Berlin - Almost 17,000 vacant care positions cannot currently be filled in inpatient care facilities. This is evident from the current care thermometer, from which individual results were presented today on the occasion of the 5th German Care Day in Berlin.
Accordingly, 11,400 positions for geriatric care workers, 2,500 positions for nursing staff and 2,300 positions for geriatric care assistants are vacant and 750 nursing assistant jobs. "There would be money for these nursing staff and helpers, but there is no one on the job market to fill them," said the author of the nursing thermometer, Michael Isfort from the German Institute for Applied Nursing Research ().
This also shows the importance of program that promises 8,000 new care positions. The Union and the SPD want to create as many jobs in the inpatient facilities during this legislative period as they agreed in their coalition agreement. Isfort called this project "calculation example", as these positions could not be filled either, even if the government made money available for them.
More residents with complex problems
In addition, the nursing thermometer shows that the work of nurses in inpatient care facilities is becoming increasingly difficult. 81 percent of the management staff from 1,067 nursing homes who took part in the survey stated that the number of residents with complex medical problems is increasing. Only five percent stated that this was not the case in their facility.
62 percent of those questioned also stated that the average moving-in age of residents was getting higher and higher; this was not the case for 15 percent. And 56 percent stated that the residents of the facilities have shorter and shorter periods of time; 18 percent disagreed with this statement. “Working in inpatient care facilities is not about simple tasks, but about complex services that the care workers have to provide,” emphasized Isfort.
According to the care thermometer, the workload of the care workers is in the in the past two years, in particular due to the challenging behavior of the residents (55 percent of those surveyed stated this), due to basic and treatment care (52 percent) and work with relatives (51 percent).
The respondents stated that the duration of illness among employees increased from 2016 to 2017 (43 percent provided this information). The number of sick days (41 percent), the severity of illness (31 percent) and the number of overtime hours (24 percent) have also increased. explained Isfort.The acquisition of skilled workers is very regional business. As the survey showed, the recruiting area is 20 kilometers. More than 90 percent of those surveyed made acquisitions there. And "there is clear limit to mobilization," he said. "You will not induce any nursing staff from Lower Saxony to take part-time position in Bavaria."
The staff shortage also has an impact on the selection of applicants. 62 percent of respondents said that in 2017 they hired applicants whom they would have rejected five years ago. Only seven percent stated that the number of applications enables positions to be filled quickly. "The quality of the applications and the number of them are not at the level that we need," explained Isfort. “We would need massive upgrade of nursing training.” Otherwise, many facilities would reach the limits of their existence due to the lack of nursing care.
Seven out of ten nursing homes have waiting lists
Many nursing homes are already able to do so today no longer admit patients. 84 percent of respondents said they would have to decline requests for short-term care. 83 percent had to decline requests for long-term care. 71 percent have waiting lists for full inpatient long-term care.
Only 38 percent rate the offer of fully inpatient care in their region as secure. In the area of short-term care, only 15 percent estimate the capacities as extensively secured.