Prof. Heinz Rothgang presents project results in BerlinCommissioned by the GKV-Spitzenverband (National Association of Statutory Health Insurance Funds), researchers from Bremen developed and tested a new concept for staff deployment in care facilities that can be implemented in the future in over 11,000 residential long-term care facilities in Germany. On January 21, 2026, the results of the pilot program were presented in Berlin.
The tense staffing situation in nursing homes has long been one of the most pressing health policy issues in Germany. However, more staff can only be a solution if nursing homes deploy them in a targeted manner. This is where the concept for staff deployment developed in Bremen comes in, introducing a "competence- and resident-oriented work organization" (KubA) that precisely matches the different qualifications and competencies of nursing staff with the needs and requirements of residents.
Between September 2023 and December 2025, the concept was practically implemented and evaluated in ten pilot nursing homes nationwide. The implementation also included a comprehensive process of personnel and organizational development in the form of training sessions, workshops, and continuing education on topics such as personnel development discussions, the qualification-oriented care process, and duty scheduling. For the evaluation, nursing staff were observed in their activities before and after the implementation of the concept. Additionally, both staff members and residents of the nursing homes were surveyed about their respective satisfaction levels. The results show positive effects in the pilot facilities: care quality has improved, satisfaction with nursing care as well as employee satisfaction has increased, and staff deployment is more efficient.
"The concept for implementing competence- and resident-oriented work organization as well as comprehensive materials to support this process are now available. It is up to the nursing homes now to begin implementation and to design their staff deployment more precisely in the future," says project leader Prof. Heinz Rothgang (Socium, University of Bremen).
Background: PeBeM Study
The presented measures are based on results from a predecessor project that focused on developing a personnel assessment instrument for nursing care. In this so-called PeBeM study, an algorithm was developed which enables a needs-oriented fit between the needs of the residents and the qualification mix of the staff. Because not only the needs and requirements of residents are individual, but the qualifications of staff also differ.
The algorithm developed in the PeBeM study, when applied to all facilities, resulted in an additional staff requirement averaging 36% compared to staffing levels in 2018 – predominantly in the area of nursing assistants with one- to two-year vocational training. These results were reviewed and confirmed for the year 2025 in the current study.
Already based on the PeBeM study, legislators have introduced staff caps that enable care facilities to hire up to 45,000 additional nursing staff nationwide (calculated in full-time equivalents). If this is utilized, it follows that in the future nearly equal numbers of skilled professionals will be supported by significantly more assistant staff. This changed qualification mix requires a new work organization and the above-described process of personnel and organizational development.
The implementation concept for staff planning, which is intended to bring scientific findings into practice nationwide, was developed by researchers from SOCIUM and the Institute for Public Health and Nursing Research at the University of Bremen and the City University of Applied Sciences Bremen. The concept testing in ten pilot facilities was overseen with the consulting firm contec GmbH as a practice partner, and the evaluation was conducted together with aQua – Institute for Applied Quality Improvement and Research in Healthcare GmbH.
Links:
More information about the pilot program: https://www.gkv-spitzenverband.de/pflegeversicherung/forschung/modellprogramm___8_abs__3b_sgb_xi/modellprogramm_8_abs_3b.jsp
Implementation concept and materials: https://www.gkv-spitzenverband.de/pflegeversicherung/forschung/modellprogramm___8_abs__3b_sgb_xi/8_abs_3b_materialien/implementationskonzept_und_materialien.jsp
Foto: Patrick Pollmeier / Universität Bremen
Contact:Prof. Dr. Heinz RothgangSOCIUM Research Center on Inequality and Social Policy
Mary-Somerville-Straße 3
28359 Bremen
Phone: +49 421 218-58557
E-Mail:
rothgang@uni-bremen.de