charles, Eric A1 - Chiaro, G. A1 - Ciprini, S. A1 - Cohen-Tanugi, Johann A1 - Costantin, D. A1 - Cutini, S. A1 - de Palma, F. A1 - Di Lalla, N. A1 - Di Mauro, M. A1 - Di Venere, L. A1 - Dominguez, A. A1 - Favuzzi, C. A1 - Fegan, S. J. A1 - Franckowiak, Anna A1 - Fukazawa, Yasushi A1 - Funk, Stefan A1 - Fusco, Piergiorgio A1 - Gargano, Fabio A1 - Gasparrini, Dario A1 - Giglietto, Nicola A1 - Giordano, F. A1 - Giroletti, Marcello A1 - Green, D. A1 - Grenier, I. A. A1 - Guillemot, L. A1 - Guiriec, Sylvain A1 - Hays, Elizabeth A1 - Hewitt, John W. A1 - Horan, D. A1 - Johannesson, G. A1 - Kensei, S. A1 - Kuss, M. A1 - Larsson, Stefan A1 - Latronico, L. A1 - Lemoine-Goumard, Marianne A1 - Li, J. A1 - Longo, Francesco A1 - Loparco, Francesco A1 - Lovellette, M. N. A1 - Lubrano, Pasquale A1 - Magill, Jeffrey D. A1 - Maldera, Simone A1 - Mazziotta, Mario Nicola A1 - McEnery, J. E. A1 - Michelson, P. F. A1 - Mitthumsiri, W. A1 - Mizuno, Tsunefumi A1 - Monzani, Maria Elena A1 - Morselli, Aldo A1 - Moskalenko, Igor V. A1 - Negro, M. A1 - Nuss, E. A1 - Ojha, R. A1 - Omodei, Nicola A1 - Orienti, M. A1 - Orlando, E. A1 - Palatiello, M. A1 - Paliya, Vaidehi S. A1 - Paneque, D. A1 - Perkins, Jeremy S. A1 - Persic, M. A1 - Pesce-Rollins, Melissa A1 - Petrosian, Vahe' A1 - Piron, F. A1 - Porter, Troy A. A1 - Principe, G. A1 - Raino, S. A1 - Rando, Riccardo A1 - Rani, B. A1 - Razzano, Massimilano A1 - Razzaque, Soebur A1 - Reimer, A. A1 - Reimer, Olaf A1 - Reposeur, T. A1 - Sgro, C. A1 - Siskind, E. J. A1 - Spandre, Gloria A1 - Spinelli, P. A1 - Suson, D. J. A1 - Tajima, Hiroyasu A1 - Thayer, J. B. A1 - Thompson, David J. A1 - Torres, Diego F. A1 - Tosti, Gino A1 - Troja, Eleonora A1 - Valverde, J. A1 - Vianello, Giacomo A1 - Vogel, M. A1 - Wood, K. A1 - Yassine, M. A1 - Alfaro, R. A1 - Alvarez, C. A1 - Alvarez, J. D. A1 - Arceo, R. A1 - Arteaga-Velazquez, J. C. A1 - Rojas, D. Avila A1 - Ayala Solares, H. A. A1 - Becerril, A. A1 - Belmont-Moreno, E. A1 - BenZvi, S. Y. A1 - Bernal, A. A1 - Braun, J. A1 - Brisbois, C. A1 - Caballero-Mora, K. S. A1 - Capistran, T. A1 - Carraminana, A. A1 - Casanova, Sabrina A1 - Castillo, M. A1 - Cotti, U. A1 - Cotzomi, J. A1 - Coutino de Leon, S. A1 - De Leon, C. A1 - De la Fuente, E. A1 - Dichiara, S. A1 - Dingus, B. L. A1 - DuVernois, M. A. A1 - Diaz-Velez, J. C. A1 - Engel, K. A1 - Enriquez-Rivera, O. A1 - Fiorino, D. W. A1 - Fleischhack, H. A1 - Fraija, N. A1 - Garcia-Gonzalez, J. A. A1 - Garfias, F. A1 - Gonzalez Munoz, A. A1 - Gonzalez, M. M. A1 - Goodman, J. A. A1 - Hampel-Arias, Z. A1 - Harding, J. P. A1 - Hernandez, S. A1 - Hernandez-Almada, A. A1 - Hona, B. A1 - Hueyotl-Zahuantitla, F. A1 - Hui, C. M. A1 - Huntemeyer, P. A1 - Iriarte, A. A1 - Jardin-Blicq, A. A1 - Joshi, V. A1 - Kaufmann, S. A1 - Lara, A. A1 - Lauer, R. J. A1 - Lee, W. H. A1 - Lennarz, D. A1 - Leon Vargas, H. A1 - Linnemann, J. T. A1 - Longinotti, A. L. A1 - Luis-Raya, G. A1 - Luna-Garcia, R. A1 - Lopez-Coto, R. A1 - Malone, K. A1 - Marinelli, S. S. A1 - Martinez, O. A1 - Martinez-Castellanos, I. A1 - Martinez-Castro, J. A1 - Martinez-Huerta, H. A1 - Matthews, J. A. A1 - Miranda-Romagnoli, P. A1 - Moreno, E. A1 - Mostafa, M. A1 - Nayerhoda, A. A1 - Nellen, L. A1 - Newbold, M. A1 - Nisa, M. U. A1 - Noriega-Papaqui, R. A1 - Pelayo, R. A1 - Pretz, J. A1 - Perez-Perez, E. G. A1 - Ren, Z. A1 - Rho, C. D. A1 - Riviere, C. A1 - Rosa-Gonzalez, D. A1 - Rosenberg, M. A1 - Ruiz-Velasco, E. A1 - Salazar, H. A1 - Greus, F. Salesa A1 - Sandoval, A. A1 - Schneider, M. A1 - Arroyo, M. Seglar A1 - Sinnis, G. A1 - Smith, A. J. A1 - Springer, R. W. A1 - Surajbali, P. A1 - Taboada, Ignacio A1 - Tibolla, O. A1 - Tollefson, K. A1 - Torres, I. A1 - Ukwatta, Tilan N. A1 - Villasenor, L. A1 - Weisgarber, T. A1 - Westerhoff, Stefan A1 - Wisher, I. G. A1 - Wood, J. A1 - Yapici, Tolga A1 - Yodh, G. A1 - Zepeda, A. A1 - Zhou, H. T1 - VERITAS and Fermi-LAT Observations of TeV Gamma-Ray Sources Discovered by HAWC in the 2HWC Catalog JF - The astrophysical journal : an international review of spectroscopy and astronomical physics N2 - The High Altitude Water Cherenkov (HAWC) collaboration recently published their 2HWC catalog, listing 39 very high energy (VHE; >100 GeV) gamma-ray sources based on 507 days of observation. Among these, 19 sources are not associated with previously known teraelectronvolt (TeV) gamma-ray sources. We have studied 14 of these sources without known counterparts with VERITAS and Fermi-LAT. VERITAS detected weak gamma-ray emission in the 1 TeV-30 TeV band in the region of DA 495, a pulsar wind nebula coinciding with 2HWC J1953+294, confirming the discovery of the source by HAWC. We did not find any counterpart for the selected 14 new HAWC sources from our analysis of Fermi-LAT data for energies higher than 10 GeV. During the search, we detected gigaelectronvolt (GeV) gamma-ray emission coincident with a known TeV pulsar wind nebula, SNR G54.1+0.3 (VER J1930+188), and a 2HWC source, 2HWC J1930+188. The fluxes for isolated, steady sources in the 2HWC catalog are generally in good agreement with those measured by imaging atmospheric Cherenkov telescopes. However, the VERITAS fluxes for SNR G54.1+0.3, DA 495, and TeV J2032+4130 are lower than those measured by HAWC, and several new HAWC sources are not detected by VERITAS. This is likely due to a change in spectral shape, source extension, or the influence of diffuse emission in the source region. KW - gamma rays: general Y1 - 2018 U6 - https://doi.org/10.3847/1538-4357/aade4e SN - 0004-637X SN - 1538-4357 VL - 866 IS - 1 PB - IOP Publ. Ltd. CY - Bristol ER -