Sachs Marcel
Institut für Gesundheits- und Pflegewissenschaft der Martin-Luther-Universität Halle-Wittenberg, Jena.
Pflege. 2006 Feb;19(1):33-44. doi: 10.1024/1012-5302.19.1.33.
Standards and guidelines are useful elements in quality development and helpful to influence practice of health professionals. However, there are some unanswered questions regarding the circumstances and preconditions of effective change in practice. In German research there is a lack of ambitious evaluation studies concerning implementing standards. Getting evidence about supporting and restricting factors of implementing guidelines into nursing practice is the aim of this article.
With the help of a search of relevant literature in appropriate data bases the research findings are systematically analysed.
Effective implementation and distribution strategies are programs that realise an active involvement of practitioners and that are practically orientated. Passive attempts to distribute information and specification reveal only little success. A multiple intervention program addressing the introduction process and organisational conditions promise the very best influence on the practice of care.
标准和指南是质量发展中的有用要素，有助于影响卫生专业人员的实践。然而，关于实践中有效变革的情况和先决条件，仍存在一些未解决的问题。在德国的研究中，缺乏关于实施标准的雄心勃勃的评估研究。本文旨在获取有关将指南纳入护理实践的支持因素和限制因素的证据。
通过在适当数据库中搜索相关文献，对研究结果进行系统分析。
有效的实施和传播策略是那些能让从业者积极参与且以实践为导向的项目。被动地传播信息和规范收效甚微。一个针对引入过程和组织条件的多重干预项目有望对护理实践产生最大影响。
