Conclusions
pain
Medication management in NH is an interprofessional and complex task. The results of this analysis of the HIOPP-3-iTBX study support the known role of nursing qualification in the quality and safety of care. The analysis showed that advanced training in the field of pain and geriatrics in nursing professionals was associated with lower rates of PIM/antipsychotics in NHR at baseline of the HIOPP-3-iTBX study [Based on the results, further studies should examine the effect of additional nursing qualifications in German NH more closely (e.g., number of qualified staff in NH, extent of qualification, collaboration/role within nursing team). Moreover, further studies are important to evaluate the role of advanced trained nurses in the medication process with a focus on the initiation of a prescription and its evaluation regarding PIMs and antipsychotics, especially in nursing teams in Germany. As quality standards for German NH are under development, the present and future studies can perspectively contribute to their development and introduction.