[Paradigm shift of German medicine by introduction of nurse practicioners. Does it make sense in view of experience in the United Kingdom?].
Germany wants to introduce some models to allow nurses to work in medical roles.                     Although hospital nurses worked hard during the last couple of years to                     concentrate on pure patient care and to detach themselves from medicine, a short                     additional training of 6-12 months duration is planned to allow them to work                     independently in well defined areas of medicine (high blood pressure, wound                     care, dementia, diabetes). However, success of such models has only been tested                     in a few studies. Study results and experience with such models in the UK -                     where these developments are much more advanced - are not only positive.                     Generally, work of nurses in medical roles does not make patient care less                     expensive and doctor´s work less onerous. The benefit lies more in an add-on                     effect to doctor´s care. Therefore, a close scientific surveillance of such                     models must be guaranteed and results must be considered without any kind of                     ideology.
Kardiologische Praxis Schwabing, München. cseligmann@t-online.de
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D002321:Career Choice; D003299:Cooperative Behavior; D017046:Cost Savings / Q000639:trends; D003431:Cross-Cultural Comparison; D032022:Delegation, Professional / Q000191:economics / Q000639:trends; D004511:Education, Nursing, Graduate / Q000639:trends; D005544:Forecasting; D005858:Germany; D006291:Health Policy / Q000191:economics / Q000639:trends*; D006302:Health Services Research; D006801:Humans; D009313:National Health Programs / Q000191:economics / Q000639:trends*; D009722:Nurse Practitioners / Q000191:economics / Q000639:trends*; D019555:Physician-Nurse Relations; D019984:Quality Indicators, Health Care / Q000191:economics / Q000639:trends; D012456:Salaries and Fringe Benefits / Q000191:economics / Q000639:trends; D013222:State Medicine / Q000191:economics / Q000639:trends*; D006113:United Kingdom