Journal Article

DZNE-2026-00771

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Vorstellung des „DemenzKompetenz“-Modells Langzeitpflege: Entwicklung eines demenzspezifischen pflegegeleiteten Versorgungmodells | Introducing the "DemenzKompetenz" model for German long-term care: Development of a dementia-specific nurse-led care model

Maack, K. (First author)DZNE* ; Roes, M.DZNE* ; Palm, R. ; Holle, B. (Last author)DZNE*

2026
Hogrefe Bern

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Please use a persistent id in citations: doi:10.1024/1012-5302/a001078

Abstract: Introducing the 'DemenzKompetenz' model for German long-term care: Development of a dementia-specific nurse-led care model Abstract: Background: To meet the complex care needs of people with dementia, academically trained nurses must be established in care practice. The implementation of extended nursing roles in German inpatient long-term care requires a reorganization of tasks within the professional care team. Aim: The aim of the study was to develop a tailored, dementia-specific nurse-led care model for inpatient long-term care in Germany. Methods: The study includes theoretical and empirical data collections and analyses for the development of a care model (scoping review, case studies, group Delphi survey, focus groups). A total of 44 practice experts (people with dementia, relatives, staff) and 25 experts at the organizational and system level participated. Results: The dementia-specific nurse-led care model we present, consists of two core principles (advanced nursing expertise, person-centered care culture) and six key components (comprehensive geriatric assessment, needs-based care planning, interprofessional case discussions, person-centered care coordination, knowledge transfer & coaching, and reflection & practice development). In the process of model development, the relevance of the core principles that affect all core elements became particularly evident. Conclusions: This study provides insights into the targeted deployment of academically trained nurses. Further, the DemKo model shows how existing care problems in German inpatient long-term care can be addressed.

Keyword(s): Humans (MeSH) ; Germany (MeSH) ; Long-Term Care: organization & administration (MeSH) ; Patient-Centered Care: organization & administration (MeSH) ; Models, Nursing (MeSH) ; Alzheimer Disease: nursing (MeSH) ; National Health Programs: organization & administration (MeSH) ; Aged (MeSH) ; Nurse's Role (MeSH) ; Practice Patterns, Nurses': organization & administration (MeSH) ; Chronic Care Model (MeSH) ; Kompetenzerweiterung ; Langzeitpflege ; Person-zentrierung ; Qualifikationsmix ; academically trained nurses ; akademisch qualifizierte Pflegefachpersonen ; long-term care ; person-centered care ; role expansion ; skill mix

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Contributing Institute(s):

1. Care Structures (AG Holle)
2. Implementation Science & Person-Centered Dementia Care (AG Roes)

Research Program(s):

1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

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Database coverage:
; Clarivate Analytics Master Journal List ; Essential Science Indicators ; IF < 5 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Social Sciences Citation Index ; Web of Science Core Collection

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