[The Neumarkt concept of nursing case responsibility: A framework for consequent and person-centred realization of the nursing process].

The Neumarkt concept of nursing case responsibility: A framework for consequent and person-centred realization of the nursing process An essential requirement for the realization of person-centred practice is a practice environment, that supports the forming of professional nurse-patient-relationships. Therefore, Klinikum Neumarkt implemented in context of practice development a concept for nursing case responsibility, that offers a framework for a person-centred and systematic coordination of the nursing process. Because of the existing conflict between economic and nursing interests, it is essential to prove the effectiveness of the concept. Our aim was the exploration of the effects of the concept implementation from the patient's as well as the interprofessional team's perspective, including the economic implications. The multiperspective evaluation was conducted with individual interviews and an economic analysis of hospital routine data. The patients and the interprofessional team perceive a person-centred care and coordination of the nursing process. They also point out the required resources. The economic results show a significantly increased revenue through better documentation of complex nursing situations of patients included in the concept (Odds ratio: 4.00, 95%-Confidence Interval [2.15; 8.01], p < 0.001). The results provide evidence of the efficacy of the concept for a systematic, person-centred coordination of the nursing process and justify an increased use of resources needed. The implementation of the concept is a drastic change for everyone involved and needs to be embedded in a strategic practice development.