title: [Quality needs competence and responsibility - challenges and perspectives of Advanced Nursing Practice for the health care system from a nursing science perspective].
abstract: Advanced Nursing Practice seems to be an answer to the complex challenges of the health system. However, the quality of Advanced Nursing Practice is researched by comparison to medical care. These attempts to legitimise Advanced Nursing Practice decrease the potentials of nursing care. In contrast to this, a prospect for Advanced Nursing Practice should be derived from the core of nursing, namely the relation to the life-world of the clients, the closeness to the clients and their families, and the opportunity for consistency in health care. This vision has to be realised by means of autonomy and responsibility in nursing care. The competence to autonomous and responsible decision-making is based on an educational process, where the ability to perceive the situation of client as changeable is developed.
authors.affiliation: Hochschule für Angewandte Wissenschaften Hamburg, Fakultät Wirtschaft und Soziales, Department Pflege und Management, Hamburg. uta.gaidys@haw-hamburg.de
authors.forename: Uta
authors.initials: U
authors.lastname: Gaidys
mesh_terms: D057179:Advanced Practice Nursing / Q000639:trends*; D002983:Clinical Competence; D005544:Forecasting; D005858:Germany; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D009313:National Health Programs / Q000639:trends*; D024802:Nurse's Role; D017009:Professional Autonomy; D011787:Quality of Health Care / Q000639:trends*