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The Advanced Nursing Practice (ANP) concept had been implemented in Germany in 2010 with an aim of integrating extended and specialized nursing interventions to meet the needs of individuals sustainably and effectively (Prommersberger, 2020). There are still no legal regulations in place to protect the title ANP, along with prescription rights to Advanced Practice Nursing (APN) (Prommersberger, 2020). Changes and higher qualification levels in an APN's job description and competency profile is not yet sufficient in Germany (Prommersberger, 2020).

Prommerberger, Mathhias. (2020). Advanced nursing practice: The German experience. European Journal of Emergency Medicine, 27(1).
10.1097/MEJ.0000000000000666

Slow moving public health
Since the public health system can be slow moving, health promotion and health education are highly evident (EPHA).

New legislation states that citizens can get reimbursed through health insurance for taking preventative health measures, such as exercising and seeing their primary care physician (EPHA).

European Public Health Alliance. (2015, August 3). New German law promotes prevention and health promotion - will it deliver? https://epha.org/new-german-law-promotes-prevention-and-health-promotion-will-it-deliver/

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Globig. (2021). Religion, holidays, and festivals in Germany.
https://platform.globig.co/knowledgebase/DE/landscape/holidays-in-germany-festivals

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#1 German (95% of the population) (BBC).
Other languages include Turkish and Kurdish (BBC).

British Broadcasting  Corporation. (2014, October 14). Languages across Europe. http://www.bbc.co.uk/languages/european_languages/countries/germany.shtml#:~:text=The%20official%20language%20of%20Germany,%25%2C%20who%20also%20speak%20German.

Religion

About 70% of the German population is a part of the Christian religion (Internations, 2019). Minority religions include Judaism and Islam (Internations, 2019).

Internations. (2019). Religion in
Germany.
https://www.internations.org/go/moving-to-germany/living/religion-in-germany

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What are the current trends in Germany leading to the increase of an older population?

Why are some Germans deterred from seeking medical attention even though German health care is more affordable and accessible?

What are the benefits of the cloud system that is currently in use for health records in Germany?

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Interesting facts and/or immigration trends

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Interesting facts and/or immigration trends

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Three trends in Germany: low birth rate, rising life expectancy, and an aging society. The average life expectancy in Germany is 81 - with women living to 83 years old and men living to 78, on average (deutschland.de, 2019). The current population is 83 million, of which, 21.5% are older than 65 (deutschland.de, 2019). There are twice as many 50-year old people as there are newborn babies (deutschland.de, 2019).

Immigration makes up a large part of Germany's population. Currently, 20 percent of the people living in Germany have a migration background (deutschland.de, 2019).

Interesting and important facts about the Federal Republic of Germany. (2019, September 9). deutschland.de. Retrieved May 20, 2021, from https://www.deutschland.de/en/topic/politics/germany-in-facts-and-figures-the-most-important-things-about-the-country-and-its.

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Common health trends in Germany including complimentary and alternative medicine

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Common health trends in Germany including complimentary and alternative medicine

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The use of complimentary and alternative medicine (CAM) is actually quite common in Germany. Things that are considered to be complimentary and alternative medicines are practices such as: acupuncture, homeopathy,  herbal supplements, message therapy, and many more noninvasive treatments. In fact one study states that 85% of practitioners use at least one CAM treatment or more a week with the most common being herbal remedies (Ostermair et. al., 2020).  A survey study on general practitioners discovered that all of them use CAM in their practice along with conventional medicine, in addition roughly half are certified in a field of CAM (Ostermair et. al., 2020).  Another health trend that is becoming prevalent in Germany is the use of a cloud based personal health care system. It is a cloud system that allows smartphone access for the patient to be able to view their records remotely, update med list from scanning barcodes, and being able to connect to Bluetooth health aid devices the patient has (Ploner et. al., 2019).

Ostermaier, A., Barth, N. & Linde, K. How German general practitioners justify their provision of complementary and alternative medicine – a qualitative study. BMC Complement Med Ther 20, 111 (2020). https://doi.org/10.1186/s12906-020-02907-6

Ploner, N., Neurath, M. F., Schoenthaler, M., Zielke, A., & Prokosch, H. U. (2019). Concept to gain trust for a German personal health record system using public cloud and FHIR. Journal of biomedical informatics, 95, 103212. https://doi.org/10.1016/j.jbi.2019.103212

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Common values and beliefs impacting health and health care decisions

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Common values and beliefs impacting health and health care decisions

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The National health care system in Germany is more affordable and accessible than in the United States. Nearly 100% of German citizens are covered by public or private health insurance (Altenstetter, 2003). There are many positive aspects of nationalized insurance; they have 14 co-payments a year and free preventative screenings for life (Altenstetter, 2003). Even though affordable, there are common values that effect healthcare decisions. The process of making appointments and filling prescriptions can take weeks (Ottonova, 2019). The hospitals are not very accommodating, they do not provide basic toiletries, towels, clothes, etc. Some locals believe that going to the doctor shows a sign of weakness, so they do not go regularly. Nurse Practitioner's and Physician Assistant's are not common, when clients go to the doctor they expect to see the physician or it is a waste of their time.
Therapeutic spas have a long-standing reputation in the culture. This is so common, that sometimes health insurance covers spa treatments. Despite all the pros and cons about the medical care, they provide high quality care. The physicians are known to be very thorough and efficient (Altenstetter, 2003). They have top tier care, and the people still choose home remedies prior to seeking medical attention.

Altenstetter, C. (2003). Insights from health care in Germany. American Journal of Public Health. www.ncbi.nlm.nih.gov/pmc/articles/
PMC1447688/

Ottonova (2019). Seven of the biggest healthcare culture shocks in Germany. The Local. https://www.thelocal.de/20190620/seven-of-the-biggest-healthcare-culture-shocks-in-germany-ottonova-tlccu/

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Nursing considerations and interventions applicable to providing care

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Nursing considerations and interventions applicable to providing care