Thiel V, Steger K U, Josten C, Schemmer E
Fachbereich Gesundheitswesen, Katholische Fachhochschule Nordrhein-Westfalen, Abteilung Köln.
Pflege. 2001 Aug;14(4):267-76. doi: 10.1024/1012-5302.14.4.267.
Evidence-based nursing (EBN) is being introduced promising to professionalize and emancipate nursing. Three questions are discussed as to whether this can be accomplished. The analysis comes to the following conclusions: Evidence-based nursing (EBN) as a problem solving process will become part of the German health care service by means of social legislation. The concept joins clinical experience and best evidence under the principle of patient adapted intervention. This complies with the demand for rationally justified, transparent, and economically comparable performance. One specific trait of research in nursing is the importance of qualitative methods that make the dimension of subjective meaning comprehensible. Only under a normative paradigm can the concept of evidence-based intervention be applied immediately. This leads to problems of adaptation that have to be solved when introducing EBN. Evidence-based nursing practice fits into modern concepts of professional nursing as well as into current visions regarding the reform of German nursing education. However, some peculiarities that characterize German nursing practice in particular must be taken into consideration. This includes the professional ideology of nursing staff as well as applied nursing science, which is still in its beginnings.
With careful implementation the concept of evidence-based intervention can develop its potential to improve nursing practice. Further, EBN offers Germany an opportunity to catch up with international standards.
循证护理（EBN）正在被引入，有望使护理专业化并实现护理自主。针对这是否能够实现，讨论了三个问题。分析得出以下结论：循证护理（EBN）作为一种解决问题的过程，将通过社会立法成为德国医疗服务的一部分。该概念在以患者为导向的干预原则下，将临床经验与最佳证据相结合。这符合对合理、透明且经济上具有可比性的医疗服务的要求。护理研究的一个特殊特点是定性方法的重要性，它能使主观意义的维度变得可理解。只有在规范范式下，循证干预的概念才能直接应用。这就导致了在引入循证护理时必须解决的适应性问题。循证护理实践既符合现代专业护理概念，也符合德国护理教育改革的当前愿景。然而，必须考虑到德国护理实践所特有的一些特点。这包括护理人员的专业理念以及仍处于起步阶段的应用护理科学。
通过谨慎实施，循证干预概念能够发挥其改善护理实践的潜力。此外，循证护理为德国提供了一个赶上国际标准的机会。
