Sustainable Management in Inpatient Long-Term Care in Germany Through Competence-Based Staffing

Zöllner, Rita and Mages, Silke (2026) Sustainable Management in Inpatient Long-Term Care in Germany Through Competence-Based Staffing. In: FEJLŐDÉSI PÁLYÁK ÉS ÚJ TÖRÉSVONALAK A FENNTARTHATÓSÁGI ÁTMENET IDŐSZAKÁBAN : Nemzetközi tudományos konferencia a Magyar Tudomány Ünnepe alkalmából. Soproni Egyetem Kiadó, Sopron, pp. 581-598. ISBN 9789633345795

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Abstract

Despite care being an economic sector, there is still only limited scientific knowledge about the deployment of competence-based and academically qualified nursing staff and its impact on the quality of care and costs in long-term care facilities. The aim of this study is to systematically identify, analyse and evaluate the external factors influencing long-term inpatient care using the PESTEL analysis. The results show that political measures are increasingly aimed at professionalising the nursing profession, while economic conditions have so far provided insufficient funding for highly qualified nursing work, especially in qualification level 6-8. Sociocultural, clear role and task profiles alongside academic qualifications are becoming increasingly important. Technological developments in the field of digitalisation and robotics unlock the potential for increased efficiency. Ecological sustainability requires the targeted deployment of qualified staff to ensure resource-efficient nursing processes. From a legal perspective, there is considerable potential for development in international comparison. The study contributes to the discussion on sustainable management in inpatient long-term care and outlines key areas of action for preparing existing structures for the future. All eight international qualification levels are necessary to meet the complex requirements of high-quality, sustainable care provision in the long term.

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