The challenges in the field of care for the elderly were the subject of a care summit on monday, to which the SPD members of the upper franconian state parliament had invited to the senior citizens’ center of the arbeiterwohlfahrt (awo). Topic of the morning: can politics create a framework to make the nursing profession more attractive??
Representatives of nursing professions, facility owners and vocational schools discussed this with state parliament members inge aures, klaus adelt, susann biedefeld and christoph rabenstein. "When you open a care facility today, the main question is not how to fill it to capacity, but how and from where to recruit staff", in his keynote speech, facility manager steffen coburger states that. 1.1 million people work in the elderly care sector, significantly more than in the automotive industry (800,000). In contrast to the nursing homes, the medical service of the health insurance (MDK) has hardly any staffing problems to complain about; in this context, coburger spoke of a "job miracle, as the MDK has now increased its staff to 9000 employees. Of these, 3,000 are trained nurses, who are lacking in the care of those in need of care. The MDK is financed in equal parts by the social care insurance and the health insurance. In 2017, the MDK received a total of around 840 million euros in funding. Coburger counted the recruitment of nursing professionals, securing and training the next generation of staff, better framework conditions and an appreciation of nursing by society among the major challenges in the care of the elderly.
In the discussion it became clear that there are many challenges in the care of the elderly. Starting with the training of junior staff, through the area of short-term care, to the growing shortage of skilled workers. "Equal conditions for all", dagmar alfsmann from the vocational school for geriatric nursing in coburg, germany. The students of nursing care for the elderly should be remunerated in the same way as the students of nursing care for the sick.
Albrecht diller from neuenmarkt addressed the problem of short-term care. Many of the geriatric facilities no longer meet the minimum standards in terms of coarseness, and therefore could not be occupied if necessary. "A bit of flexibility would be necessary here", inge aures stated. Another topic of discussion was the control by the home supervisory authority and the MDK. "The bad reputation of the institution does not come by chance", stated a discussant. If a mistake was made, everyone would jump on the nursing staff and overlook the fact that all the other institutions were doing a good job.
The shortage of skilled workers in nursing care for the elderly was identified as a major dilemma. This problem can be solved neither by recruiting staff from outside the field nor by recruiting from abroad. Besides language barriers, cultural differences also came into play. Demographic change had been underestimated, although everyone had predicted it, noted SPD member of the state parliament christoph rabenstein. "There has to be a change in the system", is his claim. Rabenstein does not believe in pumping more money into the existing system. Recruiting nurses from abroad will not solve the problem either. "A rethinking in the heads must take place."